Dissertations / Theses on the topic 'Service du cure'
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BUET, ROBERT. "Le vecu des cures hospitalieres de desintoxication alcoolique : a partir d'une enquete menee aupres de 47 malades alcooliques hospitalises dans le service de medecine e du c.h.r. d'angers." Angers, 1992. http://www.theses.fr/1992ANGE1002.
DURIEUX, PHILIPPE. "Cure chirurgicale de l'incontinence urinaire d'effort par voie basse et voie mixte : experience du service de gynecologie-obstetrique du c.h. dunkerque : a propos de 131 cas." Lille 2, 1993. http://www.theses.fr/1993LIL2M371.
Simmons, Torrence P. "The regional jet, cancer or cure? A trend analysis detailing the effects of the regional jet on the quality of air service offered at small community airports." Thesis, Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 2000. http://handle.dtic.mil/100.2/ADA380917.
Thesis advisor(s): Lewis, Ira A.; Liao, Shu S. "June 2000." Includes bibliographical references (p. 63-64). Also available in print.
DESALVO, PIERRE. "Le role des entretiens collectifs avec les familles dans la prise en charge des alcooliques : experience du service de cure de l'intersecteur d'alcoologie des bouches-du-rhone." Aix-Marseille 2, 1989. http://www.theses.fr/1989AIX20179.
Jourdan, Bernard. "Rhinites hypertrophiques : corrélations cliniques rhinomanométriques et thérapeutiques entre cure thermale et chirurgie : à propos de 72 observations de la station de Bagnère-de-Bigorre et du service d'ORL de l'Hôpital Nord de Marseille." Aix-Marseille 2, 1992. http://www.theses.fr/1992AIX20103.
Taneja, Mukesh. "A service curve approach for quality of service management in integrated services networks /." Diss., Connect to a 24 p. preview or request complete full text in PDF format. Access restricted to UC campuses, 1998. http://wwwlib.umi.com/cr/ucsd/fullcit?p9914079.
Massavon, William Gabriel Kofi. "Community and Home-Based Care HIV Service Delivery Model in the Context of Paediatric HIV Management and Contributing to Health Systems Strengthening in a Resource-Limited Setting (Uganda): Operational Research." Doctoral thesis, Università degli studi di Padova, 2014. http://hdl.handle.net/11577/3423723.
Questa tesi descrive il Progetto Fenna Tukula (TFP) in corso presso il Home Care Department dell'Ospedale St. Raphael e St. Francis (Nsambya Hospital) a Kampala (Uganda). Nel 2003, l'Associazione Casa Accoglienza alla Vita "Padre Angelo" (ACAVPA) insieme ad altri Partner (in particolare la Fondazione PENTA e l'Università di Padova), hanno firmato una lettera di intenti con il Nsambya Hospital. L'obiettivo di questo documento era di collaborare con l'ospedale nella lotta all'AIDS nei bambini ed adolescenti, orfani (OVC) e le loro famiglie a Kampala e nei distretti circostanti di Mukono, Wakiso e Mpigi. Il progetto è stato chiamato inizialmente "PCP project" in quanto l'intervento consisteva essenzialmente nella profilassi con il Cotrimoxazole per la prevenzione della polmonite da Pneumocystis Carinii (conosciuta anche come Jiroveci Pneumonia). Dopo due anni dall’inizio del progetto grazie ad una aumentata disponibilita’ di risorse e’ stato possibile fornire ai bambini che ne avevano necessita’ la terapia con farmaci antiretrovirali (ARVs) da e quindi il progetto si e’ inidirizzato verso un programma 'tout-court' di lotta all'AIDS pediatrico con un approccio globale, che includeva anche le famiglie e non solamente i bambini. Di conseguenza, il nome "PCP" è stato rimpiazzato da "Tukula Fenna", che significa "crescere insieme" nella lingua locale (luganda). Il progetto si e’ caratterizzato con l’implementazione di un modello di cure domiciliari (CHBC) adattato alla realta’ dell’ Uganda andando quindi oltre i confini dello NHC fino a comprendere delle strutture periferiche tra cui la Clinica della Parrocchia di Ggaba ed altre 3 cliniche nei dintorni di Kampala. Questa tesi descrive i risultati dell’ attivita’ di ricerca svolta nell’ ambito del progetto che è stato coordinato dal Dr. Massavon tra il 2008 e il 2013. La tesi si articola in una prima parte di revisione della letteratura con particolare riferimento alla realta’ ugandese sia da un punto di vista dell’ epidemiologia dell’ HIV che dell’ organizzazione sanitaria nel paese con particolare riferimento all'evoluzione dei modelli sanitari finalizzati alla lotta all'AIDS, come modelli di cura comunitaria o domiciliari. L’ analisi della letteratura ha documentato che, in Uganda vi sono relativamente pochi servizi specialistici sull’ HIV pediatrico. Tale aspetto ha come conseguenza una disparita’ tra le varie regioni del paese e un limitato accesso alla terapia antiretrovirale per i bambini soprattutto coloro che sono senza genitori naturali. A dicembre 2013 circa 2.100 bambini ed adolescenti sono stati arruolati nel TFP. 1.140 sono seguiti regolarmente e il 60% di loro sono in terapia con ART. Il 47% dei bambini è orfano. La finalita’ ultima della tesi e’ quello di contribuire al miglioramento delle cure nei bambini HIV positivi in Uganda attraverso la valutazione di un modello di assistenza domiciliare. In quest’ ottica l’ attivita’ di ricerca si e’ articolata nella valutazione delle caratteristiche dei pazienti persi al follow-up, dell’ outcome della terapia antiretrovirale e, in un ambito piu’ prettamente clinico, nello studio dell’ impatto della infezione da EBV sulla progressione della malattia da HIV. L’ attivita’ si e’ sviluppata attorno diverse linee di ricerca i cui risultati sono stati pubblicati (o in corso di pubblicazione) nei lavori i cui elementi fondamentali sono riassunti di seguito: Studio 1: Studio osservazionale retrospettivo che analizza i risultati del follow-up dei pazienti con HIV e TB (adulti e bambini) seguiti presso lo Nsambya Hospital confrontandoli con i dati nazionali tra il 2007 e il 2011. I risultati mostrano che il modello seguito allo Nsambya ha prodotto migliori risultati in termini di morbilita’ e mortalita’ rispetto alle medie nazionali. Il modello descritto basato sull’ assistenza domiciliare potrebbe essere utilizzato anche in altri contesti nei paesi in via di sviluppo. Studio 2: Analisi di coorte retrospettiva per la valutazione delle caratteristiche dei pazienti persi al follow up (LTFU) e dei fattori di rischio associati, nei bambini ed adolescenti tra 0 e 20 anni. Nel corso del periodo di follow up considerato, il 5,3% dei pazienti è deceduto, il 37,6% e’ stato perso al follow-up con un “attritio” globale del 42,9%. In generale, LTFU sono stati relativamente alti tra i bambini e gli adolescenti nel TFP. La terapia con ARV e la crescita regolare sono stati fattori associati con la permanenza in follow up e con la sopravvivenza. Tali osservazioni suggeriscono come gli sforzi dovrebbero essere indirizzati ad iniziare la ART nei pazienti pediatrici il prima possibile, e a fornire un follow-up regolare a coloro che non sono ancora in terapia. Particolare attenzione va data agli orfani che necessitano di un supporto alimentare particolarmente attento e di un follow up regolare per definire il momento migliore quando iniziare la ART. Studio 3: Studio di coorte retrospettivo che ha studiato i bambini HIV positivi tra 0 e 18 anni inseriti in un programma di assistenza domiciliare con un approccio centrato sulla famiglia (FBFCA) dal 2003 al 2010, focalizzandosi sulla perdita al follow-up, la mortalità, l'uso di ART e le caratteristiche cliniche. A prescindere dal modello di cura, i bambini che ricevevano l'ART sono seguiti piu’ regolarmente e di conseguenza hanno una sopravvivenza a lungo termine maggiore. Basandosi sulle nostre osservazioni, un miglioramento sostanziale nella sopravvivenza dei bambini può essere raggiunto sia con un modello basato sulla assistenza domiciliare che sul coinvolgimento attivo della comunita’. Studio 4: Studio osservazionale prospettico che ha incluso bambini HIV positivi assistiti presso il Beira Central Hospital, in Mozambico e lo Nsambya Hospital, che ha valutato il rischio di fallimento immunologico e clinico secondo le linee guida del WHO del 2006. 218 su 740 bambini con almeno 24 settimane di follow-up ha avuto un fallimento della terapia ((29% 95% CI (26-33)), con una incidenza di 20.0 eventi su 100 anni-persona (95%CI 17.5-22.9). La coinfezione con la TB, la presenza di AIDS (WHO stadio 4), o l’inizio della ART con uno o due farmaci aumenta significativamente il rischio di fallimento terapeutico. Un ritardo considerevole nel passaggio alla seconda linea di cART si e’ osservato nonostante un alto tasso di fallimento terapeutico. Tali osservazioni sottolineano ancora una volta l’importanza di garantire un efficace monitoraggio clinico e immunolgico per poter modificare la terapia prima che insorgano ceppi virali resistenti. Insieme alla necessita’ di un corretto monitoraggio va sottolineata l’importanza di garantire una fornitura di farmaco regolare senza interruzioni e le formulazioni pediatriche per i bambini piu’ piccoli Studio 5: Studio trasversale, effettuato su campioni raccolti in cartoncini assorbenti (DBS) prelevati da 243 bambini affetti da HIV-1 da cui e’ stato estratto il DNA del EBV per analisi e quantificazione dei tipi 1 e 2, e per la quantificazione di 16s DNA ribosomiale (16S rDNA), un marker di traslocazione microbica. 92 su 140 (66%) dei bambini in terapia con ART e 57 su 73 (78%) di bambini non trattati sono risultati positivi all’ EBV. La coinfezione con entrambi i tipi di EBV è stata significativamente meno frequente in coloro in terapia con ART (OR=0.54, 95%CI 0.30; 0.98, p=0.042). Tale osservazione e’ compatibile con il fatto che ' HIV-1, che induce una traslocazione microbica e uno stato di persistente attivazione immunitaria, può portare a una replicazione di EBV ed ad una espansione di cellule B infette, aumentando di conseguenza il DNA dell'EBV. La co-infezione da EBV in soggetti affetti da HIV-1 può rappresentare un rischio addizionale per lo scatenarsi di tumori (linfomi) associati al EBV. Il trattamento con ART, riducendo la replicazione dell’ HIV-1, la traslocazione microbica e la relativa attivazione immunitaria, può prevenire la super infezione da EBV e mantenere la viremia EBV bassa, riducendo il rischio di linfomi ad esso associata. Studio 6: Studio retrospettivo per valutare la carica virale dell’HIV (VL) su campioni raccolti in DBS e per esplorare l'accuratezza dei criteri clinici ed immunologici per la definizione del fallimento terapeutico. La bassa sensibilità e valore predittivo del fallimento clinico e/o immunologico, da noi osservate, confermano quanto riportato in letteratura. Questa osservazione supporta ulteriormente la raccomandazione del WHO che il monitoraggio della carica virale debba essere implementato ed utilizzato per identificare precocemente casi di fallimento del trattamento. Implicazioni dei risultati della tesi e messaggi chiave Il modello assistenziale centrato sull’ assistenza domiciliare e’ risultato molto efficace per ridurre il rischio di perdita al follow up. Tale modello potrebbe quindi essere considerato anche per l’assistenza dei malati di TB o con altre malattie croniche. Le nostre osservazioni supportano quanto gia’ riportato in letteratura che l’inizio precoce dell’ ART e’ era associato non solo aduna migliore sopravvivenza ma anche ad un minor rischio di perdita al follow up. Il trattamento ART è potenzialmente protettivo contro patologie linfoproliferative correlate al EBV nei bambini con coinfezione da HIV ed EBV. L’uso del DBS per il monitoraggio della carica virale nei bambini HIV positivi si e’ rivelato fattibile sia da un punto di vista organizzativo che della qualita’ dei campioni da testare. Tale metodica dovrebbe quindi essere incoraggiata per migliorare la qualità della gestione pediatrica dell'HIV soprattutto nei paesi in via di sviluppo La bassa copertura di ART tra i bambini richiede un urgente, maggiore e più efficace decentramento dei servizi pediatrici centrali e la loro integrazione con i servizi sanitari di base a livello distrettuale e sub-distrettuale in Uganda. I bambini che presentino uno stadio avanzato di infezione HIV e coinfezione da TB dovrebbero essere sottoposti a monitoraggio più serrato per iniziare il trattamento ART appena cio’ si renda necessario. Gli orfani necessitano un particolare attenzione sia per quanto riguarda il supporto nutrizionale che il monitoraggio clinico e immunologico necessario per iniziare correttamente la ART.
Figueira, Sonia Maria de Almeida. "Entre o corpo e a alma: as inter-relações do campo sanitário com o campo religioso." Universidade de São Paulo, 2003. http://www.teses.usp.br/teses/disponiveis/6/6135/tde-08022018-101929/.
The objective of this work is to investigate the relationships between two \"cure\" spaces: the local health service and the religious institution represented here by several Pentecostal Churches. The qualitative section investigation was based on statements taken from people who attended the two \"cure\" spaces simultarieously. We concluded that the two spaces are used concurrently and understood as clearly distinct. Through the analysis of the statements it was possible to establish a series of different categories permitting to specifY peculiarities and dissimilarities between the -rational - scientific and the religious spaces when we refer to \"cure\". We have also concluded that the official systems have much to leam from \"religious systems\" especially when considering the \"welcoming\" character of the latter ones.
Figueira, Sonia Maria de Almeida. "Jesus, o médico dos médicos, a cura no pentecostalismo segundo usuários de um serviço local de saúde." Universidade de São Paulo, 1996. http://www.teses.usp.br/teses/disponiveis/6/6135/tde-27022018-105453/.
The objective of this work is to investigate the relationships between two \"cure\" spaces: the local health service and the religious institution represented here by several Pentecostal Churches. The qualitative section investigation was bas.ed on statements taken from people who attended the two \"cure\" spaces simultarieously. We concluded that the two spaces are used concurrently and understood as clearly distinct. Through the analysis of the statements it was possible to establish a series of different categories permitting to specify peculiarities and dissimilarities bet\\veen the -rational - scientific and the religious spaces when we refer to cure\". We have also concluded that the official systems have much to leam from \"religious systems\" especially when considering the \"welcoming\" character o f the latter ones.
Al-Harthi, Saleh. "Service-curve based algorithms for scheduling with quality-of-service guarantees in packet-switched networks and switches /." Diss., Connect to a 24 p. preview or request complete full text in PDF format. Access restricted to UC campuses, 2001. http://wwwlib.umi.com/cr/ucsd/fullcit?p3022225.
Torres, Bryan C. "Examining Self-Service Kiosks in Quick-Service Restaurant Settings." Thesis, University of North Texas, 2019. https://digital.library.unt.edu/ark:/67531/metadc1505242/.
Roca, Escoda Mireia. "La cura a Catalunya: sector ocupacional i espai de desigualtats de gènere." Doctoral thesis, Universitat Autònoma de Barcelona, 2018. http://hdl.handle.net/10803/663946.
The main goal of this thesis is to analyse paid caregiving occupations providing care to individuals living in situations of dependency in Catalonia. The social and gender representations associated with these occupations, performed in the dependent care services (both at home and in institutions), will be analysed from a qualitative perspective, and empirical data will be provided about this occupational sector, characterised by feminisation and job instability. A proposal to apply the research will also be formulated with a view to fostering gender equality and the social recognition of the activity. The research methodology involved two research strategies: firstly, Home-Help Services were selected as ethnographic cases to highlight the observation and analysis of gender relations, the characteristics of the paid care work in these services and the relation between the service providers and the municipal administration. Secondly, various caregiving services were selected to highlight the barriers and opportunities of the involvement of men in this occupational sector. In-depth interviews were conducted with those individuals who participate in the management of the service and in directly providing the care; as well as the observation of different caregiving services. The qualitative methodology served to reconstruct the experiences and perceptions of people working in this occupational sector, with a view to determining the impact of the working conditions and the social and cultural representations related to this activity. The empirical data worked on were mainly examined from the theoretical contributions of the economy of care, social care, performative gender approaches and through the adoption of an intersectional perspective. This thesis confirms that, although care continues to be mainly provided by the family, the growth in the need for care as a result of the ageing of the population means that this occupational sector is currently expanding. It is a strongly feminised sector which has become established as an occupational niche both for native women with a low educational level and immigrants. With the externalisation process of public services, private organisations have become the main service providers of the sector, something which has not improved the quality of the service or the working conditions. The thesis has also demonstrated the unequal opportunities for men when accessing these jobs, although their (minor) involvement entails emerging models of men devoted to these types of jobs and therefore, changes in the gender systems and relations. This thesis provides in-depth knowledge of this occupational sector which is essential to guide proposals for change that promote the social recognition of this job, its redistribution and the improvement in the care of persons in situations of dependency. The thesis concludes with a series of recommendations which could be used to move towards conferring dignity and professionalization on paid caregiving work, in order to guarantee a sustainable and quality caregiving system. In this way, the results presented herein are highly applicable, especially in social intervention and in the design of social policies.
Pompermayer, Rafael do Carmo. "Modelagem hidrológica: técnicas de geoprocessamento aplicadas ao modelo SCS Soilcon Servation Service Curve Number." Universidade Federal de Minas Gerais, 2013. http://hdl.handle.net/1843/IGCM-9QEM87.
A hidrologia tem a bacia hidrográfica como sua principal unidade de estudo, que por sua vez tem a dinâmica influenciada por diversos elementos. O esforço da ciência em colocar estes elementos em interação originou os modelos hidrológicos. Estes modelos visam simular partes do ciclo hidrológico, para, dentre outros objetivos, dimensionar estruturas de drenagem. O presente estudo destaca o modelo desenvolvido pelo Soil Conservation Service, conhecido como Curve Number, que considera parâmetros físicos da bacia hidrográfica para estimar a vazão máxima durante determinado evento pluviométrico. Neste sentido, foram aplicadas técnicas de geoprocessamento na obtenção destes parâmetros, visando comparar os resultados finais com os obtidos por meio de estudo hidrológico realizado sem a aplicação de tais técnicas. As características físicas que alimentaram o modelo foram obtidas através de modelo digital de elevação hidrologicamente consistente gerado a partir dos dados cartográficos disponíveis. Posteriormente, por meio de algoritmos computacionais específicos, foi gerado o mapa de direção do fluxo d´água no relevo e, a partir deste, a definição da área contribuinte da bacia hidrográfica. A extensão do talvegue foi interpretada com base nos dados das cartas topográficas na escala de 1:50.000 da região, sendo, a partir daí, realizados os cálculos de declividade efetiva. Técnicas de sensoriamento remoto foram realizadas para obter a classificação de imagens do satélite Landsat 7, tendo como referência as tipologias pré-definidas pelo SCS-CN. Esta classificação foi cruzada com o mapa de solos da região, obtendo o valor do parâmetro Curve Number. A precipitação foi calculada de acordo com a equação de chuvas intensas para o posto pluviográfico representativo da região. A partir daí, a modelagem foi realizada, visando comparar a utilização das técnicas de geoprocessamento com os métodos convencionais aplicados. Os resultados demonstraram que as técnicas aplicadas retornaram valores mais próximos da realidade no que diz respeito aos parâmetros, área da bacia e comprimento do talvegue. A declividade efetiva calculada de forma distribuída demonstrou um valor menor do que o utilizado no método convencional, o que influenciou bastante no cálculo dos tempos de concentração e pico. O valor do parâmetro CN demonstrou-se numericamente próximo, porém, este parâmetro é muito sensível no modelo, contribuindo para a discrepância na comparação dos resultados finais. Por fim, conclui-se que o aumento na precisão dos parâmetros não ocasionou aumento de precisão do modelo, porém, diante dos ajustes realizados na aplicação do método convencional, isto não representou a inaplicabilidade destas técnicas, sendo diagnosticado que o modelo necessita de adaptações.
Lengua, Parra Adrián. "From “cure” to recognition: the right of transgender people to exercise identity and gender expresion through public health services." THĒMIS-Revista de Derecho, 2018. http://repositorio.pucp.edu.pe/index/handle/123456789/123862.
Durante muchos años se ha tratado a las personas trans como si sufriesen de alguna patología, proponiéndose diversos tratamientos curativos como solución a su supuesto problema de salud. Sin embargo, recientes estudios muestran que la identidad de género de las personas es una característica personalísima y diversa por lo cual debe ser protegida.En el presente artículo, el autor explica como una compresión de la identidad de género que sea respetuosa de los derechos humanos implica replantear la visión del Estado sobre las personas trans. Dicho cambio de perspectiva requiere descartar la visión patológica y optar por un sistema que otorgue las herramientas necesarias para expresar su identidad y evitar situaciones de discriminación.
Silva, Clay Palmeira Da. "The CUBE : a user-centric system-model architecture for web service migration through multiple devices." Electronic Thesis or Diss., Tours, 2019. http://www.theses.fr/2019TOUR4041.
Within the trend of the Internet, we start to rely our daily activities on Cloud Base Systems to store our data and keep tracking all our state and behavior while using Web Services. Therefore, our data are no longer safe as before since we have delegated the responsibility to keep them safe, secure, and stored by third-party providers. In the last few years, big companies such as Yahoo, Facebook, or LinkedIn were victims of several leaks, which demonstrates how vulnerable we are. We have nowadays more powerful mobile devices than ever before. However, we do not explore their capacities regarding processing, storage, and security measures to using Web Services locally. Moreover, our devices are basically divided into two different worlds, those with Android, and those with an iOS operating system. Nevertheless, with the popularity of mobile technology, our behavior has changed. Today it is common to find a user using two or three mobile devices at the same time, and often they have a different operating system. Therefore, we are facing simultaneously a multiple-device environment with the same or different operating systems, where most of the technology and Web Services requiring a third-party provider to synchronizing and keep the state of our daily tasks. Although of this chaotic scenario regarding multiples devices and operating systems, there is a technology earlier mentioned at the end of 90's called Liquid Software that may be a solution to bring harmony to this scenario. The Liquid Software aims to allow for fluently migrate towards different devices with or without the same operating system, and at the same time keep the user-experience of a given application or service. In this thesis, based on Liquid Software principles, we focus on multiple devices environment able to synchronize Web Service at the client-side without depending on a Cloud Base System. We proposed the model-based architecture, called the CUBE, that makes use of User-Centric principles combined with different technologies, such as REST and RESTful principles. The CUBE also proposes a four layers model where REST and RESTful work independently from each other but in cooperation. Another critical element of the CUBE is the Conversation Layer (CL), modeled with the purpose to allow change data/state from Web Services. The CL makes use of techniques of Natural Language Processing to find and defining suitable Web Services to the user. Another contribution of the CUBE is creating a kind of user-network called INNER CUBE with all mobile devices that belong to a single user. The aim of combining these elements inside a single unit, the CUBE, is to allow for fluently move services/data and sessions from devices (desktops, laptops, and mobiles phones) to other ones regardless of their operating system, and at the same time, entirely transparent for the final user, and also reducing the dependency of the third-party provider. We have also proposed two tests to validate the CUBE model
Rubbini, Isabella. "Mujeres Cuidadoras: Tessere comunità intraprendenti partendo dalla cura." Master's thesis, Alma Mater Studiorum - Università di Bologna, 2021. http://amslaurea.unibo.it/24142/.
Stinson, Jane. "Ontario pay equity results for CUPE service workers in Ontario hospitals, a study of uneven benefits." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape10/PQDD_0006/MQ43328.pdf.
Stinson, Jane Carleton University Dissertation Political Economy. "Ontario pay equity results for CUPE service workers in Ontario hospitals; a study of uneven benefits." Ottawa, 1999.
Yu, Jianxiong. "Pavement Service Life Estimation And Condition Prediction." See Full Text at OhioLINK ETD Center (Requires Adobe Acrobat Reader for viewing), 2005. http://www.ohiolink.edu/etd/view.cgi?toledo1132896646.
Typescript. "A dissertation [submitted] as partial fulfillment of the requirements of the Doctor of Philosophy degree in Engineering." Bibliography: leaves 69-74.
Mannes, Quentin. "ICE Cubes Mission: Design, Development and Documentation of the Cube-Zero System." Thesis, Luleå tekniska universitet, Rymdteknik, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-65732.
ICE Cubes
Lee, Benjamin. "From Curb to Launch : Explore the pre-launch, ground experience for space tourism in 2040." Thesis, Umeå universitet, Designhögskolan vid Umeå universitet, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-154415.
El, Ansari Loridan Nazha. "Décider en situation d’urgence nocturne en EHPAD (Etablissement d'Hébergement pour Personnes Agées Dépendantes) : Étude d’une innovation expérimentale d’infirmier.es de nuit." Electronic Thesis or Diss., Université de Lille (2022-....), 2023. http://www.theses.fr/2023ULILA024.
This thesis studies how night-shift nurses decide whether or not to resort to the hospital to deal with geriatric emergency cases in a nursing home. Clinical reasoning and decision-making among nurses are rarely documented. The “IDE de nuit” experimentation of Paerpa's projects offered the opportunity to study them through the prism of age and uncertainty in the context of an emergency. It also made it possible to study the organizational test that such an innovation constitutes. Through an interactionist and socio-cognitive approach and based on an ethnographic investigation lasting three years, we captured in situ nurses' reasoning and judgment while dealing with emergency cases in an experimental context. This research sheds light on several aspects: how care is mobilized in the service of the cure; how the emergency constitutes a social construction, which is influenced by the role played by the elderly patient and his caregivers; how the skills that drive innovation are developed and conditioned by the irreversibility of the actions and their results; how and when an organizational innovation begins and ends in an experimental context; finally, how all these elements contribute to defining the moral economy that has been made up and created around elderly people living in EHPADs, targets of this innovation.Keywords: geriatric emergency, decision-making, organizational innovation, IDE de nuit, experimentation, paerpa, le 15, SAMU, hospital, nursing assistants, EHPAD
Carney, Philip Sheridan. "Managed healthcare and integrated delivery systems: A model for getting ahead of the change curve." CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2103.
Velleca, Francesca. "Get Well. Punti di contatto per supportare la cura e la prevenzione del Cancro." Master's thesis, Alma Mater Studiorum - Università di Bologna, 2021.
Vieira, Fábio Sartori. "Evaluation of drivers\' behavior performing a curve under mental workload." Universidade de São Paulo, 2016. http://www.teses.usp.br/teses/disponiveis/18/18143/tde-07072016-151918/.
A distração durante a atividade de direção pode levar o condutor de veículos automotores a cometer falhas, que podem ocasionar até mesmo acidentes graves. Este estudo aborda a utilização de simuladores de direção para verificar variações no comportamento de motoristas ao realizar a atividade de direção, distraídos ou com plena atenção na condução do veículo. O comportamento é medido pela variação no perfil de velocidade dos condutores para desenvolver uma curva considerada perigosa em uma rodovia simulada em ambiente virtual. A variação de velocidade deste perfil é comparada entre duas simulações idênticas, onde em uma delas os condutores estão distraídos com um teste que proporciona estresse mental e, na outra, estão com plena atenção à direção. 54 condutores fizeram parte deste estudo dividido em 3 etapas. 17 participantes realizaram o teste de distração conhecido como PASAT, e a análise dos resultados mostram que, distraídos, os condutores não perceberam o início da curva e desenvolveram velocidades maiores durante seu trajeto. Além disso, quando estavam com plena atenção à atividade de direção, o desempenho dos condutores foi melhor, atingindo velocidades maiores nas tangentes, mas percebendo as curvas antecipadamente e reduzindo suas velocidades antes de iniciar esses trechos.
Hosseini, Ebrahim. "A multiple-input-single-output, MISO, fuzzy logic model for generation of watershed Soil Conservation Service, SCS, curve numbers." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape15/PQDD_0025/NQ31526.pdf.
Flintull, Kristina, and Malin Severin. "Katt och hund ska bli vår kund! : En studie om Cura apotekets ambition att bli husdjursägarnas favoritapotek." Thesis, Uppsala University, Department of Business Studies, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-121686.
Datum: 2010-03-22
Nivå: Kandidatuppsats i företagsekonomi, 15 hp
Författare: Kristina Flintull, Malin Severin
Handledare: Nazeem Seyed-Mohamed
Titel: Katt och hund ska bli vår kund! En studie om Cura apotekets ambition att bli husdjursägarnas favoritapotek.
Syfte: Med Cura apoteket som uppdragsgivare syftar studien till att undersöka vilka kvaliteter företaget bör framhäva i sin marknadsföring för att bearbeta och bli ICA Maxi:s kundsegment husdjursägares favoritapotek. Studien utreder även huruvida åsikterna om kvaliteter skiljer sig inom segmentet; mellan katt- och hundägare samt mellan män och kvinnor.
Metod: Utifrån en kvalitativ intervju med Cura apotekets chef för inköp och sortiment presenteras teorier kring The Services Marketing Mix samt kundlojalitet. Med denna bakgrund genomfördes en kvantitativ enkätundersökning med 208 ICA Maxikunder med hund- eller katt. Telefonintervjuer med åtta deltagare från enkätundersökningen utfördes för att erhålla ett ytterligare kvalitativt perspektiv.
Slutsats: Inga betydande skillnader mellan män och kvinnors åsikter inom segmentet husdjursägare kan utläsas. Olika åsikter förekommer däremot mellan hund- och kattägare inom kundsegmentet, där hundägare är mest positiva till de kvaliteter Cura apoteket kommer att kunna erbjuda. Cura apoteket bör därför rikta sin marknadsföring främst mot ICA Maxi:s hundägare och framhäva personalens kunskap, ett brett produktsortiment, lönsamma kunderbjudanden samt utökad tillgänglighet genom lojalitetsskapande aktiviteter.
Date: 2010-03-22
Level: Bachelor Thesis in Business Administration, 15 credits
Authors: Kristina Flintull, Malin Severin
Advisor: Nazeem Seyed-Mohamed
Title: We aim higher with your pet as our buyer! A study about the Cura pharmacy’s ambition to be pet owners’ favourite pharmacy.
Purpose: The aim of this thesis is to study what qualities the Cura pharmacy should focus on in its marketing to become ICA Maxi’s segment pet owners’ favourite pharmacy. The study analyses differences in opinions about qualities within the segment; between cat- and dog owners as well as men and women.
Methodology: Based on a qualitative interview with the Cura pharmacy’s head of purchase and assortment, the theories of The Services Marketing Mix and Customer Loyalty are presented. A quantitative survey was conducted with 208 cat or dog owners who do their shopping at ICA Maxi. Phone interviews were then made with eight participants from the survey to obtain further qualitative perspectives.
Conclusion: No differences regarding opinions between men and women can be observed. Cat and dog owners have different views though, where dog owners are more positive to the qualities the Cura pharmacy will be able to offer. Therefore, the Cura pharmacy should focus their marketing mostly on ICA Maxi’s dog owners. The company should bring forward the knowledge of their pharmacists, their wide range of products, beneficial customer offers and extended availability, all through loyalty creating activities.
Václavík, Marek. "Analýza dat a reportování vsystému ALVAO Service Desk." Master's thesis, Vysoké učení technické v Brně. Fakulta podnikatelská, 2021. http://www.nusl.cz/ntk/nusl-444628.
Chen, Tao. "Development and simulation of hard real-time switched-ethernet avionics data network." Thesis, Cranfield University, 2011. http://dspace.lib.cranfield.ac.uk/handle/1826/6995.
Laverdière, Marco. "Le cadre juridique canadien et québécois relatif au développement parallèle de services privés de santé et l'article 7 de la Charte canadienne des droits et libertés." Sherbrooke : Université de Sherbrooke, 1998.
Agiro, Abiy T. "Determinants of productivity in hospital-based rural health clinics a growth curve modeling approach." Doctoral diss., University of Central Florida, 2011. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/4831.
ID: 030422818; System requirements: World Wide Web browser and PDF reader.; Mode of access: World Wide Web.; Thesis (Ph.D.)--University of Central Florida, 2011.; Includes bibliographical references (p. 154-165).
Ph.D.
Doctorate
Public Affairs
Health and Public Affairs
Van, Zyl Marie-Antoinette. "Employee turnover in a financial institution / van Zyl M." Thesis, North-West University, 2011. http://hdl.handle.net/10394/7273.
Thesis (M.B.A.)--North-West University, Potchefstroom Campus, 2012.
Tarragó, Cifre Jose María. "Damage tolerance of cemented carbides under service-like conditions." Doctoral thesis, Universitat Politècnica de Catalunya, 2016. http://hdl.handle.net/10803/403888.
Por un lado, la industria del metal duro está sumergida en una búsqueda constante de materiales de altas prestaciones a un coste reducido. Por el otro lado, las materias primas tienen precios altos y volátiles, que comprometen la estabilidad del mercado. En esta coyuntura, los productores y los usuarios finales están muy interesados, tanto en aumentar el rendimiento, incrementar la vida útil y mejorar la fiabilidad de estos productos, como en su sustitución por materiales alternativos y considerados menos críticos. En este contexto, el desgaste y la ruptura prematura son los dos principales mecanismos que limitan la vida útil de las aplicaciones de metal duro. En la gran mayoría de los casos las rupturas prematuras derivan de la combinación de altas tensiones, tanto monótonas como cíclicas, con el daño inducido durante la vida en servicio, como la corrosión, y el choque térmico. Por lo tanto, con el fin de aumentar fiabilidad en estas aplicaciones, es necesario entender los mecanismos de daño y fallo en estos materiales. Así, el propósito de esta tesis es mejorar el rendimiento y aumentar la fiabilidad de los carburos cementados a partir del desarrollo de materiales con una mayor tolerancia al daño y una menor sensibilidad a fatiga, a través de un óptimo diseño microestructural. La presente investigación se compone de tres partes que abarcan diferentes aspectos relacionados con el desempeño de los metales duros en condiciones de servicio. Las dos primeras secciones están dedicadas a realizar un estudio general sobre la influencia de la microestructura en el comportamiento a fractura y fatiga del metal duro. El objetivo de la tercera sección es evaluar los efectos microestructurales en la tolerancia al daño de los carburos cementados, ya sea inducido por corrosión o por choque térmico. El principal mecanismo de tenacidad en los carburos cementados reside en el estiramiento plástico de ligamentos metálicos de puenteo que se forman detrás de la punta de la grieta, llamada la zona de multiligamentos. El desarrollo del mecanismo de puenteo implica un incremento de la resistencia a fractura a medida que aumenta la longitud de la grieta. Este mecanismo es conocido como curva-R y su eficacia está íntimamente relacionada con las características microestructurales del material. Así, la primera parte de esta tesis doctoral está dedicada a llevar a cabo una investigación detallada de los mecanismos de fractura en los carburos cementados, y a proponer una relación que permita captar los efectos microestructurales en las características de curva-R de estos materiales. Por otro lado, la segunda parte de la tesis está dedicada a estudiar la influencia de la microestructura, incluyendo tanto el tamaño de grano de la fase carburo como el contenido de la fase ligante y su naturaleza química, en la sensibilidad a fatiga de los carburos cementados. Así, se ha prestado una atención particular en estudiar el comportamiento a fatiga de los carburos cementados con base níquel y en su comparación con los de base cobalto. Por otro lado, también se ha estudiado la influencia del tamaño de grano en la deflexión de grieta como un mecanismo adicional de aumento de tenacidad, inmune a las solicitaciones cíclicas. Por último, la tercera sección de esta tesis consiste en un estudio sistemático de la influencia de la microestructura de los carburos cementados en su tolerancia al daño, inducido tanto por corrosión como por choque térmico, con el fin de establecer las directrices para un diseño microestructural óptimo. De este modo, la integridad estructural de carburos cementados se evalúa sobre la base de su resistencia residual a flexión después de la inducción de daño
Haas, Ludwig. "Für kranke Menschen sorgen : die Bedeutung der "Cura" für ethisches Handeln im Gesundheitswesen /." Münster : Lit, 2000. http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&doc_number=009187482&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA.
Wasielewska, Katarzyna. "Wykorzystanie stochastycznego rachunku sieciowego w analizie, projektowaniu i serwisowaniu sieci komputerowych." Rozprawa doktorska, Uniwersytet Technologiczno-Przyrodniczy w Bydgoszczy, 2014. http://dlibra.utp.edu.pl/Content/703.
Ayikoue, Fabrice M.-Y. "L'hospitalisation privée en République du Bénin : contribution à une étude sur le droit de la santé." Paris 8, 2011. http://octaviana.fr/document/168736578#?c=0&m=0&s=0&cv=0.
The Benin health system is composed of public sector and private sector. The primary role in administering the health system goes to the government as guarantor of public interest and improving the health of the population. The state sometimes intervenes directly in the production or financing of care. It exercises control over the relationship between financial institutions, professionals and patients on behalf of the general health and economic imperatives. Our research focuses on the private hospital in Benin. We have tried to show how law could help improve health care access for people of Benin. In the first part, we tried to highlight the elements that led to the failed private sector health care in Benin and to make an inventory of private health sector in Benin following the crisis that crossed the Benin in the 80s. Institutional mimicry played an important role in the decay of the health system in Benin. In a second part, he acts to show the place of the user, the patient and the patient in the health system in general and in the private sector in particular. We have shown that the right to health in Benin is an embryonic status and it became necessary to initiate a process that will take account the rights of users of the health system in general and the Beninese private sector in particular. Good quality care in a country like Benin depend largely on different components of the system and people who do this system, it is now important to rethink the Benin health system in general, taking into account the concept of law health, without neglecting the resources of the country in health, we note here that evoke traditional medicine. The right to health can be seen here as an element of balance and fairness in access to care. For a fair and quality medicine, it becomes imperative that Africa in general and Benin in particular take into account the concept of health law to ensure users secure access to health facilities
Alunni, Lorenzo. "La cura e lo sgombero : etnografia dell’intervento sanitario nei campi rom di Roma." Thesis, Paris 10, 2012. http://www.theses.fr/2012PA100084.
This work deals with the sanitary interventions in the urban spaces called “campi nomadi” that can be found around the city of Rome, where Roma communities live. The first part of this research deals with the demographic data, from the point of view of the problematization of the ways it had been collected and the political stakes which determine it. Its analysis is related to the acknowledgement of the fact that the grand majority of the medical studies on Roma population engage on genetic data, in the same way the new forms of profiling and identification. The second and third part of this work concentrate on the ethnographic research pursued in the nomad camps of Rome, following the daily activity of a mobile medical unit (also called “sanitary camper”) who’s main activity was offering medical support in this urban spaces. The medical encounter that takes place in this spaces of exception, where the patients live, becomes the occasion for observing the dynamics of their relations with the dominant society and the institutions which rule it. This research aims to identify those elements which relate to the moral economy of the acts of medical intervention by underlying their bio-political dimension related to the pacification of the subjects which are otherwise object of strict security policies and of rejection from local and national administrations
Sahligerová, Zuzana. "Marketing jazykových škôl." Master's thesis, Vysoká škola ekonomická v Praze, 2009. http://www.nusl.cz/ntk/nusl-76756.
García, Gutiérrez Alberto Eloy. "Contribución al desarrollo de herramientas estratégicas para el diseño, dimensionado y evaluación de redes de telecomunicación de banda ancha." Doctoral thesis, Universidad de Cantabria, 2009. http://hdl.handle.net/10803/10671.
Internet has been the catalyst of the development of packet switched networks, which have become the resource which everyone wants to access. As a consequence, the operators need to recalculate all their forecasts about the traffic to be transported by their networks. In fact, the evaluation of these and other situations should be included within the design and planning phases of any network, in the so called strategic planning overall process.Traffic demand estimation is particularly interesting, since it allows the operator to anticipate bottlenecks and blocking situations of the network. It uses traffic modelling tools, either for their analytical or simulation-based study. Since they have become an essential tool, there is a wide range of traffic models: generic and particularized, for individual sources and complete networks, for interconnection elements and links.In this thesis, we have analyzed the different models and have developed a new model that takes into account traffic patterns from preparation by the application layer to its insertion into the physical layer. The proposed model is based on the traditional on-off solution, but applied to three different levels (connection, session and burst), so that each ON state is modulated by the model corresponding to the bottom layer. As a simpler alternative, multisource models emerge, seeking to introduce the effect of the interaction between different sources, also known as aggregation. To consider this case, it has made a study of specific models for application to aggregation points, especially those located in the access network, as this is the part of the network that has higher cost in implementation. Based on the ON-OFF model for a single source, is a proposed multi-source variant, which exploits the properties of the binomial distribution function for the calculation of the aggregate traffic for a specified number of sources. The result has been compared by observation of actual flows, as proposed by the theory of Network Calculus, and has been evaluated and implemented in this work with practical examples that are included in the document.The study in this thesis concludes that the traffic source is conditioned on three fundamental premises: the user, service and technology access, where there was a new concept that specifies a systematic and orderly all the variations, called CASUAL (Cube of Access / Services / Users with Free Allocation) and has been implemented in a tool made of its effect, along with the traffic source models proposed.
Sampaio, Ana Cristina de Sousa. "Os caminhos da transi??o agroecol?gica: uma an?lise das experi?ncias da agricultura familiar camponesa no territ?rio dos Vales do Curu e Aracatia?u-CE." Universidade Federal do Rio Grande do Norte, 2012. http://repositorio.ufrn.br:8080/jspui/handle/123456789/17921.
Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior
This study examines peasant family farming from an agroecological perspective. It intends to analyze the changes resulting from the transition from conventional to agro-ecological agriculture in the daily practices of farmers articulated associated with the Network of Agroecological and Solidarity Farmers of the Curu and Aracatia?u Valleys Territory, the locus of this empirical research, and a space which has highlighted the social dynamics of agroecological innovation, as well as articulating environmental exchanges and knowledge development. As a way to further that goal, we seek to identify the forms of social organization previously present in the daily lives of these subjects, in addition to grasping the determinants that lead or led them to adopt agroecology, noting the need to verify the forms of resistance, and the strategies adopted by farmers and how they articulate collectively. Through the historical and dialectical methods, we seek to take the implications of technical modernization of agriculture under the conditions of production and reproduction of peasants and thus situate the emergence of agroecology, a focus that is born as a counterpoint to conventional patterns of agricultural development based on the paradigm of the Green Revolution. We structured this study around the trajectory of agroecological farmers that developed and internalized agroecological practices, processes, and organizational forms. For the analysis, we used theoretical and methodological frameworks from literature related to field research. The systematization and analysis of experiments revealed that agroecological transition is a broad process of change, not restricted to technical matters. We observed changes in production practices, diversification of production and feeding practices, ecological awareness, production autonomy, and organizations formed to face the challenges resulting from the imposition of the dominant agricultural development model that combines environmental degradation, land ownership concentration, and wealth concentration
Esse estudo tem como universo tem?tico a agricultura familiar camponesa na perspectiva agroecol?gica. Pretende analisar as mudan?as decorrentes do processo de transi??o da agricultura convencional para agricultura agroecol?gica no cotidiano dos agricultores e agricultoras articulados ? Rede de Agricultores Agroecol?gicos e Solid?rios do Territ?rio dos Vales do Curu e Aracatia?u, l?cus da pesquisa emp?rica. Como caminho para o aprofundamento desse objetivo, procuramos identificar as formas de organiza??o social anteriormente presentes no cotidiano desses sujeitos, al?m de apreender os determinantes que os levam ou os levaram a adotar a agroecologia, atentando para a necessidade de verificar as formas de resist?ncia e, por fim, as estrat?gias constru?das pelos agricultores e como estas se articulam coletivamente. A tematiza??o da agroecologia coloca-se como uma problem?tica complexa, o que implica em articular a dimens?o sociot?cnica com as lutas sociais e ecol?gicas em resposta ? marginaliza??o e degrada??o impostas pelo modelo de desenvolvimento agr?cola dominante. A partir do m?todo hist?rico e dial?tico, buscamos apanhar as implica??es da moderniza??o t?cnica da agricultura sob as condi??es de produ??o e reprodu??o dos camponeses e, assim, situar a emerg?ncia da agroecologia, enfoque que nasce como contraponto ao padr?o convencional de desenvolvimento agr?cola baseado no paradigma da Revolu??o Verde. Estruturamos o presente estudo em torno das pr?ticas, processos e formas de organiza??o desenvolvidas e internalizadas ao longo da trajet?ria dos agricultores que enveredaram por essa pr?tica. Devido ? especificidade de nosso objeto, optamos pela pesquisa qualitativa e observa??o sistem?tica. Para as an?lises, utilizamos a pesquisa bibliogr?fica e documental - referencial te?rico-metodol?gico associadas ? pesquisa de campo. As an?lises das experi?ncias revelaram que a transi??o agroecol?gica ? um processo amplo de mudan?as. Assim, tais mudan?as revelaram-se nas pr?ticas produtivas, na diversifica??o da produ??o e pr?ticas alimentares, na consci?ncia ecol?gica e nas formas de organiza??o constru?das pelos agricultores para enfrentar as dificuldades trazidas pela imposi??o do modelo de desenvolvimento agr?cola dominante que combina degrada??o ambiental, concentra??o fundi?ria e concentra??o de riquezas
Wu, Tianshi. "Essays on learning-by-doing after information systems implementation in developing countries: the case of Costa Rica." Diss., Georgia Institute of Technology, 2013. http://hdl.handle.net/1853/52924.
Marin, Marín Diego Franco. "Comparación de sistemas de puntajes pronósticos Meds,Sofa,Apache II y CURB-65 en pacientes con diagnóstico de sepsis admitidos en el servicio de emergencia del Hospital Nacional Hipólito Unanue-2011." Bachelor's thesis, Universidad Ricardo Palma, 2014. http://cybertesis.urp.edu.pe/handle/urp/244.
Díaz, Buendia Yolanda. "“UCI extendida” Seguimiento de los pacientes críticos al alta del servicio de medicina intensiva del Hospital del Mar." Doctoral thesis, Universitat Autònoma de Barcelona, 2019. http://hdl.handle.net/10803/669594.
Better care after ICU admission is nowadays a challenge for intensive care physicians.The design of new programs and the offer of new ICU services reflect the intention to increase the effectivity and the efficiency of the treatment we give to the patient after an ICU admission and during their hospital admission. Critical care specialists have acquired new roles even out the walls of their ICU. “ICU without walls” is a concept designed to detect critical illness early, and to give a rapid response to resuscitate patients wherever the area they are in the hospital, with the intention to prevent, to improve the treatment and to give a continuation in the treatments received in the ICU previous to the discharge. All these strategies are implemented to improve de prognostic and to reduce the morbimorbidity associated to the critic patient. The existence of a follow-up program after the ICU discharge represents a strategy to give support to the patient and to the give support to the team that will receive the patient in the normal ward. This strategy is a way to reduce the difference in patient assistance between the ICU and the hospitalization ward. The hypothesis of this doctoral thesis is that the implementation of a Post-ICU follow-up program represents a significant benefit in the evolution of the patients during the hospital stay. To prove our hypothesis we designed a prospective, longitudinal and interventionist study that was applied in Hospital del Mar ICU. We included all the patients that were discharge alive from the ICU during three consecutive years. We collected demographic and clinical data from the period before ICU, during ICU stay and at the moment of ICU discharge. We performed a follow-up after patient discharge from the ICU. During the follow-up we could collaborate with the patient, the family and physicians to give support to the consolidation of the treatment that was started in the ICU and to improve the transmission between the ICU and the Hospitalization ward. Mortality and readmission were registered. From the study, we can say that the implementation of the follow-up program produced a decrease in the number of adverse effects after an ICU discharge. The number of readmission and the mortality after ICU admission decreased after de implementation of the program. The number of readmissions in ICU is 8.3% in the literature. The risks factors that can increase the risk of readmission are: age, severity index, organ dysfunction in the admissions and in the moment of discharge, some comorbidity, admission from the hospitalization ward, renal replacement therapy during the ICU stay, non-programed ICU discharge, ICU long admission. The global mortality rate in ICU is around 9.2% and the unexpected death is 1.8%. The risk factors that can contribute to die after ICU admission are: age, severity index at the admission and at the discharge, organ dysfunction at admission and discharge, comorbidities, ICU stay, admission from hospitalization ward, renal substitutive therapy, more than 10 days in mechanical ventilation, long ICU stay a readmission. During these period we could accomplish all the SEMICYUC parameters of quality: non programmed discharge from the ICU, the early readmission rate and the standardized Mortality Ratio. The follow-up program has been consolidated over 3 years, increasing its effectiveness by decreasing the rate of readmissions, reducing the mortality rate in the ICU among patients who have required readmission and showing a trend in the decrease in overall mortality.
Albesa, i. Jové Esther. "Anàlisi comparada de les reformes en els sistemes europeus de cures de llarga durada. Els casos d’Alemanya, Anglaterra, Suècia i Espanya, 2008-2017." Doctoral thesis, Universitat de Barcelona, 2019. http://hdl.handle.net/10803/666828.
This thesis analyses the impact of the economic crisis in the Welfare Stats across Europe and the changes caused within the long-term care systems of England, Germany, Sweden and Spain. Furthermore, this scrutinises the ensuing tendencies linked to the identified changes in each country within the analysis’ timespan regarding: the system’s contraction-expansion; the restructuring mechanisms (re-commodification, costs’ containment and re-calibration) and the re-familiarisation process. The methodological strategy used in the study is cross-national and the case’s study method within the variant of different cases¨. The chosen countries are considered to be ideal types of each Welfare State: the continental; the liberal; the universal and the Mediterranean, according to the classic categorisation of Esping-Andersen (1990) and other authors like Moreno (2001) and Ferrera (1996). The study combines quantitative and qualitative techniques and uses statistical data as well as primary and secondary qualitative data. A major part of the used statistical data has been obtained by turning to the standardised databases of the OECD and in a minor way, the databases of the statistic national services of the studied countries. In order to obtain the primary qualitative data, the technique of semi-structured interviewing for the key informants has been used. There are also three analysis levels: the first explores the changes within the LTC service provision; the second reviews the legislation modifications within the LTC systems and the third level compiles the perception of these interviewees in terms of these changes and the explaining factors.
Wennberg, Capellades Laia. "Comunicación y satisfacción en el servicio de urgencias de pediatría desde el modelo de cuidados centrado en la familia." Doctoral thesis, Universitat Autònoma de Barcelona, 2017. http://hdl.handle.net/10803/461303.
Introduction: Communication between health professionals, children and family members in a pediatric emergency department (PED) is key to good home care, good adherence to treatment and family members’ satisfaction. In order to reach an adequate level of satisfaction, the use of the family-centered care (FCC) may be helpful because it recognizes and respects the role of the family and the professional empowers, supports and encourages decision-making. Objective: To analyze, from the perspective of the FCC, the communicative process, the adherence to treatment and the satisfaction of families who go to a PED because of a banal health problem of their children. Method: Mixed design with two studies carried out in a Catalan PED. 1) Quantitative design composed of two phases. Phase I evaluated the relationship between the perceptions of care received and satisfaction, through questionnaires given to 385 families. Phase II consisted of obtaining quantitative indicators of the usefulness of the information received and therapeutic adherence through a 6-day follow-up with 37 families. 2) Qualitative design, to deepen the understanding of the type of attention and roles perceived in a PED, through audio recordings of the visits with the same families. Results: A statistically significant relationship was found between FCC perception and satisfaction (B=0.20; IC95% [0.20-0.29]; p<.001). Nevertheless, the qualitative analysis showed a lack of information provided by the different professionals, an apparent lack of feed-back and time availability for questions. The professionals considered the information given about care and treatments with the use of technical terms to be understood. 45.7% of the families did not follow the medical prescription. Conclusions: There is a positive relationship between FCC perception and satisfaction and results improved on the sixth day after the visit. There were differences between the subjective perception of being informed during the visit and the objective observation where there was a lack of information in different aspects. There is low adherence to treatment for banal pathologies.
Ordoñez, Flores Mildred Karen, and Alcalá María Carmen García. "Utilidad del CURB 65 en la Clasificación de Gravedad y pronostico a 30 días de pacientes con diagnostico de Neumonía adquirida de la Comunidad Internados en el Servicio de Medicina Interna en el periodo 2008-2010." Tesis de Licenciatura, Medicina-Quimica, 2013. http://hdl.handle.net/20.500.11799/13769.
Trejtnar, Radek. "Požadavky na projektovaný a provozní stav geometrických parametrů koleje ve vztahu k vzájemnému působení vozidla a koleje." Doctoral thesis, Vysoké učení technické v Brně. Fakulta stavební, 2014. http://www.nusl.cz/ntk/nusl-233825.
Sciaccitano, Marie. "Élasticités Environnementales d'Engel : Mesures, Estimations et Déterminants." Electronic Thesis or Diss., Université Côte d'Azur, 2023. http://www.theses.fr/2023COAZ0030.
In the context of climate change, ecological transition relies in part on the adoption of sustainable consumption, in line with the United Nations' Sustainable Development Goals (2015). The diversity of definitions associated with sustainable consumption leads to a lack of consensus related to the classifications and scope of sustainable consumption. Consequently, data and measures related to sustainable consumption are limited, thereby restricting empirical studies on this subject. The thesis addresses these constraints through three chapters, offering the original methodology and results.Chapter 1 presents a methodology for measuring household sustainable consumption in 150 countries over the period 1995-2015. This measure is constructed using environmental goods and services, classified as CLEG and APEC, identified in the final demand of households from the Input-Output Tables Exiobase3rx.Chapter 2 explores the relationship between disposable income and sustainable consumption at the macroeconomic level, referring to the Environmental Engel Curve framework. The empirical analysis estimates the effect of disposable income on household sustainable consumption and determines Engelian elasticities which, depending on their values, categorize this consumption as either a luxury or a necessity consumption. Furthermore, our econometric estimation introduces a Bartik instrument, suggesting a significant impact of green fiscal policies on household sustainable consumption. Performing a simulation exercise, we emphasize the importance of considering the «true value» of Engelian elasticities in the context of global redistribution policies, such as the Climate Fund.Chapter 3 evaluates the effect of income inequality on this type of consumption, thereby contributing to the debate on the trade-off between environmental quality and inequalities. Using three inequality indicators, our results suggest that the impacts of inequalities on sustainable consumption depend on the income level and the measure of inequalities considered. By introducing a higher-order polynomial, we analyse the sensitivity of this consumption to changes in the level of inequalities and determine an optimal level of inequalities that maximizes household sustainable consumption.Overall, this thesis contributes to the measurement of household sustainable consumption by country and explores its determinants, while also providing insights for environmental and redistributive policies
Costa, Victor Hugo Teles. "Análise de desempenho de sistemas de comunicação OFDM-TDMA utilizando cadeias de Markov e curva de serviço." Universidade Federal de Goiás, 2013. http://repositorio.bc.ufg.br/tede/handle/tede/3795.
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This paper presents a model based on Markov Chains and enhanced with the use of Kernel Density Estimation and of MMFM (Markov Modulated Fluid Model) in order to evaluate the performance of the transmission link in OFDMTDMA systems. For that purpose, traffic models based on the Kernel method and the MMFM with adjusted autocorrelation function are proposed. From the model implemented for the OFDM-TDMA system, it was derived equations for estimation of QoS parameters such as delay and average queue size in the buffer. The obtained results confirm that the proposed model is efficient in describing the link performance indicators. The use of MMFM to model the arrival process improves the QoS parameter estimates of the queueing model making their values very close to those of the simulation results. It was also developed an equation to the OFDMTDMA system’s service curve. Through this equation and the concept of Envelope Process, it was proposed an equation to estimate the probability of buffer overflow in OFDM-TDMA systems. The results show that the estimates of the overflow probability based on the system’s service curve are very close to the ones obtained by simulations and that the computational complexity to obtain them is significantly reduced compared to the model based on Markov Chains due to the absence of matrix computation.
Este trabalho apresenta um modelo baseado em Cadeias de Markov e aprimorado com o uso do método de Kernel de estimação não-paramétrica e de MMFM (Markov Modulated Fluid Model) com o objetivo de avaliar e descrever o desempenho do enlace de transmissão em sistemas OFDM-TDMA. Para tal, modelos de tráfego baseados no Método de Kernel e em MMFM com ajuste da função de autocorrelação são propostos. A partir do modelo implementado para o sistema OFDM-TDMA, foram obtidas equações para estimação de parâmetros de QoS como retardo e tamanho médio da fila no buffer. Os resultados obtidos confirmam que o modelo proposto é bastante eficiente ao descrever os indicadores de desempenho do sistema. O uso de MMFM para modelar o processo de chegada de pacotes aprimora os estimadores de parâmetros de QoS tornando as estimativas bem próximas dos valores obtidos com as simulações. Também deduziu-se uma equação para a curva de serviço de Sistemas OFDM-TDMA. Em seguida, utilizando-se desta curva de serviço e do conceito de Processo Envelope foi proposta uma equação para estimação de probabilidade de transbordo do buffer em sistemas OFDM-TDMA. Os resultados obtidos mostram que as estimativas de probabilidade de transbordo baseadas na curva de serviço do sistema se aproximam bem dos resultados da simulação e a complexidade computacional do cálculo necessário para obtê-los é significativamente reduzida em relação ao modelo definido utilizando Cadeias de Markov.
Spivey, Justin, Heather Sirek, Robert Wood, Kalpit Devani, Billy Brooks, and Jonathan Moorman. "Retrospective Cohort Study of the Efficacy of Azithromycin Vs. Doxycycline as Part of Combination Therapy in Non-Intensive Care Unit Veterans Hospitalized with Community-Acquired Pneumonia." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/3177.