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Libros sobre el tema "Contrôle optimisé"

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Publicado: 9 de noviembre de 2024

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1

Eddie, Habibi, ed. Alarm management: A comprehensive guide : practical and proven methods to optimize the performance of alarm management systems. 2a ed. Research Triangle Park, NC: International Society of Automation, 2011.

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2

Smith, W. C. Rib stability: Practical considerations to optimize rib design. Washington, D.C: U.S. Dept. of the Interior, Bureau of Mines, 1992.

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3

Ford, Chelcy R. Xylem transport models optimize effectiveness of systemic insecticide applications for controlling hemlock woolly adelgid (Adelges tsugae). Asheville, NC: U.S. Dept. of Agriculture, Forest Service, Southern Research Station, 2010.

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4

Seligman, Martin E. P. The optimistic child. Boston, Mass: Houghton Mifflin, 1995.

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5

Michaels, Jillian. Optimiza tu metabolismo: Los tres secretos dietøticos para equilibrar tus hormonas de manera natural y obtener un cuerpo atractivo y saludable. New York: Vintage Español, 2010.

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6

Peggy, Dace, ed. The memory solution: Dr. Julian Whitaker's 10-step program to optimize your memory and brain function. Garden City Park, NY: Avery Pub. Group, 1999.

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7

Hollifield, Bill R. The alarm management handbook a comprehensive guide the alarm management handbook: A comprehensive guide practical and proven methods to optimize the performance of any alarm management system. Research Triangle Park, NC: Instrumentation, Systems, and Automation Society, 2007.

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8

Bauer, Jeffrey C. Paradox and imperatives in health care: How efficiency, effectiveness, and e-transformation can conquer waste and optimize quality. New York: Productivity Press, 2008.

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9

Bauer, Jeffrey C. Paradox and imperatives in health care: How efficiency, effectiveness, and e-transformation can conquer waste and optimize quality. New York: Productivity Press, 2008.

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10

Mark, Hagland, ed. Paradox and imperatives in health care: How efficiency, effectiveness, and e-transformation can conquer waste and optimize quality. New York: Productivity Press, 2008.

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11

Sassine, Youssef Najib, ed. Mushrooms: Agaricus bisporus. Wallingford: CABI, 2021. http://dx.doi.org/10.1079/9781800620414.0000.

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Abstract This book, which is selected in nature to Agaricus bisporus, presents fundamental guidelines for mushroom production together with the advances in research in this field. The first chapter presents the history of button mushroom cultivation, mushroom classification, distribution, and nutritional and medicinal value. The methods of composting for substrate preparation, their basics, application, and innovation are discussed in Chapter 2. The basic principles and methods to improve compost quality are shown in the third chapter. Moving to the fourth chapter, the genetics, breeding approaches, and selection of new mushroom strains are discussed in detail. Chapter 5 addresses the stages of casing and cropping by focusing on the tools and methods to optimize production during these stages. Chapter 6 details the management of pests and control of diseases at a mushroom farm, with a special focus on the ideal farm design to avoid the spread of infesting agents. The last chapter of the book shows the advances in harvest and postharvest technologies, applied to maximize the postharvest benefits from button mushroom cultivation.
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12

Serebryakov, Andrey, Tat'yana Smirnova, Valentina Mercheva y Elena Soboleva. Chemistry of combustible minerals. ru: INFRA-M Academic Publishing LLC., 2021. http://dx.doi.org/10.12737/1041945.

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This textbook is a publication of the latest generation, designed to optimize the national project "Education"; develops theoretical knowledge about the genesis of natural liquid, gaseous and solid combustible minerals, the formation of the composition and properties, the practical significance of fuel and energy natural complexes. It is devoted to the study of the composition, properties and classification of oils, gas condensate, natural gases and solid combustible minerals, studied at the level of modern achievements of instrumental analytical and factory equipment in accordance with existing technologies, theories and hypotheses about the genesis of hydrocarbons and Earth sciences. The publication is supplemented with the main directions of processing of combustible minerals. Digital and graphical types of chemical models of the synergy of components of gas and oil deposits are described, which are necessary for predicting the phase state and composition of hydrocarbons and optimizing the directions of processing of marketable products. To facilitate the process of cognition of the origin and formation of the composition and properties of natural combustible minerals, a glossary, tests, as well as questions for the test and exam are offered. To control the knowledge gained by students while studying textbook materials, each chapter is accompanied by questions and tasks. Meets the requirements of the federal state educational standards of higher education of the latest generation. It is intended for students studying in the fields of 05.04.01, 05.03.01 "Geology", 21.05.02 "Applied Geology", as well as for specialists in the field of geology, geochemistry, extraction and processing of oil, gas, gas condensate, solid fuels.
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13

Zimbardo, Philip G. Discovering psychology: Disc 7, programs 25-26. S. Burlington, VT: Annenberg Media, 2001.

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14

Préparer des images numériques: Numériser, optimiser, contrôler. Paris: Eyrolles, 2009.

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15

1948-, Farina A. y Institution of Electrical Engineers, eds. Optimised radar processors. Peregrinus, 1987.

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16

Rib stability: Practical considerations to optimize rib design. Washington, D.C: U.S. Dept. of the Interior, Bureau of Mines, 1992.

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17

Rib stability: Practical considerations to optimize rib design. Washington, D.C: U.S. Dept. of the Interior, Bureau of Mines, 1992.

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18

Yoon, Won Byong. Use of linear and nonlinear programming to optimize surimi seafood. 1996.

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19

De, Marco M. A. CMC William J. Performance-Based Medicine: Creating the High Performance Network to Optimize Managed Care Relationships. Productivity Press, 2011.

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20

De Marco, M. A. , CMC, William J. Performance-Based Medicine: Creating the High Performance Network to Optimize Managed Care Relationships. Productivity Press, 2011.

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21

The Optimistic Child: A Proven Program to Safeguard Children Against Depression and Build Lifelong Resilience. Harper Audio, 1996.

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22

Doering, James M. The List, the Old Man, and the English Replacement. University of Illinois Press, 2017. http://dx.doi.org/10.5406/illinois/9780252037412.003.0007.

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This chapter explores how the early 1930s tested Judson's mettle as an orchestra manager because the Depression completely redefined the rules of business. The 1910s and 1920s had been periods of tremendous optimism. The audience base grew exponentially, and nearly everything that Judson tried—artist management, coalitions of managements, radio technology—yielded some form of success. But when the economic conditions changed, optimism turned to protectionism. Funding dried up; deficits became more serious; the margin of error became thinner. Moreover, the shift was not temporary. The challenges Judson started to face in the 1930s would fester in the remainder of the twentieth century, as American orchestras struggled to find enthusiastic funding sources and to control costs in an unstable marketplace.
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23

Nobes, Christopher. 8. Accounting as control. Oxford University Press, 2014. http://dx.doi.org/10.1093/actrade/9780199684311.003.0008.

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How does budgeting work, and how is it useful? What are standard costs and how do they help in controlling production? How can a balanced scorecard improve control? ‘Accounting as control’ looks at some ways in which accounting can be used by managers to control their organizations. The two main high-level purposes of budgeting are to optimize the use of the economic resources within the firm in order to maximize profit, and to help the firm to achieve its overall strategic objectives. Six aspects of budgeting are considered: planning, motivation, delegation, communication/coordination, control, and performance evaluation. Cash flow forecasts, flexible budgeting, zero-base budgeting, standard costings, and balanced scorecards are also explained.
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24

Hollifield, Bill R. The alarm management handbook: A comprehensive guide practical and proven methods to optimize the performance of any alarm management system. PAS, TX, 2006.

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25

Izaute, Marie y Elizabeth Bacon. Metamemory in Psychopathology. Editado por John Dunlosky y Sarah (Uma) K. Tauber. Oxford University Press, 2015. http://dx.doi.org/10.1093/oxfordhb/9780199336746.013.20.

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This chapter explores the degree to which various psychopathologies influence metamemory. The literature suggests such patients suffer different impairment patterns rather than global, nonspecific impairments of metamemory processes and the memory-metamemory relationships: Depressed patients present memory and metamemory difficulties; obsessive-compulsive patients appear to suffer from metamemory impairments rather than memory disturbances. ADHD patients suffer more from control process impairments than from monitoring deficits. Patients with autism present metamemory and memory difficulties that are restricted to certain context. The chapter focuses on schizophrenia, as impairments of cognition and consciousness are today considered core symptoms of the illness and contribute to patients ‘difficulties in social and professional integration. Patients with schizophrenia present specific disruptions and selective preservation of the metacognitive processes, as the accuracy of their metamemory monitoring is relatively preserved, whereas their metamemory control is sometimes impaired. The presence of preserved abilities allows for optimism regarding patients’ possibilities to improve their memory.
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26

Egreteau, Renaud. The Broadening of Sociopolitical Spaces. Oxford University Press, 2017. http://dx.doi.org/10.1093/acprof:oso/9780190620967.003.0003.

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This chapter analyzes the patterns of the sudden opening-up of Myanmar’s political, social and economic space in the early 2010s. It shows how the environment that emerged under Thein Sein’s semi-civilian presidency (2011-2016) appears to have nurtured an unprecedented level of optimism both at home and abroad. Civilian opposition has been allowed, dissent is relatively tolerated and civil society has increased. Censorship has been considerably eased and progressive legislation has been prepared. At the same time, new forms of radicalism and contentious politics have (re)surfaced in the country, benefiting from the relaxation of the military and state control. All pose new challenges to Myanmar’s social cohesion and its prospects for peaceful democratization, as well as to the transition as it was initially “pacted”.
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27

Boffard, K. Massive transfusion. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780199550647.003.012005.

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♦ Treatment of anaemia has changed substantially since the early 1990s♦ Although massive transfusion may be necessary, trauma surgeons have modified their practice to provide aggressive control of haemorrhage, prevent hypothermia and acidosis, optimize haemodynamic management in intensive care units, and rationalize transfusion support in severely injured patients. The result has been an improvement in the outcomes of these patients♦ Given the importance of early intervention in the care of the injured, understanding the physiology and true indications for early massive transfusion in trauma care has the potential to save many lives.
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28

Robb, Fiona y Andrew Seaton. What are the principles and goals of antimicrobial stewardship? Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198758792.003.0002.

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Antimicrobial stewardship (AS) is a coordinated strategy for quality improvement designed to improve the appropriate use of antimicrobial agents to optimize clinical outcomes whilst minimizing collateral antimicrobial effects including antimicrobial resistance andClostridium difficileinfection. AS is a function of the multidisciplinary antimicrobial management team and is dependent on key relationships with infection protection and control, clinical governance, therapeutic, and medical management structures within a healthcare organization. AS should operate within a national framework and is driven by quality improvement and patient safety. Engagement with prescribers through education, surveillance, and audit and feedback are key to the success of an AS programme.
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29

Bi, Xiaojun, Brian Smith, Tom Ouyang y Shumin Zhai. Soft Keyboard Performance Optimization. Oxford University Press, 2018. http://dx.doi.org/10.1093/oso/9780198799603.003.0006.

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Optimization techniques have played a vital role in improving the performance (i.e., input speed and accuracy) of soft keyboards. This chapter introduces the challenges, methodologies, and results of keyboard performance optimization. Leveraging the robust human motor control phenomena manifested in text entry, we used the Metropolis random walk algorithm, and Pareto multi-objective optimization method to optimize the keyboard layout and a soft keyboard decoder. The optimization led to layouts that shorten finger travel distance and improve the input speed as well as accuracy over the Qwerty layout, and a soft keyboard decoder with improved correction and completion ability.
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30

Smith, Ian. Kidney Transplant. Oxford University Press, 2013. http://dx.doi.org/10.1093/med/9780199764495.003.0029.

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Renal transplantation is the preferred treatment for pediatric patients who have end-stage renal disease. A successful transplant improves intellectual and behavioral development, quality of life, and survival, with the survival at 10 years being as high as 83% (Kim et al., 1991). We can optimize the chance of success by understanding the pathophysiology involved and applying this knowledge to guide our management of perioperative fluid balance, electrolyte anomalies, anemia, blood pressure control, and comorbidities. Also critical is an appreciation of the effects and consequences of the various immunosuppressive agents that are used. Close communication is required between the pediatrician, surgeon, and anesthesiologist.
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31

van Mil, Edgar GAH. Exercise, physical activity, and diabetes mellitus. Editado por Neil Armstrong y Willem van Mechelen. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198757672.003.0023.

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The main aim for the diabetic child is to live as normal a life as possible via four main targets of management: obtaining good metabolic control, preventing long-term complications, promoting social competence, and self-worth. The main challenges are that the child must receive appropriate insulin subcutaneously and there must be attention given to lifestyle. Participation in sports not only helps to reach those targets, but also forms a great challenge in maintaining good metabolic control as physical activity has an impact on glucose utilization. This chapter discusses the definition of diabetes mellitus, the diagnostic criteria, the aetiology, and the clinical spectrum, as well as all the practical aspects encountered by the child with diabetes mellitus and his/her care givers and how it all relates to sports and physical activity. Finally, it covers strategies to optimize performance and prevent complications.
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32

Lancellotti, Patrizio y Bernard Cosyns. Examination. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198713623.003.0001.

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Echocardiography is a diagnostic imaging technique by which ultrasound is used to display anatomic and physiologic characteristics of the cardiovascular system. Echocardiography consists of several different imaging modalities that require appropriate settings. In this chapter the most important system settings are discussed in the context of the basic physics of ultrasound image formation. Setting-up the echo machine to optimize patient examination is discussed in detail. All controls are covered. Continuous-wave, pulsed-wave, and colour flow Doppler are explained, as well as more advanced techniques including myocardial velocity imaging and speckle tracking and 3D imaging. Understanding these basic principles will allow optimizing image quality for each individual patient.
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33

Oshiro, Thomas y Lawrence W. Bassett. An Overview of Digital Mammography Technology and MQSA Requirements. Editado por Christoph I. Lee, Constance D. Lehman y Lawrence W. Bassett. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190270261.003.0006.

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Understanding the fundamentals of mammographic imaging is essential for any practicing physician. The elements described in this section should serve as a brief review of how digital mammography systems acquire and generate images. Equipment including digital receptor design and technical factors to optimize the radiographic contrast and spatial resolution while reducing breast doses to lower levels are outlined. General image processing features as well as commonly encountered clinical artifacts will be reviewed. MQSA (Mammography Quality Standards Act) and ACR standards that define qualifications for personnel (interpreting physicians, radiologic technologists and medical physicists), minimum equipment performance characteristics and methodologies for routine quality control testing are summarized.
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34

Nofsinger, John R. y Pattanaporn Chatjuthamard. Corporate Executives, Directors, and Boards. Oxford University Press, 2017. http://dx.doi.org/10.1093/acprof:oso/9780190269999.003.0005.

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This chapter assesses the behavior of corporate managers and boards of directors within the framework of agency theory, stewardship theory, and psychological biases. In agency theory, a chief executive officer (CEO) is motivated to act in his or her own best interests rather than those of shareholders. Stewardship theory posits that a CEO is a self-actualizing individual seeking to grow and reach a higher level of achievement through leading an organization. A CEO exhibits self-interested behavior in managing the firm. The CEO also exhibits optimism, overconfidence, and risk-aversion behaviors that are not optimal for the company. In the context of agency theory, the board of directors should enact incentive structures and monitoring to control these behaviors. However, directors also suffer from self-interests and cognitive biases. Specifically, boards may suffer from group-dynamic problems such as social loafing, poor information sharing, and groupthink.
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35

Onuf, Nicholas Greenwood. Epilogue. Oxford University Press, 2018. http://dx.doi.org/10.1093/oso/9780190879808.003.0015.

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The last three chapters of the book have a constructivist flavor. One might wonder if constructivism could point to new conditions of thought and rule within the modern world’s mighty frame. If so, Bruno Latour’s extensive, ever more influential body of work bears attention. He has directly, energetically attacked “the dominion of modernism” and sketched a “political ecology” for the future; he made an ancillary project of “saving constructivism” from constructivists in order stabilize conditions of thought for the world to come. Unfortunately, society is missing from Latour’s project because people have no faculties that distinguish them from other “actants.” Untroubled by issues of agency, he has proposed that actants somehow adopt a constitution for a new cosmopolis. Latour has had important allies, include Haraway. As with Haraway, he is a technological optimist. The illusion of control comes in many guises; saving modernity will not be so easy.
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36

Kott, Alexander. Battle of Cognition. Praeger, 2007. http://dx.doi.org/10.5040/9798400616792.

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What if the true weak link of the Information Age force is not the hardware of machines, but the software of the human mind? And if so, could it be that the entire conceptual structure of the Information Revolution theorists, at least as it applies to military affairs, is built on sand, on the notorious fickleness of human cognition? These are the questions this book strives to examine. Looking at the command and control of information-rich warfare, the contributors explore its potential new processes, techniques, and organizational structures. As they do so, they find reasons for both optimism and concerns about the limitations of human cognition and supporting technologies in commanding battles in the Information Age. Since the beginning of the Information Revolution, the military in the United States and elsewhere has been analyzing and implementing the changes driven by the rapidly advancing information technologies. Among military theorists and practitioners, many focus on the Information Revolution's impact on matters of military equipment. Far fewer, however, seem to worry about the gray matter—the mind of the commander, the place where all the information power of the new age is supposed to converge and to yield its mighty dividends. Consider that it is the human mind, particularly the minds of military commanders and their staffs that remain the pinnacle and the ultimate consumer of the rapidly growing information flows. What if the true weak link of the Information Age force is not the hardware of machines, but the software of the human mind? And if so, could it be that the entire conceptual structure of the Information Revolution theorists, at least as it applies to military affairs, is built on sand, on the notorious fickleness of human cognition? These are the questions this book strives to examine. Looking at the command and control of information-rich warfare, the authors explore its potential new processes, techniques, and organizational structures. As they do so, they find reasons for both optimism and concerns about the limitations of human cognition and supporting technologies in commanding Information Age battles.
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37

Ginsburg, Kenneth R. y Martha M. Jablow. Building Resilience in Children and Teens. 2a ed. American Academy of Pediatrics, 2005. http://dx.doi.org/10.1542/9781581106190.

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Confronting the overwhelming amount of stress kids face today, this invaluable guide offers coping strategies for facing the combined elements of academic performance, high achievement standards, media messages, peer pressure, and family tension. This handbook acknowledges that adolescents commonly survive stress by either indulging in unhealthy behaviors or giving up completely, and its suggested solutions are aimed at strengthening resilience. The proposed plan enables kids from the age of 18 months to 18 years to build the seven crucial "C's"--competence, confidence, connection, character, contribution, coping, and control--needed to bounce back from challenges. A variety of approaches are featured such as building on natural strengths, fostering hope and optimism, avoiding risky behaviors, and taking care of oneself physically and emotionally. With new chapters on perfectionism, the negative portrayal of teens, military families, and what parents can do when resilience has reached its limits, this examination also includes two personalized guides for creating customized strategies.
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38

Ramsden, Edmund. Science and Medicine in the United States of America. Editado por Mark Jackson. Oxford University Press, 2012. http://dx.doi.org/10.1093/oxfordhb/9780199546497.013.0013.

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This article begins with great optimism expressed by Tocqueville for America's future as the embodiment of the democratic state. It discusses the opportunity to express the liberal political ideals, arguing that its success was based on a community of common sensibility. An understanding of society and politics endowed the historian with the power to help remake health care. This article explores and compares the ways in which medicine is developed and applied in a number of different social, cultural, and physical contexts. It shows rapid growth, from a period in which European ideas, methods, and structures were adapted to the American context, to one in which the United States is at the forefront of large-scale initiatives in public health, disease control, and innovation in the biomedical sciences. Finally, it mentions the contradiction, most notably between profound faith in the technical capacities of medical science and equally profound dissatisfaction with the provision of health care.
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39

Basu, Sanjay. Modeling Public Health and Healthcare Systems. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190667924.001.0001.

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This book aims to empower readers to learn and apply engineering, operations research, and modeling techniques to improve public health programs and healthcare systems. Readers will engage in in-depth study of disease detection and control strategies from a “systems science” perspective, which involves the use of common engineering, operations research, and mathematical modeling techniques such as optimization, queuing theory, Markov and Kermack-McKendrick models, and microsimulation. Chapters focus on applying these techniques to classical public health dilemmas such as how to optimize screening programs, reduce waiting times for healthcare services, solve resource allocation problems, and compare macroscale disease control strategies that cannot be easily evaluated through standard public health methods such as randomized trials or cohort studies. The book is organized around solving real-world problems, typically derived from actual experiences by staff at nongovernmental organizations, departments of public health, and international health agencies. In addition to teaching the theory behind modeling methods, the book aims to confer practical skills to readers through practice in model implementation using the statistical software R.
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40

Roslan, Ummi Nazahah, Mohd Fathullah Ghazali, Raja Manisa Raja Mamat, Mohd Habir Ibrahim y Norsilawati Ngah. INDUSTRIAL ENGINEERING. 2024a ed. PENERBIT UNIVERSITI MALAYSIA PERLIS, 2024. http://dx.doi.org/10.58915/bk2023.015.

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Explore the world of Industrial Engineering and its impact on success, efficiency and productivity in today's industries. This comprehensive book serves as a guide, providing readers with a solid foundation in industrial engineering and practical tools to optimize processes, achieving operational excellence. Take a journey through fundamental concepts, principles and methodologies, starting with an engaging introduction to the field. Learn how to design, analyze and optimize production processes using tools like process flowcharts, value stream mapping, and lean manufacturing principles. Dive into crucial aspects of industrial engineering, including the strategic considerations of facility location and layout. Explore factors such as transportation infrastructure, proximity to suppliers and customers, and site selection. Delve into principles and methods of facilities location analysis, designing optimal layouts and planning layouts methodically. Uncover the impact of work design and organizational performance on employee satisfaction and productivity. Examine approaches like job specialization, enlargement and enrichment, as well as organizational structures, culture and performance measurement systems. The book also covers ergonomics for optimizing human-system interaction, addressing physical, cognitive and organizational aspects. Lastly, explore the essentials of operations planning and management, covering production planning, inventory management, scheduling, quality control, and various forecasting and capacity planning approaches. This book, enriched with real-world examples and case studies is a valuable resource for both students and professionals aiming to master industrial engineering and enhance operational efficiency. Unlock the potential of industrial engineering to reach new heights in performance and efficiency.
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41

Smith, Lisa Wynne, Laurence Totelin, Iona McCleery, Elaine Leong, Lisa Wynne Smith, Jonathan Reinarz, Todd Meyers y Claudia Stein, eds. A Cultural History of Medicine in the Enlightenment. Bloomsbury Publishing Plc, 2021. http://dx.doi.org/10.5040/9781474206037.

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The Enlightenment, as concept and time period, was haunted by ambiguities about the relationships between mind and body, humans and the natural world, and reason and imagination. The 18th century was inherently contradictory, particularly when it came to ideas about medicine and the body. The growing optimism that medicine and science could control nature and disease was counterbalanced by the hierarchies of gender, race and class being fixed on the body. Enlightenment ideals emphasized rationalism and expertise, but they existed alongside religious belief and everyday authority. Focusing on Western Europe, this volume examines disability and suffering, emotional and physical sensations, supernatural phenomena and scepticism, medical authority and expertise, biologization and power, and bodily and environmental regulation. Volume contributors have used a range of cultural history methodologies – from material history to discourse analysis – to examine the Enlightenment’s tensions. The book’s chapters centre on topics (Environment, Food, Disease, Animals, Objects, Experiences, Mind/Brain and Authority) that have encouraged contributors to reframe their assumptions about the history of medicine and the Enlightenment.
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42

Faigenbaum, Avery D. y Rhodri S. Lloyd. Resistance training. Editado por Neil Armstrong y Willem van Mechelen. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198757672.003.0036.

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Traditional fears and misinformed concerns regarding youth resistance training have been replaced by scientific evidence that indicates regular participation in well-designed resistance-training programmes can be safe and effective for both children and adolescents. In addition to increasing muscular strength and power, regular participation in a structured resistance training-programme can increase bone mineral density, improve cardiovascular risk factors, fuel metabolic health, facilitate weight control, enhance psychosocial well-being, and prepare youth for the demands of daily physical activity and sport. An integrative approach to training, grounded in resistance exercise and motor skill development, can optimize children’s fitness potential and maximize their athletic performance while reducing the risk of sports-related injury. Qualified professionals are needed to plan, implement and progress developmentally appropriate resistance training to attain a level of muscular fitness that facilitates long-term physical development.
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43

Meigh, Abigail E., Ingrid A. Fitz-James Antoine y Veronica Carullo. Pediatric Spine Surgery. Editado por David E. Traul y Irene P. Osborn. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190850036.003.0016.

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In children, the most common indication for spinal fusion is significant scoliotic curvature, either idiopathic or as a result of neuromuscular disease. Spinal fusion is high-risk surgery, which can be further complicated by comorbid disease. It carries substantial risk for significant fluid shifts, high intraoperative blood loss, physiologic strain secondary to duration and positioning, severe postoperative pain, and potential spinal cord injury. To mitigate risk and optimize outcomes, these patients should be carefully evaluated by the anesthetic team preoperatively and a comprehensive perioperative plan established. To protect the spinal cord and predict poor neurologic outcomes, the majority of these cases employ intraoperative neuromonitoring. The specific anesthetic agents to allow maximal neuromonitoring signals while ensuring adequate anesthetic depth and pain control should also be established collaboratively. These patients experience severe postoperative pain, and a multimodal approach to therapy should be employed to allow for expedited recovery and decreased length of stay.
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44

Kissane, David W. y Matthew Doolittle. Depression, demoralization, and suicidality. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199656097.003.0173.

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The development of clinical depression is common during palliative care, adversely affects quality of life and adherence to medical treatments, yet regrettably can pass unrecognized. Screening for distress as the sixth vital sign is therefore highly recommended. Demoralization is another form of distress where the apparent pointlessness of continued life may lead to suicidal thinking. As the mental condition deteriorates, co-morbid states of anxiety, depression, and demoralization become more likely. Rates of suicide are increased with advanced cancer and poor symptom control. Fortunately, combined treatment with medication and counselling is effective in ameliorating depression, demoralization, and suicidality. Meta-analyses of psychotherapy trials confirm clear benefits, with behavioural activation, supportive, interpersonal, and cognitive behavioural therapies all making contributions. Group, couple, and family therapies optimize support for all involved. All members of the multidisciplinary team contribute to the active treatment of depression, demoralization, and the prevention of suicide.
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45

Dozio, Nicoletta. Pregnancy planning in Type 1 diabetes. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198766452.003.0010.

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Pregnancy outcomes in Type 1 diabetes have progressively improved, but are not yet at background population level. Insulin requirements increase early in pregnancy, followed by a nadir at 16–18 weeks, consistently climbing nearly to delivery. Everyone who sees Type 1 patients of childbearing years should be able to deliver concise and practical advice on pre-pregnancy management, including contraception advice. About one-third of UK pregnancies are unplanned. Even where formal counselling is readily available, most women do not access it. Maternal risks during pregnancy include exacerbation of pre-existing complications, hypoglycaemia, and pre-eclampsia; foetal risks include pregnancy loss, fetal malformation, prematurity, macrosomia, stillbirth, and neonatal death. Ideal preconception A1C is 6 to 7% (42 to 53 mmol/mol). Most insulin preparations are safe during pregnancy. Continuous glucose monitoring and insulin pump therapy are increasingly used, but evidence of definite benefit is awaited. Women are usually highly motivated to optimize glycaemic control during pregnancy.
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46

Edgeworth, Jonathan. Antibiotic resistance in the ICU. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199600830.003.0289.

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The two objectives of ensuring early appropriate antimicrobial treatment for septic patients on the intensive care unit (ICU), and limiting emergence and spread of antimicrobial resistance are both complicated and potentially conflicting. Increasingly unpredictable resistance, particularly amongst Gram-negative bacteria, through both local selection and transmission, and importation of globally successful resistant clones encourages the use of broad-spectrum empiric antimicrobials for septic patients, including in combination. This may lead to a vicious cycle whereby increasing antibiotic use increases resistance, which in turn leads to higher levels of inappropriate therapy. In response, the multi-disciplinary ICU-team implements infection prevention and control, and antimicrobial stewardship programmes. Antimicrobial stewardship programmes provide interventions and guidance to optimize appropriate therapy,whilelimiting unnecessary use through a variety of measures. The development of rapid molecular testing for bacterial identification and antimicrobial susceptibility prediction could potentially bring useful microbiological information to the bedside at the time of therapeutic decision making.
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47

Chasen, Martin y Gordon Giddings. Management issues in chronic pain following cancer therapy. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199656097.003.0135.

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With improved surveillance, diagnoses, and treatment of patients with cancer, an increased life expectancy, and specifically an increased number of ‘cancer cured’ patients, is noted. However, the long-term effects of the disease and treatment have a bearing on obtaining optimal physical, psychological, and cognitive functioning for cancer survivors. Pain impacts on all dimensions of quality of life and is one of the most distressing symptoms for patients. Patients often under-recognize pain and are unsure if optimum pain control is achievable. In addition, members of the interdisciplinary team often fail to assess the patient’s pain adequately, due to a lack of knowledge of the principles of pain relief and side effect management. Treatment requires an interprofessional approach that details a comprehensive assessment, with ongoing reassessment, utilizing both pharmacological and non-pharmacological measures. Empowerment of the cancer survivor, respect for survivors’ individuality and collaboration among team members are key elements of any successful strategy to optimize a patient’s quality of life.
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48

Sozzi Nogueira, Atílio, George Hamilton S. Pinto y Marcos Aguiar de Souza, eds. Liderança e Bem-Estar: Teoria e prática em contextos militares, organizacionais e educacionais. Brazil Publishing, 2021. http://dx.doi.org/10.31012/978-65-5861-717-4.

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This work is the result of persistence, motivation, enthusiasm and de-dication from a team of researchers coordinated by the Professor and Doctor Marcos Aguiar de Souza and other authors, invited to know how individual behavioral variables interact with and permeate the organiza-tional environment in diverse professional contexts. These variables make up different psychological phenomena, such as: leadership, satisfaction with work and with life in general, locus of control, self-esteem, optimism, gratitude, well-being and personality. The main questions that guided the articles were: how, in practice, such phenomena occur and can be measured, and how transversal skills – also known as attitudinal contents or soft skills – can be developed to promote people´s leadership potential and their wellbeing. The answers to these questions are inside this book and provide interesting opportunities for orientation, intervention and reinforcement of attitudes. This publication glances, connects itself with and, in many occasions, runs through the book “Measurement Instruments in Military Context”, published in 2018, which aimed to develop and validate measurement instruments for the diagnosis of behavioral phenomena specifically in military environ-ments. Thus, we may consider that the present content expands the ho-rizons of perception, metering and registration of behavioral phenomena, aiming to supply, based on evidence, better quality of life and well-being to members of organizations, maintaining high labor performance through self-knowledge, self-determination and self-regulation.
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49

Managing the Big Picture in Colleges and Universities. Praeger, 2005. http://dx.doi.org/10.5040/9798216192558.

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In the past, colleges and universities relied on small picture tactics to determine insititutional direction. Even now, many institutions are missing a big picture approach to leadership and management. In an environment where business continues to aggressively optimize the opportunities it sees in higher education, institutional leaders must adopt a more strategic approach to guiding colleges and universities into the future. Strategy must become an essential part of the organizational architecture of every college and university. This book is intended to serve as a road map for strategy creation and execution for leaders and decision makers who, by choice or by necessity, are looking to use strategy to optimize the development of their institutions. It is the first book of its kind to focus exclusively on strategy as it applies to postsecondary education. As the authors explain, strategy is a systematic way of positioning an institution within a context of community stakeholders. In today's competitive environment, higher education leaders must become adept at differentiating their institutions from competitors to obtain the resources necessary for growth and sustainable advantage. The book begins by explaining the concept of strategy and its application. The authors describe the evolution of modern strategy and how it is has been applied and developed by strategy theorists and practitioners. The book also explores how strategy is shaped by critical factors related to the mission, control and culture of the institution. For example, strategy that is appropriate in a liberal arts college may be completely inappropriate for community college or a teaching university. Real-world cases are employed to illustrate the applications of strategy in three different settings: a private liberal arts college, a comprehensive public institution, and a special purpose institution. The last section moves to the hands-on world of strategy formulation and implementation inside the institution. The authors end with an outline of key concepts for building a plan for implementing strategy and provide a framework for evaluating its impact.
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50

Humanante Avilés, Carlos Humberto, Wilfrido Alejandro Suarez Loor, Ariana Tatiana Choez Quimis, Danixa Lourdes León Vergara, Iván Fabricio Lange González, Fernando Jacinto Carranza Gómez, Diego Gustavo Guerrero Farias et al. Sobreviviendo a la SEPSIS. Mawil Publicaciones de Ecuador, 2021, 2021. http://dx.doi.org/10.26820/978-9942-826-88-6.

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La sepsis es un síndrome común, aunque el diagnóstico y el tratamiento han avanzado en los últimos años, sigue siendo la principal causa de muerte en los hospitales. Es una entidad compleja en diagnóstico y tratamiento. Casi todos los pacientes profesionales pueden infectarse y cada infección tiene sus propias características. Los síntomas de sepsis también pueden ocurrir en clínicas y hospitales. Es una patología obvia dependiente del tiempo, como el infarto agudo de miocardio o las lesiones múltiples. Se deben realizar todos los esfuerzos para llevar a cabo estos procesos sensibles (procesamiento adecuado de muestras microbianas, ejecución de pruebas diagnósticas, revisión de procedimientos quirúrgicos, administración de antibióticos) en el momento justo para que los pacientes se recuperen por completo. La sepsis es y debe considerarse una emergencia. Debemos adherirnos a la idea de que el diagnóstico y tratamiento de estos pacientes es multidisciplinar: diagnóstico precoz-identificación de bacterias responsables, exploraciones de imagen complementarias y estudios de análisis completos, etc. tratamiento precoz se optimiza la cobertura antibiótica, para los pacientes que pueden agravar la disfunción orgánica, las estrategias clave de control quirúrgico y las medidas de apoyo son responsabilidad de todos, y todos están en su campo específico de trabajo.
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