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1

McChesney, Charlie. "External Support Vector Machine Clustering". ScholarWorks@UNO, 2006. http://scholarworks.uno.edu/td/409.

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The external-Support Vector Machine (SVM) clustering algorithm clusters data vectors with no a priori knowledge of each vector's class. The algorithm works by first running a binary SVM against a data set, with each vector in the set randomly labeled, until the SVM converges. It then relabels data points that are mislabeled and a large distance from the SVM hyperplane. The SVM is then iteratively rerun followed by more label swapping until no more progress can be made. After this process, a high percentage of the previously unknown class labels of the data set will be known. With sub-cluster identification upon iterating the overall algorithm on the positive and negative clusters identified (until the clusters are no longer separable into sub-clusters), this method provides a way to cluster data sets without prior knowledge of the data's clustering characteristics, or the number of clusters.
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Östlin, Carl Niclas, i Fredrik Palmé. "Säljstöd : En kvalitativ fallstudie gällande samspelet mellan Self-Support, Core-team Support och External Support". Thesis, Högskolan i Gävle, Avdelningen för ekonomi, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-18945.

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Abstrakt   Titel: Säljstöd Nivå: Kandidatuppsats Författare: Fredrik Palmé och Niclas Östlin Handledare: Jens Eklinder Frick och Jonas Molin Datum: 2015 - januari   Syfte: Tidigare forskning har visat att det finns lite eller ingen interaktion mellan säljstödsstrukturerna Self-Support, Core-Team Support och External-Support. Syftet med denna studie är därför att öka vår förståelse kring säljstödsstrukturer och se om det finns ett samspel mellan dem och om de kan kombineras, samt öka förståelsen för de fyra underliggande dimensionernas (workload, complexity, prequalification och customization) påverkan på valet av säljstöd. Metod: Studien är designad som en fallstudie med en kvalitativ ansats och ett hermeneutiskt perspektiv. Den teoretiska referensramen samlades in med hjälp av deduktion och det empiriska materialet samlades in genom semi-konstruerade intervjuer.  Resultat och slutsats: Studien indikerar att det finns ett konstant samspel mellan de tre olika säljstödsstrukturerna. Valet av säljstöd beror  på säljarens upplevelser av de fyra dimensionerna och Self-Support, Core-team support och External-support är ofta kombinerade för att erbjuda det mest lämpliga stödet vid rätt tidpunkt.  Förslag till vidare forskning: Eftersom ett av företagen var under omstrukturering och led av viss personalbrist, finns det möjligtvis en skillnad i appliceringen av säljstöd i ett företag som har lämplig mängd personal. Det vore även intressant att se vilken påverkan kommunikationen i ett mer centraliserat företag hade haft på valet av säljstöd.  Uppsatsen bidrag: Studiens bidrag är den ökade förståelsen kring samspelet mellan olika säljstödsstrukturer. Det måste anses vara svårt att skapa ett ramverk för att bestämma vilket säljstöd som bör tillämpas, då varje säljsituation är unik och kan behöva en kombination av olika säljstöd för att vara tillräcklig.  Nyckelord: Säljstöd, Self-Support, Tvärfunktionella grupper, Externt stöd, Arbetsbörda, Komplexitet, Anpassningsbarhet, Förkvalificering, Säljaktiviteter.
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Underwood, Joshua C. "Game of Survival: External Actors' Support for Separatists". Wright State University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=wright1608154043704134.

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Swaffield, Susan Elizabeth. "Headteachers' views of external support, challenge and critical friendship in England". Thesis, University of Cambridge, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.609819.

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Iachini, Aidyn Lorraine. "Factors Influencing the Provision of Autonomy-Support". The Ohio State University, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=osu1218218875.

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Webster, Gemma. "Multimedia profiles as external personalities to support people with dementia and their carers". Thesis, University of Dundee, 2011. https://discovery.dundee.ac.uk/en/studentTheses/f68f7545-c3af-427d-b4fe-96633824208a.

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Dementia is a growing problem with prevalence rapidly increasing. It is a progressive and eventually severe disease that affects many areas of the person’s life. Often, as a result of this disease, individuals reside in care homes. Care staff can find it difficult to get to know a person with dementia as they have limited time to spend with each person. In addition, communication difficulties can make it difficult to learn important social information and preferences. This lack of knowledge about an individual with dementia can make social interactions very difficult and can often contribute to repetitive social interactions. This research aimed to establish if technology could be used to support care staff within their care environment to get to know people with late-stage dementia. The goal was to develop software that can act as an external communication bridge between carers and people with dementia through the creation of simple but effective ‘Portraits’. This thesis investigates the creation and use of multimedia ‘Portraits’ of individuals with dementia that are immediately and easily accessible to care staff. This thesis describes the development of a software tool called Portrait, designed to help staff in care homes quickly get to know a person with dementia as a person. It is intended to be used by the staff in their care environment to gain an initial understanding of that person’s life prior to entering care and to learn more personal information about their needs and habits. The Portrait system contains important but limited personal and social information about the people with dementia. Five key studies were conducted during this research. The first study evaluated the usability of the Portrait system. The second and third were conducted with care managers and staff in the care home setting to assess usefulness and usability of the Portrait system and to compare it to current methods used in the care home environment. The fourth study conducted case studies with families of people with dementia to investigate the Portrait creation process and the final study investigated the placement of these Portraits in the care environment. The results of this research are promising, with Portrait being very positively received by care managers, care staff and the families of people with dementia. This research highlights the potential benefits of technology in the care environment to assist care staff. A number of key areas for future research have been identified including the possibility of expanding the use of the system and using alternative state of the art devices.
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Vasala, A. (Aappo). "The use and perceived impact of external support services in SME internationalization process". Master's thesis, University of Oulu, 2015. http://urn.fi/URN:NBN:fi:oulu-201506111834.

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SMEs do not always possess the resources needed for internationalization. This lack of resources, both tacit and tangible along with international competition has brought forth a number of internationalization support services available for SMEs. These support activities are mainly focused on exporting as an entry mode and their purpose is to facilitate growth in SMEs that benefits both the company and country they reside in. The purpose of this master’s thesis is to determine the impact and use of internationalization support in SME internationalization process. By analyzing the needs of the companies and the criteria and form of support external support services provide, we are able to see the problems in allocating internationalization support for companies and whether internationalization support has the wanted impact on SME internationalization. In addition the organizational development of internationalization services is looked upon and theorized if there is room for improvement regarding the allocation of support for SMEs. The study was conducted as a qualitative case analysis of two Finnish companies and two internationalization support service providers. The interviews were decoded into themes that included SME internationalization process, the use and impact of internationalization support and internationalization support organizations. Theoretical approach is applied to the analysis. The results of the study revealed firstly, that external support is offered too late in the SME internationalization process and firms would like to utilize external support earlier in their internationalization. Secondly, the internationalization support providers lack the tools to help companies that are fast in their internationalization process and operate at a loss for the first years of their development. Thirdly, optimal form of support is discussed. These findings are helpful in planning internationalization support programs for start-ups and internationalizing SMEs in Finland.
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Kalu, Ifeanyi Emmanuel. "Failure assessment of boiler tubes under localized external erosion to support maintenance decisions". Thesis, University of Pretoria, 2019. http://hdl.handle.net/2263/77832.

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Boiler tubes used in power plants and manufacturing industries are susceptible to numerous failures due to the harsh environment in which they operate, usually involving high temperature, pressure and erosive-corrosive environment. Among the wide range of failures associated with the tubes, localized external erosion is prevalent. In spite of efforts made over the years to solve this problem, localized erosion of boiler tubes continues to be a leading cause of tube leakages and unscheduled boiler outages in power plants and other utilities. There is, therefore, a need to approach this problem systematically and engage in rigorous studies that will allow improved management of this persistent problem. In this thesis, comprehensive studies were first carried out on modelled variants of localized external eroded boiler tubes with conceptualized flaw geometries, such as could be seen in real situations. The outcome of these investigations provided insights into the factors that influence the failure of these tubes while in use. The stress concentration, plasticity and flaw geometry all play critical roles in influencing the failure of tubes. Also, the failure pressures of the modelled tubes were analyzed in relation with several other failure criteria, to determine which failure criteria will be most suitable for the failure assessment of the localized tubes. Based on the result of the analysis, plastic strain in the range 5%-7% is recommended as a compromise between the extreme benchmark failure criterion of 20%, and the overly conservative 2%. The insights gained from the studies carried out on conceptualized variants of localized thinned tubes were extended to real localized external eroded tubes obtained from the industry and used to develop an improved and efficient failure assessment methodology framework for heat resistant seamless tubes while in service. This was done by treating the tubes as an inverse problem and using an optimization technique to obtain the flaw geometric properties of the tubes so as to effectively replicate them on the conceptualized geometries. Using two Material Properties Council (MPC) models generated based on the properties of the tubes as a function of their operating temperatures, comprehensive nonlinear finite element analyses (NLFEA) were conducted on the 160 finite element models. These tubes were assessed based on the maximum equivalent plastic strain and Von Mises stress produced at the deepest point of the flaw area within each of the tubes when subjected to their respective operating pressures at which they failed. The failure assessment outcome revealed that most of the heat resistant tubes while in service will remain intact and not fail if their remaining tube thicknesses were within (0.7 𝑡𝑚𝑖𝑛 to 𝑡𝑚𝑖𝑛), where 𝑡𝑚𝑖𝑛 is the minimum remaining thickness of the tube based on allowable stress. In addition, a 5% plastic strain ( 𝑃5%) and equivalent Von Mises stress criteria of 0.8 𝜎𝑢𝑡𝑠 were deduced as failure criteria to guard against the failure of these tubes while in service, and also avoid their early replacement. The developed methodology framework was checked and compared with the API-ASME FFS standard and found to be in good agreement with it, also more efficient and with reduced conservatism. Finally, sensitive studies were conducted based on the developed methodology to examine how the combination of the flaw geometry and material factors could possibly influence the failure of the tubes while in use. The study outcome shows that there were no appreciable changes in the normalized Von-Mises stress ratios and the plastic strain response for the normalized remaining thickness of the tubes. The proposed 𝑃5% and 0.8 𝜎𝑢𝑡𝑠 limits accurately predicted the failure for all the tubes and were reasonably safe limit for the tubes. Insights gained from the strain hardenability of the tubes studied will also provide guidance with taking proactive measures for the maintenance of the tubes. In summary, all the insights gained from this research and the developed failure assessment methodology framework will be helpful in categorizing the severity of localized external erosion on tubes while in use, and also support maintenance decisions on these critical assets. Keywords: Boiler tubes, localized external erosion, plastic deformation, stress concentration, flaw geometry, failure criteria, plastic strain, conceptualized finite element models, nonlinear finite-element analysis, equivalent Von Mises stress, API-ASME FFS Standard.
Thesis (PhD)--University of Pretoria, 2020.
Mechanical and Aeronautical Engineering
PhD
Unrestricted
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Gumustekin, Deniz. "Patterns of Support of Ethnic Violent Groups by Co-Ethnic Groups". Digital Archive @ GSU, 2012. http://digitalarchive.gsu.edu/political_science_theses/53.

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Most studies examine how homeland policies influence the host state and what role the homeland plays for diaspora. In this paper, I will examine the reasons and conditions for why ethnic groups do or do not support violent ethnic groups. This study tests how external threats impact the level of support within the same ethnic groups. I will examine the causal relationship between external pressure and non-cooperation through a structured, comparative study of Kurdish ethnic groups.
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Nkambule, Samson Gugulethu. "Primary school educators' experiences of support from internal and external sources in a South African school district". Thesis, University of Pretoria, 2018. http://hdl.handle.net/2263/65457.

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This study explored how primary school educators expect to be supported and how they experience support from internal and external sources in a South African school district. Support for educators is vital in order to improve basic education in terms of South Africa’s long-term development goals and particularly in light of the poor performance of primary school learners in universal benchmark tests. Furthermore, the myriad of curricular changes introduced by the Department of Basic Education have increased the need for educator support in South Africa. A qualitative approach, located in an interpretive paradigm was adopted and a case study research design was employed. The requisite data were gathered by means of interviews, document sourcing and non-participant observation in three public primary schools. The main finding of the study was that there is limited amount of technical support, aimed at improving the quality of education, while affective aspects, i.e., meeting the socio-emotional needs of educators appear to be neglected. A broad theme that emerged was participants feeling like they are under surveillance; perceiving district officials to be on fault-finding missions when they conduct school visits and classroom observations; and feeling like they are on their own once they return to school from attending offsite workshops. In addition, the participants who served as heads of departments (HODs) reported that their workload prevented them from providing adequate internal support. A key recommendation of this study is that more curriculum instructors and HODs be employed and that they receive adequate preparation in order to provide appropriate support to primary school educators. In addition, it is recommended that the provincial and district officials increase the frequency of their school and classroom visits in order to spend more time supporting primary school educators.
Thesis (PhD)--University of Pretoria, 2018.
Education Management and Policy Studies
PhD
Unrestricted
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11

Bazydlo, Nadia, i Sofia Wallin. "A lifebuoy that supports in deep water : A qualitative case study investigating how an external actor can support an organisation in crisis". Thesis, Uppsala universitet, Företagsekonomiska institutionen, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-324823.

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Problem  Crisis management has never been as important as it is today. Considering that criticism is being spread in a fast pace through social media, the reputation of an organisation can quickly be damaged. Several organisations however lack internal knowledge about crisis management. The majority of the previous research about crisis management has been conducted from the organisations’ perspective. There is however relatively little research done from an external actor’s role in supporting an organisation in crisis. Purpose  This study aims to contribute in the crisis management and communication field by investigating how an external actor can support an organisation in crisis. Method  The study was conducted through a qualitative single case study of crisis management support provided to firms by one external actor, a PR-agency. Primary data for the case was collected from six semi-structured interviews. Conclusion  External actors are a suitable helping hand in crises because they possess experience and knowledge in media and crisis communication and can view the situation objectively. Crisis consultants support their clients by providing a response strategy that is built on being honest and open. Proactive and post work are not prioritised by clients but are highly important for crisis preparedness and building a strong reputation. Social media is a standard part of today’s crisis communication but is also a demanding channel that creates incentives for hiring external support.
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Chaichanawirote, Uraiwan. "Quality of Life of Older Adults: The Influence of Internal and External Factors". Case Western Reserve University School of Graduate Studies / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=case1301667819.

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Loughran, Patrick. "Stress in home care staff working with older adults : an exploratory study of external stressors, moderating factors, and stress outcomes". Thesis, Bangor University, 1999. https://research.bangor.ac.uk/portal/en/theses/stress-in-home-care-staff-working-with-older-adults--an-exploratory-study-of-external-stressors-moderating-factors-and-stress-outcomes(fbfc3ccd-3926-4496-8210-9327d7b3ab13).html.

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Home carers working chiefly with older adults were invited to participate in the study. Fifty nine consented and completed the questionnaires. Data was collected on external stressors, mediating factors, and strain indices experienced by home carers in their workplace. Well established measures were used, the General Health Questionnaire, the Occupational Stress Inventory, the Ways of Coping Questionnaire (short-form), the Maslach Burnout Inventory, the Minnesota Job Satisfaction Scale, as well as a demographic questionnaire designed for the study. The results indicated that the majority of home carers experienced various aspects of their jobs as stressful, namely role demands but do not necessarily report strain. A range of coping strategies used by this group were assessed. As expected wishful thinking as a coping strategy was positively correlated with the emotional exhaustion and depersonalisation dimensions of burnout, reduced job satisfaction and general emotional mental health. Social support and problem-solving were also used as strategies, the success of social support was highlighted by the negative correlations found with the emotional exhaustion and depersonalisation dimensions of burnout, and positive correlations found with job satisfaction. The differences between the home carers sample and the norm groups on the job satisfaction scale, the burnout scale, and GHQ-12 indicated significant lower levels of burnout, equal levels of job satisfaction, and a significantly lower proportion of clinical caseness. The stressful aspects of the home carer work were discussed. Although care work was viewed as rewarding by many nevertheless some indicators of stress were present. It was conjectured that the deleterious effects of reported stress was being effectively mediated through use of the various constructive strategies, namely social support from family and colleagues. Limitations of the study are discussed both in terms of method used, the nature of the sample and the issues around the measure of stress and relevant moderators.
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Alleyne, Philmore A. "The influence of individual, team and contextual factors on external auditors' whistle-blowing intentions in Barbados. Towards the development of a conceptual model of external auditors' whistle-blowing intentions". Thesis, University of Bradford, 2010. http://hdl.handle.net/10454/5325.

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Following the collapse of Arthur Andersen in the Enron debacle, whistle-blowing within audit firms has taken on greater importance. Given the profession's requirements to be confidential, independent and to act in the public's interest, there is a need for a model that addresses auditors' whistle-blowing intentions. This thesis presents a conceptual model on whistle-blowing intentions among external auditors, where individual-led antecedents influence whistle-blowing intentions, but are moderated by isomorphic and issue-specific factors. Survey questionnaires were administered to 226 external auditors, and 18 individual interviews as well as 2 focus groups were conducted in Barbados. Results indicated that individual antecedents (attitudes, perceived behavioural control, independence commitment, personal responsibility for reporting, and personal cost of reporting) were significantly related to internal whistle-blowing, but only perceived behavioural control was significantly related to external whistle-blowing. Partial support was found for the moderating effects of perceived organizational support, moral intensity, team norms and group cohesion on the relationships between the majority of the independent variables (attitudes, perceived behavioural control, independence commitment, personal responsibility for reporting and personal cost of reporting) and internal whistle-blowing. However, partial support was found for the moderating effects of perceived organizational support, moral intensity, team norms iii and group cohesion on the relationships between fewer independent variables and external whistle-blowing. Overall, respondents preferred anonymous internal channels of reporting, and showed a general reluctance to report externally. The presence of an open-door policy, ethics partners, hotline, on-going training and clearly defined policies could encourage whistle-blowing. Further implications for research and practice are discussed.
University of the West Indies
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Mangum, Jacob E. "Sustainability of Community-Managed Rural Water Supply Systems in Amazonas, Peru: Assessing Monitoring Tools and External Support Provision". Scholar Commons, 2017. http://scholarcommons.usf.edu/etd/7055.

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Globally, there is still a large number of people without access to safe drinking water; a known health risk. In rural areas of countries like Peru, when potable water systems are built the responsibility for maintaining these systems is given to volunteer water committees. Despite its prevalence as a management model, there is a consensus that community management alone cannot ensure sustainable water service. Therefore, the overall goal of this research is to assess the sustainability of community-managed water systems in rural areas of the department of Amazonas, Peru. Specifically, this research examines two mechanisms that have been shown to improve the sustainability of rural water systems: 1) monitoring for asset management and service delivery, and 2) provision of long-term external support. In Amazonas, three sustainability assessment tools have been used recently to monitor the service level and management of water systems. These assessment tools are: the Rural Water and Sanitation Information System (SIASAR, in Spanish), Tracers in Rural Water and Sanitation (Trazadores, in Spanish), and the Diagnostic Survey for Water Supply and Sanitation (Diagnostico, in Spanish). The three tools were assessed using a question mapping technique as well as a sustainability assessment tool evaluation matrix. This analysis identified the SIASAR assessment tool to be the most appropriate for ensuring sustainability of rural water supply systems. This research also used the data collected with the SIASAR and Trazadores assessment tools to assess the state of community-managed rural water systems in Amazonas. The analysis showed that 81% of systems in the SIASAR analysis and 58% of systems in the Trazadores analysis have deficiencies that are beyond the ability of the water committee to overcome. In recent years, the Peruvian government has prioritized the creation of an office in each district dedicated to providing external technical support to local water committees. This office, called the Área Técnica Municipal de Agua y Saneamiento (ATM), is charged with formalizing and training water committees which are given the name, Juntas Administradoras de los Servicios de Saneamiento (JASS). In order to examine the provision of long-term external support provided by the ATM to the JASS, field research was conducted in six districts in Amazonas. Valuable anecdotal evidence was provided by the field research that helped to form recommendations for strengthening the capacity of the ATM office at the local municipal level. The results of this research demonstrate that currently a large number of community-managed rural water systems in Amazonas are not sustainable but that the prioritization of monitoring and external support is an encouraging sign. If these mechanisms continue to be prioritized then it is highly likely that water systems throughout Amazonas and Peru will become more sustainable, bringing benefits to millions of Peruvians in rural areas.
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Piloyan, Torgom. "How does the ethnic kinship affect the mode of provided external support in an intra-state armed conflict?" Thesis, Uppsala universitet, Institutionen för freds- och konfliktforskning, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-361641.

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Kiser, Heather W. Gallagher Kathleen Cranley. "The NAEYC classroom portfolio process examining the relationship between demographic characteristics and external factors that support teacher motivation /". Chapel Hill, N.C. : University of North Carolina at Chapel Hill, 2008. http://dc.lib.unc.edu/u?/etd,2080.

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Thesis (M.A.)--University of North Carolina at Chapel Hill, 2008.
Title from electronic title page (viewed Feb. 17, 2009). "... in partial fulfillment of the requirements for the degree of Master of Arts in the Department of Education Early Childhood, Intervention and Literacy." Discipline: Education; Department/School: Education.
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Alleyne, Philmore Alvin. "The influence of individual, team and contextual factors on external auditors' whistle-blowing intentions in Barbados : towards the development of a conceptual model of external auditors' whistle-blowing intentions". Thesis, University of Bradford, 2010. http://hdl.handle.net/10454/5325.

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Following the collapse of Arthur Andersen in the Enron debacle, whistle-blowing within audit firms has taken on greater importance. Given the profession's requirements to be confidential, independent and to act in the public's interest, there is a need for a model that addresses auditors' whistle-blowing intentions. This thesis presents a conceptual model on whistle-blowing intentions among external auditors, where individual-led antecedents influence whistle-blowing intentions, but are moderated by isomorphic and issue-specific factors. Survey questionnaires were administered to 226 external auditors, and 18 individual interviews as well as 2 focus groups were conducted in Barbados. Results indicated that individual antecedents (attitudes, perceived behavioural control, independence commitment, personal responsibility for reporting, and personal cost of reporting) were significantly related to internal whistle-blowing, but only perceived behavioural control was significantly related to external whistle-blowing. Partial support was found for the moderating effects of perceived organizational support, moral intensity, team norms and group cohesion on the relationships between the majority of the independent variables (attitudes, perceived behavioural control, independence commitment, personal responsibility for reporting and personal cost of reporting) and internal whistle-blowing. However, partial support was found for the moderating effects of perceived organizational support, moral intensity, team norms iii and group cohesion on the relationships between fewer independent variables and external whistle-blowing. Overall, respondents preferred anonymous internal channels of reporting, and showed a general reluctance to report externally. The presence of an open-door policy, ethics partners, hotline, on-going training and clearly defined policies could encourage whistle-blowing. Further implications for research and practice are discussed.
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Velandia, Fernanda, i Shayarina Stigzelius. "Sjuksköterskors strategier i bedömningen och omvårdnaden av pediatriska patienter". Thesis, Röda Korsets Högskola, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-116.

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Bakgrund: På slutenvårdsavdelningarna vid Astrid Lindgrens barnsjukhus arbetar få specialistutbildade sjuksköterskor vilket kan utgöra en risk för patientsäkerheten. Studier visar att det föreligger behov av fler preventiva åtgärder för att förbättra vårdkvaliteten för de inneliggande pediatriska patienterna. Syfte: Att undersöka sjuksköterskors strategier i bedömningen och omvårdnaden av pediatriska patienter. Metod: En deskriptiv, kvalitativ studie med semistrukturerade intervjuer genomfördes på åtta sjuksköterskor från tre slutenvårdsavdelningar. Kvalitativ manifest innehållsanalys användes. Resultat: Resultatet redovisas i två huvudkategorier: interna strategier och externa strategier. Otillräckliga kunskaper av pediatrisk vård från sjuksköterskornas grundutbildning ledde till att informanterna utförde olika subjektiva interna strategier i bedömning och omvårdnad. När interna strategier inte räckte till använde informanterna externa strategier som innefattade stöd från kollegor, läkare och föräldrar. Samtliga informanter sökte sällan eller aldrig stöd av intensivvårdsavdelningen. Slutsats: Sjuksköterskor utan specialistutbildning har svårigheter att klara av sina åtaganden. Det finns således utrymme för förbättringar i både interna och externa strategier samt ett ökat stöd från intensivvården.
Background: At Astrid Lindgren Children´s Hospital, there is a lack of specialized nurses in the inpatient wards. This could pose a risk to patient safety. Studies show that there is a need for more preventative measures, to improve the quality of care for hospitalized pediatric patients. Objective: To investigate the strategies, used by nurses in the assessment and care of pediatric patients. Method: A descriptive, qualitative study with semistructured interviews. Eight nurses from three inpatient wards were interviewed. Qualitative, manifest content analysis were used. Results: The results are presented in two main categories Internal Strategies and External Strategies. The informants felt that their basic education had given them insufficient knowledge and training in pediatric care. They used subjective, internal strategies when assessing and providing care. External strategies, such as turning to colleagues, doctors and the children´s parents for advice were used when the internal strategies were insufficient. Seeking help and support from the Intensive Care Unit was something the informants rarely or never considered. Conclusion: Non-specialized nurses frequently meet with difficulties in managing their commitments. Our conclusion is that there is room for improvement in internal and external strategies and the need for an increased support from the Intensive Care Unit.
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Santamaria, Gonzalez Victor. "The Effect of Different Levels of External Trunk Support on Postural and Reaching Control in Children with Cerebral Palsy". Thesis, University of Oregon, 2015. http://hdl.handle.net/1794/18826.

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This dissertation aimed to investigate the relationship between posture and reaching in both healthy and pathological conditions, approaching the trunk as a multi-segmented structure. For this purpose, neuromuscular and kinematic profiles were recorded from trunk and arm during seated reaches providing mid-rib vs pelvic levels of trunk support. Healthy adults with mature postural and reaching abilities displayed invariant arm kinematics during the reach. However, participants displayed increased anticipatory control and earlier activation of cervical muscles with mid-rib support. Participants also presented increased compensatory responses of paraspinal muscles when responding to the increased trunk balance demands with pelvic support. Children with moderate/severe cerebral palsy (CP) cannot maintain an upright sitting position and thus cannot create a stable postural frame around which upper limb movements are planned and executed. A second set of studies examined postural and reaching characteristics in these children, while applying axillae, mid-rib or pelvic levels of support. Participants were classified according to their intrinsic level of trunk control as mild, moderate and severe. With higher levels of support children with moderate to severe impairments in trunk control showed improvements of head and trunk control along with enhanced reaching performance. Participants with mild trunk dysfunction were able to sit independently and thus did not demonstrate significant changes in postural and reaching proficiency across levels of external trunk support. Electromyographic profiles were more variable depending on the severity of intrinsic trunk control. Overall, participants in the mild group presented more refined timing mechanisms for both anticipatory (closer to reaching onset) and compensatory (reduced latency) postural adjustments during the reach across all levels of support. Participants in the moderate group displayed earlier muscle onsets and more efficient arm/trunk muscle amplitudes with higher levels of support. Participants in the severe group showed very limited capability of anticipatory control of paraspinal muscles, delayed muscle onsets and variable muscle amplitudes across levels of support. These results emphasize the complex neuro-anatomical nature of trunk control during reaching. Also, they highlight that inefficient postural control while sitting significantly impacts children with CP and trunk dysfunction. This dissertation includes previously unpublished co-authored material.
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Tofters, Emelie. "External support in civil wars and its impact on civilians : A comparative study of the Guatemalan and Salvadoran civil wars". Thesis, Uppsala universitet, Institutionen för freds- och konfliktforskning, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-376806.

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Scott, Nancy Ann. "Orphans in Zambia: program monitoring and evaluation practices and the association of external support with education status and psychosocial wellbeing". Thesis, Boston University, 2013. https://hdl.handle.net/2144/11046.

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Thesis (D.P.H.)--Boston University
Problem: The Government of the Republic of Zambia (GRZ) adopted a community-based strategy to support a growing number of orphans and other vulnerable children (OVC). However, the impact of community-based support programs remains unclear. This dissertation examines one OVC program to answer three questions: 1) are orphans disadvantaged compared to non-orphans in educational outcomes and psychosocial wellbeing, 2) are differences associated with receipt of external support, and 3) what can current programs learn from one project's monitoring and evaluation (M&E) experience? Methods: This study used mixed-methods. We administered quantitative household surveys to 204 households at the close of a community-based project and again one year later. Additionally, we conducted 4 focus group discussions (FGDs) with caregivers and 4 FGDs with adolescents. Finally, we conducted in depth interviews (IDIs) with 26 project staff and reviewed project documents. Bivariate and multivariate regressions were used to analyze the quantitative data. Grounded theory analysis was conducted on the FGD transcripts and content analysis was conducted on the IDIs. Results: Orphanhood was not a significant predictor of worse educational outcomes or psychosocial wellbeing. However, loss of external psychosocial support was associated with worse psychosocial outcomes as measured by the Strengths and Difficulties Questionnaire. Project staff had varied perceptions, priorities and capacity regarding 1) Quality of M&E Systems, 2) Project Evaluation, and 3) Data Analysis and Use, resulting in an M&E system that could not adequately capture complexities and measure success. Conclusions: In future programs, implementers should: 1) develop strong M&E systems that are responsive to donor mandates and inclusive of community-defined measures of success, 2) prioritize baseline capacity assessment of all partners and community needs assessment to inform program design, 3) consider alternative targeting strategies with less emphasis on orphan status, and 4) be cognizant of potential negative impacts on a child, particularly psychosocial wellbeing, from the removal of external support. Funders and policymakers should: 1) increase implementer accountability to project plans, 2) invest in integrating measures of quality into reporting frameworks, 3) generate an evidence-base by encouraging the development of strong program M&E systems 4) consider allowing implementers to select realistic targets that are responsive to community needs.
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23

Ehrlin, Jenny. "Socioekonomiska samband En studie av skolors behov av stöd utifrån Socio-economic Context- a Study of Schools Needs for External Support". Thesis, Malmö högskola, Fakulteten för lärande och samhälle (LS), 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-29320.

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BakgrundForskningen har visat att elevernas förmåga och resultat hänger ihop med elevernassocioekonomiska bakgrund. Skolverket har i flera rapporter hänvisat till att elever somkommer från ett hem med en lägre utbildningsnivå, har svårare att lyckas i skolan. BådeBourdieu och Bernstein kopplar ihop detta med att elevernas språkliga förmåga skiljer sigmellan de olika samhällsklasserna.SyfteMed bakgrund i både forskning och teori som visat att det finns ett samband mellansocioekonomi och elevers förmåga att nå upp till skolans krav, är syftet med undersökningenatt ta reda på om det finns något samband mellan socioekonomi och skolors behov av stödutifrån. Detta genom frågeställningarna: hur skiljer sig omfattningen av ansökningarna tillSPSM (Specialpedagogiska skolmyndigheten) mellan olika socioekonomiska områden, hurskiljer sig behoven som ligger bakom ansökningarna till SPSM mellan olika socioekonomiskaområden och vilka anledningar, med hänvisning till olika socioekonomiska områden, liggerbakom att skolor inte ansöker om stöd hos SPSM?MetodAnsatsen och databearbetningen är kvantitativ med syftet att genom enkäter besvarafrågeställningar och syfte. Enkäter har delats ut till specialpedagoger inom tvåsocioekonomiskt olika områden och har totalt besvarats av 43 respondenter. Datan hardärefter analyserats i SPSS.ResultatSlutsatsen är att det inte finns något samband mellan socioekonomi och skolors behov av stödutifrån. Samtidigt finns det olika påverkansfaktorer som det inte tagits hänsyn till iundersökningen och resultatet skulle därför kunnat ha blivit ett annat. Samtidigt kan resultatetantyda att specialpedagogen i till exempel kontakt med föräldrar, bör ta hänsyn till att språketmellan olika socioekonomiska grupper kan skilja sig åt och att föräldrars möjlighet attpåverka sina barns skolgång och rätt till stöd kan skilja sig mellan olika socioekonomiskagrupper. Specialpedagogen skall dock inte stirra sig blind på socioekonomiska skillnader,utan bör också ta hänsyn till andra faktorer som kan påverka elevers lärande. Såsomklassrumsklimat, relationer och lärares undervisningsmetoder.
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Preece, Krystle Kuzia. "Relations Among Classroom Support, Academic Self-Efficacy, and Perceived Stress During Early Adolescence". Scholar Commons, 2011. http://scholarcommons.usf.edu/etd/3295.

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The purpose of this study was to gain insight into the relations between support, academic self-efficacy, and stress during the transition into middle school. Research suggests that early adolescents experience an increase in stress across the middle school transition (e.g., Chung, et al., 1998), due to a mismatch between the individuals' developmental needs and the environment (Eccles et al., 1993). Stress has been found to be a risk factor for mental health disorders among adolescents (Grant et al., 2003). The current study examined if teacher and classmate support and academic self-efficacy served as external and internal resources for buffering stress by analyzing data from 142 young adolescents from an economically and racially diverse longitudinal sample. The current study examined: (a) the relations between support from teachers and classmates, academic self-efficacy, and stress; (b) patterns of change across the middle school transition; (c) the extent to which support from teachers and classmates is associated with stress in fifth and sixth grades; (d) the extent to which academic self-efficacy moderated the relation between support and stress, and (e) whether there were group differences (i.e., gender, race, and/or gender x race). Teacher support was negatively associated with perceived stress during sixth grade, while classmate support was a not significant correlate. There was not significant change over time in any of the key variables (i.e., teacher and classmate support, academic self-efficacy, and perceived stress). Regression results indicated that teacher and classmate support served different roles as academic self-efficacy moderated the relations between classroom support and perceived stress among fifth grade students. Teacher support was negatively related to perceived stress among sixth grade students. The only group difference found was that female sixth grade students reported higher levels of teacher support than male students did. Implications for school psychologists and future directions for research are also addressed.
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DERENOWSKI, JULIE MARGARET. "THE EFFECT OF SOCIAL SUPPORT SYSTEMS, HEALTH LOCUS-OF-CONTROL AND VALUE ORIENTATIONS ON WELLNESS MOTIVATION IN POST-MYOCARDIAL INFARCTION PATIENT". Thesis, The University of Arizona, 1986. http://hdl.handle.net/10150/144670.

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Andersson, Johanna, i Ellinor Hallberg. "Medical Information Systems & the Nursing Profession : a Sociotechnical Approach". Thesis, Uppsala universitet, Företagsekonomiska institutionen, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-354050.

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Due to the digitalization era and challenges faced by the healthcare sector, Medical Information Systems are now being extensively used at hospitals. The implementation of the systems is a complex task which entails a need for careful considerations from a managerial view, since the main purpose with implementing the systems is for managerial control. One of the things management should consider is the professional aspect. The nursing profession is a highly specific one, and this could implicate special considerations. The aim of this master’s thesis is to take on a sociotechnical approach towards the implementation of Medical Information Systems and investigate how the nursing profession is affecting the implementation process, and what it may implicate for hospital management. To answer the research question a qualitative approach has been chosen. The empirical data has been gathered through semi-structured interviews with nurses from the case organization. The result implies that the nursing profession have a substantial impact on the implementation process. Instead of embracing the instructions and support offered by management, the nurses develop their own way of working within the system.
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27

Braskén, Karlsson Karl-Axel. "Uprisings in Syria : A comparative study of two separate rebellions in Syria". Thesis, Linnéuniversitetet, Institutionen för samhällsstudier (SS), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-88859.

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Since 1976, Syria has suffered two separate but in nature similar rebellions which was different in terms of spreading, impact and size. The existing literature fails to compare these rebellions and answer the question on how two similar uprising can produce different outcomes. The objective of this study is to answer that question and produce a foundation that is usable when studying future uprisings in the Middle East and Syria. This is a qualitative research that uses multiple case studies that are compared in order to fulfil the objective of this study. The research if a desk study and uses an abductive approach. Two different theoretical concepts have been used in order to understand the dynamics that shaped the two rebellions. These are Frank H. Zimmerman's theory on why insurgencies fail and Frederick D. Miller's model of movement decline. The authors pinpoint different factors that makes a uprising prone to failure or success and these factors has been used as a lens when analysing the findings of this essay. The findings of this essay suggest that key differences that made an impact on the conflicts where the amount of local support, external support and the role of social media. In order to fully understand the dynamics that shapes modern rebellions, further research on the role of globalisation and social media is conflict must be conducted.
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Little, VIrginia L. "Changes in Fathers' Physical Health Across the Transition to Parenthood". Kent State University / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=kent1398023910.

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Karlén, Niklas. "Sponsors of War : State Support for Rebel Groups in Civil Conflicts". Doctoral thesis, Uppsala universitet, Institutionen för freds- och konfliktforskning, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-331868.

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Many civil wars are illustrative of wider international tensions and connections that transcend state borders. States often intervene to influence the trajectory and outcome of civil conflicts by providing external support to warring parties. This assistance ranges from direct military intervention to the provision of weapons, training, funds, safe havens, intelligence, logistics and other critical resources. This dissertation contains four individual essays that each seeks to advance our knowledge of state support to rebel movements. The first essays (I and II) add to our understanding of how external state support influences conflict dynamics while the latter (III and IV) begin to unpack the political decision-making process behind decisions that alter the original support commitment. Essay I evaluates whether state support to rebels increases the probability of civil war negotiations being initiated. The findings question a widespread belief among policymakers that support can foster negotiations. Essay II explores if external support influences the risk of conflict recurrence. It finds that state support to rebels can increase the risk of conflict recurrence in the short-term while there is no equivalent effect of support provided to governments. Essay III is the first global analysis of support termination and it thereby opens up an entirely new research field. The results suggest that the causes related to the initiation of support and its termination are largely distinct while the transition from the Cold War and the absence of ethnic kinship ties offer some insights into when states are more likely to terminate support. Essay IV unpacks the political decision-making process of the United States’ support to the armed opposition in Nicaragua in the 1980s and in Syria in the 2010s. The results indicate that adverse feedback functions as a trigger for increasing previous commitments as long as policy failure can be attributed to external actors, while reduced support is often a result of attributing failure to the state sponsor’s own actions. Taken together, the essays make significant contributions to advance our understanding of biased third-party interventions, conflict recurrence, civil war negotiations, foreign policy decision-making and state sponsorship of terrorism.
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Methi, Lina Mmakgabo. "Exploring how a school community copes with violence". Diss., University of Pretoria, 2010. http://hdl.handle.net/2263/26122.

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My study is informed by a partnership initiated between Gun Free South Africa and the Department of Education (District Tshwane South) with the concern of addressing violence in schools. Schools are often seen as professionalised and distant from their local communities. Learners belong to the very communities that are distanced from the school. They bring to school the unresolved issues from their families and interpersonal relations within the community. The study aimed to explore and describe the experiences of violence by a school community and how they cope with it. The study was informed by a qualitative and instrumental case study design within an interpretivist paradigm. Furthermore, the study was guided by an integrated conceptual framework derived from an asset-based and ecosystemic model, coping theories and the management system adapted from Babbie (2001). To address this I incorporated a variety of strategies such as interviews, collages, timeline and concept mapping through which a crystallisation of data could be obtained. I also used informal observations and visual data as additional data generating methods. Through a thematic analysis approach the study reveal the existence of violence as a challenge to the school community, and impacts directly or indirectly to their well-being. The study has further indicated that the perpetrators are known to the victims. The findings of the study suggest that on the basis of the integrated conceptual framework support structures could be mobilized, building partnerships between local schools and the community to provide a firm foundation for educational renewal and community regeneration and to contribute directly to the strengthening and development of the school community. The information gathered might also assist policy developers in developing support and intervention programmes for the restoration of school safety. Copyright
Dissertation (MEd)--University of Pretoria, 2010.
Educational Psychology
MEd
unrestricted
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31

Demarte, Adele Louise, i adele@rahna com. "Middle Years of Schooling: The pressures on rural adolescents to achieve academically". RMIT University. Education, 2007. http://adt.lib.rmit.edu.au/adt/public/adt-VIT20080208.145838.

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Within a climate of continual change this study offers insights into the academic pressures experienced by rural adolescents to achieve at school. In the often challenging transition from childhood to adulthood expectations from others place additional pressures on adolescents' lives. To better understand these pressures, I conducted a qualitative study of six students (ages nine to 15) and their teachers in the Middle Years of Schooling within rural Victoria, Australia. Students were studied prior to the Victorian Certificate of Education (VCE) in order to examine the pressures on students facing the Middle Years of Schooling. The study was carried out over a 6 month period using a Naturalistic Inquiry process with semi-structured interviews and participant observation. This allowed access into the participants' subjective insights. A Collective case study approach was employed to situate the information in its holistic environment and offer thick and information rich narratives depicting the experiences of these early adolescents. The case studies also involved examination of the school experiences of the early adolescents. Academic pressure was then broadly viewed in light of these experiences and recommendations offered. The findings from this research revealed that the early adolescents in the study all experienced degrees of academic pressure and demonstrated varied abilities to cope with these pressures. External support provided by parents, the school, teachers and peers tended to provide support more than fostering resilience.
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32

Ydebäck, Joakim. "The Enemy of My Enemy is My Agent : A Case Study on the Effects of Soft Power in Preventing and Facilitating One-Sided Violence in Internal Conflicts". Thesis, Uppsala universitet, Institutionen för freds- och konfliktforskning, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-432097.

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The internationalisation of conflicts has made the study of the effects of external support a prominent subfield within peace and conflict studies. How supporting states affect conflict strategies and changes the conflict dynamic has been the prime concern of this thesis. I have argued that when a government actor is supported by an external state with high soft power, in the form of political and economic capital, the government is less inclined to use one-sided violence as a conflict strategy. By using the principal- agent theory as a model to explain the relationship between the supporter and the supported state, I have found support for my argument. The government of the Central African Republic has conducted low levels of one-sided violence when supported by the soft power France. The government of South Sudan, on the other hand, has conducted high levels of one-sided violence when supported by the non-soft power Uganda. By coming to this conclusion, this paper has introduced soft power as an important concept in peace and conflict studies while also helping to elucidate the role of external supporters in conflict strategies. Future research should develop on the findings in this thesis by controlling for other possible explanations to why one-sided violence decreases depending on the characteristics of the support and include a greater number of cases.
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33

Zhang, Tenghao. "Understanding new venture entry and continuance among Chinese entrepreneurs". Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2022. https://ro.ecu.edu.au/theses/2506.

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This doctoral thesis explores the factors that influence the decisions and intentions behind two key stages in the entrepreneurial process, namely, new venture entry and continuance, among entrepreneurs of Chinese origin and Chinese nationality. Using the push and pull framework and incorporating different theoretical perspectives, the thesis comprises three independent studies that investigate socio-economic, institutional, cultural and political determinants contributing to entrepreneurs’ entrepreneurial entry and continuance processes. The three studies explore Chinese entrepreneurs in different challenging situations to contribute to understanding the push and pull forces affecting entrepreneurial decisions and intentions. Building on the middleman minority theory, Study 1 focuses on both venture entry and entrepreneurial continuance stages by exploring Chinese immigrant entrepreneurs in the Asia-Pacific region. Study 2 draws on the underdog entrepreneurship model and examines new venture entry decisions made by internal migrant entrepreneurs in China. Study 3 applies the theory of planned behaviour (TPB) to investigate entrepreneurial continuance intentions among Chinese entrepreneurs in small and medium-sized enterprises (SMEs) during the COVID-19 pandemic. This thesis makes use of both primary and secondary data, as well as archival data, and employs a combination of qualitative and quantitative analytical approaches to show how socio-economic, institutional, cultural and political factors influence entrepreneurial decisions and intentions. The study finds evidence that push and pull factors significantly influence entrepreneurs’ venture creation and continuance decisions or intentions, but the effects vary between different entrepreneurial contexts. This thesis enhances understanding of push and pull dynamics influencing entrepreneurial activities. It also extends knowledge of the relevant theories (i.e., middleman minorities, underdog entrepreneurship, and TPB) as developed and tested in the three studies. The results will help policymakers in the immigration, entrepreneurship and innovation sectors to develop better systems to support international and internal migrant entrepreneurs as well as SME entrepreneurs and their ventures.
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34

Gustavsson, Peter. "Hur upplevs datorrelaterad support från extern serviceleverantör?" Thesis, University of Skövde, Department of Computer Science, 2002. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-675.

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Vid tillfällen då det uppstår driftsstörningar i ett informationssystem (IS) kan personalen som ansvarar för drift och förvaltning av IS vara i behov av externt teknikstöd för att eliminera dessa störningar och därmed säkerställa verksamhetens tillgänglighet till IS (Brandt, 1998). Det som är av intresse i detta arbete är att undersöka hur personal i drifts- och förvaltningsorganisationen upplever datorrelaterad support från en extern serviceleverantör samt vilka faktorer som påverkar denna upplevelse.

Undersökningen har genomförts som en fallstudie med intervjuer som informationssamlande teknik. Resultatet visar på att kunderna i stort sett är nöjda med den support de erhåller men att det finns delar av dervicen som inte är helt tillfredsställande.

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Saad, Rafael. "Retenção de conhecimentos e habilidades após treinamento de ressuscitação cardiopulmonar em alunos de uma faculdade de medicina". Universidade de São Paulo, 2018. http://www.teses.usp.br/teses/disponiveis/5/5169/tde-12092018-094554/.

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Introdução: Apesar do desenvolvimento tecnológico, permanece baixa a sobrevida hospitalar das vítimas de parada cardiorrespiratória extra-hospitalar. Há importante dúvida na literatura quanto à retenção de habilidades de ressuscitação cardiopulmonar (RCP) e a periodicidade adequada de treinamento para manutenção dessas habilidades. O presente estudo investigou a retenção, em alunos a partir de treinamento no primeiro semestre de ingresso no curso médico, das habilidades práticas de RCP até 42 meses após o referido treinamento. Métodos: Estudo de corte transversal, realizado com 298 alunos de graduação de uma faculdade de Medicina, treinados com base nas diretrizes de ressuscitação de 2010 da American Heart Association. Foram avaliados 205 alunos sem retreinamento das habilidades, divididos em quatro grupos conforme o tempo decorrido desde o treinamento de ingresso: 73 alunos após 1 mês, 55 após 18 meses, 41 após 30 meses e 36 após 42 meses. A análise da retenção das habilidades foi comparada com 93 alunos que referiram ter realizado retreinamento em RCP. Dezenove habilidades de RCP e nove potenciais erros de técnica na execução das ventilações pulmonares e compressões torácicas foram avaliados por meio de simulação realística e revisados com utilização de filmagem e avaliadores independentes. Resultados: A média de retenção das dezenove habilidades nos alunos sem retreinamento foi: 90% após 1 mês, 74% após 18 meses, 62% após 30 meses e 61% após 42 meses (p < 0,001). Nos alunos que referiram retreinamento, a retenção foi de 74% após 18 meses, 70% após 30 meses e 66% após 42 meses do treinamento inicial. Realizada curva de predição da retenção de habilidades, com estimativa de 80% das habilidades mantidas após 10 meses, 70% após 21 meses e 60% após 42 meses. A profundidade das compressões torácicas foi a habilidade com maior retenção ao longo do tempo (87,8%), sem diferença estatística entre os quatro grupos. Houve aumento da prevalência de compressões realizadas com menos de 5 cm de profundidade quando realizadas em frequência maior que 120 por minuto. A média da frequência de compressões torácicas obtidas nos grupos após 1, 18, 30 e 42 meses foi, respectivamente, 114, 114, 104 e 108 compressões por minuto; 104 (50,7%) alunos mantiveram frequência média entre 100-120 por minuto. As ventilações pulmonares apresentaram diminuição progressiva de retenção, de 93% após 1 mês até 19% após 42 meses (p < 0,001). Todos os alunos efetivaram o choque com o desfibrilador externo automático, porém com o grupo após 1 mês do treinamento com menor tempo para efetivação do choque e maior prevalência de posicionamento adequado das pás do desfibrilador. Conclusões: O presente estudo demonstrou diferentes níveis de retenção para as habilidades de RCP e diferentes níveis de decréscimo de tais habilidades ao longo de 42 meses. A profundidade das compressões torácicas e o uso do desfibrilador externo automático foram as habilidades com maior retenção ao longo do tempo. Treinamentos adicionais ao longo do curso de Medicina atenuaram a perda de habilidades, mas sem retorno ao desempenho observado após 1 mês do treinamento. Sugerimos que o intervalo mínimo de retreinamento para manutenção de pelo menos 70% das habilidades deva ser de 18 a 24 meses
Introduction: Despite technological development, the survival of victims of out-ofhospital cardiac arrest remains low. There are important questions in the literature regarding the retention of cardiopulmonary resuscitation (CPR) skills and the ideal frequency of retraining required to enhance retention of skills. This study investigated the retention of practical CPR skills by medical students over 42 months after training in the first semester of admission to the medical course. Methods: A cross-sectional study was conducted with 298 undergraduate medical students who were trained based on the 2010 American Heart Association resuscitation guidelines. A total of 205 students divided into four groups according to the time elapsed since the entrance training were evaluated without retraining (73 students after 1 month, 55 students after 18 months, 41 students after 30 months and 36 students after 42 months). The analysis of the retention of skills was compared to 93 students who reported having performed retraining in CPR. Nineteen CPR skills and nine potential technical errors in ventilations and chest compressions were evaluated by realistic simulation and reviewed using filming by independent examiners. Results: The mean retention of the nineteen skills in not retrained students was: 90% after 1 month, 74% after 18 months, 62% after 30 months and 61% after 42 months (p < 0.001). In retraining students, retention was 74% after 18 months, 70% after 30 months, and 66% after 42 months of initial training, with statistical difference between the students with and without retraining in the 30-month group (p=0.005). The estimation of mean skill retention was 80% after 10 months, 70% after 21 months and 60% after 42 months. The depth of chest compressions was the skill with greater retention over time (87.8%), with no statistical difference among groups. There was an increase in the prevalence of compressions performed with less than 5 cm depth when performed at a frequency greater than 120 per minute. The mean chest compressions rate obtained in the groups after 1, 18, 30 and 42 months were 114, 114, 104 and 108 per minute, respectively, and 104 (50.7%) students maintained a mean frequency of 100-120 per minute. Pulmonary ventilation showed a progressive decrease in retention from 93% after 1 month to 19% after 42 months (p < 0.001). All students delivered the shock with the automated external defibrillator; however, for the group one month post-training, the time for the application of the shock was lower, and the prevalence of adequate positioning of the defibrillator pads was greater. Conclusion: This study showed different retention levels for CPR skills and different decrease levels of these skills over 42 months. Depth of chest compressions and use of automated external defibrillator were the skills with the highest retention over time. Additional training throughout the medical course attenuated the loss of skills, but no return to the initial performance achieved after 1 month. We suggest that the minimum retraining interval for maintenance of at least 70% of skills should be 18 to 24 months
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36

Gogolieva, Ganna. "Catalyseurs greffés sur support et libérés sous stimulus externe". Phd thesis, Toulouse, INPT, 2014. http://oatao.univ-toulouse.fr/11916/1/gogolieva.pdf.

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La catalyse organométallique est à l’origine des avancées les plus significatives au cours des dernières années puisqu’elle a permis de découvrir de nouvelles voies d’accès à des molécules complexes; elle a ainsi révolutionné le monde de la synthèse organique. Bien que de nombreuses réactions s’appuyant sur des complexes organométalliques aient été développées, les catalyseurs organométalliques présentent encore deux inconvénients majeurs : leur toxicité, associée la plupart du temps à la présence de métaux lourds, et leur coût lié à la présence à la fois d’un centre métallique et de ligands élaborés. Dès lors de nombreuses recherches ont été lancées dans le but de mettre au point des techniques permettant de séparer simplement le catalyseur métallique des produits formés et de le recycler. C’est dans ce contexte que nous avons cherché à développer de nouveaux catalyseurs supportés pouvant être libérés pendant la réaction afin d’effectuer la catalyse en conditions homogènes et de nouveau greffés au support en fin de réaction afin de pouvoir séparer le catalyseur des produits de la réaction et le recycler ensuite via une nouvelle libération. Cette capacité de passage du catalyseur du support vers la solution et vice-versa est basée sur un complexe de coordination lié au support et appelé «agrafe contrôlable» dont la sphère de coordination peut être modulée via un stimulus externe : soit un complexe du ruthénium avec un stimulus photochimique, soit un complexe du cuivre avec un stimulus électrochimique, tels qu’exploités dans de nombreuses machines moléculaires. Les nanotubes de carbone sont choisis comme support, les ligands de type NHC sont choisis comme ligands de base du système catalytique et des complexes du cuivre ou du ruthénium portant des ligands de type bipyridine, phénantroline ou terpyridine constituent le cœur de l’agrafe contrôlable. Des complexes de palladium basés sur des ligands NHC fonctionnalisés ont été synthétisés en utilisant un motif triazole comme lien entre le centre catalytique et la fonctionnalité impliquée dans la récupération du catalyseur. Les tests catalytiques dans des réactions de Suzuki-Miyaura ont montré que les complexes étaient actifs sur une large gamme de substrats et à des charges catalytiques faibles (jusqu’à 50 ppm) et ce, quelle que soit la fonctionnalité ajoutée. Des complexes du ruthénium portant des ligands terpyridine, bipyridine ou phénantroline ont été synthétisés et caractérisés. Le concept du switch photochimique a été validé sur un système modèle : nous avons pu montrer que sous irradiation à l’aide d’une lampe à vapeur de mercure, le complexe [Ru(II)(terpyridine)(bipyridine)(PhCN)][(PF6)2] était capable de libérer le ligand benzonitrile et que la réaction inverse se produisait par chauffage du complexe [Ru(II)(terpyridine)(bipyridine)(H2O)][(PF6)2] en présence de benzonitrile. D’autre part, des complexes du cuivre portant des ligands de type bis-bipyridine et terpyridine ont été synthétisés et caractérisés. Le concept du switch électrochimique a été validé sur un système modèle : nous avons pu montrer par voltamétrie cyclique qu’en présence de terpyridine, le complexe [Cu(I)(bis-bipyridine)][BF4] pouvait s’oxyder et former un complexe de type [Cu(II)(bipyridine)(terpyridine)][(BF4)2] et que la réaction inverse se produisait par réduction. Ces travaux démontrent le caractère contrôlable des agrafes choisies via un stimulus électrochimique ou photochimique, sur des systèmes modèles. L’obtention de complexes de palladium comportant un ligand NHC-triazole fonctionnalisé, leur bonne activité et la voie de synthèse mise au point valident notre stratégie de récupération et ouvrent de nombreuses perspectives en catalyse.
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37

Zhao, Jia-Xiang. "Analysis of rib-plate response to external loading". Ohio : Ohio University, 1989. http://www.ohiolink.edu/etd/view.cgi?ohiou1182178310.

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Forsgren, Lotta Ann-Charlotte. "Betydelsen av interna och externa resurser för integrationen av nyanlända flyktingar i Fagersta kommun". Thesis, Mälardalen University, School of Sustainable Development of Society and Technology, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-6498.

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Syftet med denna undesökning var att ur ett ekologiskt perspektiv undersöka betydelsen av interna och externa resurser för integrationen för nyanlända flyktingar i Fagersta kommun, och om något upplevts särskilt viktigt för integrationen som bidragit till känsla av hopp och framtidstro. Två delstudier genomfördes. En kartläggning gjordes av lagar och regleringar som påverkar flyktingpolitiken samt en dokumentanalys av lokala policy- och styrdokument i Fagersta kommun. Åtta semistrukturerade ntervjuer genomfördes med fyra kvinnliga och fyra manliga flyktingar bosatta i Fagersta. Resultatet, som överensstämmer med tidigare forskning, visade att flyktingar behöver ges möjlighet att vara aktiva i sin egen anpassningsprocess. Slutsatsen är att flyktingar som känner sig delaktiga mår bättre vilket främjar integrationen.


The purpose of this paper was, from an ecological perspective, to study the importance of internal and external resources for the integration process for new refugees coming into the Fagersta community. Also to study whether the refugees benefited from any particular part of the integration process that contributed to an increased personal sense of hope and belief in their future. Two studies were carried out. Firstly, a chart of the laws and regulations affecting the integration politics was undertaken. Secondly, an analysis was made of the local policy and regulation dociments in the Fagersta community. Eight semi structured interviews were carried through with four female and four male refugees that had previously settled in the Fagerta community. The results of these interviews supported earlier studies that confirmed that refugees need the opportunity to be active in their own adjustment process. The conclusion is that refugees that feel they are allowed to, and are able to, participate in their own integration process experience a greater sense of well-being which, in turn, contributes to a more successful integration within their new community.

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39

McLaughlin, Marc D. "Developmental Assets in Urban Youths’ Mentoring Networks: Relationships with Important Adults". Oxford, Ohio : Miami University, 2008. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=miami1218840610.

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40

Okamatsu, Hidefusa. "External Ankle Supports Alter Kinematics and Kinetics during Drop-Jump Landing and Forward-Jump Landing Tasks". Diss., North Dakota State University, 2014. https://hdl.handle.net/10365/27366.

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This research project was designed to understand the influence of excessively restricting ankle range of motion (ROM) on knee injuries, especially non-contact anterior cruciate ligament (ACL) tear. Participating in physical activity without injuries is important to maintain physically active life style and well-being. To prevent ankle injuries, external ankle supports (EAS) are widely used in sport settings by limiting frontal plane ankle ROM; however, the EAS also restricts sagittal plane ankle ROM that could increase the risk of non-contact ACL injury by intensifying the medial knee displacement (MKD) and ground reaction force (GRF). In this research, the effects of external ankle supports (EAS) on landing mechanics were investigated among 19 physically active college-aged females. Two research manuscripts report the results of this research project. The first manuscript investigated the effect of EAS on landing kinematics and kinetics during a drop-jump landing task. The results demonstrated the use of EAS altered the ankle displacement, total MKD, and vertical GRF; however, no relationship was observed between isokinetic plantar flexor strength and landing mechanics. The second manuscript compared the effect of EAS on landing kinematics and kinetics between drop-jump landing and forward-jump landing tasks. The result exhibited the use of EAS similarly affect ankle displacement, knee displacement, peak MKD in drop-jump landing and forward-jump landing tasks. However, the landing tasks affected the posterior GRF differently, and the EAS altered vertical GRF differently in the two landing tasks. Overall, excessively restricted ankle ROM changed the landing kinematics and kinetics, especially MKD and GRF during landing tasks. Our findings indicate that healthcare professionals should use EAS with care because the overly limited ankle ROM could increase the risk of non-contact knee injuries by increased MKD and GRF. Future research should include an examination of the effect of EAS on the magnitude of ACL strain, an assessment of the strength of the other muscles, an evaluation of the muscular activation during a landing task. These studies help understand the landing techniques and strength training to reduce the risk of non-contact ACL tear among physically active population.
NDSU College of Human Development and Education
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41

Hata, Alberto Yukinobu. "Mapeamento de ambientes externos utilizando robôs móveis". Universidade de São Paulo, 2010. http://www.teses.usp.br/teses/disponiveis/55/55134/tde-13072010-144634/.

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A robótica móvel autônoma é uma área relativamente recente que tem como objetivo a construção de mecanismos capazes de executar tarefas sem a necessidade de um controlador humano. De uma forma geral, a robótica móvel defronta com três problemas fundamentais: mapeamento de ambientes, localização e navegação do robô. Sem esses elementos, o robô dificilmente poderia se deslocar autonomamente de um lugar para outro. Um dos problemas existentes nessa área é a atuação de robôs móveis em ambientes externos como parques e regiões urbanas, onde a complexidade do cenário é muito maior em comparação aos ambientes internos como escritórios e casas. Para exemplificar, nos ambientes externos os sensores estão sujeitos às condições climáticas (iluminação do sol, chuva e neve). Além disso, os algoritmos de navegação dos robôs nestes ambientes devem tratar uma quantidade bem maior de obstáculos (pessoas, animais e vegetações). Esta dissertação apresenta o desenvolvimento de um sistema de classificação da navegabilidade de terrenos irregulares, como por exemplo, ruas e calçadas. O mapeamento do cenário é realizado através de uma plataforma robótica equipada com um sensor laser direcionado para o solo. Foram desenvolvidos dois algoritmos para o mapeamento de terrenos. Um para a visualização dos detalhes finos do ambiente, gerando um mapa de nuvem de pontos e outro para a visualização das regiões próprias e impróprias para o tráfego do robô, resultando em um mapa de navegabilidade. No mapa de navegabilidade, são utilizados métodos de aprendizado de máquina supervisionado para classificar o terreno em navegável (regiões planas), parcialmente navegável (grama, casacalho) ou não navegável (obstáculos). Os métodos empregados foram, redes neurais artificais e máquinas de suporte vetorial. Os resultados de classificação obtidos por ambos foram posteriormente comparados para determinar a técnica mais apropriada para desempenhar esta tarefa
Autonomous mobile robotics is a recent research area that focus on the construction of mechanisms capable of executing tasks without a human control. In general, mobile robotics deals with three fundamental problems: environment mapping, robot localization and navigation. Without these elements, the robot hardly could move autonomously from a place to another. One problem of this area is the operation of the mobile robots in outdoors (e.g. parks and urban areas), which are considerably more complex than indoor environments (e.g. offices and houses). To exemplify, in outdoor environments, sensors are subjected to weather conditions (sunlight, rain and snow), besides that the navigation algorithms must process a larger quantity of obstacles (people, animals and vegetation). This dissertation presents the development of a system that classifies the navigability of irregular terrains, like streets and sidewalks. The scenario mapping has been done using a robotic platform equipped with a laser range finder sensor directed to the ground. Two terrain mapping algorithms has been devolped. One for environment fine details visualization, generating a point cloud map, and other to visualize appropriated and unappropriated places to robot navigation, resulting in a navigability map. In this map, it was used supervised learning machine methods to classify terrain portions in navigable (plane regions), partially navigable (grass, gravel) or non-navigable (obstacles). The classification methods employed were artificial neural networks and support vector machines. The classification results obtained by both were later compared to determine the most appropriated technique to execute this task
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Taiariol, Ludivine. "Immunociblage bioorthogonal de nanoparticules radiosensibilisantes pour une application en radiothérapie externe". Thesis, Université Clermont Auvergne‎ (2017-2020), 2019. http://www.theses.fr/2019CLFAS024.

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Les nanoparticules (NP) ont fait l’objet de nombreuses avancées technologiques dans le domaine de la cancérologie au cours de la dernière décennie. Ces NP organiques ou inorganiques permettent ainsi d’améliorer l’efficacité de certains traitements préexistants à la fois en chirurgie, en chimiothérapie anticancéreuse ou encore l’immunothérapie. Concernant la radiothérapie externe, qui représente l’une des modalités de référence pour traiter le cancer au cours du parcours de soin d’un patient, elle se heurte le plus souvent aux tumeurs dites radio-résistantes du fait de l’administration de doses délivrées souvent trop faibles afin de limiter l’irradiation des tissus sains environnants. L’une des stratégies les plus prometteuses consiste ainsi à utiliser des NP à base d’atomes lourds (comme l’or, le platine, l’hafnium ou le gadolinium) en tant qu’agents radiosensibilisants, qui une fois concentrées au niveau tumoral permettent d’augmenter l’efficacité de la radiothérapie externe. Cette avancée technologique pourrait connaître un essor sans précédent si leur concentration tumorale ne reposait pas simplement sur un ciblage passif via l’effet EPR mais sur l’adressage spécifique de ces NP novatrices principalement au niveau tumoral afin de potentialiser l’effet des rayons ionisants tout en limitant les effets secondaires vis-à-vis des tissus sains et ainsi améliorer l’efficacité thérapeutique.Les travaux présentés dans cette thèse porte ainsi sur l’adressage actif de NP de silice à cœur rhodamine, pouvant chélater plusieurs atomes de gadolinium, selon une approche d’immunopréciblage par chimie bioorthogonale SPAAC (Strain Promoted Alkyne-Azide Cycloaddition). Cette stratégie repose sur un ciblage actif en deux temps: (1) un anticorps modifié par une entité bioorthogonale de type azoture serait tout d’abord administré; (2) puis, des NP fonctionnalisées avecdes entités bioorthogonales complémentaires (azadibenzylcyclooctyne, ADIBO) seraient injectées dans un second temps après clairance de l’anticorps modifié non localisé au niveau tumoral. La liaison covalente spécifique NP/anticorps via la ligation SPAAC (ADIBO/N3) devrait ainsi permettre d’améliorer la concentration tumorale des NPs et ainsi potentialiser leur effet thérapeutique. La fonctionnalisation de surface des NP a été réalisée selon un procédé automatisé de synthèse supportée utilisant une chimie de synthèse dite «aux phosphoramidites». Cette technique a permis d’introduire en surface les entités bioorthogonales ADIBO ainsi que des macrocycles DOTA permettant de chélater les atomes de gadolinium. Le greffage de ces différentes molécules ainsi queleur quantification ont ensuite été confirmés par diverses techniques de caractérisation(fluorescence, absorbance, DLS, ICP-MS). Dans la deuxième partie de ces travaux de recherche, les anticorps ont été efficacement modifiés par les entités bioorthogonales de type azoture, complémentaires des ADIBO selon l’approche SPAAC. Après quantification et validation de leur réactivité par étude MALDI-TOF et fluorescence, le meilleur conjugué monoclonal a été sélectionné pour mener des études in vitro par microscopie confocale. Malgré les différentes études effectuées au cours de ce projet, il n’a pas encore été possible de démontrer la faisabilité du concept de préciblage par chimie bioorthogonale de ces NP multimodales. Toutefois, l’obtention de NP comportant à la fois des entités bioorthogonales et du gadolinium laisse entrevoir des perspectives intéressantes pour une application en tant qu’agents théranostiques
In the last few years, nanoparticles (NP) have been of growing interest in the field of oncology for enhancing the therapeutic efficacy of cancer treatment modalities. These organic or inorganic NPimprove the effectiveness of some pre-existing treatments as surgery, cancer chemotherapy andimmunotherapy. With regard to radiotherapy, one of the principal means of patient cancertreatment, it has to face the increasing number of tumors described as “radioresistant” due to lowdoses often delivered in order to limit the effect of radiation on healthy tissue. One of the mostpromising strategy relies on high atomic number NP (e.g. gold, platinum, hafnium or gadolinium)used as radiosensitizers for their capacity to enhance radiation damage once in the tumormicroenvironment. This technological advance could getting an unprecedented development if theirtumor concentration was not only based on passive targeting via the EPR effect, but on the tumorspecific targeting for potentiating the effect of ionizing radiations while limiting side effects to healthytissues and thus improving therapeutic efficacy.Thus, the work reported in this thesis concerns the development of silica NP constituted of afluorescent core of rhodamine, chelating several gadolinium atoms and able to specifically targetcancer cells with an immunopretargeting system based on SPAAC («Strain Promoted Alkyne-AzideCycloaddition ») bioorthogonal chemistry. This strategy relies on the two-step active targeting: (1) anantibody modified by an azide bioorthogonal entity would first be administered; (2) then, NPfunctionalized with complementary bioorthogonal entities (azadibenzylcyclooctyne, ADIBO) would beinjected in a second time after clearance of the modified antibody not located at the tumor site. Thespecific covalent binding NP/antibody via the SPAAC ligation (ADIBO/N3) should thus permit toimprove NP tumor concentration and potentiate their therapeutic effect.NP surface functionalization was performed according to an automated supported synthesisusing phosphoramidite chemistry. This technique allowed the surface incorporation of the ADIBObioorthogonal entities and also of the macrocycles DOTA for gadolinium chelation. Grafting of thedifferent chemical functions and molecules and their quantification were conducted by variouscharacterization techniques (fluorescence, absorption, DLS, ICP-MS). In the second part of this work,antibodies were efficiently functionalized by azide bioorthogonal entities, complementary of ADIBOfunctions according to SPAAC ligation. After quantification and validation of their reactivity by MALDI-TOF and fluorescence studies, the best immunoconjugate has been selected to perform in vitrostudies by confocal microscopy. Despite different studies carried out in this project, it has not beenyet possible to demonstrate the feasibility of this approach. Nevertheless, these NP obtained withboth bioorthogonal entities and gadolinium atoms suggests other interesting perspectives for application as theranostics
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康司, 久保田, i Yasushi Kubota. "上司の自律性支援とコーチングが部下の動機づけに与える影響 : 自己決定理論に着目して". Thesis, https://doors.doshisha.ac.jp/opac/opac_link/bibid/BB13106290/?lang=0, 2019. https://doors.doshisha.ac.jp/opac/opac_link/bibid/BB13106290/?lang=0.

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企業における上司の自律性支援とコーチングが部下の外発的動機づけと内発的動機づけにどのように影響を与えるかについて、自己決定理論による説明を試みた。具体的には自律性支援とコーチングが有能感への欲求、自律性への欲求、関係性への欲求という3つの基本的心理欲求を満たすことでより内発的に動機づけられ、基本的心理欲求を満たさないとより外発的に動機づけられるという仮説を構造方程式モデリングによる分析を試みた。
博士(政策科学)
Doctor of Philosophy in Policy and Management
同志社大学
Doshisha University
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44

Godé, Christophe. "Séchage de boues en lit fluidisé à basse température par recyclage externe d'un support granulaire poreux". Compiègne, 2001. http://www.theses.fr/2001COMP1375.

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L'étude expérimentale a débuté par l'hydrodynamisme de grosses particules hygroscopiques (groupe D de GELDART) utilisées comme support d'enrobage. Différentes colonnes de fluidisation de laboratoire ont été utilisées à cet effet. Ensuite, une boue, qualifiée de synthétique, a été fabriquée et utilisée dans les différentes études menées (séchage, attrition, élutriation). Une installation à lit fluidisé de grande dimension (échelle pilote semi-industrielle) a été conçue pour mettre en évidence les éventuelles divergences dues au changement d'échelle ou bien, le cas échant, de valider les résultats obtenus à l'échelle laboratoire. La partie théorique a principalement été orientée vers l'étude des vitesses minimales de fluidisation des grosses particules, vers l'étude des transferts de chaleur et de matière et vers l'étude des phénomènes très souvent indissociables d'attrition et d'élutriation en lit fluidisé. Ce mémoire est divisé en quatre parties. En première partie, une analyse bibliographique permet de faire le point sur les problèmes que suscitent les boues de station d'épuration et leurs filières d'élimination et de valorisation, puis sur les mécanismes du séchage et enfin sur les propriétés particulières des lits fluidisés. A partir de cette présentation générale, sont définies les orientations du projet concernant le choix de la technique et des objectifs qui sont fixés. En deuxième partie, sont présentés les différents appareils de mesure utilisés, les protocoles expérimentaux relatifs au séchage et à l'élutriation ainsi que les matériaux (boues et supports poreux). En troisième partie, les principaux résultats expérimentaux sont présentés sous la forme de quatre sous-chapitres regroupant les études de l'hydrodynamisme, de l'enrobage, du séchage et de l'attrition-élutriation. La modélisation des mécanismes de séchage et de l'élutriation à partir des résultats expérimentaux termine cette partie. La quatrième et dernière partie est consacrée à la validation des résultats expérimentaux et théoriques avec une unité de séchage à lit fluidisé semi-industrielle conçue dans le hall de recherche de I'U. T. C. Une description du matériel est faite ainsi qu'une présentation des principales expérimentations réalisées. Une étude de la viabilité technico-économique d'une telle installation termine cette partie.
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45

Gupta, Manu. "Community Based Disaster Management: Enhancing local coping capacities by externally supported projects". 京都大学 (Kyoto University), 2008. http://hdl.handle.net/2433/123776.

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Kai, Cheng. "The application of artificial intelligence to the development of a design support system for externally pressurised journal bearings". Thesis, Liverpool John Moores University, 1994. http://researchonline.ljmu.ac.uk/4938/.

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47

Rodrigues, Cristiano Agostinho Barros. "O key account management e a articulação entre redes externas e internas : um caso de estudo". Master's thesis, Instituto Superior de Economia e Gestão, 2019. http://hdl.handle.net/10400.5/18573.

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Mestrado em Gestão e Estratégia Industrial
Key Account Management, uma abordagem frequentemente utilizada pelas empresas para gerir clientes chave, tem sido amplamente estudada na literatura com diversas abordagens. A rica literatura sobre o papel deste arranjo organizacional tem focado aspetos tão variados, como os seus benefícios, fatores de sucesso, ou o papel desses gestores de contas - os key account managers - nos relacionamentos com os clientes. O foco deste estudo é no key account management como uma atividade que envolve a articulação entre redes intra-organizacionais (rede interna) e redes inter-organizacionais (rede externa). Com esta perspetiva de base, este estudo procura explorar esse papel de interface e, em que medida e como é que a mobilização da rede interna é relevante para manter e desenvolver os relacionamentos com clientes chave. Com este propósito, conduziu-se um estudo de caso numa empresa, a partir de um conjunto de episódios, analisam-se as interações entre a rede interna da empresa focal, os key account managers e clientes específicos. Adicionalmente, e sendo clientes chave ou valiosos, faz-se uma breve caracterização das dimensões de valores de cada cliente na ótica da empresa focal. O estudo permite evidenciar a importância do papel dos key account managers na articulação entre redes internas e externas. Neste contexto, noções como alinhamento ou mobilização de recursos envolve não apenas a rede interna como a rede de clientes e de fornecedores. Esta constatação reforça o interesse em encarar os programas de KAM como rearranjos de redes de relacionamentos que se estendem para além das fronteiras de cada empresa.
Key account management is an approach mostly used by companies to manage extremely important costumers; this approach has been widely studied in literature in diverse ways. The rich literature about the this organizational arrangement includes its benefits, success factors, the role of key account manager in the relationship with customers. This study focus on key account management as an activity that involves the interaction between internal network of a company with the external network of it. The main goal is to explore this interface role; particularly how the internal mobilization is relevant to maintain and develop the relationships with key accounts. With this purpose, a case study was conducted in a company, a group of episodes was analised, these episodes compiled a multitude of interactions by a focal company, the key account managers and specific customers. Additionally, a brief characterization regarding the value dimensions for each customer is done in the point supplier point of view. The importance associated to the role key account manager in the articualation of internal and external networks is display throughout this research. In this context, notions like alignment or resources mobilization involves not only the internal network but also the costumers and suppliers networks. This fact reinforces the interest in understanding KAM as rearrangements of relationship networks that extends beyond boundaries of a single company.
info:eu-repo/semantics/publishedVersion
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48

Дюжев, Віктор Геннадійович. "Теоретико-методичні засади підвищення інноваційної сприйнятливості підприємств до технологій нетрадиційної відновлювальної енергетики". Thesis, НТУ "ХПІ", 2016. http://repository.kpi.kharkov.ua/handle/KhPI-Press/22745.

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Дисертація на здобуття наукового ступеня доктора економічних наук за спеціальністю 08.00.04 – економіка та управління підприємствами (за видами економічної діяльності). Національний технічний університет "Харківський політехнічний інститут", 2016. У дисертаційній роботі запропоновано теоретико-методологічне узагальнення і нове вирішення науково-прикладної проблеми формування організаційно-економічних умов підвищення інноваційної сприйнятливості підприємств до технологій нетрадиційної відновлюваної енергетики. Розроблено комплекс понять інноваційної сприйнятливості, в тому числі "первинна інноваційна сприйнятливість", "вторинна інноваційна сприйнятливість", "корпоративна інноваційна сприйнятливість", "багаторівнева інноваційна сприйнятливість". Сформовано цільовий інноваційно-сприйнятливий підхід. Розроблено та запропоновано методичний підхід до комплексної оцінки соціально-економічної та еколого-техногенної ефективності технологій НВЕ. Запропоновано механізм підвищення ІС підприємства на основі активізації інноваційних блоків СУП і впровадження міжблокової підсистеми інноваційної сприйнятливості, запропоновано методичний підхід щодо формування гнучкої інноваційно-сприйнятливої структури підприємств як внутрішнього чинника підвищення його інноваційної сприйнятливості до технологій НВЕ. Розроблено комплексну параметрично-індексну багаторівневу модель опису процесу усвідомлення, оцінки та реалізації інноваційного потенціалу НВЕ в умовах як зовнішніх, так і внутрішніх факторів його реалізації.
Theses for the degree of doctor of economic sciences, specialty 08.00.04 - economy and the company's board (by economic activity). National Technical University "Kharkiv Polytechnic Institute", Kharkov, 2016. In this paper, the complex concepts of innovation receptivity, including "innovative primary susceptibility", "secondary innovation susceptibility", "innovative multi susceptibility." Formed target innovation-sensitive approach as the institutional concept. Developed the technique and comprehensive assessment of socio-economic and ecological technological efficiency technologies NVE. The mechanism increase enterprise IP-based EMS units enhance innovation and introduction of innovative subsystem mizhblokovoyi susceptibility proposed methodical approach to innovation and a flexible structure susceptible domestic enterprises as a factor increasing its susceptibility to innovative technologies NVE. Presented a comprehensive multi-index parametric model describing the process of awareness, evaluation and implementation of innovative potential NVE in terms of both external and internal factors of its implementation.
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Дюжев, Віктор Геннадійович. "Теоретико-методичні засади підвищення інноваційної сприйнятливості підприємств до технологій нетрадиційної відновлювальної енергетики". Thesis, НТУ "ХПІ", 2016. http://repository.kpi.kharkov.ua/handle/KhPI-Press/22746.

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Дисертація на здобуття наукового ступеня доктора економічних наук за спеціальністю 08.00.04 – економіка та управління підприємствами (за видами економічної діяльності). Національний технічний університет "Харківський політехнічний інститут", 2016. У дисертаційній роботі запропоновано теоретико-методологічне узагальнення і нове вирішення науково-прикладної проблеми формування організаційно-економічних умов підвищення інноваційної сприйнятливості підприємств до технологій нетрадиційної відновлюваної енергетики. Розроблено комплекс понять інноваційної сприйнятливості, в тому числі "первинна інноваційна сприйнятливість", "вторинна інноваційна сприйнятливість", "корпоративна інноваційна сприйнятливість", "багаторівнева інноваційна сприйнятливість". Сформовано цільовий інноваційно-сприйнятливий підхід. Розроблено та запропоновано методичний підхід до комплексної оцінки соціально-економічної та еколого-техногенної ефективності технологій НВЕ. Запропоновано механізм підвищення ІС підприємства на основі активізації інноваційних блоків СУП і впровадження міжблокової підсистеми інноваційної сприйнятливості, запропоновано методичний підхід щодо формування гнучкої інноваційно-сприйнятливої структури підприємств як внутрішнього чинника підвищення його інноваційної сприйнятливості до технологій НВЕ. Розроблено комплексну параметрично-індексну багаторівневу модель опису процесу усвідомлення, оцінки та реалізації інноваційного потенціалу НВЕ в умовах як зовнішніх, так і внутрішніх факторів його реалізації.
Theses for the degree of doctor of economic sciences, specialty 08.00.04 - economy and the company's board (by economic activity). National Technical University "Kharkiv Polytechnic Institute", Kharkov, 2016. In this paper, the complex concepts of innovation receptivity, including "innovative primary susceptibility", "secondary innovation susceptibility", "innovative multi susceptibility." Formed target innovation-sensitive approach as the institutional concept. Developed the technique and comprehensive assessment of socio-economic and ecological technological efficiency technologies NVE. The mechanism increase enterprise IP-based EMS units enhance innovation and introduction of innovative subsystem mizhblokovoyi susceptibility proposed methodical approach to innovation and a flexible structure susceptible domestic enterprises as a factor increasing its susceptibility to innovative technologies NVE. Presented a comprehensive multi-index parametric model describing the process of awareness, evaluation and implementation of innovative potential NVE in terms of both external and internal factors of its implementation.
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Sproson, Robert Norton. "How is it possible for an externally funded support teacher to maintain students who present schools with behaviour management difficulties in their mainstream schools?" Thesis, University of East Anglia, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.323384.

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