Dissertations / Theses: 'Back centre'

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Mogotsi, Malcolm Lebogang. "The viability of establishing solid waste buy-back centres / Malcolm Lebogang Mogotsi." Thesis, North-West University, 2008. http://hdl.handle.net/10394/2630.

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The City of Johannesburg is facing the simultaneous challenges of an increased generation of solid waste in the City, unemployment and the running out of land to dispose the waste. Of the solid waste that is generated, 50% is recyclable while only 10% is recycled (SOER, 2003: 69). Solid waste recycling is mainly performed through private sector initiatives in the City of Johannesburg. Consequently, there is no proper coordination with government initiatives. In order for South Africa to increase and sustain economic growth that would decrease unemployment, there should be a culture of entrepreneurship (Mass, G & Herrington M, 2006:7). Solid waste buy-back centres assist in addressing the challenges of dealing with the increased generation of solid waste and the scarcity of land for disposal. These centres also reduce the challenges of unemployment through promoting entrepreneurs to operate solid waste recycling businesses. Developed economies have managed to increase the rate of solid waste recycling to 60%. The problems associated with solid waste have been reduced by promoting recycling through a combination of legislation and setting-up of agencies to deal with solid waste recycling. South Africa has legislation and stated programmes to deal with solid waste recycling. Nevertheless, there has been complexity with implementing recycling. This is the result of a lack of co-ordination between the role-players involved in the value chain of solid waste recycling. In order for the City of Johannesburg to increase the recycling of solid waste from 10% to optimal rates of between 50% and 60%, there should be co-ordination of programmes amongst all the role players. In addition, there should also be skills provision to existing and potential entrepreneurs operating the solid waste buy-back centres. All spheres of government should promote solid waste recycling business to potential entrepreneurs and the public in order to recycle 40% of the recyclable solid waste that is not being recycled. The establishment of a solid waste buy-back centre in the City of Johannesburg is economically viable with some buy-back centre realising a net-profit of least R5 000 and some more than R30 000 per month. In order for the solid waste buy-back centre to realise a net-profit of more than R30 000 per month, there must be more than 40 tons of recyclable solid waste received by the buy-back centre per month. This study has indicated that solid waste buy-back centres rely on the economies of scale. This means that the more recyclable solid waste is received and sold by the solid waste buy-back centres, the more profitable it becomes.
Thesis (M.B.A.)--North-West University, Vaal Triangle Campus, 2009.

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Doring, Heike. "From the margins to the centre and back : trajectories of regeneration in two marginal English coalfields." Thesis, Cardiff University, 2009. http://orca.cf.ac.uk/55821/.

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Regeneration is a ubiquitous feature of the contemporary British state. Research, despite devoting much time to exploration of outcomes and effects, so far has neglected the mechanisms of the process itself. This thesis addresses this by charting developments in two marginal English coalfields over a period of 25 years. The coalfields provide a convenient site for the investigation of regeneration as they offer multiple critical sites and exhibit in particularly acute forms the effects of changing relationships between the central and the local state and thus exemplify the wider relationships between the state, the market and the locality. The choice of the coalfields in North West Leicestershire and East Kent as case studies was informed by their position in the coal mining industry at the beginning of the period of its major restructuring, the then recent evaluation on the recovery of the coalfields (Beatty et al., 2005) and their location in relation to national "identity" projects (e.g. the National Forest). The thesis employs the extended case method as outlined by Burawoy. On the basis of extensive archive research of local government documentation, semi-structured interviews with policy makers and civil society actors and a 6-month observation period in the Kent coalfield an understanding of regeneration as a multi-dimensional social process is delineated. Through the use of Bourdieu's notion of the field and different forms of capital (1984, 1986) the thesis offers an examination of regeneration as a sequence of contests in the economic, social and symbolic repositioning of localities in the social space. The combination of Bourdieu's and Burawoy's concepts allows exploring the systematicity of the regeneration process through the lens of place. It thus provides a framework for the analysis the spatially and temporally contingent outcomes of (1) processes of legitimisation, (2) the production of specific sets of social relations and (3) the operation of symbolic power in the context of different regeneration regimes.

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Hilliar, Timothy Easton. "Investigating musculoskeletal health in the workplace, among employees who are exposed to heavy lifting: A descriptive and correlational study." University of the Western Cape, 2018. http://hdl.handle.net/11394/6861.

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Magister Public Health - MPH
Background: Protecting and promoting health in the workplace is imperative, both for individual employee health and workplace productivity. High rates of workplace injuries, particularly in environments where high levels of physical activity are required, point to the need for effective occupational interventions, minimization of workplace inhibitors that increase the risk of developing musculoskeletal disorders (MSDs), and occupational management checks to reduce the onset of MSDs in the workplace. However, for these measures to be successful, it would be important to identify individual and workplace-related factors associated with the development and duration of MSDs. Aim: To determine potential risk and protective factors associated with MSDs among employees in a workplace where heavy lifting is a key job function.

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Baazizi, Nabil. "The Problematics of Writing Back to the Imperial Centre : Joseph Conrad, Chinua Achebe, and V. S. Naipaul in Conversation." Thesis, Sorbonne Paris Cité, 2015. http://www.theses.fr/2015USPCA073.

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Dans le sillage de la décolonisation, les récits colonialistes ont systématiquement été réécrits à partir de perspectives autochtones. Ce phénomène est appelé « The Empire writes back to the centre » - une tendance qui s'affirme dans la critique postcoloniale à la fin du XXe siècle. L'objectif de ces actes de réécriture est de lire des textes colonialistes d'une manière barthesienne à l'envers, de déconstruire les dogmes orientalistes et colonialistes, et éventuellement créer un dialogue où il était seulement un monologue. Tourner le texte colonial dedans/dehors et le relire à travers la lentille d'un code ultérieur permet le texte postcolonial de déverrouiller son précurseur colonial et le changer de l'intérieur. Dans ce cadre critique, Heart of Darkness (1899) de Joseph Conrad a été un texte particulièrement influent pour Chinua Achebe et V. S. Naipaul. Leurs romans Things Fall Apart (1958) et A Bend in the River (1979) peuvent être considérés comme une réécriture du roman de Conrad. Cependant, avant d'examiner leurs différentes stratégies de réécriture, il serait utile de les localiser dans la tradition postcoloniale de la réécriture. Alors que Achebe se démarque clairement comme la figure de proue du mouvement, le romancier trinidadien est difficile à catégoriser. Est-ce que Naipaul réécrit, de façon à critiquer, ou d'une manière d'adopter et de justifier, l’idéologie impériale? Comme pas toute réécriture est une forme de « writing back » en termes de critique anticoloniale, la position de Naipaul continue d'être considérée comme l’énigmatique entre-deux d'un «insider» devenu «outsider». Prenant acte de ses différentes perceptions critiques peut devenir un moyen de mettre en évidence de manière efficace la lecture erronée d’Achebe et le détournement de Naipaul du modèle Conradien, un moyen de fixer un cadre pour la conversation simulée cette thèse vise à créer entre les trois romanciers
In the wake of decolonization, colonialist narratives have systematically been rewritten from indigenous perspectives. This phenomenon is referred to as “the Empire writes back to the centre” – a trend that asserted itself in late twentieth-century postcolonial criticism. The aim of such acts of writing back is to read colonialist texts in a Barthesian way inside-out or à l’envers, to deconstruct the Orientalist and colonialist dogmas, and eventually create a dialogue where there was only a monologue. Turning the colonial text inside-out and rereading it through the lens of a later code allows the postcolonial text to unlock the closures of its colonial precursor and change it from the inside. Under this critical scholarship, Joseph Conrad’s Heart of Darkness (1899) has been a particularly influential text for Chinua Achebe and V. S. Naipaul. Their novels Things Fall Apart (1958) and A Bend in the River (1979) can be seen as a rewriting of Conrad’s novella. However, before examining their different rewriting strategies, it would be fruitful to locate them within the postcolonial tradition of rewriting. While Achebe clearly stands as the leading figure of the movement, the Trinidadian novelist is, in fact, difficult to pigeonhole. Does Naipaul write back to, that is criticize, or does he rewrite, and in a way adopt and justify, imperial ideology? Since not all rewriting involves writing back in terms of anti-colonial critique, Naipaul’s position continues to be explored as the enigmatic in-betweenness and double-edgedness of an “insider” turned “outsider.” Taking cognizance of these different critical perceptions can become a way to effectively highlight Achebe’s “(mis)-reading” and Naipaul’s “(mis)-appropriation” of Conrad, a way to set the framework for the simulated conversation this thesis seeks to create between the three novelists

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Rakevicius, Edgaras, and Louis Auzias. "The process of knowledge integration : A case of a change project." Thesis, Linköpings universitet, Företagsekonomi, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-129919.

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Knowledge integration is rather a new and not fully explored concept in business management. However there are many scholars, who have researched knowledge integration in recent decades. This thesis is conducted in order to draw attention towards knowledge integration and its processual phenomena. Moreover, some scholars have mentioned that knowledge integration is dynamic. The dynamics of knowledge integration lead to the fact that the actual knowledge integration process is also dynamic and constituted of performance practices, while being dependent on different factors and conditions. In further understanding, knowledge ingratiation process cannot be implemented in a straight forward lineal fashion. For this reason it changes during the time of the knowledge integration project implementation. The interest of this research is to find out how does the knowledge integration process change during the evolution ofproject. For this purpose, we have researched a real company’s project, the objective of which is to reach the knowledge integration amongst different back office teams in a newly established Shared Service Centre (SSC). The study led us through the discovery of different aspects of knowledge integration process, including challenges that occur during its implementation and mechanisms that are adopted as the project evolves. The analysis of existent theory and practical interpretation of the company’s project allowed us to conduct a visualization of the change of knowledge integration process. This visualization summarizes the occurrence of knowledge integration challenges, which call the company management to alternate different performance practices in combination with the use of practice-based coordination’s. In this essence it becomes visible, that as project evolves, the process of knowledge integration adopts a non-lineal progression. This in later perspective builds a reason to argue that the more knowledge is integrated more challenges occur in this integration process and as a result more mechanism are needed to be adopted to sustain successful knowledge integration in the project.

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Richardson, John M. "The Blue Glow From the Back Row: The Impact of New Technologies on the Adolescent Experience of Live Theatre." Thesis, Université d'Ottawa / University of Ottawa, 2010. http://hdl.handle.net/10393/19609.

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This article considers the impact of new technologies on the adolescent experience of live, literary theatre. Drawing together the work of theorists in literacies, new technologies and audience studies, together with brain research, and the results of a focus group of four secondary students who have seen four plays at Canada’s National Arts Centre, it examines the consequences of young people’s immersion in digital culture and the new mindset that often results. The expectation of instant access to data, inter-connectivity, stimulation and control can make it difficult for adolescents to decode the metaphorical aspects of a theatrical performance. The article concludes that language arts and dramatic arts educators have a key role in teaching students how to decode—and therefore enjoy and appreciate— a play.

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Williamson, Graham. "Instructor-trainee conversation in Adult Training Centre for people with learning disabilities : an analysis of the function and distribution of back channel tokens and personal names." Thesis, University of Newcastle Upon Tyne, 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.261240.

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Rajagopalan, Krishnan S. M. Sloan School of Management. "Interacting with users in social networks : the follow-back problem." Thesis, Massachusetts Institute of Technology, 2016. http://hdl.handle.net/1721.1/105000.

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Thesis: S.M., Massachusetts Institute of Technology, Sloan School of Management, Operations Research Center, 2016.
This electronic version was submitted by the student author. The certified thesis is available in the Institute Archives and Special Collections.
Cataloged from student-submitted PDF version of thesis.
Includes bibliographical references (pages 69-71).
An agent wants to form a connection with a predetermined set of target users over social media. Because forming a connection is known as "following" in social networks such as Twitter, we refer to this as the follow-back problem. The targets and their friends form a directed graph which we refer to as the "friends graph." The agent's goal is to get the targets to follow it, and it is allowed to interact with the targets and their friends. To understand what features impact the probability of an interaction resulting in a follow-back, we conduct an empirical analysis of several thousand interactions in Twitter. We build a model of the follow-back probabilities based upon this analysis which incorporates features such as the friend and follower count of the target and the neighborhood overlap of the target with the agent. We find optimal policies for simple network topologies such as directed acyclic graphs. For arbitrary directed graphs we develop integer programming heuristics that employ network centrality measures and a graph score we define as the follow-back score. We show that these heuristic policies perform well in simulation on a real Twitter network.
by Krishnan Rajagopalan.
S.M.

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Thebault, Ludovic Pierre Julien. "Offshore financial centres and bank efficiency." Thesis, Bangor University, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.432781.

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Botha, Celeste. "Noise Levels in a South African bank cash centre." Diss., University of Pretoria, 2015. http://hdl.handle.net/2263/53447.

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Noise induced hearing loss remains a concern within the employment sector, in spite of the preventability there of. In order to effectively prevent this debilitating disorder the risks need to be fully understood. One such area that requires investigation is the cash centres within the financial, banking industry. The aim of this research study was therefore to determine whether employees within the cash centres are exposed to noise levels that could be damaging to the auditory system and warrants the implementation of a hearing conservation programme. In order to investigate the noise levels emitted during cash management processes, the researcher obtained noise level recordings, with the use of the Cirrus CR110: A doseBadge Personal noise Dosimeter. Measurements were conducted to determine Lex8h dBA minimum and maximum as well as the peak SPL levels expressed in dBC. These measurements enabled the researcher to compare the noise levels to current legislation regarding noise exposure within the work place. The results revealed a mean Lex,8h of 75.87 dBA (SD=6.09) during the coin processing procedures, compared to 72.91 dBA (SD=8.79) during note processing. The maximum Lex,8h measured was 85.8 dBA. A mean peak sound pressure level of 133.4 dBC (SD = 9.81) was obtained during coin processing, compared to 129.3 dBC (SD = 8.27) during note processing. The maximum peak sound pressure level measured was 142.5 dBC. The data reveals that the noise levels in the bank cash centres do not exceed the SA legislative guidelines, but do still pose a risk for the development of NIHL as the noise levels exceed 75 dBA. As limited information is available regarding the noise exposure within the cash centres, this study highlights the need for further investigation, improved awareness regarding the noise exposure in the cash centres and the possible implementation of hearing conservation programmes within this industry.
Dissertation (MCommPath)--University of Pretoria, 2015.
Speech-Language Pathology and Audiology
MCommPath
Unrestricted

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Blackwelder, Reid B. "Patient-centered Medicine, Back to the Basics." Digital Commons @ East Tennessee State University, 2009. https://dc.etsu.edu/etsu-works/6983.

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Tarlow, Scott. "Three Dimensional Modeling of mantle melt underneath Lau's Back-Arc spreading center and Tofua Volcanic Arc." OpenSIUC, 2014. https://opensiuc.lib.siu.edu/theses/1482.

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Valu Fa and Eastern Lau `s (two regions along Lau's back-arc spreading center) observed axial morphology suggest that Valu Fa is more magmatically robust than Eastern Lau despite Eastern Lau's spreading rate nearly doubling Valu Fa's. Early geochemical [Pearce et al., 1994] and geophysical [Martinez and Taylor, 2002] studies predict a gradational decrease in melting moving north from Valu Fa to Eastern Lau, but more recent geochemical and seismic observations ([Escrig, .et al 2009]; [Dunn and Martinez, 2011]; [Dunn et al., 2011]) show a sharper stepwise decrease in melting as the spreading center's ridge axis sweeps away from the Tofua Volcanic-Arc. As the ridge sweeps away from the volcanic-arc, the influence of the slab hydrated mantle in the melting structure of the ridge decreases. Furthermore, Eastern Lau produces a thinner crust than expected for a robust spreading center. 2-D numerical studies [Harmon and Blackmon, 2010] show a gradational decrease in melting from Valu Fa to Eastern Lau but with no corresponding thinning of Eastern Lau's crust. To understand the melting dynamics underneath Lau's back-arc spreading center and the Tofua Volcanic-Arc implementing the effects of 3-D mantle flow and slab hydration appears to be required. To explain the observed geochemical and seismic observations, three 3-D numerical were performed, using a community developed mantle convection solver (CitcomS). The first model shows that observed geometric and surface kinematic boundary conditions cause a steep gradational increase in relative melting area (anhydrous) moving northward with increasing spreading rate along the ridge axis from Valu Fa to Eastern Lau caused by a northwestern along axis mantle flow. A peak in the relative melting area appears particularly close to Eastern Lau where crust is thinnest. These predictions run in opposition to the observations. The second model shows including a viscosity reduction in the mantle wedge due to slab hydration causes a more subdued relative melting increase with spreading rate and "saddle" shaped decrease in relative melting area north of 20.9°S. This saddle shaped melting structure is caused by a reversal in along axis flow towards the southeast, which takes hot mantle from Eastern Lau and transports it underneath Valu Fa accounting for the anomalously thin crust observed at Eastern Lau. Finally, introducing a hydrated solidus increases the melt production under Valu Fau and causes a stepwise decrease in melt production at Eastern Lau due to its decreased proximity to the slab-hydrated region, consistent with the observed geochemical and seismic studies.

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Hwang, Inae. "Back to the city : differences in economic and investment performances between downtowns and suburbs." Thesis, Massachusetts Institute of Technology, 2012. http://hdl.handle.net/1721.1/77138.

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Thesis (S.M. in Real Estate Development)--Massachusetts Institute of Technology, Program in Real Estate Development in Conjunction with the Center for Real Estate, 2012.
Cataloged from department-submitted PDF version of thesis. This electronic version was submitted and approved by the author's academic department as part of an electronic thesis pilot project. The certified thesis is available in the Institute Archives and Special Collections.
Includes bibliographical references (p. 101-102).
Recently, we have observed significant changes in which corporate offices and residential buildings have been relocated from the suburbs back into the city. Does the observation mean that there is a real economic movement back into the cities by firms or households? If there is any movement, how does this trend drive any changes in the commercial real estate properties? Does it significantly affect the performance of properties in the cities as opposed to the other areas? Does the performance of the properties in the city exert any influence on the investors who prefer commercial real estates in the US metropolitan areas? This thesis aims to provide answers to the major question on the "back to the city" movement and its influence on real estate markets. The answers are summarized as five major conclusions. First, the result of this study clearly points out that there is the "back to the city" movement although the change has happened only in the Urban Cores (UC) not the entire Metropolitan Statistical Area (MSA). Second, the economic performances between UC and MSA maintain a close link with each other. However, the volatility of the office net rental rate is much less in UC while the change in gross rental growth is almost same between UC and MSA. The UC rental growth of the multifamily is a little less volatile than the MSA growth. Third, the investment performances in MSA closely relates with the capitalization rate of UC. While the level of cap rates of UC offices is more volatile, the UC cap rate of apartments is more stable than the MSA rate. Fourth, the effects of population and employment on the real estate market enable the research to understand the current pricing behaviors. The difference in population and employment between UC and MSA explains the disparity in investment performances of the two areas. However, while the MSA rental growth explains the movements in the cap rate of MSA in accordance with the "rational" pricing, the effect of UC rental growth rates on the cap rate doesn't match with the pricing model, indicating that the rental growth rate of UC empirically leads to increases in the cap rate of the area. The nature of these outcomes offers that the UC market is not explicable by the "rational" pricing model. The result also indicates that the difference in rental growth rates reveals the positive relation with the gap in cap rates, which is complete opposite to the "rational" investors' behavior. Lastly, finding the differences in economic and investment performances between UC and MSA motivates to explore the determinants of the relationship. Although the study experiments the effects of manifold market characteristics, the explanatory variables used in the model do not fully explain the inequality between two specific markets. Thus, it is required to study further the determinants.
by Inae Hwang.
S.M.in Real Estate Development

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Agazzi, Cléber Alexandre. "Centro de serviços compartilhados (CSC) versus estruturas locais de compartilhamento: um estudo no sistema SICREDI." Universidade do Vale do Rio dos Sinos, 2018. http://www.repositorio.jesuita.org.br/handle/UNISINOS/7399.

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Submitted by JOSIANE SANTOS DE OLIVEIRA (josianeso) on 2018-11-06T12:10:46Z No. of bitstreams: 1 Cléber Alexandre Agazzi_.pdf: 3762662 bytes, checksum: 0f34e06d7787ebe4575c698c49267877 (MD5)
Made available in DSpace on 2018-11-06T12:10:46Z (GMT). No. of bitstreams: 1 Cléber Alexandre Agazzi_.pdf: 3762662 bytes, checksum: 0f34e06d7787ebe4575c698c49267877 (MD5) Previous issue date: 2018-08-29
SICREDI- Sistema de Crédito Cooperativo
A estratégia de centralização de serviços vem sendo adotada por muitas empresas como forma de organizar as atividades de back office, buscando pela redução de custos e melhoria de eficiência das operações. Essa estratégia de centralização pode seguir diferentes trajetórias, as quais variam em grau de consolidação. Seguir caminhos que levam a um nível menor de consolidação faz com que não se usufrua dos benefícios máximos do ganho de escala, um dos principais fatores para uma estratégia de eficiência em custo. Nesse sentido, o presente estudo busca compreender por que, em um sistema de cooperativas de crédito, algumas cooperativas optam por desenvolver estruturas locais para centralização de serviços, ao invés de utilizar a estrutura do centro de serviços compartilhados disponível para todo o sistema através de sua confederação, abdicando em parte dos ganhos de escala. Em caráter qualitativo-descritivo, através do estudo de caso, foram entrevistados executivos das cooperativas e da confederação e, após a análise de conteúdo, foi possível demonstrar que há racionalidade na estratégia adotada pelas cooperativas, uma vez que modelos encontrados durante a fase de revisão de literatura podem suportar essa afirmação. Além do tema central de estudo, a revisão de literatura abordou temas relacionados ao contexto em que a organização objeto do estudo está inserida, o que auxiliou na compreensão e revelou alguns fatores distintivos desse tipo de organização, os quais também geram influência sobre o cenário. Sob a perspectiva acadêmica, o estudo preenche lacunas de pesquisa quando aplica um modelo de análise desenvolvido em outro país em uma empresa privada no Brasil. Já no âmbito gerencial, fornece informações importantes e apresenta uma ferramenta que pode ser utilizada em definições estratégicas sobre centralização de serviços.
Many companies have adopted a strategy of centralized services as a way of organizing back office activities, seeking a reduction of costs and improving the overall efficiency of operations. This strategy of centralization can follow different trajectories, which vary in degree of consolidation. Following paths that lead to a lower level of consolidation means that one cannot sow the maximum gains of scale, one of the main factors of a cost efficient strategy. In this sense, the present study seeks to comprehend why, in a system of credit unions, some credit unions choose to develop local structures in order to centralize services, instead of using the structure of the shared service center (SSC) available to all the system through it’s “confederation”, abdicating in part in gains related to scale. By using a descriptive qualitative case study, executives of credit unions and of the “confederation” were interviewed and, after analyzing this content, it was possible to demonstrate that there is rationality behind the strategy adopted by the credit unions, taking into consideration that models found during the bibliographical review can support this statement. Beyond the central theme of the study, the bibliographical review addressed themes related to the context in which the object organization is inserted, which aided in the comprehension and revealed some distinct factors of this type of organization, which also influenced the scenario. Within an academic perspective, the study fills gaps of research when applying a model of analysis, developed in another country, to a private company in Brazil. In an overall perspective, the study provides important information and presents a tool that can be used in strategic definitions about centralizing services.

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Da, Cruz Michaël. "« Back to Tenochtitlan » : Migration de retour et nouvelles maquiladoras de la communication : Le cas des jeunes migrants employés dans les centres d’appel bilingues de la ville de Mexico." Thesis, Aix-Marseille, 2014. http://www.theses.fr/2014AIXM3025/document.

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Si les centres d'appel constituent une porte d'entrée sur le marché du travail pour de plus en plus de jeunes issus du système universitaire mexicain, ils jouent le même rôle pour un autre type de population : les jeunes migrants de retour en provenance des États-Unis et du Canada. Parmi eux, on retrouve un nombre important de jeunes Mexicains qui appartiennent à cette catégorie intermédiaire que les spécialistes de la migration ont défini comme génération 1.5. Véritables symboles du tournant sécuritaire de la politique migratoire américaine après 1986, ils font partie de ces 2.1 millions de mineurs Mexicains qui n'ont jamais eu accès à un statut légal depuis qu'ils sont arrivés dans leur «pays d'accueil». À partir d'entretiens biographiques et d'une étude ethnographique prolongée auprès de ce groupe, nous avons cherché à comprendre les raisons qui expliquaient leur retour vers le Mexique. Si certains d'entre eux n'ont pas eu le choix dans cette décision, d'autres intègrent cette catégorie de retours dits «volontaires». Plus qu'un véritable choix, cette bifurcation dans leur trajectoire biographique est une réponse à la situation d'enfermement social, économique et physique à laquelle se retrouvent confrontés les immigrants illégaux aux États-Unis. De retour au Mexique, ils intègrent en nombre les centres d'appel bilingues offshore où leur expérience migratoire leur permet de palier le manque de diplômes qui les caractérisent presque tous. Si le fait que ce secteur soit à la recherche constante de main d’œuvre leur offre une sécurité sur le marché de l'emploi, on constate qu'il est aussi souvent l'unique secteur rentable auquel ces jeunes migrants de retour ont accès
Not only are call centres a gateway into the labour market for young Mexican university students, but they are also becoming more and more significant for young Mexican return migrants from the USA and Canada. The latter are largely represented by young Mexican migrants referred to by migration scholars as belonging to the 1.5 generation. A symbol of the securitarian turn of American immigrant policies after 1986, they are a portion of the total of 2.1 million Mexicans who, arrived as minors, have not yet been able to acquire legal status in their "host country".Drawing from life histories interviews and from ethnographic fieldwork in Mexico City the thesis investigates the reasons that explain why they have returned to Mexico. For some the choice has not been of their making, yet others have willingly decided to return. More than a choice, this turning point in their lives is a response to the awareness of the social, economic and physical limitations they encounter as illegal immigrants in the USA. Once having returned to Mexico, most of them are employed in offshore bilingual call centres where their migration experience gives them a linguistic and cultural advantage compensating their lack of institutionally recognized educational degrees. While having a preferential position in this expanding sector, constantly recruiting new workers, nonetheless it is the only sector which offers good job opportunities for them

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Mullis, Ricky. "Development of an individualised patient-centred instrument to measure minimum clinically important fifference in low back pain." Thesis, Keele University, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.487306.

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LoW back pain is a commo'n, recurrent problem, with many sufferers going on to develop long-term disability and work absence. A number of potential patho- ' anatomical pathways may give rise to low back pain, although the aetiology of a specific episode is often unclear. Management options range from simple analgesia and physiotherapy, to major spinal surgery.Clinical trials often fail to show significant long term differences in outcome between treatment options for low back pain. Measuring the course of this fluctuating condition is problematic, and often what matters to patients is not reflected in standardised clinical outcomes. This thesis describes the development of an individualised approach to outcome measurement which captures changes that are important to patients with low back pain.

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Koestler, Mary E. "Characteristics of workers with painful acute and chronic low back pain in an urban occupational medical center." Diss., Search in ProQuest Dissertations & Theses. UC Only, 2007. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3251938.

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Oberg, Conrad. "The market for offshore bank secrecy : an economic psychological analysis." Thesis, University of Exeter, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.370010.

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Major-Helsloot, Mel. "Low back pain and associated factors among users of community health centres in South Africa : a prevalence study." Thesis, Stellenbosch : University of Stellenbosch, 2010. http://hdl.handle.net/10019.1/5439.

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Thesis (MScPhysio (Interdisciplinary Health Sciences. Physiotherapy))--University of Stellenobosch, 2010.
Background: Low back pain (LBP) has a high prevalence worldwide. LBP is significantly associated with a range of poor socio-demographic circumstances which should be addressed in preventive programs. Despite this there is a dearth of information about the prevalence and associated factors among low-income communities in South Africa. It is speculated that the burden of LBP may be most significant in these underprivileged communities. Objective: The objective of this study was to assess the prevalence of LBP among the lowincome communities in the Cape Town Metropole and to establish associated factors in order to make recommendations for management. Study design: A cross-sectional study was conducted among the visitors of eight community health centres (CHCs) in the Cape Town Metropole. Methodology: A new measurement tool was developed based on existing validated outcome measures and initial testing of the psychometric properties of the questionnaire was conducted. The questionnaire was administered to 489 eligible subjects. Descriptive analysis was used to describe the sample and logistic regression analytical techniques were applied to determine associated factors. Main findings: Lifetime prevalence for LBP was 76.49% (n=358). About 37% (n=133) suffered from chronic LBP. LBP was significantly associated with belonging to the black ethnic group, any co-morbidity, poor perceived general health, and any type of pain medication. Lifting weights > 20 kg and kneeling and squatting were physical factors significantly associated with LBP. Severe psychological distress was significantly associated with acute and chronic LBP. Having a better or same perceived general health compared to a year ago, was protective for LBP. Conclusion: LBP has a high prevalence among the low income communities, visiting the CHCs, in the Cape Town Metropole. Multiple factors were associated with LBP, which imply that a tailormade multidisciplinary program addressing lifestyle issues, self management strategies, medication use, chronic diseases and psychosocial factors may be required for this population to combat LBP.

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Bendall, William Bryson. "Retrospective Analysis of Injuries Sustained In Vehicle Front‐ and Back‐Overs in a Level I Pediatric Trauma Center." Thesis, The University of Arizona, 2017. http://hdl.handle.net/10150/623628.

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A Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine.
Motor vehicle accidents involving pedestrians are some of the most common and lethal forms of injury for children in the United States. Among younger children, a common mechanism of action for severe trauma is when a vehicle runs over the child in a forward or backward motion at low speed resulting in a blunt crush injury. This typically occurs in non‐traffic settings including driveways, sidewalks, and roadways. Such incidents have been referred to in many different ways in the literature but for the purposes of this paper will be referred to as low speed vehicle run‐overs. This is a retrospective chart review carried out at Phoenix Children’s Hospital in affiliation with the University of Arizona College of Medicine‐Phoenix that categorizes and examines the injuries sustained by patients involved in low speed vehicle runovers occurring between December 2007 and August 2013. Fifty‐five pediatric patients were included with a median age of 24 months and 6 of these patients were fatally injured. Internal injuries were common overall and significantly more common in children ≤24months. Over half of the cohort sustained fractures, with a 24% incidence of skull fractures. All fatalities were the result of traumatic brain injury. Twenty percent of victims required operative intervention. It was concluded that the severity of these types of incidents varies from minimal to life threatening and best care requires close and thorough evaluation by the trauma and emergency department teams.

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Weil, John Endicott Birdseye. "Value creation through strategic repositioning : a case study of South Bank Tower." Thesis, Massachusetts Institute of Technology, 2018. http://hdl.handle.net/1721.1/117302.

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Thesis: S.M. in Real Estate Development, Massachusetts Institute of Technology, Program in Real Estate Development in conjunction with the Center for Real Estate, 2018.
Page 66 blank. Cataloged from PDF version of thesis.
Includes bibliographical references (pages 64-65).
Converting existing office properties into residential units offers an innovative method to unlock additional value for real estate in the Central Business District (CBD) of certain major cities. Today, however, this form of adaptive reuse is not considered to be a distinct product category. It is instead viewed as a collection of one-off instances of success driven by exceptional circumstances and unique donor buildings. This thesis will identify key commonalities to value creation that make the approach both replicable and transferable. The following analysis will demonstrate that successful office to residential conversion is not a unicorn within the built environment, but rather a viable strategy to see and find value where others do not. Although, a number of factors have combined to make adaptive reuse a highly profitable activity, there are three main elements that underpin the equation: demand, design, and flexibility. Firstly, the change in usage is the result of current trends causing a shift in the Highest and Best Use (HBU) for those structures. Further driving the emergence of office to residential conversion is innovation in building designs. Office layouts have evolved over time from traditional forms with individual work spaces into open floorplan arrangements. Simultaneously, residential layouts have moved away from standard designs towards including an interior extra bedroom or den. The key to driving value from a conversion is for the finished product to be perceived by the market as new supply. Finally, the flexibility to change product type and extend the existing structure increases profits beyond normal levels. Increased net square footage acts as a multiplier to increase the value created through residential conversion and design innovation. Adding net square footage typically occurs in three forms: maximization of site coverage, increased efficiency, and incremental floor count. As a result, it is no longer mandatory to demolish the old in order to make way for the new. Converting space from class B office to class A luxury residential offers a method to add incremental value to previously built real estate by leveraging these essential elements.
by John Endicott Birdseye Weil.
S.M. in Real Estate Development

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Choudhurry, Rahul Paul, Arsham Alamian, Jeffrey Gray, and Billy Brooks. "Drug Take Back Events and Emergency Department Admissions in Northeast Tennessee: an Ecological Analysis." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/1396.

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Drug poisoning due to overdose is a major health problem in Tennessee. In TN there has been an increase of 210% in accidental overdose deaths since 1999 to 2010. About 80% of drug poisonings in Tennessee were either accidental or self-inflicted. Also as indicated by the CDC in 2010 enough drugs were prescribed to medicate every American adult around-the-clock for one month and the vast amount of drugs increases the risk of misuse. Drug Take Back Events are a useful measure for reducing the number of prescription medications kept in the households. However, the extent to which these events have affected in the reduction of drug poisoning is not well known. The objective of this study was to investigate the relation between the total number of drugs collected at Take Back Events and emergency department admissions due to overdose in three Counties in Northeast TN. In partnership with Drug Enforcement Administration and local law enforcement, drop box donations for controlled substances (CS) were analyzed for Washington, Carter and Sullivan County, Tennessee, from 2009 to 2012. Data were obtained from Tennessee Department of Health on number of emergency department (ED) admissions due to overdose based on International Classification of Diseases (ICD)-9 codes occurred between 2009 and 2012 in the above-mentioned counties. Linear forecast trend-line method was used to evaluate associations between the amount of controlled substances collected via donation boxes and number of ED visits occurred during 2009-12. Furthermore Pearson’s correlation analyses were conducted to investigate relationship between drop box donations and ED admissions due to overdose. From 2009 – 2012 the ED visits shows a significant decrease as the amount of drugs collected increases for Washington and Carter County. Also a negative correlation is seen between the ED visit and drugs collection for Washington and Carter County with R2 values of -0.96 and -0.90 respectively. However the same is not true for Sullivan County as the trend was not inversely proportional and also the correlation between ED visits and gathered drugs is low with R2 value of -0.562. These results quantify the potential impact of drug take back events on reduction in drug poisoning due to overdose in Northeast Tennessee. Further study is required to examine the effect of the events on the epidemic of prescription drug abuse and misuse.

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Howarth, M. L. "Being believed and believing in : the impact of delegitimation on person centred care for people with chronic back pain." Thesis, University of Salford, 2012. http://usir.salford.ac.uk/27328/.

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Chronic back pain is an under researched area; the complexities of unseen pain in particular, present challenges to the sociological assumptions made about the concept of ‘sickness’. The lack of ‘visible’ signs and symptoms means that some people are left without a diagnosis. If left undiagnosed, their experience of chronic back pain becomes delegitimized and could result in the erosion of self-esteem, self-identity and personhood. Undiagnosed chronic back pain can undermine a person’s moral self through disrupting the person’s biography and self –esteem. Ultimately, people with chronic back pain need person centred approaches to care that support the restoration of the self. The aims of this study were to generate a theory of person-centred care predicated on the experiences of people who have chronic back pain. The research design was influenced by a constructivist paradigm, which underpinned a Grounded Theory methodological approach. A purposive sampling strategy identified 17 people with chronic back pain and 4 multi-professional teams who were involved in their care. Semi-structured interviews with people who have chronic back pain, and the multi-professional teams captured the experience of person-centred care and explicated meaning about its key concepts. Data were analysed using a constant comparative approach through which theoretical sensitivity developed and eleven categories emerged. The ‘conditional partnership’ became a core category, which formed a substantive theory to explain the experience of person-centred care. The key findings highlight the significance of legitimation on the chronic back pain experience and exposes the impact that ‘delegitimation’ has on the individual’s ability to mobilise resources and manage their pain effectively. This thesis presents the conditional partnership as a theory which explains the relationship needed to support person centred care. The theory suggests that person centred care for people with chronic back pain is underpinned by a conditional partnership which is made up of three conditions; being believed, believing in and non-maleficence which represent the expected conditions of health care and by health care.

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Marshy, Mona C. Carleton University Dissertation Geography. "Negotiating spaces of struggle: Palestinian women's research centres in the West Bank and Gaza." Ottawa, 1994.

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Pessoa, Carla Daniela de Sales. "Soil Seed Bank in a Caatinga area in Regeneration, Center for Desertification IrauÃuba, CearÃ." Universidade Federal do CearÃ, 2008. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=9200.

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CoordenaÃÃo de AperfeiÃoamento de NÃvel Superior
O presente trabalho tem como objetivo conhecer os atributos do banco de sementes no solo e verificar quais desses refletem melhor a regeneraÃÃo da caatinga em Ãreas de desertificaÃÃo. Para tanto, investigou-se o banco de sementes no final da estaÃÃo seca, em uma Ãrea de caatinga em processo de degradaÃÃo/desertificaÃÃo, no municÃpio de IrauÃuba, CearÃ. Foram analisados os atributos densidade, composiÃÃo, diversidade e riqueza de espÃcies e cinÃtica de germinaÃÃo. As coletas foram realizadas em trÃs Ãreas, nas fazendas Formigueiro, Cacimba Salgada I e Cacimba Salgada II. Em cada Ãrea foi amostrado o banco de sementes no solo na parcela experimental (pousio) e na parcela em uso contÃnuo (controle). Cada parcela de cada Ãrea foi subdividida em dezesseis parcelas de 10x10m, das quais foram sorteadas cinco para estudo do banco de sementes no solo. No centro de cada uma das cinco parcelas de 100m2 foi retirada amostra de solo de 0,25m2 de Ãrea. A densidade e a composiÃÃo do banco de sementes no solo foram analisadas atravÃs da tÃcnica de emergÃncia de plÃntulas em casa de vegetaÃÃo. O banco foi composto prioritariamente por terÃfitos. As densidades encontradas foram 592, 1804, 2080 sem/m2 para as parcelas experimentais 1, 2 e 3, respectivamente e 680, 1288 e 1408 sem/m2, para as parcelas controle 1, 2 e 3, respectivamente. No parÃmetro riqueza, foram encontrados iguais valores para as parcelas experimento e controle (8 e 2 para as Ãreas 1 e 2, respectivamente), a Ãrea 3 apresentou maior riqueza na parcela em pousio (15 e 10 para as parcelas controle e experimento, respectivamente). Os valores de equabilidade nas parcelas experimento foram de 0,751, 0,041 e 0,740 para as Ãreas 1, 2 e 3, respectivamente, e de 0,613, 0,054 e 0,603 para as Ãreas 1, 2 e 3 das parcelas controle. Em relaÃÃo Ã diversidade, os valores para as parcelas experimentais 1, 2 e 3 foram 1,562, 0,028, 2,004, respectivamente, e 1274, 0,038 e 1,388 para as parcelas controle, 1, 2 e 3, respectivamente, o que revela uma maior diversidade nas Ãreas em pousio, com exceÃÃo da Ãrea 2. Os aumentos da diversidade e da densidade demonstram a ocorrÃncia de regeneraÃÃo do componente herbÃceo nas Ãreas em pousio.
The objective of this study is to gather knowledge about the attributes of a seed bank at soil level and to verify which of these attributes reflect the best regeneration of the caatinga in areas of desertification. In order to do that, we investigated the seed bank at the end of the dry season in a area of caatinga suffering the process of degradation/desertification, at the municipality of IrauÃuba, CearÃ. We analysed the attributes of density, composition, diversity and richness of species as well as germination dynamics. The collections were realized in three areas, at Formigueiro, Cacimba Salgada I and Cacimba Salgada II farms. In each area, we sampled a seed bank at soil level in the experimental portion (fallow) and at the continuous use portion (control). Each portion of each area was divided in sixteen portions of 10 x 10 m, from which were drawn five portions for the study of the seed bank at soil level. In the center of each one of the five portions of 100 m2, a soil sample of 0,25 m2 was removed. The density and the composition of the seed bank at the soil level were analysed using the plantule outgrowth in greenhouse. The bank was composed primarily by therophytes. The densities found were 592, 1804, 2080 seeds/m2 for the experimental portions 1, 2 and 3, respectively, and 680, 1288 and 1408 seeds/m2 for the control portions 1, 2 and 3, respectively. Regarding the richness parameter, we found equal values for both the experimental and control portions (8 and 2 for areas 1 and 2, respectively); area 3 presented greater richness in the fallow portion (15 and 10 for the control and experimental portions, respectively). The equability values of the experimental portions were equal to 0,751, 0,041 and 0,740 for areas 1,2 and 3 respectively and of 0,613, 0,054 and 0,603 for areas 1,2 and 3 of the control portions. Regarding diversity, the values for the experimental portions 1, 2 and 3 were 1,562, 0,028 and 2,004, respectively, and 1274, 0,038 and 1,388 for the control portions 1,2 and 3, respectively, which reveals a major diversity for the areas of fallow, with exception of area 2. The raising diversity and density demonstrate the occurrence of regeneration of the herbaceous component in the fallow areas.

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Ventricelli, Daniel J., Iqra Ahmad, Rajkumar J. Sevak, Nicholas E. Hagemeier, and Jeffrey A. Gray. "Implementation and Evaluation of an Interprofessional Drug Take-Back Event on a University Campus." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/1449.

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Objectives: 1) To describe the interprofessional implementation process and programmatic outcomes of an inaugural drug take-back event on a university campus; 2) To quantify donated medications and summarize donor demographics. Method: East Tennessee State University (ETSU) affiliated colleges, campus organizations, research teams, law enforcement and other community partners collaborated to host the inaugural live drug take-back event on ETSU’s main undergraduate campus. Programmatic outcomes included the number of community stakeholders, ETSU participating colleges, student donors, and donated medication metrics, including controlled substance medications. All donated medications were quantified by drug name and controlled substance schedule. Donor demographic information and perceptions of drug abuse on campus were collected using a brief survey. Results: Fifty pounds of medications were collected for disposal by 42 donors (9 students; 33 non-students). Controlled substances accounted for 8% of donated medications. Nearly 80% of student donors were enrolled in Academic Health Science Center colleges. Aggregate survey results indicated concerns about prescription drug abuse and misuse on campus. Three faculty members, two research fellows, two doctoral students, three graduate assistants and eight professional students from ETSU’s Colleges of Pharmacy and Public Health, as well as additional staff members, represented the contributing community entities and colleges during the live event. Implications: Conduction of drug take-back events on a university campus can promote interprofessional public health interventions and simultaneously reduce opportunities for nonmedical use of prescription drugs in college students. Further research is warranted to establish best practices and maximum impact for college-based take-back events.

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Donaghy, Matthew Paul. "Offshore financial centres in a globalised economy : the sociological dimensions of bank confidentiality in Monaco." Thesis, University of Liverpool, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.366430.

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Chuy, Quiñones Maria de Fatima Yurico. "Principales motivos de consulta en el servicio de Terapia Física de un centro universitario de salud en Lima-Perú." Bachelor's thesis, Universidad Peruana de Ciencias Aplicadas (UPC), 2020. http://hdl.handle.net/10757/651999.

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Objetivo: Describir principales motivos de consulta de pacientes atendidos en el servicio de terapia física en el Centro Universitario de Salud de UPC. Materiales y métodos: Estudio descriptivo de corte transversal analítico. Se evaluó motivo de consulta y cumplimiento de atenciones. Las variables categóricas (sexo, ocupación, actividad física, motivo de consulta, área corporal, tipo de atención recibida y cumplimiento de atenciones) fueron presentadas mediante frecuencia absoluta (n) y porcentaje (%). La única variable cuantitativa (edad), se presentó mediante mediana y rango intercuartílico, ya que, no presentó distribución normal. Análisis bivariado fue dicotomizado (< 6 sesiones y ≥ 6 sesiones), factor categórico utilizó prueba de Chi2 o prueba exacta de Fisher; factor edad, prueba de K medianas para establecer diferencias entre ambos grupos. Ánálisis multivariado, para cálculo de razón de prevalencia (RP), calculando RP cruda y RP ajustada a otras variables, mediante intervalo de confianza (95%). Se determinó p valor < o igual a 0,05. Resultados: Se incluyeron 171 historias clínicas de pacientes atendidos en servicio de terapia física con predominio masculino (54.4%). Prevalencia de motivo de consulta fue dolor en columna lumbar (12.3%) y columna cervical (11.7%). En ocupación, (50.3%) trabajaban y (32.7 %) fueron estudiantes; (42.1%) practicaban al menos un deporte. Tipo de atención recibida (71.9%) fue dada por estudiantes internos. Conclusiones: El principal motivo de consulta es dolor músculoesquelético (78.4%). El cumplimiento de atenciones es (59.1%). El género masculino es el más predominante, (30.4%) eran profesionales. El área corporal más consultado fue columna lumbar (12.3%). No se encontraron factores asociados al cumplimiento de atenciones.
Objective: Describe main reasons for consulting patients treated in physical therapy service at the University Health Center in UPC. Methods: Descriptive study of analytical cross section. The reason for consultation and compliance with attentions were evaluated. The categorical variables (sex, occupation, physical activity, reason for consultation, body area, type of care received and compliance with care) were performed using absolute frequency (n) and percentage (%). The only quantitative variable (age) was presented using the median and interquartile range, since there was no normal distribution. Bivariate analysis was dichotomized (<6 sessions and ≥ 6 sessions), a categorical factor determined by Chi2 test or Fisher's exact test; age factor, median K test to establish differences between both groups. Multivariate analysis, calculation of prevalence ratio (RP), calculation of crude RP and RP adjusted to other variables, using a confidence interval (95%). P value Tesis

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Strand, Filip, and Lina Thomasson. "Den transhumerala protesens biomekaniska påverkan på stående och gång." Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ. Ortopedteknisk plattform, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-36145.

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BAKGRUND: Personer med amputation på transhumeral nivå har en asymmetrisk anatomi. Det är inte väl studerat hur denna asymmetri påverkar dessa personers stående och gång, och inte heller vilka besvär som detta skulle kunna orsaka. SYFTE: Att undersöka om någon skillnad i stillastående kropps-hållning och gångmönster uppstår då personer med transhumeral amputation använder respektive inte använder protes. Utöver det så är också syftet att undersöka om ryggbesvär förekommer hos personer med denna amputationsnivå. METOD: Två transhumeralt amputerade personer deltog i studien. Statisk undersökning och gånganalys genomfördes med och utan armprotes. En enkätundersökning gällande muskuloskeletala besvär genomfördes på deltagarna. RESULTAT: Inga större skillnader har hittats i bäckenets kinematik och bålens rörelse i sagittalplan då försökspersonerna går utan protes jämfört med när de går med protes. Däremot har vi funnit en thorakal lateralflexion mot den amputerade sidan under gång, som minskar då försökspersonerna använder protes. Då försökspersonerna är stillastående utan protes lutar de mot den amputerade sidan. När de använder protes minskar lutningen. Försökspersonerna led inte av ryggbesvär. SLUTSATS: Användande av armprotes för personer med transhumeral amputation verkar ge en rakare hållning under gång och stående.
BACKGROUND: People with transhumeral amputation have an asymmetrical anatomy. The influence of this asymmetry on gait and standing has not been well studied, neither has the potential problems that this could cause. OBJECTIVE: To investigate if any difference in standing posture and gait kinematics occur when people with transhumeral amputation use a prosthesis compared to when they don’t. Furthermore, the aim is to investigate if back problems are prevalent among people with this amputation level. METHODS: Two transhumeral amputees participated in this study. Static and gait analysis was conducted with and without prosthesis. The participants completed a survey regarding musculoskeletal problems. RESULTS: No major difference has been found in thorax tilt and pelvic kinematics when the subjects walk with compared to without prosthesis. However we have found a thorax obliquity towards the amputated side during walking, which is reduced when the subjects use their prosthesis. The subjects are leaning towards the amputated side when standing without prosthesis. When using the prosthesis the obliquity is reduced. The subjects do not suffer from any back problems. CONCLUSIONS: Use of an arm prosthesis seems to give people with transhumeral amputation a more upright posture during walking and standing.

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Petzel, Anja [Verfasser]. "The mammalian lateral habenular complex - projection and back projection to the ventral tegmental area, the center of the reward system / Anja Petzel." Berlin : Medizinische Fakultät Charité - Universitätsmedizin Berlin, 2018. http://d-nb.info/1153769670/34.

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Hagaman, Angela M., Jeffery A. Gray, Nicholas Hagemeier, Billy Brooks, Stephanie M. Mathis, Karilynn Dowling, and Robert P. Pack. "Impact of an Organized Marketing Campaign on Drug Take Back Event Outcomes in South Central Appalachia." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/3195.

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Background: Prescription drug abuse is a major public health concern in the United States, associated with dramatic increases in morbidity and mortality over the past two decades. In recent years, disposal of unwanted, unused, and expired medications has been a pillar of national prevention efforts. Acknowledging increased policy and advocacy emphasis on improving prescription drug disposal behaviors of consumers, the purpose of this study was to evaluate the impacts of a targeted promotional campaign on participation in community-based drug take back events (TBE) in NE Tennessee. Methods: Between October 2013 and October 2017, 45 drug take-back events were held in 5 municipalities across NE Tennessee. A region-wide, promotional campaign including direct to consumer advertising (television, print, radio, etc) initiated spring 2014. Two methods of data collection were implemented: 1) donor surveys; and 2) drug donation weights (pounds) and dosage units collected. Controlled substance (CS) donations with identifiable dispensing dates were used to calculate donors’ possession time in months. One-way ANOVA, paired t-tests, and chi-square procedures were utilized to assess trends in donation weights, time to donation, and donor characteristics across the study period. Results: Total Disposal donations increased by 2.35 times (CS 2.61 times) from baseline after the initial promotional campaign. A total of 2300 CS donations were collected, with a spike in total pounds collected observed in spring of 2014 following initial marketing interventions. Donor possession time hdecreased by approximately one year during the length of the study (62.01 to 50.5 months). More than 1500 donor surveys were administered during the study. Half of all participants reported hearing about TBE through television promotions. Participants at urban events were 52.6% more likely than rural participants to hear about the event through newspaper promotion. Conclusion: Collaborative marketing across a TBE concentrated region increases CS disposal weight and decreases donor possession time.

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Goes, Carlos Roberto Chagas. "Efeitos da credibilidade do Banco Centra l no combate a inflaÃÃo." Universidade Federal do CearÃ, 2015. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=16201.

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nÃo hÃ
According to Svensson (1999) disinflationary policies of a central bank with low credibility tend to be less efficient and generate more costs for society, in terms of losses of welfare, due to necessity of an adoption of one larger interest rate for a long time than in one economy where there is a monetary authority with larger credibility. Due to importance of price level stability and costs involved in its maintenance, the present research has as objective to verify central bank credibility effects in fight against Brazilian inflation. This objective is done through the analysis of private agentsâ behavior on creating of the inflation expectations through different regimes of central bank credibility. The methodology used consists in the estimation of a hybrid Phillips curve with threshold effects whose indicator variables from regimes are credibility indexes suggested by literature. The results showed which hybrid Phillips curve specification is significant solely in regime of high credibility and which the specification where there are only adaptive expectations is the most appropriated in regime of low credibility. Moreover, there are evidences of a vertical Phillips curve in regime of high credibility.
De acordo com Svensson (1999) as polÃticas desinflacionÃrias de um Banco Central com baixa credibilidade tendem a ser menos eficientes e gerar mais custos para a sociedade, em termos de perda de bem estar, em virtude da necessidade da adoÃÃo de uma maior taxa de juros por um maior tempo, do que em uma economia que hÃ uma autoridade monetÃria com maior credibilidade. Dada a importÃncia da estabilidade dos nÃveis de preÃos e do custo envolvido na sua manutenÃÃo, a presente pesquisa tem como objetivo verificar os efeitos da credibilidade do Banco Central no combate da inflaÃÃo brasileira. Tal objetivo Ã realizado por meio da anÃlise do comportamento dos agentes privados na formaÃÃo das expectativas de inflaÃÃo mediante diferentes regimes de credibilidade do Banco Central. A metodologia usada consiste na estimaÃÃo de uma Curva de Phillips hÃbrida de efeito limiar cujas variÃveis indicadoras dos regimes sÃo Ãndices de credibilidade sugeridos pela literatura. Os resultados mostraram que a especificaÃÃo hÃbrida da Curva de Phillips Ã significante apenas no regime de alta credibilidade e que a especificaÃÃo com apenas expectativas adaptativas Ã a mais apropriada no regime de baixa credibilidade. Ademais, hÃ evidÃncias de uma curva de Phillips vertical no regime de alta credibilidade.

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Garris, Bill R., and Amy Weber. "Putting the Patient Back in Patient Care: Health Decision-Making from the Patient’s Perspective." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/5343.

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This research explored health decision-making processes among people recently diagnosed with type 2 diabetes. Our analysis suggested that diagnosis with type 2 was followed by a period of intense emotional and cognitive disequilibrium. Subsequently, the informants were observed to proceed to health decision-making which was affected by three separate and interrelated factors: knowledge, self-efficacy, and purpose. Knowledge included cognitive or factual components and emotional elements. Knowledge influenced the degree of upset or disequilibrium the patient experienced, and affected a second category, agency: the informants’ confidence in their ability to enact lifestyle changes. The third factor, purpose, summarized the personal and deeply held reasons people gave as they made decisions concerning their health, eating and exercising. We propose this model, grounded in informant stories, as a heuristic, to guide further inquiry. From these stories, the patient is seen as more active and the interrelated influences of knowledge, agency, and purpose, synergistically interact to explain changes in health behaviors.

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St, John Taylor. "The power of modest multilateralism : the International Centre for Settlement of Investment Disputes (ICSID), 1964-1980." Thesis, University of Oxford, 2015. http://ora.ox.ac.uk/objects/uuid:aeca5b93-4493-4b75-9654-182a2c76e62a.

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In 1965, amid antagonism between capital-importing and capital-exporting states over investment protection, the World Bank created ICSID. ICSID facilitates the resolution of disputes between foreign investors and states. Since major initiatives to create investment rules have failed within the UN and OECD, ICSID is the only successful attempt to create a multilateral, inter-state organization dedicated to investment. This thesis probes the intellectual, political, and economic forces behind the creation and early development of ICSID. This study combines archival work, oral histories, and interviews with econometric work. On this basis, it illuminates how ICSID's creators-mainly staff in the World Bank's Legal Department-adapted their ideas to suit the charged political context. When disseminating the idea of ICSID to states, they relied on ambiguity, expertise, and incrementalism. These three characteristics constitute an approach to organization building that I term "modest multilateralism" since the World Bank's President praised ICSID as "a modest proposal." By illustrating how this approach operated in ICSID's case, I generate insights that are applicable to other international organizations. ICSID's creation differs from the expectations of institutionalist IR theory in important ways. First, there was little state leadership, and ICSID's founding Convention is devoid of substance-it merely outlines a procedure. In this way, it takes the idea of ambiguity to its extreme. Second, ICSID's founders took steps to shield the organization from the politics of investment protection: they asked states to send legal experts, not elected representatives, and avoided deliberative debate. Third, ICSID's design was explicitly evolutionary. ICSID can operate alongside changing substantive rules-multilateral, bilateral, or domestic. Finally, contrary to previous accounts, in this thesis the ICSID Secretariat emerges as a dynamic agent. The Secretariat actively pursued ratifications and advance consents to investor-state arbitration. The creation of ICSID fostered a community of practice, which subsequently redefined international investment law through treaty making and arbitral practice.

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Gray, Jeffrey A., and Nicholas E. Hagemeier. "Prescription Drug Abuse and DEA-Sanctioned Drug Take-Back Events: Characteristics and Outcomes in Rural Appalachia." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/1469.

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Proper disposal of controlled substance medications, a legally gray area since the Controlled Substance Act of 1970 was passed, has received renewed attention in recent years because of an increase in deaths related to opioid pain reliever (OPR) overdoses and increased nonmedical use of OPRs.1,2 Prescription drug take-back events have been organized under the purview of the Drug Enforcement Administration (DEA) to properly dispose of controlled substance medications; to decrease prescription medication diversion, abuse, and accidental poisonings; and to decrease environmental hazards resulting from improper medication disposal. The DEA has reported pounds of medications in aggregate donated at take-back events but has not examined the extent to which OPRs are being donated at these events.3 We analyzed the characteristics of donors and medications donated at 11 take-back events in rural Appalachia, an area struggling with disproportionately high rates of OPR nonmedical use and abuse.

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Bendel, Sylvia. "Sprachliche Individualität in der Institution Telefongespräche in der Bank und ihre individuelle Gestaltung." Tübingen Basel Francke, 2007. http://deposit.d-nb.de/cgi-bin/dokserv?id=2897219&prov=M&dok_var=1&dok_ext=htm.

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Fredriksson, Marie, and Eriksson Anna Pettersson. "Borlänge, Dalarnas köpstad no 1 : Hur centrum, Kupolen och Norra Backa kan bindas samman för att tillsammans vinna köpkraften." Thesis, Högskolan Dalarna, Företagsekonomi, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:du-4807.

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Thesis:The aim of our study is to identify how IKEA's externalestablishment at Norra Backa can affect Kupolen and the centre. This in order to provide suggestions on how these trade areas can be connected and create a whole to thereby gain the purchasing power.Method:In our study we used triangulation. That means we have used both a quantitative and a qualitative approach. The quantitative method based on a survey with 100 respondents. The qualitative method is based on interviews with the centre conductors of Borlänge, Laila G Prosén and Anna Timander.Theory:The theories we have used is STP, substitution effects and effects of overspill, important factors for an attractive market town, Town Centre Management, Urban Retail Product.Conclusion: We found how IKEA's establishment at Norra Backa may affect Kupolen and the center of Borlänge then we gave suggestions on how these trade areas can be connected.

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Garris, Bill R., and Amy J. Weber. "Putting the Patient Back in Patient Care: Health Decision-Making from the Patient’s Perspective." NSUWorks, 2018. https://nsuworks.nova.edu/tqr/vol23/iss2/1.

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This research explored health decision-making processes among people recently diagnosed with type 2 diabetes. Our analysis suggested that diagnosis with type 2 was followed by a period of intense emotional and cognitive disequilibrium. Subsequently, the informants were observed to proceed to health decision-making which was affected by three separate and interrelated factors: knowledge, self-efficacy, and purpose. Knowledge included cognitive or factual components and emotional elements. Knowledge influenced the degree of upset or disequilibrium the patient experienced, and affected a second category, agency: the informants’ confidence in their ability to enact lifestyle changes. The third factor, purpose, summarized the personal and deeply held reasons people gave as they made decisions concerning their health, eating and exercising. We propose this model, grounded in informant stories, as a heuristic, to guide further inquiry. From these stories, the patient is seen as more active and the interrelated influences of knowledge, agency, and purpose, synergistically interact to explain changes in health behaviors.

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Salmon, Pauline Adora. "Improving the Patient Experience with Communication." ScholarWorks, 2020. https://scholarworks.waldenu.edu/dissertations/7839.

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A quality patient experience is one of the highest priorities for hospitals as patients and families are looking to healthcare providers to meet their demands for quality service. The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey measures the extent to which providers effectively communicate pertinent information such as communication about medications. On a 20-bed intermediate care unit, the HCAHPS item scores relating to nurse communication and communication about medicine were inconsistent and, on most occasions, were below the comparison benchmark of the 50th percentile when compared to other like hospitals. The purpose of this quality improvement project guided by the patient-centered care model, needs based theory, and adult learning theory, was to test the impact of an educational module for nurses on best practices for teaching patients about medications. Thirty nurses consented to participate in the teach-back sessions. Results of the pre- and posttest, evaluating the nurses' knowledge and attitude about teach-back, were analyzed using the Wilcoxon Signed Ranks test and findings showed an improvement in knowledge scores (z = -2.833, p = .005). However, no statistically significant changes occurred in nurse attitudes toward teach-back. A comparison of descriptive HCAHPS scores on communication about medications and nurse communication showed that scores improved from a low of 58% top box to 74% after the teach-back education. These findings indicated that using teach-back could enhance communication about medications. Effectively communicating pertinent health information using teach-back may have significant consequences for nurse-patient-family engagement contributing to positive social change.

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Van, Der Schyff Sihaam. "Challenges facing female executives in the banking sector in South Africa in the post-apartheid period." University of the Western Cape, 2017. http://hdl.handle.net/11394/6387.

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Magister Commercii - MCom (Business and Finance)
The dawn of democracy in South Africa (SA) in 1994 i.e. post-apartheid era came with inherent societal gender deficiencies and in all Sectors of the SA economy women experienced challenges. Specifically in the Banking Sector women were under represented in leadership and executive positions. The legal framework changed to correct the inequalities of the past resulting in various charters encouraging the private and public sector to transform.

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Sum, Fabiane Flores. "Lean e a melhoria de processos de Backoffice : implantação de ferramentas Lean no gerenciamento de um CSC." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2016. http://hdl.handle.net/10183/150676.

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Processos de backoffice apresentam um grande impacto nos custos de uma empresa. Centros de Serviço Compartilhados têm sido implementados a fim de controlar e melhorar tais processos. O lean, por sua vez, tem em comum com os CSC o objetivo de trazer excelência a processos. Uma análise da literatura indica haver sinergia entre os métodos e que as ferramentas lean possam promover melhorias que a implantação exclusiva de um CSC não tenha atingido. O objetivo deste trabalho é implantar princípios e ferramentas lean visando a busca de excelência em processos de backoffice, que pertençam a um CSC maduro. Para analisar essa possibilidade foi realizado um estudo de caso em empresa do ramo metalúrgico que já dispõe de um CSC considerado maduro em pesquisas de benchmarking na área. Foram implementados: um estudo de estabilidade e capacidade, posteriormente a prática de gerenciamento diário para implementação de melhorias, ocorrendo coleta de dados qualitativa e quantitativa para avaliação dos seus impactos. Por fim, um questionário foi aplicado para detectar a percepção dos colaboradores a respeito das mudanças obtidas com as ferramentas. Os resultados indicaram que mesmo em um CSC já completamente implantado, havia instabilidade e incapacidade nos processos, detectadas através do estudo de capacidade e estabilidade que são usadas na metodologia Lean. Em relação à utilização de gerenciamento diário, agregado à gestão visual, observou-se ser a abordagem que possibilitaria melhores resultados Em uma pesquisa realizada com todos os níveis hierárquicos envolvidos, que comparava o cenário anterior às ferramentas, um mês após a implantação e a expectativa para o cenário em um ano, foi possível comprovar que 64% dos princípios Lean apresentados por Liker (2005) foram melhorados no primeiro mês e que existe uma expectativa de melhorar 95% dos princípios Lean e das funções da comunicação no próximo um ano com os estudos de capacidade/estabilidade e gerenciamento diário. Observou-se que, enquanto os estudos de capacidade e estabilidade detectam as falhas, o gerenciamento diário permite operacionalizar as mudanças, ao mesmo tempo em que reforça os princípios lean. Embora não possam ser generalizáveis os resultados obtidos, pode-se dizer que neste estudo foi possível atingir melhores níveis de desempenho dos processos de um CSC maduro utilizando ferramentas lean, confirmando a hipótese inicial.
Backoffice processes have a high impact on the costs of a company. Shared Service Centers (SSC) has been implemented in order to control and improve these processes. The lean methodology, in turn, has in common with the SSC the aim to bring excellence to processes. A literature review indicates that there is synergy between the methods and the lean tools can make improvements that exclusive implementation of a CSC has not reached. The aim of this study is to implement lean principles and tools aimed at the pursuit of excellence in backoffice processes, belonging to a mature SSC. To test the initial hypothesis it was conducted a case study in a metal industry that already has a mature SSC. It was implemented: stability and capacity analysis and the practice of daily management to implement improvements, occurring qualitative and quantitative data collection to assess its impact. Finally, a questionnaire was applied to detect the perception of employees about the changes obtained with the tools. The results indicated that even in a SSC already fully deployed, there is instability and failure in processes, detected by stability and capacity analysis that are used in lean methodology. Regarding the use of daily management, added to the visual management, was noted to be the approach would enable better results In a survey of all levels involved, which compared the previous scenario before the tools, one month after implantation and the expectation for the scenario in a year, it was possible to prove that 64% of the lean principles have been improved in the first month and it is expected to improve 95% of the lean principles and communication functions in one year with stability and capacity analysis and daily management. It was observed that, while the stability and capacity analysis detect faults, the daily management enables operational changes at the same time that increases lean principles perception. Although the results obtained may not be generalizable, it can be said that in this study it was possible to achieve better performance levels of processes of a mature CSC using lean tools, confirming the initial hypothesis.

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Nget, Sovannarith. "La Réforme Financière au centre de l’Efficacité de la Politique Monétaire au Cambodge." Thesis, Lyon 2, 2013. http://www.theses.fr/2013LYO22004.

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Après trois décennies des conflits armés, le Cambodge a enfin la capacité d’accélérer sa croissance et l’intégration de son économie dans la région et le monde. Pour cela, le pays doit reconstruire un système financier solide et mettre en place une politique monétaire. Nous proposons une étude de l’efficacité de la politique monétaire de la BNC (Banque Nationale du Cambodge) en tenant compte du fait que le sous-développement du secteur financier amoindrit les effets des canaux de transmission de la politique monétaire.Après avoir abordé les aspects théoriques en mettant en lumière le consensus de la politique monétaire et les différents canaux de transmission, nous passons en revue les travaux empiriques menés sur ce thème tant dans les pays développés, les pays en développement que les pays en transition. Il en ressort que les spécificités des systèmes financiers des différents pays, conditionnent la complexité et les effets des canaux de transmission et que le développement du système financier favorise la conduite de la politique monétaire, ne serait-ce que parce qu’elle étaye la confiance du public. Nous mettons ainsi en évidence l’importance d’une réforme du secteur financier préalable à toute politique monétaire. Par ailleurs, l’évolution du secteur financier est liée au développement économique mais celle-ci est aussi susceptible de créer de l’instabilité financière si le pays ne met pas en place des institutions suffisamment solides. Sa réussite demande que soient préalablement remplies un certain nombre de conditions comme la stabilité macroéconomique, la qualité de la réglementation financière et le développement du marché monétaire. Ce type de stratégie a été mise en place en 2001 (Blueprint [2001]) pour développer un système financier fondé sur les mécanismes du marché ; elle n’a que partiellement abouti. Elle a été revue en 2006 (le FSDS [06-15]) avec pour objectif d’harmoniser le calendrier de la réforme avec les améliorations en matière économiques, politiques, sociales et institutionnelles.Au stade actuel de développement du Cambodge, les canaux de transmission de la politique monétaire ne sont pas tous efficients à cause d’un système financier sous-développé, de globalisation financière et la dollarisation. Nous avons par conséquent mené une étude empirique sur la base de données Cambodgiennes pour évaluer leurs effets. Il en ressort que le canal du crédit n’a pas d’impact sur la croissance économique mais sur le niveau général des prix alors que le canal monétaire a un impact positif à court-terme sur le niveau général des prix. L’agrégat M1 et le crédit sont positivement reliés à court-terme. Notre étude suggère l’existence d’un canal monétaire et l’absence d’un canal du crédit. A la recherche du cadre le plus adapté de la politique monétaire dans le contexte du pays, nous analysons trois stratégies : le ciblage du taux d’inflation, celui du taux de change et celui des agrégats monétaires. Nous prenons aussi en compte les aspects institutionnels de la politique monétaire (l’indépendance, la responsabilité et la transparence de la conduite de la politique monétaire), la stratégie de communication et des mécanismes de décision de la Banque Centrale. Une stratégie basée sur un ciblage des agrégats monétaires semble l’option la plus adaptée. Un ciblage du taux de change paraît être une option secondaire (second-best) pour modérer la volatilité excessive et ancrer les anticipations des agents économiques
After three decades of the armed conflicts, Cambodia finally has the capacity to accelerate her economic growth and integration into the region and the world. The country must rebuild a sound financial system and put in place an effective monetary policy. We propose to conduct a study on the efficacy of monetary policy of NBC (Central Bank of Cambodia) while taking into account of the underdevelopment of the financial system which weakens the effects of the transmission channels of the monetary policy.Following the literature reviews which highlight the consensus of an effective monetary policy and different channels of transmission, we undertake an empirical review in developed and developing countries. The specificities of financial system of each county condition the complexity and the effects of transmission channels. Moreover, the development of financial system enhances the implementation of monetary policy as long as it enjoys public confidence. We thus emphasize the importance of the reform of financial system prior to conducting an effective monetary policy. Besides, the development of financial system links closely with that of the economy but it is likely to foster financial instability if the country doesn’t have sufficiently sound institutions. The success of the reform requires a number of preconditions such as macroeconomic stability, acceptable quality of regulations, and development of monetary market. The reform was put in place in 2001 (Blueprint [2001]) to develop a sound and efficient financial system based on market mechanisms; it could only partially achieve its objectives. It was revised in 2006 (FSDS [06-15]) to harmonize its objectives with the pace of reform which experienced economic, political, social and institutional improvements.In the current state of development of Cambodia, transmission channels of monetary policy are not fully efficient. We conducted an empirical studies based on Cambodian data to evaluate its effects. It seems that credit channel doesn’t have the impacts on economic growth but on general level of prices while monetary channel has positive and short-term impacts on general level of prices. Our study suggests the existence of a monetary channel and absence of credit channel. In a quest of the suitable monetary policy framework in the current context of the country, we analyze three forms of framework: inflation targeting, exchange rate targeting and monetary aggregate targeting. We also take into account of institutional aspects (independence, accountability, and transparency of the monetary policy implementation), communication strategy, and decision mechanisms of NBC. A monetary policy strategy based on monetary aggregate targeting appears the most suitable option. Exchange rate targeting framework seems to be a second-best option to absorb the excessive volatility and anchor the public expectations

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Cicėnaitė, Ieva. "Scenos menų centras Kaune." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2011. http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2011~D_20110623_163320-29886.

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Magistro studijų baigiamajame darbe projektuojamas scenos menų centras Kaune, senamiesčio prieigose, Neries upės pakrantėje. Darbe surinkta ir išanalizuota medžiaga, susijusi su teatrų, scenos menų centrų ir kompleksų projektavimo ypatumais, jų koncepcijomis ir įgyvendinimo rezultatais. Atlikta vietos sąlygų analizė, sukurti konceptualiai skirtingi eskiziniai projekto variantai, parengtas scenos menų centro projektas. Projektuojamas objektas dominuoja krantinės išklotinėje, tampa akcentu žyminčiu miesto centro pradžią. Pagrindinė pastato scena sudaro branduolį, kuris sujungia įprastinį prabangaus, iškilmingo teatro modelį su eksperimentinio, besikeičiančio teatro tipu, leisdamas kurti ryšius tarp atlikėjų ir žiūrovų visomis kryptimis. Pakrantėje suprojektuota viešoji erdvė - didelė atvira platforma - amfiteatras. Baigiamąjį darbą sudaro: įvadas, analitinė dalis, projektinė dalis, bendrosios išvados. Pateikiami du maketai ir grafinė medžiaga planšetuose.
The final project of master studies is the design of performing arts centre on the bank of river Neris, close to old-town of Kaunas. Specific features and concepts of performing arts centers design and their realization is being analyzed. After site analysis conceptually different variations are created and the final project of performing arts centre is designed. Designed object is a landmark on the bank of the river and marks the entrance to the city centre. The main stage volume works as a core and combines the model of classical exclusive theater with experimental theater allowing to create different connections between audience and performers. A public space - big platform amphitheater is designed on the bank of the river. The final work consists of preface, analytic part, project part, conclusion. Two scaled models of the building and graphic material are also presented.

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Borges, Ivo Ricardo Fernandes. "Caraterização estatística dos valores percentuais de sangue do grupo AB0 colhido pelo Centro Regional de Sangue de Lisboa e respetivo emparelhamento com a distribuição a nível hospitalar." Master's thesis, Faculdade de Ciências Médicas, 2013. http://hdl.handle.net/10362/11012.

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RESUMO: A Medicina Transfusional está a mudar rapidamente em resposta a um número de diferentes catástrofes, patologias e novas técnicas da ciência. Por detrás de uma transfusão de sangue existe todo um conjunto de procedimentos, técnicas e atuações que salvaguardam o rigor e segurança científicas resultando numa maior eficiência na diminuição da morbilidade/mortalidade humana. Todo o processo de colheita, análise, processamento e distribuição de concentrados de eritrócitos comporta um capital elevado em termos da economia para a saúde e os requisitos básicos de uma gestão de qualidade, na área da saúde em geral e da hemoterapia em particular, tem de compreender, com rigor, estas condições de gestão parceria de forma a evitar um aumento nos custos da saúde. Para identificar as discrepâncias nos pedidos efetuados pelos Hospitais Públicos e Privados ao Centro de Sangue e Transplantação de Lisboa, no que diz respeito ao Sistema AB0 dos concentrados de Eritrócitos, foi feito um estudo quantitativo, com fins descritivos simples, aos 95 984 concentrados de eritrócitos enviados às 32 Instituições de Saúde da abrangência do CST de Lisboa. Tendo em conta o Sistema AB0 RhD, confirma-se que o grupo sanguíneo prevalente, tanto na população portuguesa como nos dadores de sangue que efetuaram a sua dádiva de sangue em 2011, é o grupo A Rh+. Observou-se no entanto que o grupo sanguíneo mais pedido e enviado pertence ao grupo 0 Rh positivo. Assim, apurou-se que existe uma disparidade, mesmo que pouco acentuada, nos pedidos efetuados pelos Hospitais Públicos e Privados ao Centro de Sangue e Transplantação de Lisboa no que configura ao Sistema AB0 dos concentrados de eritrócitos. Os Hospitais Públicos Sem Serviço de Colheita de Sangue e os Hospitais Privados são responsáveis por este desencontro de valores. No que se refere às inutilizações por prazo de validade ressalva-se que os desaproveitamentos de CE’s não são tão acentuados como se esperaria numa primeira fase de estudo. No entanto, e em termos económicos, se existem inutilizações por prazo de validade, existe igualmente despojo financeiro. Por detrás de cada unidade inutilizada existe um alto investimento que será desperdiçado por carência de solicitação. De forma a minimizar gastos e a salvaguardar um Banco de Sangue capaz de suportar qualquer eventualidade de rutura de stock estão patentes propostas de estratégias capazes de impedir constrangimentos diários e futuros no que diz respeito à disponibilidade de sangue e componentes sanguíneos.--------------ABSTRACT: The Transfusion Medicine it is changing fast in response to a number of different catastrophes, disease and new techniques of science. From behind a blood transfusion there is a whole set of procedures, techniques and actions that safeguard the safety and scientific rigor resulting in greater efficiency in reducing morbidity / mortality human. The entire process of procurement, testing, processing and distribution of concentrated erythrocytes involves a high capital in terms of the economy to health and the basic requirements of a quality management in healthcare in general and hemotherapy in particular has to understand with rigor, this partnership in order to avoid an increase in health costs. In order to identify discrepancies in the orders placed by the Government and Private Hospitals Center Blood and Transplant Lisbon regarding the AB0 system of concentrated erythrocytes was made a quantitative study with simple descriptive purposes to 95,984 erythrocytes concentrates sent to 32 Health Institutions of the scope of CST Lisbon. Having regard to the system AB0 blood group RhD prevalent both in the Portuguese population as blood donors, who made his blood donation in 2011, confirms that belong to group A Rh +. It was found that blood group most requested and sent belongs to group 0 Rh positive. Thus, it was found that there is a disparity, even a little sharp, requests made by the Government and Private Hospitals Blood Center and Transplantation in Lisbon that configures the system AB0 erythrocyte concentrates. The Public Hospitals without Blood Harvest and Private Hospitals are responsible for this clash of values. With regard the expiry date by disables proviso that the wastes of CE's are not as sharp as one would expect in a first phase of the study. However, in economic terms, if there is disables by expiry date, there is also financial squandering. Behind every unused unit is a high investment to be wasted by shortage of request. To minimize costs and safeguarding a Blood Bank can support any event of rupture of stock patents are proposed strategies to prevent future and diaries constraints with regard to the availability of blood and blood components.

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Schwarz, Janien (Nien), and n. schwarz@ecu edu au. "Beyond Familiar Territory: Dissertation: De-centering the Centre (An analysis of visual strategies in the art of Robert Smithson, Alfredo Jaar and the Bark Petitions of Yirrkala); and Studio Report: A Sculptural Response to Mapping, Mining, and Consumption." The Australian National University. Sculpture and Art Theory, 1999. http://thesis.anu.edu.au./public/adt-ANU20010703.110608.

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Dissertation: "Beyond Familiar Territory" researches various visual and conceptual strategies that facilitate connection between urban-based audiences and peripheral areas of ground where the extraction of mineral resources occurs. The Dissertation is a comparative analysis of selected works by Robert Smithson, Alfredo Jaar, and the Bark Petitions of the Yirrkala people in North East Arnhem Land. The focus is on how these artists have endeavoured to challenge urban audiences, disrupt the perceived hierarchy between centre and periphery, and bridge gaps between urban sites of mineral consumption and overlooked sites of mineral extraction. ¶"Beyond Familiar Territory" takes the form of this Dissertation (33%), and an exhibition of works at the Canberra Museum and Gallery (CMAG) from 6 February to 21 March, 1999, which, together with the Studio report, documents the outcome of the Studio Practice Component (67%). ¶ Report: "Beyond Familiar Territory" researches various visual and conceptual strategies that facilitate connection between urban-based audiences and peripheral areas of ground where the extraction of mineral resources occurs. To decentre the self-importance and perceived inclusiveness of urban centres by bridging gaps or facilitating insight between a centre of mineral extraction and production and a centre of mineral consumption. The Dissertation entails a comparative analysis of strategies used by Robert Smithson, Alfredo Jaar, and the Yirrkala Bark Petition painters, and analyses how these artists have perceived their relationships as mediators or facilitators between mining sites (and associated activities) and urban centres of consumption. ¶ "Beyond Familiar Territory" takes the form of an exhibition of works at the Canberra Museum and Gallery (CMAG) from 6 February to 21 March, 1999, which comprises the outcome of the Studio Practice Component (67%), together with a Dissertation (33%), and the Report which documents the nature of the course of study.

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Churchill, Joan 1945. ""From vagrant to Carney" : a study of the programs available to young offenders in Victoria's youth training centres, and their relevance in assisting the young people reintegrate back into the community after being discharged from custody." Monash University, Faculty of Education, 2001. http://arrow.monash.edu.au/hdl/1959.1/8456.

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Jones, David. "The influence of central star binarity on the morphologies of planetary nebulae." Thesis, University of Manchester, 2011. https://www.research.manchester.ac.uk/portal/en/theses/the-influence-of-central-star-binarity-on-the-morphologies-of-planetary-nebulae(0d5924db-e0fb-4ebd-bacc-38e8196efb5e).html.

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Central star binarity is often invoked as the main driver behind the shaping of aspherical planetary nebulae, however observational support for this hypothesis is lacking. This work presented in this thesis attempts to observationally test this theory by investigating the relationship between central star binarity and nebular morphology for several planetary nebulae. The discovery of six new binary central star systems is also reported. A detailed spatio-kinematical analysis of Abell 41 was performed, showing the nebula to have a bipolar morphology waisted by a toroidal structure, the symmetry axis of which is found to be perpendicular to the plane of the central binary. This alignment is exactly as predicted, indicating that the central binary, MT Ser, has played a significant role in shaping Abell 41. This is only the second planetary nebulae to have had this link, between binary and nebular inclination, explicitly shown. A spatio-kinematic model has been developed for ETHOS 1, indicating that its spectacular polar outflows are kinematically older than the central region of the nebula. This finding is discussed in the context of binary evolution, and it is concluded that the polar outflows in these nebulae are probably formed before their central binaries have entered the common-envelope phase. The central star of ETHOS 1 has yet to be the subject of detailed study, and as such, the orientation of the nebula could not be compared to that of its central binary. A spatio-kinematical analysis of SuWt 2 is presented, proving that the nebular ring is in fact at the waist of a much larger, extended bipolar structure. SuWt 2 is not known to contain a post-main sequence central star, required to eject and ionise the nebular shell, but rather a double A-type binary. The results of the analysis are discussed with relation to possible formation scenarios for SuWt 2. It is concluded that, while neither component of the double A-type binary could be the nebular progenitor, the presence of a third component to the system, which would have been the progenitor, cannot be ruled out. However, as there is no evidence that the central star of SuWt 2 is a binary alone, it is suggested that SuWt 2 should be removed from future lists of planetary nebulae known to host a binary central star. A sample of sixteen central stars of planetary nebulae, displaying morphological traits believed to be typical of central star binarity, were monitored for signs of periodic photometric variability associated with binarity. Six new photometrically variable close-binary stars were discovered, representing a ~15% increase on the previously known figure. The binary detection success rate from this investigation is compared to that of other surveys, and it is concluded that, while the results are promising, a more rigorous test is required to fully assess the extent to which specific morphological traits can be used as indicators of central star binarity.

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Nortier, Charene. "The role of the South African regulatory authorities in combating money laundering and terrorist financing perpetrated through alternative remittance systems." Diss., University of Pretoria, 2010. http://hdl.handle.net/2263/27922.

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Money Service Businesses provide people and institutions with a way to send money (remit) from one place to another. This service is most often associated with migrants, who typically wish to send money or value home. Remittances can be sent both on a domestic and on a cross-border basis. The methods used to remit money or value can be used for both legitimate and illegal purposes. The question posed by this research is whether the Money Service Businesses that operate in South Africa and provide crossborder remittance services are adequately regulated, to ensure that it is not used for the purposes of money laundering and/or terror financing. Copyright
Dissertation (MPhil)--University of Pretoria, 2010.
Accounting
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49

Niebuhr, Ingrid. "Healing Activities Centre." Diss., 2007. http://hdl.handle.net/2263/26895.

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The chosen site, the former Nature and Culture History Museum is positioned next to the National Zoological Gardens in Boom Street, Pretoria. The once successful museum building has now been left deserted, resulting in a 'big white elephant' occupying space in the city. The valuable building is filled with potential, which will be used to its fullest during the project. At the same time, the city inhabitants distance themselves more and more from nature, loosing their inner balance in life. All happenings in our lives leave marks on us. These marks form an impression, a change and/or an emotional layer. Marks allow reflections back on the past. It is essential to find balance again by going back to nature, going back to our roots. Sand marks, the touch of mother earth, follow the dissertation throughout, leaving marks on the reader. The aim is to bring life back into the building and to strengthen the wounded through activities targeting the senses, intellect, creativity, offered at the 'Healing Activities Centre'.
Dissertation (MInt(Prof))--University of Pretoria, 2008.
Architecture
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50

Hutton, David Adam. "Back to Batoche : a cultural centre for the Metis Nation of Saskatchewan." Thesis, 1996. http://hdl.handle.net/2429/6094.

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The village of Batoche lies at the junction of the South Saskatchwan River and the Carleton Trail, important trade routes for the Northwest before the advent of the railway. French-speaking Metis from Manitoba settled the area in 1871, enjoying a high degree of political autonomy. The collapse of the plains buffalo, successive crop failures, and long-standing fears over land title's in the face of encroaching settlement led to an armed uprising in 1885. After initial success in skirmish attacks against federal troops, the outnumbered Metis were besieged at Batoche, where they were defeated after four days. Their leader Louis Riel—who had led a previous uprising in Manitoba—was captured, convicted of treason, and hanged at Regina. Gabriel Dumont received ammnesty and returned to Batoche, where he lies buried. After the uprising some reparations were paid by Ottawa and the village was rebuilt, but Batoche was abandoned in the first decades of this century. Today Batoche is a National Historic Site, a designation which once again brings the Metis Nation into conflict with federal policy. The Metis claim ownership of their ancestral capitol, and gather each summer in the tens of thousands for the Back to Batoche festival. The first priority of Parks Canada, however, is preservation of Batoche's archaeological remains. When a new national museum was built in 1985, the Metis were awarded an adjacent parcel of land which they have since been trying to develop. Chronic fiscal problems have delayed their plans for a large multi-purpose cultural facility. This design thesis proposes a strategy for development which is economically sustainable and culturally appropriate, with emphasis on cooperation between Metis and museum. Precedent studies of historic parks in Saskatchewan include Wanuskewin Heritage Park and Batoche Museum. A brief cultural investigation follows the development of the Metis Nation and the history of settlement at Batoche. Three sites—alternatives to the Metis' existing land allocation—are examined as possible locations for a cultural centre. These include: Gabriel's Crossing, at Dumont's former home; Batoche East Village, site of the siege; and the historic Caron Farm, overlooking the river valley at the Park's southern boundary. An incremental building programme is proposed, including, by priority: Elders' cabins, a multi-purpose meeting hall with cafe and giftshop, a stable and corral, an outdoor amphitheatre, seasonal artists' live-work studios, and a cultural archive. The proposed design, on the Caron Farm site, responds to existing contours and vegetation. In an isolated location, it accomodates large seasonal gatherings as well as small groups. It promotes an appropriate building technology which revives the traditional corvee, or building bee, to encourage community involvement. It complements the existing museum by providing new amenities. The completed drawings are intended to provoke discussion by Metis and Parks Canada, in the hope that increased co-operation will encourage more Canadians to come back to Batoche

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Dissertations / Theses on the topic 'Back centre'

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