To see the other types of publications on this topic, follow the link: Diagnostic institution.
Dissertations / Theses on the topic 'Diagnostic institution'
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 39 dissertations / theses for your research on the topic 'Diagnostic institution.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse dissertations / theses on a wide variety of disciplines and organise your bibliography correctly.
1
Chisha, Mike. "CT angiographic detection of cerebral aneurysms in patients with subarachnoid haemorrhage in a South African institution." Master's thesis, Faculty of Health Sciences, 2021. http://hdl.handle.net/11427/32572.
Full textAbstract:
Study rationale The incidence, location, morphology and size characteristics of cerebral aneurysms in patients presenting to Groote Schuur hospital with either subarachnoid haemorrhage or 3 rd nerve palsy have not been established by a formal audit. Objectives To determine the patient demographics, frequency of CT angiographic detection of cerebral aneurysms and aneurysmal characteristics in patients presenting to Groote Schuur Hospital with sub-arachnoid haemorrhage and /or 3 rd nerve palsy Materials and methods Computed tomographic angiographic reports of cerebral vessels of patients who presented either with subarachnoid haemorrhage or 3 rd nerve palsy to Groote Schuur hospital were reviewed over a 19-month period from January 2018 – July 2019. The data obtained were coded, entered and analysed using IBM SPSS version 25 software. Descriptive statistics was used to report the means, modes and frequencies. Demographic and aneurysmal data were compared with a similar period 5 years previously. Results One hundred and twenty-one aneurysms (121) were analysed in 2018 -2019 and 124 in 2013-2014. The large majority were solitary (92% in both groups), small (94% and 90%) and saccular (96% and 87%) respectively. Significantly more fusiform aneurysms (13% vs 6%) were seen in the earlier group. 8 % of patients had multiple aneurysms. Less than 1% were ‘giant' ( >20mm). The mean age of the patients was the same for both periods (47 years). The mean aneurysm body size was 5.7mm and 7.1mm and the mean body: neck ratio was 6 2.1 vs 1.8b). Themost frequent locations were the posterior communicating artery (31.4% [2018/2019], 35% [2013- 2014]), anterior communicating artery (29% [2018/2019], 18.5% [2013/2014]) and the middle Cerebral Arteries (13.2% [2018/2019], 13.7% [2013/2014]). The least common sites were the Superior Cerebellar artery (SCA) [2018/2019] and the Vertebral artery (0.8%) [2013/2014]. Conclusion This study has compared the demographics of patients presenting to Groote Schuur Hospital with CT angiographically confirmed symptomatic intracranial aneurysms over two periods (January to July) 5 years apart. Both the patient demographics and the aneurysmal architecture were consistent over these time periods. Further our findings conform to that described previously both in Southern Africa and abroad i.e aneurysms which have bled are most commonly related to the posterior communicating, anterior communicating and the middle cerebral arteries and most aneurysms are small and saccular in shape. Over the periods studied, there was no change in the number of patients presenting to Groote Schuur Hospital for CT cerebral angiography and Interventional treatment post aneurysm rupture. These data represent a baseline for future statistical comparison and the information extrapolated from this study will be useful for interventive planning and resource mobilization at our institution and within the Western Cape Department of Health.
2
Bazin, Yoann. "L’institutionnalisation des pratiques organisationnelles : le cas du diagnostic en psychiatrie." Thesis, Paris, CNAM, 2011. http://www.theses.fr/2011CNAM0779/document.
Full textAbstract:
Cette thèse étudie le phénomène d’institutionnalisation des pratiques organisationnelles avec pour terrain d’observation le diagnostic en psychiatrie. Fondamentalement attaché à l’organisation comme objet d’étude, nous chercherons à répondre à une question de recherche qui y est profondément ancrée : Quels sont les phénomènes organisationnels qui participent de l’institutionnalisation des pratiques au quotidien ? Notre travail aura alors pour ambition de se confronter à trois difficultés principales : théorique, épistémologique et empirique. Dans un premier temps, il s’agira de clarifier conceptuellement la notion de pratique organisationnelle. En effet, si le practice turn est maintenant déjà bien engagé en Sciences de gestion, nous sommes encore loin d’une théorie qui, sans être unifiée, aurait au moins posé une définition claire de son concept central. Nous proposerons une revue de littérature problématisée des travaux portant sur la pratique qui posera l’institutionnalisation comme leur acte de naissance. Cela débouchera sur une grille de lecture de ces manières de faire instituées que sont les pratiques. Dans un deuxième temps, il nous faudra nous confronter à une difficulté épistémologique. La pratique, objet d’étude classique en anthropologie comme en sociologie, est un élément de la vie sociale qu’il est complexe de saisir au travers des catégories théoriques classiques. Il faudra interroger plus encore la notion de pratique pour comprendre comment sortir de l’impasse épistémologique que constitue le projet de construction d’une théorie de la pratique. Nous verrons en quoi c’est une théorie de la logique pratique qui sera notre véritable projet, et plus particulièrement l’origine historique de cette pratique et sa transmission quotidienne. Dans un troisième temps, il s’agira d’aborder le terrain d’observation fort de toutes ces exigences. Au-delà des difficultés classiques de l’étude empirique, c’est la restitution d’une compréhension pratique fine, fruit de plusieurs mois d’immersion, qu’il faudra être capable de transmettre. Afin de laisser au terrain son foisonnement et de ne pas le réduire à un ensemble d’observations directement capturées dans un cadre théorique, nous ferons le choix d’une synthèse scénarisée qui condensera quatre semaines de la vie du service. C’est une solution stylistique qui nous permettra de rendre compte d’un terrain débordant toujours le prisme particulier qui est le nôtre : l’institutionnalisation des pratiques organisationnellesThis PhD thesis analyses the institutionalization of organizational practices with the psychiatric diagnostic as a field of study. Fundamentally attached to the organization as an empirical object, we will try to answer a research question deeply rooted in it: what are the organizational phenomenons involved in the daily institutionalization of practices? Our work will tackle three mains issues: theoretical, epistemological and empirical.In a first time, we will clarify the concept of organizational practice. If the practice turn is now well engaged in Organization Studies, scholars are still far from a theory that would have given a clear definition of its central concept. We will provide a review of the literature on practice that considers the process of institutionalization as its birth. This will lead to a grid analyzing the multiple institutionalized ways of doing that are practices.In a second time, we will address an epistemological issue. Practices, classical empirical objects in sociology and anthropology, are central elements of the social life that cannot be easily captured through classical theoretical categories. We will have to go further in the concept in order to get out of the epistemological dead-end that the elaboration of a theory of practice is. In fact, it is a theory of practical logic that will be our real project, and precisely, the historical origins of this practice and its daily transmission.In a third time, we will face our field study loaded with these requirements. Behind classical methodological difficulties, it is the restitution of a fine-grained practical understanding produced by several months of immersion that will be challenging. In order to respect the field’s abundance and to not reduce it to a series of observations seen through a theoretical lens, we choose to present a scenarized synthesis that will condense our six-months study into a four-weeks story of a psychiatric department in a teaching hospital. This stylistic solution will allow us to account for a field that always overwhelms our perspective: the institutionalization of organizational practices
3
Little, Nicholas J. "Which Test is Best? Evaluating the Diagnostic Yield of Sequencing-based Testing Approaches for Patients with Neurodevelopmental Disorders at a Pediatric Institution: A Retrospective Chart Review." University of Cincinnati / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1553251181091454.
Full text
4
Boudedja, Karima. "Microfinance et ONG : bilan et analyse diagnostic du fonctionnement du dispositif de microcrédit à l'ONG algérienne Touiza en vue de la création d'une institution de microfinance /." Montpellier : CIHEAM-IAM Montpellier, 2008. http://catalogue.bnf.fr/ark:/12148/cb41305152v.
Full textAbstract:
Thèse de Master of science--Agronomie--Montpellier--CIHEAM, 2007.CIHEAM = Centre international des hautes études agronomiques méditerranéennes. IAM = Institut agronomique méditerranéen de Montpellier. Bibliogr., webliogr. p. 160-163. Résumé en français et en anglais.
5
Velková, Soňa. "Formy péče o nezaopatřené děti." Doctoral thesis, Vysoké učení technické v Brně. Fakulta architektury, 2010. http://www.nusl.cz/ntk/nusl-233223.
Full textAbstract:
This paper deals with forms of compensatory care of unprovided children, taking in consideration their specific needs from the architecture-type point of view. The target group is that of big foster families, evaluation of their life requirements and defining their requirements of the living space, preparing the ground for legislative introduction of professional foster care.
6
Papasozomenou, Ourania. "The Water Crisis in the Greek Island Complex of the Cyclades: Diagnosis, Analysis, and Rectification." Doctoral thesis, Humboldt-Universität zu Berlin, 2018. http://dx.doi.org/10.18452/19474.
Full textAbstract:
Das vorliegende Buch hat die Analyse des funktionsgestörten Wassersektors auf den beiden Zykladen Inseln Tinos und Syros in Griechenland zum Ziel. Die Bevölkerung dieser Inseln leidet unter einer Kombination aus mangelnder Wasserqualität, -quantität und hohen Wasserpreisen. Die Arbeit setzt sich mit Gründen der Ineffektivität zentral geplanter Maßnahmen (technische Lösungen und administrative Reformen) bei der Lösung solcher Probleme auseinander. Die übergeordnete Forschungsfrage hierbei lautet: Warum ist der Wassersektor angesichts einer Vielzahl von Lösungsversuchen immer noch dysfunktional?
Um diese Frage zu beantworten, liegt der Fokus auf der institutionellen statt auf der physikalischen Dimension des Problems. Hierbei verfolgte ich eine abduktive Strategie innerhalb des Forschungsprozesses. Auf institutionentheoretischen Annahmen basierend, komme ich zu zwei Schlussfolgerungen, die einen Teufelskreis vermuten lassen: i) Institutionen und Politik haben zu einer chronischen Dysfunktionalität, die sich in einer unsteten und unsicheren Wasserversorgung äußert, geführt. ii) Diese Dysfunktionalität verhindert eine Veränderung der existierenden Institutionen.
Basierend auf meiner Analyse schlussfolgere ich, dass die Top-down-Strukturen und die zentral gesteuerten Regularien die Hauptursache sind, dass es zu keiner vernünftigen Veränderung oder gar einer Lösung der Probleme im Wassersektor kommt. Mehr noch, sie sind die eigentlichen Gründe für die Misere und deren Persistenz. Eine Dezentralisierung der Steuerung und eine Unabhängigkeit der lokalen politischen Ebene (institutionell und finanziell) stellen einen vielversprechenden Ansatz zur Verbesserung der Situation dar. Beamte vor Ort kennen die örtlichen Gegebenheiten und fühlen sich verantwortlich für die lokale Bevölkerung.This study aims at diagnosing the dysfunctional water sector of Tinos and Syros, islands in the Cyclades island complex of Greece. At present, these islands suffer from insufficient water quantity, combined with poor quality and high cost. The research problem addressed in this thesis is the apparent inability of centrally planned technical and administrative-reform solutions that have been promoted to rectify the problems. This work explores the reasons for the inability to rectify the water sector and aims to answer the overarching research question: Why is the water sector in the Cyclades still dysfunctional, despite the attempted solutions? To explore these emergent questions related to policy making, I revisit existing legal rules and relations relevant to the context, viewed in parallel with aspects of human behaviour and transactions under the analytical lens classical institutional economics offers. The reasons for the water-supply dysfunction in the study islands are, thus, sought after in terms of transactions amongst actors, working rules regulating those transactions, and officials’ remedial power at all levels. Based on my analysis, I conclude that top-down structures and centrally planned policies have been hindering the meaningful change and rectification of the water sector and have, in fact, created and prolonged the dysfunction. Decentralising governance, granting local-level autonomy (institutional and financial) is a plausible way of rectifying the water sector, as local officials are knowledgeable about local conditions and feel liable to their fellow citizens, who would willingly cooperate with this level of government.
7
El, Hajri Mohammed. "Administration et gestion de la politique énergétique au Maroc : institutions, diagnostic et développement." Tours, 1995. http://www.theses.fr/1995TOUR1003.
Full textAbstract:
Paradoxalement, l’avènement du protectorat français au Maroc qui en soit, reste une période coloniale dans l'histoire du peuple marocain, a été marquée entre autre, par l’établissement de la première législation s'appliquant aux sources d’énergie ainsi que par l'introduction de l’électricité et la mise en valeur des sources d’énergie classiques (charbon et pétrole) avec les institutions spécifiques s'y rapportant. En outre, avec le protectorat français s'introduit au Maroc le droit administratif autonome, distinct du droit privé. Car le droit musulman, qui régissait le Maroc pré-colonial, ne connaît pas de droit administratif conçu comme un système d'autonomisation et d'auto-limitation du pouvoir étatique. Ce droit administratif s'est traduit naturellement par la reconnaissance de privilèges importants au profit de l'administration coloniale. En matière d’énergie et afin de mener à bien les activités "d’intérêt général" celle-ci a confié certaines taches qui sont normalement les siennes à des personnes privées (concernant la recherche et l'exploitation des minerais énergétiques). En 1956 date de l’indépendance du Maroc, cet héritage institutionnel et technique est revenu à la monarchie marocaine. Dans un premier temps afin de procéder à ces vastes réformes, adaptées à la situation nouvelle issue de l’indépendance, les autorités nouvelles ont manifesté -du moins en apparence- leur volonté de donner au droit administratif ses caractères les plus évolués, c'est à dire d’établir un droit conciliant l’autorité et la liberté : un droit consacrant la supériorité de l’intérêt général sur les intérêts particuliers et reposant sur l’idée de justice et sa traduction : le principe de l’égalité. Ces idées de justice et d’égalité qui dominent le droit français ont-elles reçu une consécration solennelle dans les textes constitutionnels qui régissent l'ordre juridique de la monarchie marocaine en général et dans le droit administratif, en particulier dans le domaine de l’énergie et de ses institutions ?Paradoxically enough, the period of the french protectorate in Morocco, in itself a colonial era was marked, among other things, by the introduction of the first legislation on sources of energy, the use of electricity and the exploitation of more traditional sources of energy, such as coal and oil, together with their specific institution. Moreover, the french protectorate introduced an independent administrative law, distinct from private law, since muslim law, which prevailed before colonisation, includes no administrative law conceived as granting independence to and limiting the power of the state. This administrative law naturally confered great privileges to the colonial administration. As far as energy was concerned, and with a view to carrying out "general interest" activities, it entrusted private persons with certain tasks it would normally have carried out itself (concerning the search for and exploitation of mineral energy sources). In 1956, when Morocco became independent, this institutional and technical heritage was passed on to the moroccan monarchy. At first, as they wanted to undertake vast reforms adapted to the new postcolonial situation, the new authorities showed-at least apparently- willing to endow administrative law with its most advanced characteristics : a balance between authority and freedom, an affirmation of the superiority of public interest over private ones. In other words, a law to be grounded on the idea of justice expressed in the principle of equality. Have these ideas of justice and equality which prevail in french law been solemnly established in the constitutional texts which govern the laws of the moroccan monarchy at large and in the administrative law, concerning more particularly energy and its institutions ? It is therefore legitimate to ponder over the development given to the technical and institutional contributions which the protectorate left to the monarchy. Has this legacy been modified ? Do moroccan authorities content themselves with administering the space marked out by the colonial legislation or did they include other new spaces ? The analysis of the present situation reveals an inadequate energy policy -or rather an absence of policy- which was limited to administering and maintaining the colonial legacy. Any improvement of this policy requires that a new energy policy be worked out and implemented within a more general strategy of development fulfilling the basic needs of human beings in the fields of education, housing, health
8
Roucher, Jacques. "Modification du diagnostic psychopathologique des déficients intellectuels profonds institutionnalisés : étude catamnestique." Paris 5, 1996. http://www.theses.fr/1996PA05H062.
Full textAbstract:
Dans le domaine du retard mental profond de l'adulte, les perspectives nouvelles ouvertes par l'augmentation de la durée de la vie et l'amélioration des conditions de prise en charge autorisent aujourd'hui une approche évolutive de cette population, en rattachant sa situation présente à une histoire clinique passée. Parmi les indicateurs qui témoignent de ce déroulement historique, la formulation du diagnostic psychopathologique peut constituer un outil original de repérage des phénomènes évolutifs. L'étude catamnestique d'un échantillon représentatif de la diversité des étiologies du retard mental profond permet de mettre en évidence des typologies de fluctuations diagnostiques s'organisant selon trois profils : profil stable, de type "organogenèse", profil alternant pole déficitaire - pole psychotique, profil incertain à hypothèses variées. Dans le contexte institutionnel, qui apparait comme un facteur activateur du questionnement diagnostique, on observe deux tendances complémentaires : le regain d'intérêt pour les hypothèses étiologiques organiques chez des sujets que l'incertitude diagnostique orientait auparavant vers une causalité psychogénétique, et la tonalité pluri-axiale des évaluations récentes, conforme à l'évolution des classifications nosographiques. Une tentative de mise en relation entre modifications du diagnostic, variations du discours soignant et modalités de prise en charge suggère un lien entre incertitude diagnostique et dramatisation de l'intervention. Elle identifie, par ailleurs, les caractéristiques du rapport imaginaire qui lie le soignant de proximité au diagnostic et des représentations fortes qui guident son action. L'intérêt pratique de cette démarche valorise la systématisation des profils d'évolution diagnostique comme outil pertinent d'appréciation psychopathologique, au regard des limites des repérés psychométriques.
9
Poulton, Nicole Jane 1970. "Physiological and behavioral diagnostics of nitrogen limitation for the toxic dinoflagellate Alexandrium fundyense." Thesis, Massachusetts Institute of Technology, 2000. http://hdl.handle.net/1721.1/91509.
Full textAbstract:
Thesis (Ph. D.)--Joint Program in Biological Oceanography (Massachusetts Institute of Technology, Dept. of Ocean Engineering; and the Woods Hole Oceanographic Institution), February 2001.Includes bibliographical references.
by Nicole Jane Poulton.
Ph.D.
10
Kazlauskienė, Ilona. "Ikimokyklinio ugdymo įstaigų vadovų kompetencijų diagnostika (Šiaulių miesto pavyzdžiu)." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2007. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2007~D_20070816_161240-88831.
Full textAbstract:
Magistro darbe yra suformuluotas tikslas - diagnozuoti Šiaulių miesto ikimokyklinio ugdymo įstaigų vadovų kompetencijas bei atskleisti ikimokyklinio ugdymo įstaigų vadovų ir pedagogų požiūrį į vadovų kompetencijas. Remiantis teoriniais šaltiniais apibrėžta kompetencijos samprata. Išanalizuoti ir susisteminti Lietuvos ir kitų šalių mokslininkų požiūriai į asmeninę, socialinę, profesinę, komunikacinę kompetencijas. Atskleistas vadovo darbo ir kompetencijos ryšys. Ištirta respondentų nuomonė apie vadovų turimas įsisavintas kompetencijas ir kompetencijas, kurių labiausiai trūksta vadovams. Išsiaiškinta kurios kompetencijos yra svarbiausios vadovo darbe. Tyrimo rezultatai taikytini organizuojant seminarus ikimokyklinio ugdymo įstaigų vadovams bei vykdant ikimokyklinio ugdymo įstaigų vadovų atrankos ir vertinimo procesus.An objective, which is formulated in the master’s work is to diagnose the managerial competences of preschool education institutions of Šiauliai city and to reveal the attitude of managers and educators of preschool education institutions towards the managerial competences. The conception of competence was made with the help of theoretical resources. Lithuania’s and other countries’ scientists’ attitudes towards the personal, social, professional and communicative competences were analysed and systematized. The connection between a manager’s work and a competence was revealed. Respondents’ opinion about the managers’ competence, which they have attained and the competence that managers lack mostly were investigated. It was cleared which competences are most important in a manager’s work. Research results can be applied while organising seminars for the managers of preschool education institutions, also while realizing the processes of their selection and evaluation.
11
Toro, Lavín Verónica. "Mejora al Proceso de Otorgamiento de Créditos Agrícolas de la División de Asistencia Financiera del Instituto de Desarrollo Agropecuario (INDAP)." Tesis, Universidad de Chile, 2007. http://www.repositorio.uchile.cl/handle/2250/104701.
Full text
12
Lee, Hyunsook. "Comparative study of carers of older people with dementia in Scotland and Korea." Thesis, University of Edinburgh, 2011. http://hdl.handle.net/1842/9796.
Full textAbstract:
This study aims to explore Scottish and Korean carers‘ attitudes towards the diagnosis of dementia in their relative, family care, community care and to residential care in Scotland and Korea respectively, also under examination was the origin of different carers‘ attitudes between Scotland and Korea. The dominant argument between previous Western and Eastern comparative studies on attitudes, has been that culture made the difference. In other words, the cultural factor was recognised as a main determinant of attitudes towards a diagnosis of dementia, towards social services at home and residential care in Asian societies, including Korea. This thesis starts with the question: Does culture really explain the phenomenon of Asian people‘s attitudes towards dementia? Indeed the tradition of filial piety has been changing and now seems to be rather weak in modern Asian society. In particular, contemporary Korea is modernised and westernised, as a result, many older people live apart from their adult children and their nuclear families. This study asserts that Confucianism is a much less significant factor than differences in social policy. In other words, this thesis focuses not on Confucianism, but on the impact of institutions on carers‘ attitudes towards dementia. Finally, this thesis explores this argument through the following research question: What are the origins of different carers‘ attitudes between Scotland and Korea? In order to develop this argument, this thesis has carried out interviews with 14 Scottish carers and 28 Korean carers; and adopted a qualitative approach that would yield a rich exploration and deeper understanding of the different attitudes between carers in Scotland and Korea. Based on this data, this thesis examines carers‘ attitudes towards the diagnosis of dementia (chapter 3), family care (chapter 4), community care (chapter 5), and residential care (chapter 6). Each chapter analyses similarities and differences in attitudes in Scotland and Korea from the point of view of culture or the social welfare system. To conclude, these findings explain that the origin of carers‘ attitudes in this study is based on social policy rather than culture. In other words, the Korean carers‘ attitudes and behaviours towards diagnosis and long-term care services are rooted in the residual welfare system rather than Confucianism. Likewise, this study found that Confucianism has a less significant influence than social policy on carers‘ attitudes towards the utilisation of health care, community care and residential care. Unlike previous studies on East Asia, that argue for a cultural explanation, this study of Korean carers demonstrates that the residual welfare system is more persuasive than the cultural approach derived from Confucianism . This study contributes to the comparative study of Scotland and Korea as well as being a qualitative study in Korea. In addition, it will provide a new perspective on attitudes towards studies on East Asia. Moreover, the study will suggest political implications through the exploration of the carers‘ attitudes towards dementia diagnosis, social services at home and residential care. It also can provide lessons on dementia and dementia care from different experiences in Scotland and Korea.
13
FEHER, ANA C. M. "Validacao de instrumento para diagnostico e analise do clima organizacional a partir da serie historica de aplicacao no IPEN." reponame:Repositório Institucional do IPEN, 2003. http://repositorio.ipen.br:8080/xmlui/handle/123456789/11123.
Full textAbstract:
Made available in DSpace on 2014-10-09T12:48:38Z (GMT). No. of bitstreams: 0Made available in DSpace on 2014-10-09T13:58:10Z (GMT). No. of bitstreams: 1 09309.pdf: 8871299 bytes, checksum: 05bddd29894540470910fc5c9eac2051 (MD5)
Dissertacao (Mestrado)
IPEN/D
Instituto de Pesquisas Energeticas e Nucleares - IPEN/CNEN-SP
14
Wang, Caixia. "Diagnosis of physical and biological controls on phytoplankton distribution in the Gulf of Maine-Georges Bank region." Thesis, Massachusetts Institute of Technology, 1999. http://hdl.handle.net/1721.1/59508.
Full textAbstract:
Thesis (M.S.)--Joint Program in Physical Oceanography (Massachusetts Institute of Technology, Dept. of Earth, Atmospheric, and Planetary Sciences; and the Woods Hole Oceanographic Institution), 1999.Includes bibliographical references (leaves 92-100).
The linkage between physics and biology is studied by applying a one-dimensional model and a two-dimensional model to the Sargasso Sea and the Gulf of Maine- Georges Bank region, respectively. The first model investigates the annual cycles of production and the response of the annual cycles to external forcing. The computed seasonal cycles compare reasonably well with the data. The spring bloom occurs after the winter mixing weakens and before the establishment of the summer stratification. Sensitivity experiments are also carried out, which basically provide information of how the internal bio-chemical parameters affect the biological system. The second model investigates the effect of the circulation field on the distribution of phytoplankton, and the relative importance of physical circulation and biological sources by using a data assimilation approach. The model results reveal seasonal and geographic variations of phytoplankton concentration, which compare well with data. The results verify that the seasonal cycles of phytoplankton are controlled by both the biological source and the physical advection, which themselves are functions of space and time. The biological source and the physical advection basically counterbalance each other. Advection controls the tendency of the phytoplankton concentration more often in the coastal region of the western Gulf of Maine than on Georges Bank, due to the small magnitude of the biological source in the former region, although the advection flux divergences have greater magnitudes on Georges Bank than in the coastal region of the western Gulf of Maine. It is also suggested by the model results that the two separated populations in the coastal region of the western Gulf of Maine and on Georges Bank are self-sustaining.
by Caixia Wang.
M.S.
15
Pereira, Patrícia dos Santos. "Avaliação do perfil de referenciação dos doentes com neoplasia oral para o Instituto Português de Oncologia do Porto no ano de 2013." Master's thesis, [s.n.], 2015. http://hdl.handle.net/10284/5236.
Full textAbstract:
Projeto de Pós-Graduação/Dissertação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Mestre em Medicina DentáriaIntrodução: O cancro oral em Portugal no passado era diagnosticado tardiamente, porém atualmente, existe um número elevado de profissionais de saúde com capacidades de realizarem o diagnóstico de cancro oral. O objetivo principal deste estudo foi conhecer o perfil de referenciação dos doentes com cancro oral, no ano de 2013 no Instituto Português de Oncologia do Porto, com o intuito de avaliar se o diagnóstico é realizado mais precocemente. Materiais e Métodos: O estudo descritivo de caso efetuado envolveu 215 doentes com neoplasias orais, a colheita de dados foi realizada através do recurso à base de dados do IPO-Porto (Registo Oncológico Hospitalar), onde foram selecionados os doentes com neoplasias orais, do ano 2013. Resultados: Dos 215 doentes com neoplasias orais, (74%) são do género masculino. Em relação à idade média foi de 61,5 anos (SD 13,7), esta era no género masculino significativamente mais baixa que no género feminino. A língua foi a localização topográfica mais prevalente com (33,0%) dos casos. Em 207 casos as neoplasias eram malignas, apenas 8 doentes tinham neoplasias benignas. O tipo histológico o mais observado foi o carcinoma espinocelular com (86%). O profissional que referenciou mais doentes com cancro oral ao IPO-Porto foi a especialidade de otorrinolaringologia (29,8%). No que diz respeito ao estádio, a maioria dos doentes encontrava-se no estádio IV (48,4%). Conclusão: Apesar de existir um número considerável de profissionais potencialmente habilitados para o diagnóstico do cancro oral, os resultados obtidos mostram que o diagnostico do cancro oral em 2013, foi realizado na maior parte dos casos tardiamente.
Introduction: Oral Cancer in Portugal last was diagnosed late, but currently, there is a high number of health professionals with capabilities to conduct the diagnosis of oral cancer. The aim of this study was to know the profile referral of patients with oral cancer in 2013 at the Portuguese Institute of Oncology of Porto, in order to assess whether the diagnosis is made earlier. Materials and Methods: The descriptive case study carried out involving 215 patients with oral cancers, the data collection was performed through the IPO-Porto database to use (Hospital Cancer Registry), where patients were selected with oral cancers, the year 2013. Results: Of the 215 patients with oral cancers, (74%) are males. Compared to the average age was 61.5 years (SD 13.7), this was significantly lower in males than in females. The language was the most prevalent topographical location with (33.0%) of cases. In 207 cases the tumors were malignant, only 8 patients had benign tumors. The histological type as squamous cell carcinoma was observed with (86%).The professional referenced more patients with oral cancer to IPO-Porto was the specialty of otolaryngology (29,8%). With respect to the stage, most of the patients was at the stage IV (48.4%). Conclusion: Although there is a potentially large number of qualified professionals in the diagnosis of oral cancer, the obtained results show that the diagnosis of oral cancer in 2013 was carried out in most cases later.
16
Pereira, Aquiles de Andrade. "Produção descentralizada de medicamentos essenciais no Instituto de Tecnologia em Farmacos do Estado do Rio de Janeiro: um diagnostico estrategico de sua implementação." reponame:Repositório Institucional do FGV, 1995. http://hdl.handle.net/10438/8672.
Full textAbstract:
Submitted by Estagiário SPT BMHS (spt@fgv.br) on 2011-10-21T15:51:22Z
No. of bitstreams: 1
000064501.pdf: 4691430 bytes, checksum: 3974b8e1d214f122b9b0cba0029e7922 (MD5)Approved for entry into archive by Estagiário SPT BMHS (spt@fgv.br) on 2011-10-21T15:51:43Z (GMT) No. of bitstreams: 1 000064501.pdf: 4691430 bytes, checksum: 3974b8e1d214f122b9b0cba0029e7922 (MD5)
Approved for entry into archive by Estagiário SPT BMHS (spt@fgv.br) on 2011-10-21T15:51:52Z (GMT) No. of bitstreams: 1 000064501.pdf: 4691430 bytes, checksum: 3974b8e1d214f122b9b0cba0029e7922 (MD5)
Made available in DSpace on 2011-10-21T15:52:01Z (GMT). No. of bitstreams: 1 000064501.pdf: 4691430 bytes, checksum: 3974b8e1d214f122b9b0cba0029e7922 (MD5) Previous issue date: 1995-10-17
In this dissertation, an attempt lS made to discuss the pharmaceutical decentralization policy concermng drugs production and distribution. A case study has been accomplished m Far-ManguinhosIFIOCRUZ, in which its organizational and administrative structure, as well as the strategies usedes to imblement the process of decentralization commended by 'Sistema Único de Saúde - SUS' are analysed. As theoretical reference, classic artic1es that put into context the national and global tharmaceutical sector reality have been used. The study develops through the healph sector policy evolution in Brazil with emphasis on the drugs policy adopted after the creation of the 'Central de Medicamentos - CEME' until the present time. At the conc1usion, some suggestions are made that might guide other discussions about pharmaceutical assistance in Brazil.
Nesta dissertação procura-se discutir a política de descentralização da assistência fanna-.;êutica no que diz respeito à produção e a distribuição de medicamentos. Para tanto, efetuou-se um estudo de caso em Far-Manguinhos / FIOCRUZ analisando sua estrutura organizacional e administrativa, assim como as estratégias utilizadas para implementar o processo de descentralização preconizado pelo SUS. Usou-se como referencial teórico artigos clásicos que contextualizam a realidade do setor farmacêutico nacional e mundial. O estudo se desdobra através da evolução política do setor da saúde no Brasil, com ênfase na política de medicamentos adotada a partir da criação da Central de Medicamentos - CEME, até a atualidade. Ao final são feitas algumas sugestões que poderão nortear outras discussões sobre assistência farmacêutica no Brasil.
17
Weightman, Elizabeth Caroline. "Containment? : an investigation into psychoanalytic containment and whether it is provided by staff in an NHS institution in relation to someone with a diagnosis of personality disorder." Thesis, University of Exeter, 2016. http://hdl.handle.net/10871/24099.
Full textAbstract:
This research investigated the psychoanalytic idea of containment in the context of NHS staff responses to a person diagnosed with personality disorder. The aim was to identify what, if any, containment was provided by staff for someone diagnosed with personality disorder by recording staff responses to an assessment and analysing the discourse. The research was undertaken with participants selected to represent a cross section of staff in the organisation and included senior and junior, clinical, administrative and managerial staff. The discourse analysis of the interviews examined defences against containment such as splitting, projective identification and idealisation and the positions people occupied in relation to the material and the researcher, as well as looking for examples of containment. Reflexivity was a key part of the methodology, forms a significant part of the thesis and is used to contribute to the discussion. Reflexivity, findings from the review of the literature and the analysis of the interviews form the basis of the discussion and conclusions. The research showed that containment, in its psychoanalytic sense, is often avoided and defended against. Key difficulties with developing the capacity for containment were found to be: conflict between the personal and professional in staff and anxiety in relation to the power of others in the organisation. Suggestions are made for how changes could be made within the organisation and how this could benefit both staff and people who use services. Changing the approach to containment could save costs as some repeat admissions could be avoided and staff satisfaction enhanced. The conclusions from the research make a contribution to clinical practice in NHS settings, to the psychoanalytic theory of containment and to the methodology of psychoanalytic discourse analysis. Recommendations for further research include more psychoanalytic discourse analysis to identify defences in text and research evaluating reflective staff groups.
18
Zaal, Wilhelmina Elizabeth. "Job satisfaction of research librarians in selected research libraries in the Western Cape." University of Western Cape, 2012. http://hdl.handle.net/11394/3513.
Full textAbstract:
Magister Bibliothecologiae - MBiblThe study examines job satisfaction among research librarians in selected research libraries situated in the Western Cape region. Many studies worldwide have been done on job satisfaction in various subject fields including librarianship. The theoretical framework for this study refers however only on the Job Characteristics Model (JCM) (1976) of Hackman and Oldham. The reason why this model was chosen was because this model was the most appropriate model given the nature of the study, even though there are other models available. A brief overview of the other theoretical models namely; Maslow's (1943) hierarchy of needs and Herzberg's (1954) two factor theory of motivation are discussed as a starting point of this research study. Research librarians work under stressful conditions given the need to produce successful end results.
19
Walts, Nancy S. "Multidimensional assessment of cognitively impaired adults age 65 years of age and older." Virtual Press, 1988. http://liblink.bsu.edu/uhtbin/catkey/535895.
Full textAbstract:
The purpose of the study was to validate the use of the Geriatric Functional Rating Scale (GFRS) in assessing cognitively impaired individuals 65 years of age and older to determine the need for institutionalization. The population of interest consisted of individuals 65 years of age and older exhibiting cognitive impairment and residing in Delaware County, Indiana. A nonrandomized two-group experimental design was utilized for the study. Eighty subjects were selected from two subpopulations consisting of 40 institutionalized and 40 noninstitutionalized elderly.Two geriatric assessment tools were used for the study, the Mental Status Questionnaire (MSQ) and the Geriatric Functional Rating Scale (GFRS). The hypothesis for the study stated that the mean GFRS score of the noninstitutionalized subjects, the control group, would be significantly greater than the mean score of the institutionalized subjects, the experimental group.The MSQ scores as well as the means and standard deviations for the seven subscales of the GFRS were reported for the two groups. A one-tailed t-test was used to test the hypothesis. A decision with regard to the hypothesis was made at the .05 level.Findings of the study included the following:1. The subjects ranged in age from 65 to 92 years, were 90 percent female, and predominantly Protestant, 88 percent.2. The MSQ scores for the combined groups ranged from minimal cognitive impairment, 71 percent, to severe cognitive impairment, four percent.3. The total mean score on the GFRS for the institutionalized group was 6.8 indicating a need for institutionalization.4. The total score on the GFRS of the noninstitutionalized was over 10 times higher at 70.7.5. The noninstitutionalized group scored significantly higher in the GFRS (p<.00) than the institutionalized counterparts.In conclusion, the research supports the use of the Geriatric Functional Rating Scale in assessing the need for institutionalization in cognitively impaired individuals, 65 years of age and older in Delaware County, Indiana.Department of Educational Administration and Supervision
20
Andersson, Jesper, and Nilsson Maria Hedström. ""Dom kallade mig för Dampe och Erik för Hyper men jag tror inte dom menade något negativt" : En retrospektiv undersökning om unga vuxnas upplevelse av resursskola." Thesis, Stockholms universitet, Institutionen för socialt arbete - Socialhögskolan, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-139294.
Full textAbstract:
The purpose of this study was to examine how young adults who have been diagnosed with neuropsychiatric disabilities or other behavioural disorders reflect about the institution (resursskola) and how the institution has affected their identity. Earlier research has shown that categorization of pupils in school leads to deviation. The theoretical approaches were Stigma (Goffman, 1973), Asylums (Goffman, 1973) and a current identity theory. The aim has been to map the respondents’ life history through narrative life stories, and connect them to the context of the examination. Three qualitative semi-structured interviews were analysed using a narrative method, with inspiration from the hermeneutic interpretation model. The material was processed using a narrative content analysis. The themes were structured in chronological order through common themes raised by the respondents. The result shows that taking a student out of their context can cause a double stigmatisation. The respondents’ identities are understood as changing. The study shows that structural and organisational conditions were big influencing factors to the individual’s identity shaping. The result indicates that the institution contributed to stigmatisation and a feeling of alienation in other social environments. But it can also be positive if the respondents can identify themselves with the collective belonging.
21
Petkova, Hristina. "How gene tests travel : bi-national comparison of the institutional pathways taken by diagnostic genetic testing for Maturity Onset Diabetes of the Young (MODY) through the British and the German health care system." Thesis, University of Exeter, 2008. http://hdl.handle.net/10036/47558.
Full textAbstract:
Scientific developments in genetics receive great public and political attention. However, genetic tests as medical innovations need to travel from the laboratory to the individual patient in order to fulfil the goal that makes the science so attractive. A medical innovation has to pass through the institutions of diverse health care systems. This thesis compares how the structures of two very different health care systems in Europe (Germany and the UK) foster or hinder the diffusion of genetic technologies. It presents a detailed analysis of the institutional pathways involved in order to discuss whether and in which way the kind of medical innovation that genetic testing represents is accommodated. The case study used for analysing the passage of a genetic test in both countries is diagnostic testing for Maturity Onset Diabetes of the Young (MODY). This example has the idiosyncratic dimension that it had strong support by scientists and government when the UK Government prioritized genetics in health policy. However, MODY testing was chosen for this study because MODY is a ‘simple’ monogenetic test, and it is one of the few at present that are both reliable and lead to altered treatment with a better quality of life for the patient. MODY represents, according to the current state of genomic knowledge, a prime example of what genetics is likely to deliver at best over the coming decades. In brief, the comparison of the pathways MODY travelled and the degree to which it reached patients successfully shows that both systems are not optimally set up to exploit what MODY genetic testing has to offer, but that the vertical structure and centralization in the UK system fit the needs of genetic medical innovations better than the horizontal, diversified and market oriented structures dominating the German health care system.
22
Mendoza, Suárez Gladys Elsa. "Cumplimiento de los criterios clínicos, de laboratorio e imagenológicos para el diagnóstico de esclerosis múltiple : Instituto Nacional de Ciencias Neurológicas 2001-2010." Master's thesis, Universidad Nacional Mayor de San Marcos, 2014. https://hdl.handle.net/20.500.12672/3854.
Full textAbstract:
Introducción: La esclerosis múltiple (EM) es una enfermedad desmielinizante crónica que afecta al sistema nervioso central cuya característica principal es la destrucción selectiva de la mielina (áreas de desmielinización). Ninguna prueba individual proporciona información suficiente para diagnosticar EM, por lo cual los criterios de McDonald son usados para tal fin. Incluyen criterios clínicos, de laboratorio (bandas oligoclonales) e imagenológicos (resonancia magnética) lo cual nos permite un diagnóstico precoz de EM.
Objetivo: Determinar el cumplimiento de los criterios clínicos, de laboratorio e imagenológicos para el diagnóstico de esclerosis múltiple en el Instituto Nacional de Ciencias Neurológicas durante el 2001-2010
Método: Estudio no experimental de tipo observacional y descriptivo. Se obtuvieron 110 historias clínicas de pacientes con diagnóstico de EM, que fueron hospitalizados desde enero de 2001 hasta diciembre del 2010 en el INCN, de las cuales se consideraron 63 casos por cumplir los criterios de inclusión
Resultados: De 63 historias clínicas, 38 (60,3%) casos correspondían a mujeres, y 25 (39,7%) correspondían a varones. El 49.2% (31) de historias clínicas cumplieron los criterios diagnósticos para EM definida, el 28.6% (18) fueron calificadas como probable y 14 casos (22.2%) no cumplieron los criterios diagnósticos para esclerosis múltiple. El criterio clínico fue el principal para dirigir el diagnostico hacia la identificación de esta enfermedad.
Conclusiones: Más del 50% (32) de las historias clínicas revisadas no cumplieron con el registro mínimo necesario para el cumplimiento de criterios diagnóstico de EM. La anamnesis fue el mejor criterio clínico para el diagnóstico. No existe un registro adecuado de la información en las historias clínicas sobre los exámenes solicitados ni de los resultados obtenidos.Tesis
23
Amarante, Nadja Pessoa do. "Gestão do conhecimento no Instituto Federal de Educação, Ciência e Tecnologia de Brasília (IFB): um diagnóstico pelo método Organizational Knowledge Assessment (OKA)." Universidade Federal da Paraíba, 2015. http://tede.biblioteca.ufpb.br:8080/handle/tede/5933.
Full textAbstract:
Made available in DSpace on 2015-05-14T12:20:14Z (GMT). No. of bitstreams: 1
arquivototal.pdf: 5591898 bytes, checksum: 1a34a22174272a5a9444d595ab3b2834 (MD5)
Previous issue date: 2015-09-30Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES
In current knowledge society, the intensive use and proper management of intellectual capital and of intangible assets are been regarded as basic conditions for the success of organizations, both private and public, in that it proved as generators of value and wealth more important than capital and labor. In this scenario, the Knowledge management arises as a method to mobilize the organizational knowledge in order to achieve the strategic goals and to increase the business intelligence to respond to the environment with innovation and expertise, through the use of methodologies and specific technologies. In the public sector, by means of knowledge management, we seek the improvement of efficiency, effectiveness, responsiveness and quality of policies and public services provided to citizens and society. However, the implementation of Knowledge Management in an organization requires, firstly, the adoption of a process of measuring and evaluating their performance in an appropriate and systematic use of knowledge assets, identifying potentialities as well as gaps and areas for improvement, whose data and information can serve as a basis for building a strategic plan for knowledge management. In view of this, the objective of this study was to diagnose the current level of preparation in knowledge management of the Federal Institute of Education, Science and Technology of Brasília (IFB), higher, basic and professional education institution under the Ministry of Education. The research consisted of a case study of descriptive and exploratory approach, and had as target population IFB managers of high and middle management, selected from intentional criteria such as length of time enrolled in the institution and exercise of management position. Data collection and analysis of the results were based on the system of quantification and methodological procedures from the Organizational Knowledge Assessment Method (OKA), developed by the World Bank, with the purpose of evaluating the ability of organizations to mobilize information and knowledge in order to achieve their strategic objectives and add value to products and services, through people, processes and systems. Considering the reviewed literature and the final results of this study, it was concluded that the IFB has average performance in managing the processes of creation, capture, storage, transfer and application of knowledge, due to the short time of its inception, the installed organizational culture and the lack of formalization of a knowledge management program until the present date.
Na atual sociedade do conhecimento, o uso intensivo e a adequada gestão do capital intelectual e dos ativos intangíveis estão sendo vistos como condições básicas para o sucesso das organizações, tanto privadas quanto públicas, na medida em que se revelaram como geradores de valor e riquezas mais importantes que capital e trabalho. Neste cenário, a Gestão do Conhecimento surge como um método para mobilizar o conhecimento organizacional, tendo em vista o alcance dos objetivos estratégicos e o aumento da inteligência corporativa para dar resposta ao meio ambiente, com inovação e competência, a partir da utilização de metodologias e tecnologias específicas. No setor público, busca-se, por meio da Gestão do Conhecimento, a melhoria da eficiência, eficácia, efetividade e qualidade das políticas e dos serviços públicos prestados ao cidadão e à sociedade. Contudo, a implementação da Gestão do Conhecimento em uma organização exige, inicialmente, a adoção de um processo de medição e avaliação do seu desempenho no uso correto e sistemático de seus ativos de conhecimento, identificando potencialidades, assim como as lacunas e áreas a serem melhoradas, cujos dados e informações possam servir de base para a construção de um plano estratégico de Gestão do Conhecimento. À vista disso, o objetivo deste estudo foi diagnosticar o nível de preparação atual em Gestão do Conhecimento do Instituto Federal de Educação, Ciência e Tecnologia de Brasília (IFB), instituição de educação superior, básica e profissional, vinculada ao Ministério da Educação. A pesquisa constituiu-se em um estudo de caso, de abordagem descritivo-exploratória, e teve como população-alvo os gestores da alta e média gestão do IFB, selecionados a partir de critérios intencionais, tais como tempo de ingresso na instituição e em exercício de cargo de direção. A coleta de dados e a análise dos resultados foram feitas com base nos procedimentos metodológicos e no sistema de quantificação do método Organizational Knowledge Assessment (OKA), desenvolvido pelo Banco Mundial, com o propósito de avaliar a capacidade das organizações em mobilizarem informações e conhecimento para alcançar seus objetivos estratégicos e agregar valor a produtos e serviços, a partir das pessoas, processos e sistemas. Considerando-se a literatura revisada e os resultados finais deste estudo, concluiu-se que o IFB apresenta desempenho mediano na gestão dos processos de criação, captura, armazenamento, transferência e aplicação do conhecimento, em decorrência do pouco tempo de sua criação, da cultura organizacional instalada e da não formalização de um programa de Gestão do Conhecimento até a presente data.
24
Oliveira, Wagner Paes de. "Padronização e validação de uma reação em cadeia da polimerase (PCR) para a detecção da deleção delta F508 em pacientes com diagnóstico de fibrose cística acompanhados na unidade de pneumologia do Instituto da Criança." Universidade de São Paulo, 2003. http://www.teses.usp.br/teses/disponiveis/5/5141/tde-24092014-145038/.
Full textAbstract:
As amostras sangüíneas de 108 pacientes com diagnóstico clínico e laboratorial de Fibrose Cística foram analisadas com o objetivo de padronizar uma PCR clássica e uma PCR- ASO para a detecção da mutação delta F508. Dos 108 pacientes analisados, 23 eram homozigotos para a deleção delta F508 (21,29%), 50 eram heterozigotos (46,29%), e 35 não portadores (32,40%). Ambas as PCR apresentaram reprodutibilidade de 100%, e houve concordância absoluta entre os resultados deste estudo e aqueles dos laboratórios de referência. Concluímos que as padronizações propostas foram bem sucedidas, e recomendamos que os pacientes sejam testados com as duas técnicas, o que, encarece a investigação laboratorial, porém, aumenta significativamente o grau de confiabilidade dos resultadosBlood samples were drawn from 110 clinically and laboratory diagnosed Cystic Fibrosis patients in order to standardize one classical amplification and one ASO-PCR for detecting the delta F508 mutation. Twenty-four of 110 patients (21,8%) were homozygous for the delta F508 deletion, 51 were heterozygous, and the remaining 35 (31,8%) were non-carriers. Both PCR techniques presented with 100% reproducibility, and there were no discrepancies between our results and those from the reference laboratories. We concluded that the 2 amplification systems were successfully standardized in this study, and recommended that all patients should be tested by both techniques in order to increase reliability, albeit the increment of laboratory costs
25
Lui, Camille de la Cruz. "Reaproveitamento de materiais plásticos estéreis pelo tratamento por radiação gama: logística reversa de insumos laboratoriais em uma instituição de ensino superior." Universidade Nove de Julho, 2014. http://bibliotecadigital.uninove.br/handle/tede/1130.
Full textAbstract:
Submitted by Nadir Basilio (nadirsb@uninove.br) on 2015-07-20T17:18:11Z
No. of bitstreams: 1
Camille de la Cruz Lui.pdf: 2086241 bytes, checksum: 75ab05b8f15dc9046a3907a69abcc137 (MD5)Made available in DSpace on 2015-07-20T17:18:11Z (GMT). No. of bitstreams: 1 Camille de la Cruz Lui.pdf: 2086241 bytes, checksum: 75ab05b8f15dc9046a3907a69abcc137 (MD5) Previous issue date: 2014-11-14
The supply chain in the public or private educational institutions, focused on laboratory diagnosis in the health area should be managed according to standards of quality and relevant to biosafety laws. The cost and the optimization of the use of these materials is an important factor in health centers or diagnostic organizations, taking into account the reverse logistics leftover of packages of sterile supplies for improvement in sustainability. A health organization integrates as subsystem to serve the needs of inputs (consumption materials) and equipment (permanent material). These activities are complex and demand a specific mix of inputs, layered on a supply chain that incorporates sequences of actions defined for the generation of their products or procedures. The Supply Chain encompasses all activities related to the flux and transformation through which the product passes, since the raw materials to the final consumer. With the growing concern about the environment and the competitive nature of the market, the importance of the reverse flow of materials and products, has been taking larger proportions. The management of this reverse path of these materials, when compared to the direct flow of the supply chain, is called reverse logistics. The nosocomial infection affects around the world and is one of the causes of death in hospitalized patients, the sensitivity tests are shown to any microorganism that causes an infectious process requiring antimicrobial therapy. The preparation of the Petri dishes for antibiogram tests involves the use of sterile materials, which are often not fully utilized in a laboratory. This loss of leftover material is a break in the supply of an educational institution or diagnostic laboratory chain. The overall goal of this work is to identify how reverse logistics practices can influence the cost savings of a laboratory of an Institution of Higher Education (IHE), with the use of ionizing radiation treatment on plastic materials for sterile use, since after the package is opened and the no use of all the units of their content, makes it impossible to application of these materials in good condition, as the Petri dishes in microbiological testing in laboratories.
A cadeia de suprimentos nas instituições de ensino públicas ou privadas, voltadas para o diagnóstico laboratorial na área de saúde, deve ser gerenciada seguindo normas de qualidade e legislações pertinentes à biossegurança. O custo e a otimização do uso desses materiais é um fator importante nas organizações de saúde ou centros de diagnóstico, levando-se em consideração a logística reversa de sobras das embalagens de materiais estéreis para melhoria na sustentabilidade. Uma organização de saúde integra-se como subsistema para atender as necessidades de insumos (materiais de consumo) e de equipamentos (materiais permanentes). Essas atividades são complexas, e demanda um mix específico de insumos, assentadas sobre uma cadeia produtiva que incorpora sequências de ações definidas para a geração de seus produtos ou procedimentos. A Cadeia de Suprimentos ou Supply Chain compreende todas as atividades ligadas ao fluxo e à transformação pela qual um produto passa, desde a matéria-prima até o consumidor final. Com a crescente preocupação com o meio ambiente e a natureza competitiva do mercado, a importância do fluxo inverso de materiais e produtos, vem tomando maiores proporções. O gerenciamento desse caminho inverso dos materiais, quando comparado ao fluxo direto da cadeia de suprimentos, é chamado de logística reversa. A infecção hospitalar atinge o mundo todo e representa uma das causas de morte em pacientes hospitalizados, os testes de sensibilidade são indicados para qualquer microrganismo que cause um processo infeccioso que requeira terapia antimicrobiana. O preparo de placas de Petri para testes de antibiograma envolve a utilização de materiais estéreis, que muitas vezes não são utilizados na sua totalidade em um laboratório. Essa perda do material de sobra é uma quebra na cadeia de suprimentos de uma instituição de ensino ou laboratório de diagnóstico. O objetivo geral deste trabalho é identificar como práticas de logística reversa podem influenciar na redução de custos de um laboratório de uma Instituição de Ensino Superior (IES), com o emprego do tratamento por radiação ionizante em materiais plásticos para uso estéril, uma vez que após a abertura da embalagem e o não uso da totalidade das unidades de seu conteúdo, inviabiliza a aplicação destes materiais em bom estado, como as placas de Petri, em testes microbiológicos nos laboratórios.
26
Almendra, Filho José Horácio Gayoso e. "Um estudo exploratório do INTERPI na implementação da política fundiária do Estado do Piauí." reponame:Repositório Institucional do FGV, 2018. http://hdl.handle.net/10438/25684.
Full textAbstract:
Submitted by José Horácio Almendra Filho (horacio.almendra@hotmail.com) on 2018-10-30T15:09:14Z
No. of bitstreams: 1
TCC_Final_CAPES_Submissão.pdf: 4825920 bytes, checksum: 9ce00d6d32e1d0c327fadba5fcd4b6a9 (MD5)Approved for entry into archive by Mayara Costa de Sousa (mayara.sousa@fgv.br) on 2018-11-05T13:30:49Z (GMT) No. of bitstreams: 1 TCC_Final_CAPES_Submissão.pdf: 4825920 bytes, checksum: 9ce00d6d32e1d0c327fadba5fcd4b6a9 (MD5)
Approved for entry into archive by Isabele Garcia (isabele.garcia@fgv.br) on 2018-11-06T12:22:39Z (GMT) No. of bitstreams: 1 TCC_Final_CAPES_Submissão.pdf: 4825920 bytes, checksum: 9ce00d6d32e1d0c327fadba5fcd4b6a9 (MD5)
Made available in DSpace on 2018-11-06T12:22:39Z (GMT). No. of bitstreams: 1 TCC_Final_CAPES_Submissão.pdf: 4825920 bytes, checksum: 9ce00d6d32e1d0c327fadba5fcd4b6a9 (MD5) Previous issue date: 2018-10-11
Essa dissertação se debruça sobre a questão fundiária brasileira, em especial o estado do Piauí. O INTERPI (Instituto de Terras do Piauí), autarquia estadual responsável pela gestão fundiária, foi objeto dessa pesquisa. Aspectos históricos, sociais, geográficos e econômicos foram esmiuçados, de forma a propiciar uma análise esclarecedora dos fatos primordiais que moldaram o quadro atual. O resgate de eventos históricos, a partir da chegada dos portugueses em solo brasileiro no século XVI, concomitante os impactos do processo de ocupação territorial, balizaram o estabelecimento dos enredos considerados. O sudoeste do estado, conhecido também por “cerrado”, dado o seu potencial agrícola (soja) vis-à-vis os recentes conflitos agrários, recebeu a maior parte das atenções. A celebração de acordo do Governo do Estado junto ao Banco Mundial, em abril de 2016, disparou um conjunto de ações, no intuito de promover a regularização fundiária nessa região. Nesse sentido, diversos órgãos estaduais e federal integram essa iniciativa - INCRA, Secretaria do Meio Ambiente e Recursos Hídricos, Corregedoria Geral da Justiça e Ministério Público Estadual – constituindo uma força tarefa de regularização fundiária. Desde o início desse projeto, a Corregedoria Geral da Justiça assumiu o papel de protagonista das ações, em grande parte devido à premente necessidade de readequação dos cartórios regionais de registro de imóveis às boas práticas notariais. A atuação do INTERPI, à luz de suas atribuições legais, paralelamente a interação com a Corregedoria Geral da Justiça, revelou um potencial conflito de governança. Tendo esse cenário como pano de fundo, análises foram desenvolvidas e diagnósticos foram elaborados, subsidiando recomendações de ordem institucional, recursos humanos, tecnológicas e político-administrativas.
This dissertation focuses on the Brazilian land issue, especially the state of Piauí. The INTERPI (Land Institute of Piauí), a state authority responsible for land management, was the object of this research. Historical, social, geographic and economic aspects were scrutinized in order to provide an illuminating analysis of the primordial facts that shaped the current situation. The recovery of historical events, from the arrival of the Portuguese on Brazilian soil in the 16th century, concomitant with the impacts of the territorial occupation process, led to the establishment of the entanglements considered. The southwest of the state, also known as "cerrado", given its agricultural potential (soy) vis-à-vis recent agrarian conflicts, received the most attention. The signing of an agreement of the State Government with the World Bank in April 2016 triggered a series of actions aimed at promoting land regularization in this region. In this sense, several state and federal agencies are part of this initiative - INCRA, Secretariat of the Environment and Water Resources, General Corregidor of Justice and State Public Ministry - constituting a task force of land regularization. Since the beginning of this project, the Corregedoria Geral da Justiça has assumed the role of protagonist of the actions, in large part due to the urgent need to readjust the regional registries of real estate registration to good notary practices. INTERPI's performance, in light of its legal attributions, in parallel with its interaction with the Corregedoria Geral da Justiça, revealed a potential conflict of governance. Having this scenario as a background, analysis were developed and diagnoses were elaborated, subsidizing recommendations of institutional aspects, human resources practices, technological trends and political-administrative issues.
27
Nogueira, Leila de Mello Yañez. "Estabilidade versus flexibilidade: a dicotomia necessária à inovação na gestão de recursos humanos em uma organização pública, estatal eestratégica como Bio-Manguinhos / Fiocruz." reponame:Repositório Institucional da FIOCRUZ, 2009. https://www.arca.fiocruz.br/handle/icict/2500.
Full textAbstract:
Made available in DSpace on 2011-05-04T12:36:29Z (GMT). No. of bitstreams: 0
Previous issue date: 2009Este trabalho propõe analisar o fenômeno da terceirização desenvolvido ao longo das duas últimas décadas em Bio-Manguinhos. Trata-se de um estudo de caso realizado na unidade de produção de vacinas e reagentes para diagnóstico da Fundação Oswaldo Cruz. Inicialmente foi realizado um estudo de cenário, analisando a política de gestão do trabalho desenvolvida pelo Estado brasileiro para as instituições públicas. A seguir, a análise passou a verificar a inserção da Fiocruz nessas políticas, desde a sua criação e no decorrer de vigência de diferentes formas de contratação, alternando da extrema rigidez para a total flexibilidade sempre com foco na gestão do trabalho, e, como essas políticas se refletiram no desempenho de Bio-Manguinhos. Baseado no contexto da conformação do Estado e na análise do desempenho da unidade, o trabalho critica a falta de planejamento e de prospecção dessas políticas, que favoreça a inovação de processos, produtos e procedimentos e o desempenho pleno de uma unidade de produção de insumos para a saúde, tão necessários ao atendimento das necessidades da população brasileira. Critica também, a ausência de um modelo de Estado consolidado que sirva de arcabouço à formulação dessas políticas. Devido às fortes críticas dos órgãos de controle acerca da extrapolação dos limites da terceirização praticada nas últimas duas décadas e à falta de definição clara desses marcos legais, o trabalho apresenta uma metodologia baseada nas atribuições dos cargos do plano de carreiras da Fiocruz e culmina com a apresentação de uma matriz de atribuições passíveis de serem realizadas por contratação indireta. Conclui pela necessidade de convivência de dois quadros de trabalhadores: um permanente formado por servidores, estáveis e de carreira e outro flexível, executado por contratação indireta, de caráter eventual, temporário ou de apoio às atividades relacionadas à missão de Bio-Manguinhos. O trabalho ainda sugere a aplicação da mesma metodologia às demais unidades da Fiocruz e que a instituição afirme, frente aos órgãos de controle, quais atividades que ela precisa manter no quadro de servidores permanente e quais ela quer delegar a terceiros sem contudo, ferir a legislação vigente. Por fim, constata-se que a metodologia apresentada ameniza, mas não resolve o problema, dessa forma, recomenda-se à Fiocruz buscar mecanismos que altere o modelo de gestão pelo qual está submetida a fim de viabilizar as duas formas de incorporação de mão-de-obra.
28
Lo, Chia-Lun, and 羅家倫. "Human Resource Policy Diagnosis in Healthcare Institution: A System Dynamic Approach." Thesis, 2015. http://ndltd.ncl.edu.tw/handle/47m9td.
Full textAbstract:
博士國立中正大學
資訊管理學系暨研究所
103
In Taiwan, due to the aging of the popularity, medical demands have been increasing year by year. Medical institutions of different levels all require a huge amount of healthcare human resources. Bad quality of healthcare human resources can not only damage reputations of medical institutions but also influence patients’ safety. Thus, healthcare human resource planning is very important in the medical industry. As a result, care personal human resource loss in this field has been very high and becomes a very important issue, especially in non-urban areas with the elderly being the main part of population. This has created a vicious circle. Many hospitals in non-urban areas are facing the problem of human resource outflow. They can only passively adopt one by one single human resource policy to make adjustments. However, the healthcare field environment is complex with all the internal and external influential factors, human resource policies without systematic thought usually lead to failure. In this study, this problem is discussed in two parts. In the first part, we used system dynamics approach to build a micro-healthcare human resource model for the case hospital and performed a computer simulation on management policies the case hospital might adopt in a situation of insufficient human resources. The results of these policies were analyzed. Besides the model built for the problem, we included an external insurance system and a hospital management system to deal with the uncertainties and parameters in the system. However, too much uncertain information and stochastic nature could appear in the real world. Thus, in the second part, we combined the system dynamics and the fuzzy multi-objective programming integrated approach to predict the condition of healthcare human resource outflow and consumption of NHI expanses. The data used for the two decision support models, the experts interviewed, and the human resource outflow data in the recent five years were taken from the case hospital, a metropolitan hospitals in a non-urban area in North Taiwan. According to the simulation result in the first part, the methods currently applied in the healthcare institution were not effective to reduce healthcare workload. Rather, increasing new employees’ salaries and offering incentives before employees’ contract is due were more effective. In the second part, the simulation results shown if the GDP growth rate and population growth rate keep the same value, the whole growth rate of the health care institution of the case county was maintained about 3.813 and about 700 care staffs was added, it can keep balance between medical demand and supply and decrease the overloaded at work. Therefore, some local policies were also address. We believed that developing the self-care capabilities of the elderly, increasing integrated information platforms or automatic investments, increasing new investments and setting up subsidiary medical institutions in local universities, or re-organizing the institution’s level structure in that area could disperse the patient quantity and attract more care staffs efficiently improve the condition of human resource outflow.
29
Garcia-Neuer, Marlene. "Systematic diagnostic evaluation for immune-related colitis: a single institutional review of advanced melanoma patients treated with ipilimumab." Thesis, 2016. https://hdl.handle.net/2144/17019.
Full textAbstract:
Colitis can be a life-threatening immune-related adverse event (irAE) for patients with metastatic melanoma treated with immune checkpoint blockade, a new anti-cancer immunotherapy. With the increasing use of PD-1/PD-L1 and CTLA-4 inhibitors, particularly in combination in melanoma and other cancers, timely and accurate diagnosis of colitis will become increasingly important for oncologists. The main goal of this study is to understand the clinical presentation of ipilimumab-induced colitis and to validate the use of CT scans as a safe and effective diagnostic tool. We analyzed a cohort of 303 patients who received ipilimumab at Dana Farber Cancer Institute on an expanded access protocol or standard of care between the years of 2008 and 2015. Age, number of doses and frequency of ipilimumab doses were found to be clinical characteristics which could help differentiate patients who develop ipilimumab induced colitis from those who only present with diarrhea and other gastrointestinal symptoms. Of the 303 patients, 100 (33%) developed diarrhea and 43 (14%) received treatment with corticosteroids for ipilimumab-induced colitis. For all patients with suspected immune-related colitis, an effort was made to firmly establish the diagnosis prior to or immediately after initiation of treatment. Forty-one of 43 patients (95%) who received steroids for presumed immune-related colitis had a colonoscopy and 27 of 43 (63%) patients had both computed tomography (CT) of the abdomen/pelvis and a colonoscopy including biopsy. In the 31 patients with a CT and biopsy, CT was highly predictive of the presence of colitis on biopsy (sensitivity 85%, specificity 75%, PPV 96%) and the absence of CT findings was predictive of a negative biopsy (negative LR 0.2). In the 44 patients who had symptoms and CT evaluation, CT was highly predictive of the need for steroids to reach resolution of symptoms (sensitivity 85%, specificity 88%, PPV 92%, positive LR 7.3). Fifteen of the 17 patients with negative CT findings did not require steroids to reach resolution of symptoms. In conclusion, CT of the abdomen/pelvis is a fast, reliable, and non-invasive mode of diagnosing ipilimumab-induced immune-related colitis, whereas colonoscopy may not be needed to firmly establish that diagnosis
30
Rossi, Natasha Toni. "The Production of Autism Diagnoses within an Institutional Network: Towards a Theory of Diagnosis." Thesis, 2012. https://doi.org/10.7916/D8M90GPG.
Full textAbstract:
Autism is a neurodevelopmental disorder characterized by impairments in verbal and nonverbal communication and socialization, and behaviors that are restricted and repetitive in nature. As there is no cure, inherent in an autism diagnosis is a high degree of uncertainty, and prognosis is highly dependent on how the child responds to his or her individual treatment. Beginning with the empirical finding that all but two children undergoing assessment at an autism clinic received a diagnosis of the disorder, this dissertation argues for an institutional understanding of diagnosis. Parents and children are processed through a network of agents and organizations which eventually leads to the assignment of the diagnostic label of autism. Diagnosis is not an isolated act; rather, it is a prolonged process that is neither independent of the content of the diagnostic category itself nor its history. Based on participant observation, in-depth interviews and content analysis, I analyze the process through which parents and clinicians arrive at an autism diagnosis. I argue that the interests of parents and clinicians are not pre-conceived, motivational factors that direct their actions, but that their interests are constituted through interaction with the institutional matrix in which they are embedded. Parents do not enter this process wanting ambiguity about their child's potential, they wish for a cure; clinicians do not want to dispense ambiguous diagnoses, but aim at providing definitive prognoses. However, during the diagnostic process, the interests and actions of both are mutually adjusted to, and coordinated with, one another. From their initial interactions with Early Intervention therapists, parents learn how to identify the symptoms of autism in their children. They also learn how to find a physician who can diagnose autism, and how to obtain treatment services. In effect, children become patients-in-waiting, occupying a liminal state between health and disability, and parents enter a race against time to re-train aberrant neural pathways. In diagnostic interviews, clinicians alternate between narrative modes which frame autism as either a real disease, a performance, or a label with which to obtain services. Depending on parents' needs, clinicians switch between these different frames in order to re-translate parents' interests, ushering them from the temporality of cure to that of "one day at a time." Ultimately, I observed that nearly all children received a diagnosis of autism as a result of the clinic's positioning within the institutional funnel. Finally, this study describes the historical use of autism diagnostic instruments as they reveal the looping processes that have altered the autistic prototype as well as the alternating privileged status of parental and clinical expertise over time.
31
Fehr, Paige. "Psychiatry and eugenics: the classification and diagnosis of female patients in British Columbia’s psychiatric institutions, 1918-1933." Thesis, 2017. https://dspace.library.uvic.ca//handle/1828/8529.
Full textAbstract:
Between 1918 and 1933, the eugenic notion of “defective heredity” was central to psychiatric practice in British Columbia. Public and medical professionals’ concerns were heightened by an apparent increase in “insane” and “mentally deficient” individuals in the province. Using the annual reports for the asylums and the case files of women who were admitted to the Public Hospital for the Insane and to Essondale between 1918 and 1933, this thesis examines the relationship between psychiatric practice and eugenics, specifically how eugenically-minded asylum physicians classified and diagnosed female patients. Asylum physicians used admissions forms, patient interviews, observation, and inference to make diagnoses. Often, despite a lack of evidence, they concluded that patients had inherited a predisposition to mental disease. Women admitted to B.C.’s Public Hospital for the Insane and to Essondale were more likely than their male counterparts to have their mental condition linked to heredity. Any “eccentric” or “abnormal” behaviour or personality in the patient or their family was considered by asylum physicians to be evidence of a predisposition to mental disorder. Within the population of female asylum patients, racialized women were the most likely to be labeled as having “defective heredity.” Widespread racial discrimination in the province, combined with the fact that eugenic discourse targeted non-white citizens as being biologically and culturally inferior, shaped and influenced the asylum physicians’ classification and diagnoses of mental illness among racialized women. The experiences of these women during their incarceration were also shaped by racialized discourse and their behaviour was negatively stereotyped by asylum staff.Graduate
2018-08-17
32
Víravová, Jiřina. "Ohrožované dítě. Ohrožování dětí a jeho vztahový rámec u jedinců umisťovaných do diagnostického ústavu." Doctoral thesis, 2014. http://www.nusl.cz/ntk/nusl-335653.
Full textAbstract:
TITLE: Abused child: Child abuse and its referential framework in individuals placed to a diagnostic institute AUTHOR: Jiřina Víravová DEPARTMENT: The Department of Special Education SUPERVISOR: Doc. Boris Titzl, Ph.D. ABSTRACT: The submitted thesis focuses on the phenomenon of child abuse and neglect. The theoretical background for these issues had to be found in the science branches which have so far made the contribution to the explanation of the child abuse and neglect. Medicine (mainly traumatology) explains the mechanism of physical abuse, psychiatric- psychological approach not only enhances the topic with the psychical abuse and neglect, but also offers a backup to a non-moralizing explanation why abusing persons behave in such way. Sociological and ethological approach helps to understand the contextual factors which could foster the child abuse and neglect. The social work point of view is used to introduce the system of care of the abused children. Special pedagogy part of this thesis approaches the situation and education of the abused children mainly from the ethopedical point of view and reflects specific questions of institutional education. This part of the thesis is illustrated by real stories of abused and neglected children from the institutional education. In the research part of the...
33
Chang, Jen-Chieh, and 張人傑. "Institutional Governance of Earthquake Resistance Diagnosis and Seismic Reinforcement Regulation for Existing Private Buildings in Taiwan." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/t7tr89.
Full textAbstract:
碩士國立臺灣科技大學
營建工程系
105
The 1999 Jiji earthquake and 2016 Meinong earthquake in Kaohsiung caused substantial casualties and economic damage to private buildings, indicating that the seismic performance of private buildings in the Taiwan region lacked adequate improvement over the past 17 years. An earthquake simulation analysis involving building damage probability, total damaged floor area, and number of buildings damaged is conducted using the Taiwan Earthquake Loss Estimation System (TELES). In addition, this study also estimates the total construction project funding required by private buildings to comply with the seismic performance standard in Taiwan, according to the latest construction costs. An annual budget scheduling model for seismic assessment, retrofitting, and reconstruction work is planned after exploring feasible government and civil funding sources, while taking into account factors such as inflation. Using the findings of the aforementioned studies as a blueprint, the public’s burden, possible obstacles, and the possible extent and manner in which the public and private sectors can provide support are evaluated; at the same time, the Urban Renewal Act, Housing Act, Building Act, and the drafts currently still under review at the Legislative Yuan (Promotion Bill for the Seismic Assessment and Retrofitting of Existing Legal Buildings, Special Bill for Improving the Structural Safety of National Old Buildings) are reviewed and integrated; finally, the draft of the Act for the Promotion of Seismic Assessment and Retrofitting of Existing Buildings is planned accordingly, thus safeguarding people’s lives and property to promote national development and stability.
34
Lošťáková, Kateřina. "Děti z dětského domova." Master's thesis, 2011. http://www.nusl.cz/ntk/nusl-296368.
Full textAbstract:
This thesis deals with children from orphanages. The content of the theoretical part consists of the legislative framework of the issue, explaining basic concepts, description of historical development of institutional care and the scope of institutions of social and legal protection of children. The main objective is to monitor the situation of children's home of clients in the institutional education. Approach the situation before the regulation of institutional care during their stay in institutional care, not only in the orphanage itself, but also diagnostic facilities, and also after leaving the facility and must be included in everyday life. The practical part deals with how children stay in foster homes also affects their lives. Key terms Children's home, Institutional Education, alternative family care, socio-legal protection of children, family, Diagnostic Institute.
35
Petruželová, Irena. "Vývoj ústavní péče o děti a mladistvé v legislativním kontextu." Master's thesis, 2018. http://www.nusl.cz/ntk/nusl-384321.
Full textAbstract:
Institutional care for delinquent children and youth has a long tradition in our country. This care for morally disturbed and socially disadvantaged youngsters has undergone complex development and tens of years of proven improvement. Today, we can state that this system has continued to work on the traditional model of working with this client, and has continually developed it to best accept and respond to the current problems of our teenagers. However, the current situation regarding the care of this youth in institutions for institutional and protective care can be considered incomplete, it can be called a step backwards or even "liquidation" of some aspects of long- term work and efforts of workers in the area of institutional and protective education.
36
Buthelezi, Martha Agrineth. "An investigation of the factors that impact on the utilisation of voluntary HIV counselling and testing services at a wellness centre in a higher education institution." Thesis, 2014. http://hdl.handle.net/10321/1050.
Full textAbstract:
Submitted in fulfillment of requirements for the Degree of Masters in Technology: Nursing, Durban University of Technology. 2013This study investigated the factors that impact on the utilisation of voluntary HIV counselling and testing (VCT) service at a wellness centre in a higher education institution. Purpose: The purpose of the study was to identify factors that impact on the utilisation of VCT service in a higher education institution. Methodology: A quantitative descriptive survey research design was used to describe the phenomenon and to establish relationships between variables. Participants were selected randomly in order to obtain a broad representative sample in three strata. A formal structured close-ended questionnaire was used to collect data. The questionnaire was designed to focus on variables such as demographic data, environmental factors, enabling factors, predisposing and behavioural factors. Findings: No significant relationship was identified between knowledge of HIV, AIDS and VCT and high school attended in rural, township and urban areas. There was no significant relationship between environmental factors and utilisation of VCT. There was no association between predisposing factors such as risk of VCT and perceived benefits of VCT utilisation. There was no relationship between knowledge and consistency of condom use and utilisation of VCT. The majority of respondents stated that the VCT service was not user friendly and the attitude of the staff toward students was poor. There was no significant relationship between accessibility of VCT service and utilisation of VCT. There was a lack of utilisation of campus VCT services and the majority of respondents utilised other services. Conclusion: The study showed that respondents who knew about availability of VCT were likely to have used the facility. Respondents who showed positive
37
Stárková, Blanka. "Výchova dítěte s autismem v ústavní péči." Master's thesis, 2011. http://www.nusl.cz/ntk/nusl-379568.
Full textAbstract:
Graduation thesis deal about education children with autism in social care institutions. First part describes pervasive evolutionary disorders, it's etiology, clinical picture, diagnosis of autism and typical triads of disorder. This thesis also deals with institutions care, it's history and present situation in education care. Final part is research of social care institutions which take care persons with autism. Goal of the research is mapped situation education care for people with autism in social care institutions. Research methods are questionnaire, interview, content analysis. Research is complemented by case studies.
38
Lai, Wen-Tsung, and 賴文宗. "The Relationship of the Learning of Mental Calculation by Abacus and Mathematical Ability: An Enterprise Diagnosis of the Cultural and Educational Management by Institutional Theory and Perspective of Customers." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/26692044391591036018.
Full textAbstract:
碩士育達商業技術學院
企業管理所
97
This article is focus on the learning of mental calculation by abacus and mathematic ability from the enterprise diagnosis of the cultural and educational management by institutional theory and perspective of customers. The samples include 431 middle school mathematic teachers and 1226 second-year middle school students. The finding one revealed that the learning of the mental calculation by abacus was supported by middle school mathematic teachers but the better the students have basic mathematic skills the better performance come. The finding two revealed that the ability in mental calculation by abacus of the second-year middle school students have very little effects on their mathematic performance. Finally, give suggestions and limitations from the results.
39
Kordíková, Marta. "Augustin Navrátil a jeho disidentská činnost." Master's thesis, 2012. http://www.nusl.cz/ntk/nusl-305675.
Full textAbstract:
Augustin Navrátil This thesis addresses the life and work of Augustin Navrátil (1928-2003), a Roman- -Catholic activist from the Moravian township of Lutopecny near Kroměříž. A. Navrátil has not been subject of a complex publication yet, although he is the author of the largest petition demanding religious - and with that going hand in hand also civic - liberties in socialist Czechoslovakia (1988, 600 000 signatures). Followingly, this is the first attempt to biographically outline the personality and motivations of this farmer, politician (member of the party Lidova strana), man who signed Charta 77 but also a husband and father of nine children. The aim is to cover his life from his birth, over his family background to the beginnings and heights of his social engagement. The text will mainly deal with 22 open letters in which he drew attention to various illegal practices and actions of the Communist power, as well as with the three petitions he authored (1978, 1985 a 1988) and the samizdat (self-published) journal Křesťanské obzory (Christian horizons), which he published with a group of others from June 1988 to July 1990. In contrast to most Czech dissidents, he was never sentenced to a prison term for his activities, but he had to involuntarily undergo repeated psychiatric treatment. He was...