To see the other types of publications on this topic, follow the link: Emergency Mode of Orientation.

Dissertations / Theses on the topic 'Emergency Mode of Orientation'

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles

Select a source type:

Consult the top 46 dissertations / theses for your research on the topic 'Emergency Mode of Orientation.'

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

Johnson, Mindi Lynne. "Graduate Nurse Pediatric Emergency Nursing Orientation Program." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1605.

Full text
Abstract:
Research has found that the turnover rate of graduate nurses within their first year is significantly high. Specialties such as pediatric and emergency nursing have even a higher turnover rate. It has been suggested that significant amounts of stress and lack of skills are responsible for the turnovers. This quality improvement project, which is theoretically based on Benner's novice to expert theory, will examine if a lack of a specialized pediatric emergency graduate nurse orientation program is a contributing factor. The purpose of the project is to improve retention of graduate nurses by implementing a specialized orientation program that focuses on pediatric emergency nursing. The research question examined the effect of a specialized graduate nurse orientation program on increasing retention, nurses' competency, and job satisfaction. This project takes the hospital's original orientation program of 6 generalized classes and hands-on orientation and adds a more specialized approach. The Emergency Nurses Association (ENA) Core Curriculum of specialized skills and didactic classes for pediatric emergency nursing (developed by the ENA pediatric committee based on evidence and gold standard practice); evaluation tools (developed by researcher) for both the preceptor and orientee; and face-to-face meetings between the educator, preceptor and orientee were the tools used for specializing the orientation program. It is anticipated that the results will show that increase in retention. In terms of social change, it is anticipated increased nursing retention will increase nursing knowledge and job satisfaction, which will ultimately lead to improved patient outcomes and decreased mortality rates.
APA, Harvard, Vancouver, ISO, and other styles
2

Zaleski, Mary. "Development of an Evidence-Based New Graduate Nursing Orientation Program for the Emergency Department." Thesis, Walden University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3728024.

Full text
Abstract:
<p> The traditional new graduate nurse (NGN) orientation process places NGN with an experienced preceptor for 24 weeks and requires clinical skills checklists to be completed by the preceptor, a practice which is not an evidence-based practice for orienting NGNs. The purpose of this quality improvement project was to develop an evidence-based orientation to decrease time requirements and standardize the processes and evaluation of the NGN in the emergency department. The project was informed by Benner&rsquo;s novice to expert theory and focused on acquisition of clinical skills. The project team included 6 stakeholders: the Doctor of Nursing Practice student-leader, the unit manager, and several preceptors and novice nurses. The current evidence was identified utilizing various search terms via OVID, CINAHL, and MEDLINE. Five emergency department nurse residency programs and 7 rubric-based criterion articles were identified and evaluated. The team synthesized the available evidence to create the program. Resulting products included guidelines, evaluation rubrics, and projected pathways for ongoing development. Content validation was undertaken using peer review by 2 nurse scholars with area expertise, after which the project team revised all products based on feedback. Together, these products comprise an evidence-based solution to the problematic orientation of NGNs in the institution&rsquo;s emergency department. Adoption of methods that have proven valuable in undergraduate education, such as incorporation of syllabi and rubrics, may increase retention and improve clinical judgment in the NGN. These improved educational outcomes will, in turn, promote improved health outcomes for patients. Outcomes for the project will be monitored using retention rates and the results of the Casey-Fink Graduate Nurse Experience Survey.</p>
APA, Harvard, Vancouver, ISO, and other styles
3

Zaleski, Mary Ellen. "Development of an Evidence-Based New Graduate Nursing Orientation Program for the Emergency Department." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1560.

Full text
Abstract:
The traditional new graduate nurse (NGN) orientation process places NGN with an experienced preceptor for 24 weeks and requires clinical skills checklists to be completed by the preceptor, a practice which is not an evidence-based practice for orienting NGNs. The purpose of this quality improvement project was to develop an evidence-based orientation to decrease time requirements and standardize the processes and evaluation of the NGN in the emergency department. The project was informed by Benner's novice to expert theory and focused on acquisition of clinical skills. The project team included 6 stakeholders: the Doctor of Nursing Practice student-leader, the unit manager, and several preceptors and novice nurses. The current evidence was identified utilizing various search terms via OVID, CINAHL, and MEDLINE. Five emergency department nurse residency programs and 7 rubric-based criterion articles were identified and evaluated. The team synthesized the available evidence to create the program. Resulting products included guidelines, evaluation rubrics, and projected pathways for ongoing development. Content validation was undertaken using peer review by 2 nurse scholars with area expertise, after which the project team revised all products based on feedback. Together, these products comprise an evidence-based solution to the problematic orientation of NGNs in the institution's emergency department. Adoption of methods that have proven valuable in undergraduate education, such as incorporation of syllabi and rubrics, may increase retention and improve clinical judgment in the NGN. These improved educational outcomes will, in turn, promote improved health outcomes for patients. Outcomes for the project will be monitored using retention rates and the results of the Casey-Fink Graduate Nurse Experience Survey.
APA, Harvard, Vancouver, ISO, and other styles
4

Min, Alice A., Lisa R. Stoneking, Kriti H. Grall, and Karen Spear-Ellinwood. "Implementation of the Introductory Clinican Development Series: an optional boot camp for Emergency Medicine interns." Dove Press, 2014. http://hdl.handle.net/10150/617202.

Full text
Abstract:
UA Open Access Publishing Fund<br>Background: The transition from medical student to first-year intern can be challenging. The stress of increased responsibilities, the gap between performance expectations and varying levels of clinical skills, and the need to adapt to a new institutional space and culture can make this transition overwhelming. Orientation programs intend to help new residents prepare for their new training environment. Objective: To ease our interns’ transition, we piloted a novel clinical primer course. We believe this course will provide an introduction to basic clinical knowledge and procedures, without affecting time allotted for mandatory orientation activities, and will help the interns feel better prepared for their clinical duties. Methods: First-year Emergency Medicine residents were invited to participate in this primer course, called the Introductory Clinician Development Series (or “intern boot camp”), providing optional lecture and procedural skills instruction prior to their participation in the mandatory orientation curriculum and assumption of clinical responsibilities. Participating residents completed postcourse surveys asking for feedback on the experience. Results: Survey responses indicated that the intern boot camp helped first-year residents feel more prepared for their clinical shifts in the Emergency Department. Conclusion: An optional clinical introductory series can allow for maintenance of mandatory orientation activities and clinical shifts while easing the transition from medical student to clinician.
APA, Harvard, Vancouver, ISO, and other styles
5

Callachan, Edward. "Mode of transport to hospital among patients with ST Elevation Acute Myocardial Infarction (STEMI) in the Emirate of Abu Dhabi: correlates, physician and patient attitudes, and associated clinical outcomes." Doctoral thesis, University of Cape Town, 2017. http://hdl.handle.net/11427/25168.

Full text
Abstract:
Introduction: Acute coronary syndromes, including ST-elevation myocardial infarction (STEMI), are a leading cause of morbidity and mortality worldwide. Existing research shows that prehospital care provided by emergency medical services (EMS) can significantly improve outcomes. However, EMS remains grossly underutilised in Abu Dhabi despite a well-established presence. Objectives: In this three-part quantitative, observational study, we sought to (1) assess physicians' perceptions of, and recommendations for, utilization and improvement of EMS, (2) assess patients' awareness of EMS, mode of transport use in decision to seek care and reasons for their decision, and (3) establish if in the current study setting, mode of transport used has implications for in hospital adverse events, as well as short and long term clinical outcomes. The goal was to investigate both physicians' and patients' perceptions of prehospital STEMI care, as well as to assess the clinical correlates of the mode of transport in a patient's decision to seek care. Methods: We conducted the study in three phases. Phase 1: At four government-operated hospitals in Abu Dhabi, we administered surveys to a convenience sample of physicians involved in care of patients with acute coronary syndromes to measure (a) likelihood of recommending EMS, (b) satisfaction with EMS, (c) likelihood of using EMS for self or family, and (d) recommendations for prehospital care of acute coronary syndromes. Phase 2: We gathered mode of transport data from a purposive, non-random sample of 587 consecutive patients with STEMI over an 18-month period and conducted structured follow-up interviews to assess their perceptions of EMS. We conducted analysis to determine whether mode of transport was related to demographic variables. Phase 3: We collected medical records from patient participants and conducted structured follow-up interviews at 1, 6 and 12 months post discharge. We conducted chi square difference testing to determine the relationships among mode of transport, treatment times, and short- and long-term clinical outcomes. Variables included treatment times and associated outcomes. Results: Physician participants (n = 106) were most supportive of prehospital 12-lead ECG for STEMI, but indicated low satisfaction with existing EMS services in Abu Dhabi. Among STEMI patient participants (n = 587), EMS was underutilized in Abu Dhabi; over half (55%) of patients did not know the phone number to contact EMS, and only 14.7% used EMS in their decision to seek care. EMS-transported patients were more likely to receive timely treatment (door-todiagnostic ECG time, door-to-balloon time) and had lower incidence of mortality compared to privately-transported patients. Conclusions: These findings suggest a need to raise public awareness of EMS and its importance for coronary symptoms in Abu Dhabi. Broader application of prehospital ECG, including prehospital activation of cardiac catheterization labs, bypassing non-interventional cardiology centres, and admission directly to facilities that provide these services without initial admission to the emergency department, could help improve physicians' perceptions of EMS and outcomes for patients with STEMI.
APA, Harvard, Vancouver, ISO, and other styles
6

Li, Jingchuan. "Adaptive sliding mode observer and loss minimization for sensorless field orientation control of induction machine." Columbus, Ohio : Ohio State University, 2005. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1132428071.

Full text
APA, Harvard, Vancouver, ISO, and other styles
7

Yeung, Man-pun. "A review of the mode of service delivery of emergency ambulance service (EAS) in Hong Kong." Click to view the E-thesis via HKUTO, 2006. http://sunzi.lib.hku.hk/hkuto/record/B36443062.

Full text
APA, Harvard, Vancouver, ISO, and other styles
8

Yeung, Man-pun, and 楊文彬. "A review of the mode of service delivery of emergency ambulance service (EAS) in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2006. http://hub.hku.hk/bib/B36443062.

Full text
APA, Harvard, Vancouver, ISO, and other styles
9

Ribaric, Adrijan Petar. "Orientation Invariant Characteristics of Deformable Bodies in Multibody Dynamics." Diss., The University of Arizona, 2012. http://hdl.handle.net/10150/238644.

Full text
Abstract:
In multibody systems, mechanical components (bodies) can be assumed rigid (non-deformable), if their deformation is negligible. For components with non-negligible deformations several methods were developed to represent their deformation. The most widely used method is the floating frame of reference. In this formulation the deformable body is represented by a finite element model whose deformation is described with respect to a local body-fixed frame. Unfortunately, finite element models can include many degrees-of-freedom, which stand in contradiction to the requirements of multibody dynamics. System truncation is therefore inevitable to support computational efficiency. The use of modal data in representing a deformable body is well understood in the multibody community. By truncating modes associated with higher frequencies, the total degrees-of-freedom of the deformable body can be reduced while preserving its dynamic eigen-properties. However, since the finite element model may be in contact with other moving bodies, the reduction technique needs to address the issue of moving boundary conditions. The component mode synthesis reduction methods are such techniques that describe the deflection of all the nodes as a superposition of different types of modes. However, it is limited in the fact that the nodes in contact need to remain in contact throughout a simulation. In some applications these nodes may change, i.e. a node that is in contact with another body or the ground at one instant may become free at the next instant. The present methodologies in multibody modeling of a deformable body with modal data have not yet addressed the issue of changing contact nodes. This research highlights the usefulness of orientation invariant characteristics of some deformable bodies. It proposes to define orientation invariant degrees-of-freedom of the reduced model in Eulerian space, while the remaining degrees-of-freedom are defined in Lagrangian space. In some circumstances, this approach can resolve the issue of changing contact nodes. The combination of Eulerian and Lagrangian formulation for component mode synthesis reduced finite element models is a new concept in deformable multibody dynamics.
APA, Harvard, Vancouver, ISO, and other styles
10

Lachance, Zachary Thomas. "Polarization Modulated-Infrared Reflectance Absorbance Spectroscopy Of Orientation And Binding Mode Of Pentafluorobenzyl Acid Modifiers On Indium Zinc Oxide." Thesis, The University of Arizona, 2015. http://hdl.handle.net/10150/556967.

Full text
Abstract:
Understanding the orientation of small organic acid modifiers on metal oxide electrodes is important in advancing the field of organic photovoltaics (OPVs). In this work, the orientation of a group of these small organic acid modifiers will be investigated on indium zinc oxide (IZO). Polarization modulation-infrared reflectance-absorbance spectroscopy (PM-IRRAS) is the primary technique used to determine these orientations. In order to determine orientations from PM-IRRAS data, other chemical and physical properties of the modifiers, such as density and surface coverage, must be experimentally determined. Neutral buoyancy is used to determine the density of the modifiers, while X-ray photoelectron spectroscopy (XPS) is used to estimate surface coverage of these modifiers on IZO. These techniques are also used to determine binding mode of these modifiers on IZO. The tilt angles (θ) were found to be 50 ± 3°, 64 ± 2°, and 43 ± 3° for F₅BnPA, F₅BnCA, and F₅BnHA, respectively, meaning that the phenyl ring in F₅BnHA is more perpendicular to the surface while the phenyl ring in F₅BnCA more parallel to the surface. All three modifiers were also found to bind to IZO in a bidentate manner. In contrast, F₅BnSA etches away significant portions of the IZO substrate.
APA, Harvard, Vancouver, ISO, and other styles
11

Ray, Zachary J. "Hand Orientation Feedback for Grasped Object Slip Prevention with a Prosthetic Hand." University of Akron / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=akron1461181998.

Full text
APA, Harvard, Vancouver, ISO, and other styles
12

Gabriel, Alejandra K. "Increasing Patient Satisfaction in a Rural Hospital Emergency Department| A Quality Improvement Project Using Failure Mode & Effects Analysis." Thesis, The University of Arizona, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10810339.

Full text
Abstract:
<p> Over 59 million US residents live in rural areas where they cannot easily access healthcare services. Well-documented disparities between rural and urban healthcare access led the federal government to certify and financially support Critical Access Hospitals (CAHs), which offer rural healthcare services and 24/7 emergency care. Many CAHs are in dire financial distress, and some are looking to increase their patient population volume to improve financial health and ensure continued operations. It is a well-known business truism that satisfied customers are return customers. Today many patients' first encounter with a hospital is with the emergency department (ED). Thus, it is likely that increasing patient satisfaction with their ED visits in a CAH can be expected to increase the chance that they will return for additional care. </p><p> All hospitals engage in quality improvement (QI) activities. Many papers outline efforts by QI teams to implement one or a few predetermined interventions with mixed results. Because patients in an ED are subject to a variety of processes in the ED and other hospital departments, improving patient satisfaction in the ED demands a comprehensive approach. This paper focuses on the QI processes and tools used by the QI team in a CAH that developed a comprehensive list of (56) short- and long-term interventions to take place over five years to improve patient satisfaction in the ED. For this hospital, two aspects of the project deserve mention: </p><p> 1. The use of Failure Mode and Effects Analysis (FMEA): The FMEA is a QI tool developed by the military to address complex problems. Although it has been adapted for use in healthcare QI, in the author's experience, it has not always been fully implemented. The QI team completed a traditional, full, two-part FMEA. In completing both parts of a traditional FMEA, the team first identified and individually analyzed each known or potential failure in the care of an ED patient and potential interventions that could prevent each failure. Then, after careful analysis of all potential interventions, the QI team chose those most likely to succeed and began implementing a sequenced schedule of interrelated interventions deemed most likely to improve care and patient satisfaction. </p><p> 2. Learner-Centered Teaching: QI projects typically use learner-centered teaching methods that, according to Social Cognitive Theory, improve participants' general self-efficacy, which is the likelihood of choosing difficult problems to solve and persisting when faced with challenges. The hospital's project team members' self-efficacy scores increased after participating on the team. Post-project interviews with team members indicate they feel better equipped to solve other problems and have begun to plan other QI projects because they understand other areas' processes, they know who should participate on projects, and they better understand QI processes and tools.</p><p>
APA, Harvard, Vancouver, ISO, and other styles
13

Dunlap, Jeffrey Robert. "Study of grain refinement in Al alloy 2519 using backscatter orientation-contrast mode in the scanning electron microscope." Thesis, Monterey, California. Naval Postgraduate School, 1992. http://hdl.handle.net/10945/23781.

Full text
APA, Harvard, Vancouver, ISO, and other styles
14

Al, Essa Fares Mohammed. "Approaches and solutions to hospital emergency department overcrowding including failure mode and effect analysis as a risk assessment technique of real-time locating system." Thesis, University of Exeter, 2013. http://hdl.handle.net/10871/16063.

Full text
Abstract:
Emergency Departments (ED) are highly dynamic environments comprising complex multi-dimensional patient-care processes. In recent decades, there has been increased pressure to improve ED services, while taking into account various aspects such as clinical quality, operational efficiency, and cost performance. Overcrowding has become a major barrier to receiving a proper and timely emergency care in many acute hospitals throughout the world. Patients often face long waiting times to be seen and treated. Those who require admission may even wait longer. The scope of this research is to focus on ED factors that lead to overcrowding and their management. Technology is being cited as one of the management tools, specifically the utilization of Radio Frequency Identification (RFID) for tracking patients as their journey progresses through an ED. Like any technology, RFID has potential and pitfalls. The author chose to use Failure Mode and Effect Analysis (FMEA) as a tool to explore the possible failures of RFID technology as it is utilized in one of the ED in Riyadh Military Hospital (RMH). This particular ED has been used as a case study to explore those failures and, with the use of FMEA, propose a set of recommendations to address those failures and improve the design and implementation of RFID. The experience of RMH-ED was explored through interviews and a survey in which 100 participants took part. The survey touched upon various aspects of this experience. This was due to the various roles of the surveyed staff who were involved with this technology. These roles ranged from front line clinical staff to administrative staff, management staff and technical support staff. Data analysis showed convincing evidence of the positive impact RFID had on managing ED overcrowding. However, and as expected, there are some pitfalls and failures that FMEA helped identifying and suggested potential solutions to them. RFID is a small link in the chain of other technological innovations and solutions. It is by no means capable of solving the problems associated with ED overcrowding by itself. Most of the search carried out by the author identified large variation in approaches to dealing with the issue of ED overcrowding. Those ranged from applying more human resources to altering the pathways of managing patients journey through healthcare system to applying more intermediate layers of management to ease the pressure of the Emergency departments. Other approaches included some aspects of technology such as development of early warning systems that have not been widely adopted and remained as isolated efforts.
APA, Harvard, Vancouver, ISO, and other styles
15

Nicoli, Edoardo. "Characterization of Mixed-Mode Fracture Testing of Adhesively Bonded Wood Specimens." Diss., Virginia Tech, 2010. http://hdl.handle.net/10919/28372.

Full text
Abstract:
The primary focus of this thesis was to investigate the critical strain energy release rates (G) for mixed-mode (I/II) fracture of wood adhesive joints. The aims of the study were: (1) quantifying the fracture properties of two material systems, (2) analyzing the aspects that influence the fracture properties of bonded wood, (3) refining test procedures that particularly address layered orthotropic systems in which the layers are not parallel to the laminate faces, of which wood is often a particular case, and (4) developing testing methods that enhance the usefulness of performing mixed-mode tests with a dual-actuator load frame. The material systems evaluated experimentally involved yellow-poplar (Liriodendron tulipifera), a hardwood of the Magnoliaceae family, as adherends and two different adhesives: a moisture-cure polyurethane (PU) and a phenol/resorcinol/-formaldehyde (PRF) resin. The geometry tested in the study was the double cantilever beam that, in a dual-actuator load frame, can be used for testing different levels of mode-mixity. The mixed-mode loading condition is obtained by applying different displacement rates with the two independently controlled actuators of the testing machine. Characteristic aspects such as the large variability of the adhesive layer thickness and the intrinsic nature of many wood species, where latewood layers are alternated with earlywood layers, often combine to confound the measures of the critical values of strain energy release rate, Gc. Adhesive layer thickness variations were observed to be substantial also in specimens prepared with power-planed wood boards and affect the value of Gc of the specimens. The grain orientation of latewood and earlywood, materials that often have different densities and elastic moduli, limits the accuracy of traditional standard methods for the evaluation of Gc. The traditional methods, described in the standards ASTM D3433-99 and BS 7991:2001, were originally developed for uniform and isotropic materials but are widely used by researchers also for bonded wood, where they tend to confound stiffness variations with Gc variations. Experimental analysis and analytical computations were developed for quantifying the spread of Gc data that is expected to be caused by variability of the adhesive layer thickness and by the variability of the bending stiffness along wooden beams.<br>Ph. D.
APA, Harvard, Vancouver, ISO, and other styles
16

Лебедка, Сергій Миколайович, Сергей Николаевич Лебедка, Serhii Mykolaiovych Lebedka, С. А. Білоковаленко та Р. С. Старшиков. "Розрахунки аварійних режимів в кабельних мережах 6 кВ". Thesis, Сумський державний університет, 2016. http://essuir.sumdu.edu.ua/handle/123456789/46139.

Full text
Abstract:
Метою роботи є розрахунки аварійних режимів при однофазних замиканнях на землю (ОЗЗ) в кабельних мережах напругою 6 кВ, що виконані із застосуванням комп’ютерної моделі у середовищі MATLAB-Simulink-SimPowerSystems. Як розрахункова схема використовується частина кабельної мережі, що живиться від підстанції «Кіровська» (м. Суми) і має сумарну протяжність 21,5 км.
APA, Harvard, Vancouver, ISO, and other styles
17

Shin, Seon-Mee. "Rapports sociaux d'enseignement : le "Mode de Production de la Force de Travail (MPFT)" et les rapports sociaux d'enseignement : la gestion des flux scolaires dans les systèmes scolaires de Corée du sud et de France." Paris 8, 2002. http://www.theses.fr/2002PA082082.

Full text
Abstract:
Pour comprendre la production de la force de travail à l'école, la thèse propose le concept de "Mode de Production de la Force de Travail (MPFT)", constitué des "forces éducatives" et des "rapports sociaux d'enseignement", en s'appuyant sur les écrits d'ALTHUSSER. La thèse analyse ensuite ces rapports en matière de gestion des flux scolaires, particulièrement dans les contextes de la réorganisation du second cycle en Corée du sud (1990-1995) et de la mise en place de la politique des 80% en France (1980-1992) en utilisant des données statistiques, des études antérieures et des documents officiels. Selon les résultats d'analyse, non seulement l'ordre hiérarchique et l'opposition entre les éléments dans les rapports sociaux d'enseignement, mais aussi la nature de ces éléments, le rythme de développement des rapports, leur articulation avec les forces éducatives et leurs conditions économiques sont différents entre les deux pays<br>In order to understand the production of labour force through the school system, the thesis proposes the concept of "Mode of Production of the Labour Force (MPLF)" on the base of ALTHUSSER's theories. It is composed of the "forces of education" and the"social relations of education. " The thesis analyzes these relations within the context of deciding on the orientation of pupils in secondary schools, particularly as regards "high school structure reform" in Korea (1990-1995) and the implementation of the "80% policy" in France (1980-1992). We used statistics on education and labour, previous studies and official documents. The main focus of the analysis is the hierarchical order and the opposition between the different elements within social relations of education. The thesis analysed also the articulation of the different contradictions : contradiction within the social relations of education, contradiction of the forces of education, contradiction within the relations of production
APA, Harvard, Vancouver, ISO, and other styles
18

Pelaccia, Thierry. "Comment les médecins urgentologues raisonnent-ils au regard des spécificités de leur cadre et de leur mode d'exercice ?" Thesis, Strasbourg, 2014. http://www.theses.fr/2014STRAG034/document.

Full text
Abstract:
Introduction : l'aptitude à prendre des décisions est cruciale en médecine d'urgence. Notre étude avait pour objectif de mieux comprendre comment les médecins urgentistes prennent des décisions. Méthode : nous avons réalisé une étude qualitative basée sur des entretiens semi-structurés avec des urgentistes. Les entretiens ciblaient la gestion d'une situation d'urgence courante. Ils reposaient sur la visualisation d'une vidéo de l'activité enregistrée en perspective subjective située. Résultats : plusieurs résultats sont originaux. Nous avons en particulier montré le rôle central joué par l'intuition dans la prise de décisions. Par ailleurs, nous avons mis en évidence la façon dont les médecins urgentistes génèrent et hiérarchisent les hypothèses diagnostiques. Conclusion : l'usage d'une approche méthodologique innovante nous a permis de mieux comprendre la façon dont les urgentistes prennent des décisions, avec plusieurs implications pour la formation<br>Introduction: the ability to makes decisions is a crucial skill in emergency medicine. Our study aimed at revealing how and when emergency physicians make decisions during the patients' initial management. Methods : we carried out a qualitative research project based on semistructured interviews with emergency physicians. The interviews concerned management of an emergency situation during routine medical practice. They were associated with viewing the video recording of emergency situations filmed in an “own-point-of-view” perspective. Résults : many results are original. Specifically, we showed the major role played by intuition in the decision making process. Moreover, we revealed the way emergency physicians generate and evaluate diagnostic hypotheses. Conclusions : the use of an innovative research method allowed us to better understand the way emergency physicians make decisions in their everyday practice. Our results are associated with several implications for medical education
APA, Harvard, Vancouver, ISO, and other styles
19

Nguyen, The Thuong. "Etude du vieillissement cutané par microspectroscopie vibrationnelle : mise en évidence d’altérations affectant le collagène I dermique." Thesis, Reims, 2013. http://www.theses.fr/2013REIMS034/document.

Full text
Abstract:
La peau est un organe particulier de l'organisme dont la fonction principale est un rôle de protection vis-à-vis du milieu extérieur. Cette fonction est assurée grâce à la structure du tissu cutané en trois couches (épiderme, derme, hypoderme). Le derme est responsable de la résistance et de la souplesse de la peau. Le composant moléculaire majeur du derme est le collagène de type I, qui est fortement altéré au cours du vieillissement chronologique. Dans ce contexte, notre étude a pour objectif d'évaluer les modifications moléculaires du collagène dermique associées au vieillissement cutané par spectroscopies vibrationnelles (diffusion Raman et absorption infrarouge). Par déconvolution de la bande Amide I du signal Raman, nous avons mis en évidence, en fonction de l'âge de la peau, des modifications au niveau des interactions entre le collagène et les molécules d'eau ; ce qui reflète un espacement croissant des faisceaux de fibres de collagène au cours du vieillissement. En micro-imagerie infrarouge polarisée, le ratio des bandes Amide I/ Amide II permet d'évaluer l'orientation des fibres de collagène qui deviennent parallèles à la surface de la peau lors du vieillissement. Des expérimentations préliminaires ont également montré la possibilité de localiser sans marquage la jonction dermo-épidermique de la peau grâce aux caractéristiques spectrales du collagène de type IV. Une analyse ciblée de cette structure nécessite de développer de nouveaux instruments basés sur la spectroscopie en champ proche (Tip Enhanced Raman Scattering, NanoIR) ; ce qui devrait permettre de suivre les altérations du collagène de type IV au cours du vieillissement cutané<br>Skin is a particular organ of the body whose the main function is a protective role towards the external environment. This function is provided by the structure of skin tissues in three layers (epidermis, dermis, hypodermis). The dermis is responsible for the strength and elasticity of the skin. The major molecular component of the dermis is the type I collagen, which is strongly altered during chronological aging. In this context, our study aims at evaluating the molecular modifications of the dermal collagen associated with skin aging by vibrational spectroscopy (Raman diffusion and infrared absorption). Using curve-fitting of Raman Amide I band, modifications in the interactions between collagen and water molecules were highlighted depending of the donor age. Such result reflects an increasing spacing of the collagen fiber bundles during aging. In addition, the collagen fibers orientation can be evaluated from the amide I/ amide II ratio calculated in polarized infrared micro-imaging. It appeared that the collagen fibers become orientated parallel to the skin surface with aging. Preliminary experiments showed also the ability to localize in a label-free manner the dermo-epidermal junction of the skin using the spectral characteristics of type IV collagen. A precise analysis of this structure requires the development of new instruments based on near-field spectroscopy (Tip Enhanced Raman Scattering, NanoIR); which could permit to follow the collagen IV alterations during skin aging
APA, Harvard, Vancouver, ISO, and other styles
20

Ващенко, Ярослав Васильович. "Удосконалення технології діагностування стану тягового асинхронного електроприводу рухомого складу". Thesis, Український державний університет залізничного транспорту, 2016. http://repository.kpi.kharkov.ua/handle/KhPI-Press/22714.

Full text
Abstract:
Дисертація на здобуття наукового ступеня кандидата технічних наук за спеціальністю 05.22.09 – електротранспорт. – Національний технічний університет "Харківський політехнічний інститут", Харків, 2016 р. Дисертація присвячена вирішенню науково-технічної задачі по удосконаленню технології діагностування стану тягового асинхронного електроприводу рухомого складу на основі застосування діагностичних ознак, що свідчили б про настання аварійних режимів, а також розробці технологій, методів та алгоритмів, що дозволили б виявляти та упереджувати подальший розвиток таких режимів. Для виконання досліджень розроблені комп'ютерні математичні імітаційні моделі тягового асинхронного електроприводу, в яких враховуються особливості аварійних режимів в залежності від системи управління, насичення магнітного кола асинхронного двигуна та ін. Виконано експериментальне підтвердження адекватності розроблених імітаційних моделей з реальним тяговим приводом для рухомого складу. На основі розроблених моделей досліджено електромагнітні процеси, що відбуваються в аварійних режимах, що дозволило якісно та кількісно їх оцінити, а також визначити придатні для діагностування характерні ознаки. Розроблено технології діагностування на основі гармонічного аналізу сигналу та на основі математичної моделі об'єкту, проведено комп'ютерну перевірку та підтверджено ефективність роботи таких методів. Для здійснення автоматизації прийняття рішення використано моделювання математичного алгоритму штучних нейромереж.<br>Thesis for a candidate degree by speciality 05.22.09 – Electric transport. – National Technical University "Kharkiv Polytechnical Institute", Kharkiv, 2016. Dissertation is devoted to solving scientific and technical targets improving technology of diagnosing state for traction asynchronous drive electric rolling stock by detecting abnormally dangerous and emergency modes operation and their identification, which allowed to develop methods for early detection and prevention of drive elements failure when it malfunctions occur, as well as minimizing operational costs. The analysis of existing technologies, techniques and methods for diagnosis and protection traction asynchronous drive showed that the most promising in comparison with the existing protection systems of rolling stock, which operate on the principle of control deviations of parameters and prevent the development of emergency modes, there are diagnostics technology provides detection and localization of failures in the early stages. Improved diagnosis technology based on the object model of traction induction motor by using the extended Kalman filter that can detect damage to the stator and rotor windings of traction induction motor, for which proposed to use statistical criteria in real time for assessing its effectiveness To automate the decision approach applied mathematical algorithm simulation based on artificial neural networks for diagnostic feature variable speed oscillation induction motor rotor frequency, with which is possible to exercise effective intellectual automatic fault detection when using simple logical principles is not enough. Developed diagnosis methods are expand existing protection technologies including real technical state of asynchronous traction electric drive and allowing to perform timely malfunctions detection and automatic decision-making to prevent further development of emergency operation, thereby increasing efficiency and reliability traction drive operation.
APA, Harvard, Vancouver, ISO, and other styles
21

Ващенко, Ярослав Васильович. "Удосконалення технології діагностування стану тягового асинхронного електроприводу рухомого складу". Thesis, НТУ "ХПІ", 2016. http://repository.kpi.kharkov.ua/handle/KhPI-Press/22713.

Full text
Abstract:
Дисертація на здобуття наукового ступеня кандидата технічних наук за спеціальністю 05.22.09 – електротранспорт. – Національний технічний університет "Харківський політехнічний інститут", Харків, 2016 р. Дисертація присвячена вирішенню науково-технічної задачі по удосконаленню технології діагностування стану тягового асинхронного електроприводу рухомого складу на основі застосування діагностичних ознак, що свідчили б про настання аварійних режимів, а також розробці технологій, методів та алгоритмів, що дозволили б виявляти та упереджувати подальший розвиток таких режимів. Для виконання досліджень розроблені комп'ютерні математичні імітаційні моделі тягового асинхронного електроприводу, в яких враховуються особливості аварійних режимів в залежності від системи управління, насичення магнітного кола асинхронного двигуна та ін. Виконано експериментальне підтвердження адекватності розроблених імітаційних моделей з реальним тяговим приводом для рухомого складу. На основі розроблених моделей досліджено електромагнітні процеси, що відбуваються в аварійних режимах, що дозволило якісно та кількісно їх оцінити, а також визначити придатні для діагностування характерні ознаки. Розроблено технології діагностування на основі гармонічного аналізу сигналу та на основі математичної моделі об'єкту, проведено комп'ютерну перевірку та підтверджено ефективність роботи таких методів. Для здійснення автоматизації прийняття рішення використано моделювання математичного алгоритму штучних нейромереж.<br>Thesis for a candidate degree by speciality 05.22.09 – Electric transport. – National Technical University "Kharkiv Polytechnical Institute", Kharkiv, 2016. Dissertation is devoted to solving scientific and technical targets improving technology of diagnosing state for traction asynchronous drive electric rolling stock by detecting abnormally dangerous and emergency modes operation and their identification, which allowed to develop methods for early detection and prevention of drive elements failure when it malfunctions occur, as well as minimizing operational costs. The analysis of existing technologies, techniques and methods for diagnosis and protection traction asynchronous drive showed that the most promising in comparison with the existing protection systems of rolling stock, which operate on the principle of control deviations of parameters and prevent the development of emergency modes, there are diagnostics technology provides detection and localization of failures in the early stages. Improved diagnosis technology based on the object model of traction induction motor by using the extended Kalman filter that can detect damage to the stator and rotor windings of traction induction motor, for which proposed to use statistical criteria in real time for assessing its effectiveness To automate the decision approach applied mathematical algorithm simulation based on artificial neural networks for diagnostic feature variable speed oscillation induction motor rotor frequency, with which is possible to exercise effective intellectual automatic fault detection when using simple logical principles is not enough. Developed diagnosis methods are expand existing protection technologies including real technical state of asynchronous traction electric drive and allowing to perform timely malfunctions detection and automatic decision-making to prevent further development of emergency operation, thereby increasing efficiency and reliability traction drive operation.
APA, Harvard, Vancouver, ISO, and other styles
22

Chi, Song. "Position-sensorless control of permanent magnet synchronous machines over wide speed range." Columbus, Ohio : Ohio State University, 2007. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1186974583.

Full text
APA, Harvard, Vancouver, ISO, and other styles
23

Mehazzem, Fateh. "Contribution à la commande d’un moteur asynchrone destiné à la traction électrique." Thesis, Paris Est, 2010. http://www.theses.fr/2010PEST1032/document.

Full text
Abstract:
Le travail présenté dans cette thèse a pour objectif d'apporter une contribution aux méthodes de commande et d'observation des machines asynchrones destinées à la traction électrique. Dans ce contexte, plusieurs algorithmes ont été développés et implémentés. Après une présentation rapide de la commande vectorielle classique, de nouvelles approches de commande non linéaire sont proposées : il s'agit plus précisément de la commande backstepping classique et sa variante avec action intégrale. Une deuxième partie est consacrée à l'observation et à l'estimation des paramètres et des états de la machine, basée sur des structures MRAS-modes glissants d'une part et sur des structures de filtrage synchrone d'autre part. Une analyse détaillée du problème de fonctionnement à basse vitesse nous a conduit à proposer une solution originale dans le cadre d'une commande sans capteur mécanique. Le problème de la dégradation du couple en survitesse a été traité par un algorithme de défluxage basé sur la conception d'un contrôleur de tension. Enfin, nous avons proposé un algorithme d'optimisation afin de minimiser les pertes dans l'ensemble Onduleur-Machine<br>The work presented in this thesis aims to contribute to the control and observation of the induction machines for electric traction. Several algorithms have been developed and implemented. After a fast presentation of the classical vector control, new approaches of non-linear control are proposed : the classical backstepping and integral backstepping. A second part deals with the observation and the estimation of parameters and states of the machine, based on MRAS-Sliding Mode structures on one hand and on synchronous filtering structures on the other hand. A detailed analysis of the operation at low speed led us to propose an original solution for a Sensorless control. The torque degradation in field weakening zone was treated by a voltage regulation controller. Finally, we proposed losses minimization algorithm for the Inverter-Machine set
APA, Harvard, Vancouver, ISO, and other styles
24

Liu, Jingbo. "Modeling, analysis and design of integrated starter generator system based on field oriented controlled induction machines." Columbus, Ohio : Ohio State University, 2005. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1132763176.

Full text
APA, Harvard, Vancouver, ISO, and other styles
25

Merheb, Abdel-Razzak. "Diagnostic and fault-tolerant control applied to an unmanned aerial vehicle." Thesis, Aix-Marseille, 2016. http://www.theses.fr/2016AIXM4367/document.

Full text
Abstract:
Les travaux de recherches sur la commande, le diagnostic et la tolérance aux défauts appliqués aux drones deviennent de plus en plus populaires. Il est judicieux de concevoir des lois de commande qui garantissent la stabilité et les performances du drone, non seulement dans le cas nominal, mais également en présence de fortes perturbations et de défauts.Dans cette thèse, un nouvel algorithme bio-inspiré adapté pour la recherche de solutions dans des problèmes d’optimisation est développé. Cet algorithme est utilisé pour trouver les gains des différents contrôleurs conçus pour les drones. La commande par mode glissant est utilisée pour développer deux contrôleurs passifs tolérants aux défauts pour les quadrirotors: un contrôleur par mode glissant augmentée avec un intégrateur, et un contrôleur par mode glissant implémenté en cascade. Parce que les commandes passives ont une robustesse réduite, une commande active par mode glissant est développée. Pour traiter les défauts extrêmes, un contrôleur d’urgence basé sur la conversion du quadrirotor en trirotor est développé. Les commandes actives, passives, et le contrôleur d’urgences sont ensuite intégrés pour former un contrôleur tolérant aux défauts capable de gérer un grand nombre de défaillances tout en garantissant les ressources actionneur et en limitant la charge de calcul du processeur. Finalement, des contrôleurs tolérants aux défauts, actifs et passifs, basés sur des méthodes par mode glissant du premier et deuxième ordre sont développées pour les octorotors. La commande active utilise des méthodes d’allocation de contrôles pour redistribuer les efforts sur les actionneurs sains, réduisant ainsi l’effet du défaut<br>Unmanned Aerial Vehicles (UAV) are more and more popular for their civil and military applications. Classical control laws usually show weaknesses in the presence of parameter uncertainties, environmental disturbances, and actuator and sensor faults. Therefore, it is judicious to design a control law capable of stabilizing the UAV not only in the fault-free nominal cases, but also in the presence of disturbances and faults. In this thesis, a new bio-inspired search algorithm called Ecological Systems Algorithm (ESA) suitable for engineering optimization problems is developed. The algorithm is used over the thesis to find optimal gains for the fault tolerant controllers. Sliding Mode Control theory is used to develop two Passive Fault Tolerant Controllers for quadrotor UAVs: Regular and Cascaded SMC. Because Passive Controllers handle a few numbers of faults, an Active Sliding Mode Fault Tolerant Controller using Kalman Filter is developed. To overcome severe faults and failures, an emergency controller based on the Quadrotor-to-Trirotor conversion maneuver is developed. The Controllers developed so far (Passive, Active, and emergency controllers) are then integrated to form the Integrated Fault Tolerant Controller (IFTC). The IFTC is a powerful controller that is able to handle a wide number of faults, and save actuator resources as well as processor computational effort. Finally, Passive and Active Fault Tolerant Controllers are designed for octorotor UAVs based on First Order and Second Order Sliding Mode Control. The AFTC uses Dynamic and Pseudo-Inverse Control Allocation methods to redistribute the control effort among healthy actuators reducing the effect of fault
APA, Harvard, Vancouver, ISO, and other styles
26

Benferhat, Ramdane. "Realisation d'un ellipsometre spectroscopique a modulation de phase fonctionnant dans l'infrarouge : application a l'etude des proprietes vibrationnelles de couches ultraminces organiques ou semiconductrices amorphes." Paris 6, 1987. http://www.theses.fr/1987PA066259.

Full text
Abstract:
Mise au point et realisation de l'appareil, dont le fonctionnement est base sur l'utilisation combinee d'un modulateur photoelastique et d'un traitement numerique rapide du signal; description detaillee du systeme optique et electronique. Application a l'etude des proprietes vibrationnelles de couches ultraminces des deux types : echantillons constitues de 1,3,9,19 monocouches organiques langmuir-blodgett et couches a-si:h de 50 a 500 a d'epaisseur, deposees sur verre. Mise en evidence de l'influence du substrat sur le mecanisme de depot et analyse de l'orientation des chaines aliphatiques dans le premier cas; dans le deuxieme cas l'etude montre que le materiau obtrenu au debut du depot est nettement different de celui des echantillons epais; identification des vibrations de valence des liaisons sim et sih::(2) sur couches de 5 a, effet de l'introduction du carbone dans a-si:h
APA, Harvard, Vancouver, ISO, and other styles
27

Miansoni, Camille. "Les modes de poursuite devant les juridictions pénales." Thesis, Paris 1, 2018. http://www.theses.fr/2018PA01D019/document.

Full text
Abstract:
La justice pénale française connait une diversification des modes de traitement des affaires qui lui sont soumises. Cette diversification résulte de facteurs endogènes et exogènes au système lui-même. Elle est le point de convergence de l'évolution des conceptions des phénomènes criminels, des attentes sociales pour une justice pénale efficace et, d'un nouveau mode de gestion de la justice. Les modes de poursuite traduisent une de logique de politique criminelle et, une logique de rationalisation du mode de management de la justice pénale. La notion de «modes de poursuite» devient une nouvelle catégorie juridique qui structure le traitement des délits. Sa portée théorique modifie l'approche de la poursuite. La diversification des modes de poursuite a des incidences sur la conception et la typologie du procès pénal et sur l'organisation des juridictions. Le procès pénal monolithique hérité du code d'instruction criminelle de 1808 devient un procès pluriel ayant une physionomie renouvelée et des finalités multiples. La poursuite pénale répond à des principes directeurs nouveaux ou renouvelés. La notion de «schéma d'orientation» illustre cette évolution. Une prise en compte législative de cette notion déboucherait sur une meilleure structuration de la réponse pénale. L'organisation de la chaîne pénale est également affectée, ainsi que la place des acteurs du procès. Des mécanismes de concertation et de délégation sont apparus. Le nouveau management judiciaire trouve appui sur cette diversification des modes de poursuite. Le procès pénal doit intégrer la transformation numérique qui devrait aboutir à la construction d'un procès pénal numérique<br>The French criminal justice currently goes through a diversification of cases treatment processes. This diversification is the result of many factors, both endogenous and exogenous. It is the focal point of the evolution in theoretical approaches regarding criminal phenomena, social expectations of an effective criminal justice, and of a new process of justice management. Prosecution choices reflect a logic of criminal policy and also a logic of rationalization of the criminal justice management. The idea of «prosecution choices» becomes a new legal category that articulates the response to criminality. Its theoretical range modifies the approach of the prosecution. The diversification of prosecution choices has consequences on both conception and typology of the criminal trial and on courts organisation. The monolithic criminal trial inherited from the 1808 French code of criminal investigation becomes a more plural trial, with a renewed configuration and multiple purposes. The notion of « orientation schematics » illustrates such evolution. A legislative consideration of this notion would lead to a better structuring of the criminal justice response. The criminal justice system's organization is also affected, as well as the parties situation in the trial. Consultation and delegation mechanisms appeared. The new judicial management builds on this diversification in the prosecution choices. The criminal trial must integrate the digital transformation that should lead to the construction of a digital criminal trial
APA, Harvard, Vancouver, ISO, and other styles
28

Pietrogrande, Riccardo. "Multiscale modeling of short fiber-reinforced thermoplastics under fatigue loading." Doctoral thesis, Università degli studi di Padova, 2018. http://hdl.handle.net/11577/3425879.

Full text
Abstract:
The present work falls within a wider framework concerning the prediction of the mechanical response of short glass fiber-reinforced thermoplastics (SFRT), which are commonly employed in the automotive industry to reduce the overall weight of the components. More in detail, the main objective of the thesis is to develop a fatigue criterion for predicting the effect of different factors affecting the fatigue strength of such materials. In this interest, the influence of the composite complex morphology (local fiber orientation and fiber content) and of notches giving rise to stress concentrations is taken into account. In the present thesis, an experimental activity related to plain and notched specimens is firstly presented. In this context, data resulting from computed tomography (CT) analyses are shown. The latter serve to evaluate the specimens’ fiber orientation distributions, which are quantified by means of fiber orientation tensors (FOT). Furthermore, fatigue test data on the considered coupons, in the absence and in the presence of notches (with radii of 0.1 mm, 0.2 mm, 2 mm and 5 mm), are presented for different fiber orientations and weight fractions (15 wt%, 25 wt%, 35 wt% and 50 wt%). Secondly, being aware of the fact that the onset of a macroscopic crack is driven by the evolution of damage at the matrix level, a multiscale fatigue model relying on matrix stress distributions is presented. The calculation of the matrix stress cumulative distribution functions is achieved by formulating an analytical numerical pseudo-grain approach (i) permitting to avoid the generation, mesh and solution of complex microstructures, but only relying on the solution of simple unidirectional cells. The pseudo-grain method is subsequently included in the formulation of a fatigue criterion, for plain (ii), at first, and for notched specimens (iii), subsequently. The proposed fatigue criterion is eventually validated with a bulk of experimental data, partially presented in this work. Namely, fiber orientation tensors are used to properly assign the anisotropic elastic properties to the developed numerical models and the presented fatigue data are employed to assess the efficacy of the model in terms of fatigue strength prediction.<br>Questa tesi di dottorato di ricerca si inserisce all’interno di un quadro più ampio relativo alla previsione del comportamento meccanico di materie termoplastiche rinforzate con fibre corte di vetro. Tali materiali compositi sono spesso impiegati nell’industria automobilistica per ridurre il peso complessivo della componentistica coinvolta. L’obbiettivo principale di questo lavoro è legato alla necessità di sviluppare criteri di cedimento che prevedano l’influenza di diversi fattori sulla resistenza a fatica di tali materiali. In particolar modo, si è scelto di focalizzarsi sull’effetto della morfologia (orientazione locale e contenuto di fibre) e della presenza di intagli, che a loro volta danno luogo a concentrazioni tensionali. In questa tesi viene presentata innanzitutto l’attività sperimentale svolta. Ovvero si riportano dati relativi ad analisi ottenute tramite tomografia computerizzata (CT). Quest’ultima ha il ruolo di fornire informazioni sulle distribuzioni locali dell’orientazione delle fibre, le quali vengono quantificate tramite il tensore di orientazione delle fibre (FOT). Inoltre, si presentano dati relativi al comportamento a fatica di provini con e senza intagli (di raggio pari a 0.1 mm, 0.2 mm, 2 mm e 5 mm), considerando contemporaneamente l’effetto dell’orientazione delle fibre e delle loro frazioni di peso (15 wt%, 25 wt%, 35 wt% e 50 wt%). In secondo luogo, consapevoli del fatto che l’origine di cricche macroscopiche può essere imputata all’evoluzione del danneggiamento nella matrice, si propone un modello multiscala per la previsione della vita a fatica di tali compositi, basandosi sul calcolo delle distribuzioni tensionali locali. Il calcolo delle funzioni cumulate delle tensioni matriciali è ottenuto tramite la formulazione di un approccio analitico-numerico di tipo pseudo-grain (i). Quest’ultimo permette quindi di evitare la generazione, mesh e risoluzione di microstrutture complesse e di ottenere i risultati desiderati tramite semplici modelli numerici unidirezionali. Tale approccio viene poi inserito nella formulazione di un criterio di fatica per provini lisci (ii) e intagliati (iii). Il criterio proposto è poi validato con un numero consistente di dati sperimentali, parte dei quali è presentata in questo lavoro. In particolare, i tensori di orientazione delle fibre sono impiegati per assegnare le proprietà elastiche anisotrope ai modelli numerici. I dati di fatica sono invece utilizzati per verificare l’efficacia del modello in termini di previsione della resistenza a fatica di provini lisci e intagliati.
APA, Harvard, Vancouver, ISO, and other styles
29

Hsu, Hsiao-Chang, and 徐孝璋. "Emergency response training mode design and discussion." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/03020275918543506039.

Full text
Abstract:
碩士<br>國立交通大學<br>工學院產業安全與防災學程<br>102<br>In Emergency Response Plan, the Emergency Response Team is designed to save people, to treat unusual event and to save equipment when emergency event happened. The basic ability of emergency response, the knowledge of safety protection, and the ability of disaster relief of the crews are relying on the routine training. Practices and results of the training will directly affect crew’s ability on self-protection and disaster relief when conducting mission. Therefore, matters, for example, how to implement and effectively organize the educational training, practicing emergency response exercises, and ehanceing response ability, are the very critical to the current circumstance. From those trainings, we expect to increase basic response ability, safety awareness, acknowledge, knowledge of emergency response, and ability of emergency response of the crews in the Emergence Response team. This study take 24 hours running of semiconductor factory as the example to discuss the emergency response organization structure and its whole process, then, analyze potential hazards of every stage of the process. In this study, we except to design a standard training process and authentication mechanism to help emergency response team members can really protect their safety when executing disaster relief mission.
APA, Harvard, Vancouver, ISO, and other styles
30

Bo, Su Shu, and 蘇水波. "A Research on the Emergency Operating Mode of Tunnel Ventilation and the." Thesis, 2004. http://ndltd.ncl.edu.tw/handle/94512119824793579337.

Full text
Abstract:
碩士<br>國立臺北科技大學<br>冷凍與低溫科技研究所<br>92<br>Recent terrorist fire attacks of underground railway transit system in Hong Kong, Moscow, and South Korea caused a large number of injuries and deaths. Insufficient experience in emergency planning and insufficient fire protection are part of the problems. At present the length of Taipei underground railway has reached more than 15 km. The study of smoke management and evacuation shall thoroughly be performed for the longer tunnel. In case of train fire in a double-track tunnel, the topic of escaping from the nearby non-fired track across the scene of fire to reduce the escaping distance and the harmful effects should be considered for various fire intensities. The evacuation should also be considered along with the emergency mode of tunnel ventilation. This study examines and compares the critical air velocity with the field measured data under an emergency operating mode. The NIST developed FDS (Fire Dynamics Simulator) program was used to simulate and analyze the smoke flow and other fire conditions. This study examines the computer calculation results on the basis of NFPA130. Proper recommendation for safe refuge is proposed. In addition, the calculation of safety time for safe passage across the scene of fire for various fire scenarios. The smoke management for the operation and security of long underground railway tunnel is discussed and analyzed. The results of this study could be used as a reference for planning, designing and constructing the underground railway project.
APA, Harvard, Vancouver, ISO, and other styles
31

He, Yi. "Verbalizing or visualizing metaphors? The moderating effects of processing mode and temporal orientation." Thesis, 2008. http://hdl.handle.net/10125/20648.

Full text
Abstract:
Thesis (Ph.D.)--University of Hawaii at Manoa, 2008.<br>Metaphors are extensively used in interactive healthcare communications. Although the superiority of metaphors over literal messages is usually explained by enhanced elaboration, little is understood with regard to whether metaphors invite readers to mentally visualize healthcare messages. It also remains unknown if different metaphor formats (abstract versus concrete) activate different processing mechanisms. In addition, there has been no attempt to examine the combination of metaphors and other healthcare communication strategies.<br>This dissertation contributes to this body of knowledge by providing a comprehensive framework focused on two different metaphor formats (abstract versus concrete). In a series of studies, this dissertation demonstrates that concrete metaphors, when compared with abstract metaphors, are usually processed via higher imagery processing. As a result, concrete metaphors are often more effective than abstract metaphors. However, abstract metaphors are more effective in encouraging behavioral persistence. In addition, congruency between metaphor format and processing instructions/temporal orientation priming enhances message effectiveness. After a certain period of time, the effect of congruency between metaphor format and temporal orientation priming fades away for risk perception, but it remains fairly strong for behavioral intention. This dissertation contributes to the theory of metaphors and has important marketing research and managerial implications.<br>Includes bibliographical references (leaves 116-138).<br>Also available by subscription via World Wide Web<br>144 leaves, bound 29 cm
APA, Harvard, Vancouver, ISO, and other styles
32

Lu, Wei-Li, and 盧維理. "Design and Implementation of High-Performance Maintained-Mode Emergency Lighting System Embedding Flyback Converter." Thesis, 2015. http://ndltd.ncl.edu.tw/handle/35684380719594231553.

Full text
Abstract:
碩士<br>國立高雄第一科技大學<br>電子工程系碩士在職專班<br>103<br>This thesis presents a high-efficiency maintained-mode emergency lighting system, which is a flyback-based power converter. When connected to utility, the system has a π-type fornnd-end filter to suppress noise and EMI. Then, a full bridge rectifier is adopted to convert AC to DC. In the system, an efficient offline switching IC (TNY 274) along with a transformer transforms are adopted to a voltage of 310 V seep down to a much lower output voltage of 6V for load powering. When fed by utility, the system has lighting features. When fed be in power failure, it still can fulfill the mentioned function but powered by nickel-metal hydride (NiMH) batteries. The transition time switching from utility to battery is about 400 ms. This thesis uses the LED driver, CMS MP1518, just because it can achieve an efficiency up to 87% and it can drive six white LEDs simultaneously. In addition, the driver IC can perform protection thermal protection, and current limitation. Detailed descriptions and hardware measurements are carried out to validate the presented system. Finally, discussion and further study are made.
APA, Harvard, Vancouver, ISO, and other styles
33

Cunningham, Sarah Bainter. "The compass of reason intellectual interest in the beautiful as a mode of orientation /." Diss., 2004. http://etd.library.vanderbilt.edu/ETD-db/available/etd-11272004-172937/.

Full text
APA, Harvard, Vancouver, ISO, and other styles
34

Hsiao, Ching-Cheng, and 蕭景鉦. "A Research on Control Mode of Sun-shading Board Varied with the Solar Orientation." Thesis, 2007. http://ndltd.ncl.edu.tw/handle/64454280456600849376.

Full text
Abstract:
碩士<br>大葉大學<br>機電自動化研究所碩士班<br>95<br>The purpose of this study is to set up a sun shading board module with a DC servo motor and integrate with a solar orientation measurement system to achieve interlock control. In order to drive the sun shading board module be operated at optimal angle, the control interface has be established by Visual Basic language with the measurement date of solar orientation. The experimental data indicate that when the initial angle of sun shading board is 25 degrees, the indoor environment is not only comfortable and circulated but also sun-shaded. When the angle is changed to 45 degrees, the module can provide not only a rain-preventing condition but also a natural ventilation indoor environment. In 90 degrees, the largest of range of vision has demonstrated. When the angle be adjusted to largest angle, it is successful to improve indoor brightness because the characteristic of light guide by itself. By the result, it is helpful to develop an optimal indoor lighting control module for improving the living environment more comfortable and energy saving and achieving the target of living technology.
APA, Harvard, Vancouver, ISO, and other styles
35

"The effects of gender, sexual orientation, and mode of transmission on blaming HIV-positive individuals." CALIFORNIA STATE UNIVERSITY, LONG BEACH, 2010. http://pqdtopen.proquest.com/#viewpdf?dispub=1472297.

Full text
APA, Harvard, Vancouver, ISO, and other styles
36

Chien, Wei-Ta, and 簡維達. "H.264 Inter Coding Mode Prediction by Unifying the Information in Orientation and Partition Pattern." Thesis, 2007. http://ndltd.ncl.edu.tw/handle/35449264411616800062.

Full text
Abstract:
碩士<br>國立嘉義大學<br>資訊工程學系研究所<br>95<br>Comparing to the previous coding standard, H.264 provides many schemes for improving the encoding result. One of the improving scheme is mode decision. Mode decision provides different block sizes (16x16,16x8,8x16,8x8,8x4,4x8, 4x4) to suit different video property. By the way, H.264 standard can save coding bits and gains a better video quality at the same time. On the contrary, the mode decision scheme makes coding complexity increase by times. The goal of this study is to maintain the compression quality and efficiently reduce the mode decision complexity. In our mechanism, the effectiveness is focused on the concise utilization to the coding modes of two neighbors of an encoding MB to predict its coding mode with few candidates. This depends on two cognitions in the observation of splitting seams partitioning MB for ME. The first cognition will realize the splitting seam in the prediction MB as the type of boundary of needing consecutive stretch once again between two distinct textures. This cognition holds only under the condition that the direction of splitting seam and the direction of prediction MB’s location relative to encoding MB are same. Thus, according to the nature of boundary extending, the mechanism can choose the suited candidates from all coding modes available in H.264. On the contrast, if the direction of splitting seam and that of prediction MB’s location relative to encoding MB are perpendicular, the splitting seam in prediction MB is conceived with the second cognition. From the aspect of second cognition, the splitting seam behaves like a watershed to identify two regions of displaying different textures. In this study, we use two cognitions to predict candidate coding modes. We success reduce the complexity of coding mode decision mechanism with small influence of compression quality.
APA, Harvard, Vancouver, ISO, and other styles
37

CHANG, WEN-CHIH, and 張文誌. "The effect of ambulance service shift mode and number of ambulance cases on the quality of emergency ambulance." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/4edt3r.

Full text
Abstract:
碩士<br>亞洲大學<br>生物資訊與醫學工程學系碩士在職專班<br>107<br>The main purpose of this study is to investigate the effect of ambulance service shift mode and number of ambulance cases on the quality of emergency ambulance. This thesis regard firefighter of Taiwan as research object. A total of 121 questionnaires were randomly selected for questionnaire survey, and the effective sample was 119. The surveyed information was analyzed by descriptive statistics, reliability analysis, mean and standard deviation, independent sample t-test and single factor-variable analysis. The study obtained the following conclusions: 1. In terms of the quality of pre-hospital care, the item “5 points, average value 4.61” is the highest score in the “EMT well keep the patient under observation on the way to emergency room”. 2. In terms of the quality of pre-hospital care, the item “5 points, average value 2.73” is the lowest score in the “suctioning of patients with respiratory noise”. 3. In the ambulance service shift mode, the ambulance deputy classes with different number of rotation hours are sent to the pre-hospital ambulance quality to "send a comfortable posture to the patient" and "confirm whether the patient's peripheral circulation is good and give corresponding treatment" There is a significant difference between the two, where a particular longer time performance is better than a short time schedule. 4. In the ambulance service shift mode, the number of different attendance ambulances is significantly different in the project of “moving patients to the ambulance, often overlooking changes in environmental safety conditions”. More than two ambulance attendance units perform better than single unit. 5. Through statistical analysis, there was no significant variability in the number of ambulance service cases. 6. The choice of ambulance personnel for the location of the injured and the location of the medical treatment will be affected by the number of ambulance cases and the time of the nearby shift, and there is a significant negative correlation. 7. In terms of personal background context, different firefighting seniority have a significant difference in the “suctioning of patients with respiratory noise”, and the specific long-term performance is better than that of new recruits. Based on the statistical analysis results, the conclusions of this study are as follows: 1. The daily 24-hour ambulance service is divided into 3-4 time slots. The regular staff on the day is fixed for the late-night service hours. The rest of the time is executed by the fixed personnel in turn, and the monthly service schedule is announced first. 2. In the ambulance training that is regularly scheduled monthly, the actual operation equipment and situational processes are practiced, and the unskilled steps are practiced, and each person is required to take turns in rotation regardless of the amount of seniority. 3. For the special ambulance situation, increase the number of exercises, and please actually share the experience of colleagues in similar cases, and explain the cause of the ambulance or how to find the abnormality of the patient.
APA, Harvard, Vancouver, ISO, and other styles
38

Colpo, Sarah E. "Pressurizer surge line Counter Current Flow Limitation during AP600 Mode 5 Cold Shutdown." Thesis, 1999. http://hdl.handle.net/1957/33578.

Full text
Abstract:
Counter Current Flow Limitation (CCFL) was observed in the pressurizer surge line of the Oregon State University APEX facility during test NRC-10. This test simulated a one-inch diameter cold leg break with a failure of three of four of the fourth-stage Automatic Depressurization System (ADS) valves. The result was a high vapor flow rate through ADS 1-3, that caused CCFL in the pressurizer surge line and liquid holdup in the pressurizer. Because this liquid was not available for core cooling, further study of the passive safety systems in the AP600 under Mode 5 Cold Shutdown conditions was deemed necessary. An analysis of the AP600 geometry and the existing CCFL database determined that Kutateladze scaling is appropriate for the APEX and AP600 surge lines. The Kutateladze CCFL correlation was used to assess CCFL in the APEX and AP600 pressurizer surge lines under Mode 5 Cold Shutdown conditions. The results indicate that CCFL would be expected in the pressurizer surge lines at low pressures and decay powers prior to ADS 4 actuation. Test NRC-35 examined CCFL and provided data to benchmark NRC's thermal hydraulic analysis codes. This thesis presents the results of test NRC-35 and the supporting CCFL calculations.<br>Graduation date: 1999
APA, Harvard, Vancouver, ISO, and other styles
39

Chiu, Chih-Chen, and 邱致禎. "Applying Healthcare Failure Mode and Effect Analysis to Reduce the Incidence of Falls by Objects for emergency room patients." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/5a4t6h.

Full text
Abstract:
碩士<br>國立中山大學<br>企業管理學系醫務管理碩士班<br>107<br>Fall incidents are a common patient safety problem in emergency rooms. Such incidents cause patients to experience physical wounds, prolong their hospitalization, increase their likelihood of early death, and impose additional burdens to their family members. In addition, fall incidents can potentially lead to medical disputes and undesirable physician–patient relationships. The fall occurrence rate is a crucial indicator for maintaining healthcare quality in hospitals. To prevent fall incidents, various hospitals have adopted root cause analysis on the fall incidents of patients of different sexes. However, few hospitals have inspected the shortcomings in their fall prevention procedures. This study adopted the healthcare failure mode and effect analysis (HFMEA) to examine the fall prevention standard operation procedure (SOP) of an emergency room , identify shortcomings in the procedure, and develop improvement strategies to address related problems. A retrospective research design was employed to analyze the fall occurrence rate in the emergency room between 2013 and 2017, and the results revealed that this figure was higher than the hospital threshold (0.1%). The research team of this study used the HFMEA to examine the fall prevention SOP and identified 8 failure modes and 25 failure causes. Under the supervision of the emergency room director, the research team formed a cross-department fall prevention team to execute related prevention measures and response strategies. These included fall prevention consensus training, cross-department fall prevention consultation, home visit services for emergency room patients with high risks of falling, and telerehabilitation home services for emergency room patients with high risks of falling. Statistics before, during, and after the implementation of related measures were compiled over a course of 1 year. This reduced the number of fall incidents from 14 in 2017 to 3 in 2018, yielding an occurrence rate below the hospital threshold. Through improvement to the fall prevention SOP and cross-department collaboration, this study successfully reduced the fall occurrence rate of an emergency room and enhanced the patient safety and healthcare quality.
APA, Harvard, Vancouver, ISO, and other styles
40

Wu, Mei-Huei, and 吳美慧. "A Case Study of Hospital Emergency Management-Applying the Failure Mode and Effect Analysis in administrative continuity plan to hospital computer shutdown." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/66572346909442644731.

Full text
Abstract:
碩士<br>銘傳大學<br>公共事務學系碩士在職專班<br>97<br>The advanced information technology renders the pervading employment of computer information system in medical institutions; therefore, medical information systems integrate closely with medical services procedures in hospitals. Consequentially, examinations, diagnoses, therapies, operating procedures and application for national health insurance all depend greatly on computer information system; moreover, there will be the promotion of e-anamnesis planned. Once the information computer interrupts, it will impact severely both patients and workers, and definitely affect the hospital’s fame and cause the financial loss. However, information interruption relates closely to the impact on the operating procedures, so it is hard to locate the damaged key procedures so as to prepare for either disaster reduction or emergency strategy if there is no systematic hazard analysis available. On the other hand, the failure mode and effect analysis (FMEA) is frequently used in the industrial field whereas the use for the crisis management or patients’ safety is still in the initial phase. Through FMEA, a case of computer interruption in a large hospital in Taipei City is inquired to probe into the procedures of hazard risk assessment & analysis of the computer interruption in outpatient services and emergency rooms. The study is done in the following steps. First, the FMEA team founded collects the data of medical operating flow and computer interruption emergency procedures in the hospital via deep interviews; afterwards, the FMEA team will define the steps and the potential failure mode, cause and impact of computer interruption. Moreover, FMEA tools are used to conduct the hazard risk assessment so as to locate the high-risk key problems in terms of ranking of risk priority number (RPN). Finally, the adequate advices and improvement measures of the high-risk operating procedures via focus-group interview are proposed as the references to the preparation for disaster prevention and emergency strategy in medical institutions. The paper contributes to the emergency management in medical institutions via analyzing hazards by FMEA. As for the preparation for disaster prevention and reduction, it is applicable to locate the hazardous origin of computer interruption to medical operating procedures, judge the key problem of hazards and build the priority of disaster reduction and prevention. As for the disaster emergency preparation, it is applicable to implement the execution of emergency strategy by planning it under the results of hazard analysis and enforcing the personnel drill training in lights of it. The hazard analysis via FMEA is a practical and beneficial measurement tool for hospital emergency management.
APA, Harvard, Vancouver, ISO, and other styles
41

"EXPLORING RELATIONSHIPS AMONG STUDENTS’ PRIOR KNOWLEDGE, MEANINGFUL LEARNING ORIENTATION, REASONING ABILITY, MODE OF INSTRUCTION AND UNDERSTANDING OF PHOTOSYNTHESIS AND RESPIRATION IN PLANTS." Master's thesis, METU, 2006. http://etd.lib.metu.edu.tr/upload/2/12607009/index.pdf.

Full text
APA, Harvard, Vancouver, ISO, and other styles
42

Chu, Yu-Ching, and 朱宇晴. "The Emergency Escape Mode and Escape Route of theEmployees in the Hospital Ward Unit-The case study of Taichung teaching hospitals in Taichung area." Thesis, 2010. http://ndltd.ncl.edu.tw/handle/39031855958492735796.

Full text
Abstract:
碩士<br>逢甲大學<br>建築所<br>98<br>Although safety containment in hospitals is designed according to the building codes in Taiwan, there is a lack of considerations of different patients’ physical conditions, suitable fire escape apparatus and whether there is sufficient space in the safety containment. Moreover, if the planning of the architectural safety containment does not work together with the rescue policy of a hospital, rescue would not be achieved effectively, fire escape facilities would be useless, and fire rescue drill would be a waste of time. Do fire escape facilities and safety containment meet the needs of patients? Do nursing staffs help patients correctly and fast enough when fire occurs? What are nursing staffs’ knowledge of rescue mode, fire escape circulation and safety containment? These issues are going to be investigated in this research. The first part of the research was concentrated on the field investigation of the studied hospitals, including interview, corridors of wards, fire escape circulation and rescue mode, to find out the square footage of safety containment and locations of fire escape apparatus. The second part was to take part in fire rescue drill of the studied hospitals. Rescue mode, fire escape circulation and the use of safety containment were observed and analyzed. The third part was to conduct surveys. The questionnaire consisted of four parts – rescue policy, fire escape circulation, fire escape apparatus and the use of safety containment. Finally, the problems of fire escape in the wards were found out through crosstab analysis. The differences between rescue mode practiced by nursing staff and rescue policy made by hospital were acknowledged. And suggestions regarding to the above problems were made. The results showed that different specialties in a hospital had different needs for safety containment. Because of the action capabilities – patients in surgical specialty could walk by themselves with guarding of nursing staffs, patients in internal medicine could not - the differences and needs in each specialty had to be take into account of design of the safety containment to avoid putting patients in danger.
APA, Harvard, Vancouver, ISO, and other styles
43

LEE, JUEI-KUN, and 李瑞崑. "A research Exploring the Effect of Organization Climate, Total Quality Management, Business Operation Mode and Learning Orientation on Organizational Innovation and Business Performance." Thesis, 2008. http://ndltd.ncl.edu.tw/handle/12719290205446902896.

Full text
Abstract:
碩士<br>國立屏東科技大學<br>高階經營管理碩士在職專班(EMBA)<br>96<br>Due to the rapid changes of the internal and external environment of the enterprise, the competition of the enterprise is now more competitive than before. And therefore, it is an imperious study of how the enterprise holds inner value and competitive advantage. Innovation is the essential factor of maintaining advantage in the competition. In the past literature review, innovative studies are more emphasized on the factors of innovating products or factors that affect the innovation climatically. The studies of antecedent variables of organizational innovation are all too narrow. And therefore, the study would be integrated the organizational climate, total quality management, business operation mode and learning orientation which are major antecedent variables to influence organizational innovation and the performance of business. Also, to study the relationship between the organizational innovation and to try to find out the complete understanding of the context. The study chose associate’s name list of board of trade of Electric Machinery and Electric of Taiwan area (2006-2007) & Ranks 500 the first great financial service industries﹐It distributed six hundred questionnaires. It returned three hundred and thirty-nine questionnaires, and there are two hundred and ninety-seven available ones. The rate of return of available questionnaires is 49.5%. Besides, the study is applied LISREL to proceed practical attestation and to proof every hypothesis. In general, the collocation of theoretical pattern is conformed acceptable goodness of fit test level. So it shows that the theoretical pattern of the study obtained support, and proves that six constructs indeed exists significantly influence of relationship. The major discoveries of the study are: (1)the positive influence significantly of organizational climate to organizational innovation. (2)the positive influence significantly of total quality management to organizational innovation. (3)the positive influence significantly of business operation mode to organizational innovation. (4)the positive influence significantly of learning orientation to organizational innovation. (5) the positive influence significantly of organizational innovation to the performance of business. To sum of study, I provide suggestions according to the aforementioned results. Keywords : Organizational Climate, Total Quality Management, Business Operation Mode, Learning Orientation , Organizational Innovation, Business Performance
APA, Harvard, Vancouver, ISO, and other styles
44

Yang, Jing-Yi, and 楊靜怡. "An Empirical Research of Taiwanese Firms’ Entry Mode Choice and Performance in Mainland China : A Synthetic View of Country Characteristics, CEO Attributes, and Firm Strategy Orientation." Thesis, 2008. http://ndltd.ncl.edu.tw/handle/p6r8gf.

Full text
Abstract:
碩士<br>銘傳大學<br>國際企業學系碩士班<br>96<br>The study explores Taiwanese firms’ entry mode choice and performance in Mainland China by using a synthetic view of transaction cost theory, behavior decision theory, and strategy management perspective. Through logistic and multiple regression and t-test analysis, 116 firms are empirically analyzed. Finding of this study indicate that demand conditions, working experience and international experience of CEO, differentiation and cost leadership strategy all significantly influence firms’ entry mode in Mainland China. Firms’ mode that choice accordance with the prediction of our integrated model that based on transaction cost theory, behavior decision theory, and strategy management perspective perform better than those mode is selected otherwise.
APA, Harvard, Vancouver, ISO, and other styles
45

Onishi, Tamaki. "Institutional influence on the manifestation of entrepreneurial orientation: A case of social investment funders." Thesis, 2014. http://hdl.handle.net/1805/4656.

Full text
Abstract:
Indiana University-Purdue University Indianapolis (IUPUI)<br>Linking the new institutionalism to entrepreneurial orientation (EO), my dissertation investigates institutional forces and entrepreneurial forces—two contradicting types of forces—as main effects and moderating effects upon practices and performance of organizations embedded in the institutional duality. The case chosen observes unique hybrid funders that this study collectively calls social investment funders (SIF), which integrate philanthropy and venture capital investment to create and implement a venture philanthropy model for a pursuit of their mission. A theoretical framework is developed to propose regulative and normative pressures from two dominant institutions governing SIFs. Original data collected from 146 organizations are scrutinized by moderated multiple regressions for two empirical studies: Study 1 for effects on SIFs’ venture philanthropy practices, and Study 2 for effects on SIFs’ social and financial performance. Multiple imputations, diagnostic analyses, and several post hoc analyses are also conducted for robustness of data and results from multiple regression analyses. Results from these analyses find that EO and venture capital institutional forces both enhance SIFs’ venture philanthropy practices. A hypothesis postulated for a negative relationship between the nonprofit status and venture philanthropy practices is also supported. Results from moderated regression analyses, along with a subgroup and EO subdimension analyses, confirm a moderating effect between EO and the nonprofit status, i.e., a regulative institutional pressure. A positive relationship is found in EO- financial performance, but not in EO-social performance. While support is lent to hypotheses posited for a social/financial performance relationship with donors’/investors’ demand for social outcomes, and with the management team’s training in business, the overall results remain mixed for Study 2. Nonetheless, this dissertation appears to be the first study to theorize and test EO as a micro-level condition enabling organizations to strategically shape and resist institutional pressures, and it reinforces that organizations’ behavior is not merely a product of their passive conformity to environmental forces, but of the agency, also. As such, this study aims to contribute to scholarly efforts by the “agency camp” of the new institutionalism and EO, answering a call from the leading scholars of both EO (Miller) and the new institutionalism (Oliver).
APA, Harvard, Vancouver, ISO, and other styles
46

Lavallée, Stéphanie. "L'effritement du consentement au profit d'une meilleure justice distributive de la recherche biomédicale avec des sujets humains : une étude comparative en situation d'urgence." Thèse, 2002. http://hdl.handle.net/1866/2419.

Full text
Abstract:
La recherche biomédicale réalisée en situation d'urgence traduit la confrontation entre différents principes conducteurs éthiques. Le respect de l'autonomie de la personne, illustré à travers l'obtention du consentement libre et éclairé du sujet pressenti, peut sembler un concept vide de sens dans le cas des malades présentant une condition médicale critique. Pour ces patients en proie à une crise médicale, et donc vulnérables, une protection individuelle accrue s'impose. Une surprotection irait, toutefois, à la fois à l'encontre du principe de justice distributive et du principe de bienfaisance, impliquant de ne pas exclure totalement un groupe de sujets des expectatives élevées de bénéfices d'une recherche correctement balisée. Ce texte a pour objectif de cerner quel est le fondement - éthique - des textes législatifs, réglementaires et normatifs qui permettent l'enrôlement de ces malades atteints de pathologies foudroyantes dans des protocoles de recherche, alors même qu'aucun consentement, qu'il soit autonome ou substitué, n'a été donné. Inspirée du modèle de réflexion éthique pluraliste, l'auteur pose comme hypothèse que c'est le principe de justice distributive qui sous-tend la politique éthique de tels textes, puisque contribuant au développement des avancées thérapeutiques en urgence et à la nécessité d'augmenter l'efficacité des traitements disponibles. Ce texte cherche finalement à définir une démarche d'approbation des protocoles de recherche qui seront réalisés en situation d'urgence.<br>Biomedical research performed under emergency conditions highlights the conflict between competing ethical principles. The respect for the autonomy of the person, illustrated by the need to obtain a subject's informed consent, can seem an empty concept in the case of a patient presenting severe medical conditions. For those patients in a midst of a medical crisis, and therefore vulnerable, particular protection is necessary. An overprotection would, however, contravene both the principles of distributive justice and of beneficence, principles that hold that an entire group of subjects ought not to be excluded from the expectations of the benefits of properly controlled research. The object of this text is to discem the ethical foundation of the legislative, regulatory and normative texts that permit those stricken with devasting diseases to participate in research projects without consent having been granted. Based on the pluralist ethical model, the author asserts as a hypothesis that it is the principle of distributive justice which supports the ethical policies underlying such texts, since contributing to the development of therapeutic advances in emergencies and to the necessity of increasing the effectiveness of available treatments. This text attempts ultimately to establish procedures to be followed in obtaining approval in research projects in the case of an emergency.<br>"Mémoire présenté à la Faculté des études supérieures en vue de l'obtention du grade de maîtrise en droit option Droit et Biotechnologies". Ce mémoire a été accepté à l'unanimité et classé parmi les 15% des mémoires de la discipline.
APA, Harvard, Vancouver, ISO, and other styles
We offer discounts on all premium plans for authors whose works are included in thematic literature selections. Contact us to get a unique promo code!

To the bibliography