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Статті в журналах з теми "Tender management portal"

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Feng, Xielin, Yong Hu, Junping Peng, Aixiang Liu, Lang Tian, and Hui Zhang. "A Left-Sided Approach for Resection of Hepatic Caudate Lobe Hemangioma: Two Case Reports and a Literature Review." International Surgery 100, no. 6 (June 1, 2015): 1054–59. http://dx.doi.org/10.9738/intsurg-d-14-00317.1.

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Resection of the hemangioma located in the caudate lobe is a major challenge in current liver surgery. This study aimed to present our surgical technique for this condition. Two consecutive patients with symptomatic hepatic hemangioma undergoing caudate lobectomy were investigated retrospectively. First, all the blood inflow of hemangioma from the portal vein and the hepatic artery at the base of the umbilical fissure was dissected. After the tumors became soft and tender, the short hepatic veins and the ligaments between the secondary porta hepatis were severed. At last the tumors were resected from the right lobe of the liver. The whole process was finished by a left-sided approach. Blood lost in Case 1 was 1650 mL because of ligature failing in one short hepatic vein, and in the other case, 210 mL. Operation time was 236 minutes and 130 minutes, respectively. Postoperative hospital stays were 11 and 5 days, respectively. The diameter of tumors was 9.0 cm and 6.5 cm. Case 1 required blood transfusion during surgery. No complications such as biliary fistula, postoperative bleeding, and liver failure occurred. The left-sided approach produced the best results for caudate lobe resection in our cases. The patients who recovered are living well and asymptomatic. Caudate lobectomy can be performed safely and quickly by a left-sided approach, which is carried out with optimized perioperative management and innovative surgical technique.
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Cam, Surhan, and Serap Palaz. "Challenges and opportunities of globalisation for an independent small manufacturer." Journal of Organizational Ethnography 5, no. 3 (October 10, 2016): 258–75. http://dx.doi.org/10.1108/joe-10-2015-0024.

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Purpose Over the past few decades, academic debates on small- and medium-sized establishments (SMEs) have focused on the challenges of globalisation, especially for the independent small producers outside the niche markets. However, the purpose of this paper is to highlight the limits of these sorts of evaluations arguing that globalisation can also provide opportunities for the valuable contributions of such enterprises. Design/methodology/approach Drawing on an ethnographic case study in Turkey, inquiries in the paper are essentially predicated on unstructured conversations with the owner/manager of a shipyard investigated, workplace observations and supplementary conversations with employees as well as elite interviews with the Portal Authorities. Additional interviews were also conducted with the owner/managers of three other shipyards. Findings The evidence suggests that the opportunities of globalisation can be consolidated with certain HRM strategies including a tailored demarcation of work-life balance, strategized retention for skills shortage, individualised grievance resolutions, employees-led work design, team work, “in-turn” and “mobile” employment. Likewise, logistic management strategies such as downsizing, investment diversification, “queasy-niche” production, use of communication technologies, networking and opening up to global markets may prove highly useful. Even so, the sustainability of independent smaller businesses requires responsive trade regulations about, for instance, tender offers, fair competition and the conflict of interests in addition to “tough-love policies” to protect employment rights. Originality/value The paper rectifies the lack of systematic research into the implications of globalisation for the SMEs in shipbuilding industry and their managerial responses.
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Tsai, Raymond, Elijah Bell, Hawkin Woo, Kevin Baldwin, and Michael Pfeffer. "How Patients Use a Patient Portal: An Institutional Case Study of Demographics and Usage Patterns." Applied Clinical Informatics 10, no. 01 (January 2019): 096–102. http://dx.doi.org/10.1055/s-0038-1677528.

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Background Given the widespread electronic health record adoption, there is increasing interest to leverage patient portals to improve care. Objective To determine characteristics of patient portal users and the activities they accessed in the patient portal. Methods We performed a retrospective analysis of patient portal usage at University of California, Los Angeles, Health from July 2014 to May 2015. A total dataset of 505,503 patients was compiled with 396,303 patients who did not register for the patient portal and 109,200 patients who registered for a patient portal account. We compared patients who did not register for the online portal to the top 75th percentile of users based on number of logins, which was done to exclude those who only logged in to register. Finally, to avoid doing statistical analysis on too large of a sample and overpower the analysis, we performed statistical tests on a random sample of 300 patients in each of the two groups. Results Patient portal users tended to be older (49.45 vs. 46.22 years in the entire sample, p = 0.008 in the random sample) and more likely female (62.59 vs. 54.91% in the entire sample, p = 0.035 in the random sample). Nonusers had more monthly emergency room (ER) visits on average (0.047 vs. 0.014, p < 0.001). The most frequently accessed activity on the portal was viewing laboratory results (79.7% of users looked at laboratory results). Conclusion There are differences between patient portal users and nonusers, and further understanding of these differences can serve as foundation for further investigation and possible interventions to drive patient engagement and health outcomes.
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Martínez Raya, Antonio, and Víctor M. González-Sánchez. "Tender Management Relating to Imposition of Public Service Obligations on Scheduled Air Routes: An Approach Involving Digital Transformation of Procurement Procedures in Spain." Sustainability 12, no. 13 (July 1, 2020): 5322. http://dx.doi.org/10.3390/su12135322.

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The promotion of efficient and sustainable means of transport has been a key issue of public debate across the European Union (EU). Particularly, transport needs in peripheral and remote areas have a great importance for EU transport policies in order to ensure the mobility of goods and persons in these regions, and thus to achieve greater territorial cohesion in the member states concerned. Despite the remarkable efforts to improve the competitiveness of aviation in the EU single market, certain regional routes have traditionally suffered a lack of scheduled air routes. The internal market, once liberalized, has provided an instrument in order to ensure adequate transportation for the carriage of goods and persons in special cases. When this occurs, according to Regulation (CE) no. 1008/2008, national civil aviation authorities may impose a public service obligation (PSO) on specific air routes. In addition, this form of public intervention can lead to restriction on market access to one carrier, and even to the payment of compensation to the awarded airline through the launching of a tendering procedure for the operation of the required air service. In the case of Spain, this type of administrative concession has been shifting towards e-procurement processes by providing transparent electronic portals. This research aims, precisely, at encouraging a better understanding of how information technology may have systemic benefits to public bodies aiming to efficiently conduct a digital procurement ecosystem. To do this, the authors have analyzed the 23 PSO routes imposed so far, and the corresponding administrative procedures. The findings suggest that e-procurement has led to greater public transparency.
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Butcher, W. B., S. E. Papworth, S. D. Parvin, and S. G. Darke. "Eighty-five consecutive cases of cellulitis: clinical features, management and implications for hospital care." Phlebology: The Journal of Venous Disease 18, no. 2 (June 1, 2003): 92–96. http://dx.doi.org/10.1258/026835503321895406.

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Objectives: To determine lessons learned from a consecutive series of patients admitted with cellulitis, regarding factors leading to admission, management and duration of hospitalization. Methods: Prospective data over a 12-month period within a district general hospital. Centralized admitting policy of all patients with a principle diagnosis of cellulitis under the vascular surgical department. Data comparison of younger patients vs older and of those hospitalized for less than one week vs more than one week. Results: Of 85 patients admitted, 44 had previous oedema and 50 had a skin lesion as a portal for entry of infection; only nine had neither prior to the attack. Thirty-two had had at least one previous attack of cellulitis. Younger patients tended to have a more virulent systemic infection whereas older patients had more comorbidity and social problems. Fourteen patients required surgical intervention: eight had arterial and six had venous contributory circulatory disorders. Microbiological information was of minimal practical value. Surgical intervention and social problems were associated with delayed discharge. Conclusions: The majority of patients with cellulitis had predisposing oedema/skin lesions and where these persisted or recurrent infection occurred long-term antibiotic prophylaxis may have been useful. Social problems and comorbidity remained complicating factors but more patients could probably have been managed in a domiciliary setting.
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Lara-González, José Joel. "Encarnar el mundo. Las mujeres en la cultura teenek en la Huasteca potosina." Revista CS, no. 38 (November 9, 2022): 145–73. http://dx.doi.org/10.18046/recs.i38.5117.

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El estudio de los textiles, desde las ciencias sociales o el arte, puede tener múltiples focos de atención, dependiendo de los objetivos de investigación: materiales y medidas, técnicas de obtención de materiales y de elaboración, procesos económicos inmersos, condiciones de producción, procesos sociales, rituales y de comercio. Este artículo explora la importancia de la relación entre las mujeres y el bordado de un textil femenino llamado dhayemlaab, para la constitución cultural teenek en la Huasteca potosina. Con base en datos provenientes de la etnografía, se presenta una interpretación antropológica sobre cómo este textil –su bordado y su permanencia– es una prenda de resistencia cultural, pues narra, en sus diseños, la existencia histórica y cultural teenek de la Huasteca, elementos que permiten plantear cómo las mujeres encarnan el mundo al bordar y portar el dhayemlaab que cubre su torso.
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Cassiano, Glauber, and Barbara Coelho Neves. "POLÍTICAS EDUCACIONAIS E SEU POTENCIAL EMANCIPATÓRIO: UM CONTRAPONTO AO IDEÁRIO DO GERENCIALISMO." Revista Educativa - Revista de Educação 24, no. 1 (September 20, 2021): 25. http://dx.doi.org/10.18224/educ.v24i1.7974.

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Este artigo descreve um panorama geral da relação, limites e possibilidades das políticas educacionais e seu potencial emancipatório, assim como, do Gerencialismo em suas diversas formas no contexto educacional. O objetivo foi explicitar os limites do Nova Gestão Pública no tocante a avaliação das políticas educacionais. O procedimento metodológico utilizado foi a revisão de literatura, tendo como fonte o portal de “Periódicos CAPES”, assim como a base de dados “ERIC”, onde realizamos uma revisão descritiva, qualitativa, com avaliação crítica da literatura recuperada sobre (política educacional ‘and’ nova gestão pública). Os resultados desta pesquisa mostram alguns aspectos relevantes da NGP em casos do Reino Unido, Itália, Noruega, França, Quebec, Cataluña, Buenos Ayres e Chile. Este artigo destaca que as políticas educacionais possuem caráter emancipatório e que os princípios neoliberais do Gerencialismo tendem a descaracterizar a natureza das políticas educacionais, assim como, aprofunda a crise no sistema educacional. Concluímos que as escolas têm capacidade de ir além da lógica do capital, para tanto, antes se faz necessário formar cidadãos emancipados, para só depois pensar nas demandas do capital. Inverter essa ordem seria coadunar com o ideário da New Public Management, ou seja, acumulação de capital e a reprodução da força de trabalho.
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Sousa, Willas Amaral de, and Rhayana Claudyelle Carneiro Duarte. "Análise dos impactos do diagnóstico do espectro autista no âmbito familiar: desafios e possibilidades." Research, Society and Development 11, no. 14 (October 31, 2022): e152111435647. http://dx.doi.org/10.33448/rsd-v11i14.35647.

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Este estudo tem como objetivo analisar o diagnóstico do transtorno do espectro autista (TEA) e os seus impactos na família, bem como a importância do psicólogo neste processo. Foi usado como metodologia de pesquisa a revisão integrativa pelo processo de investigação da literatura, utilizada as bases de pesquisas Scientific Eletronic Library Online (SCIELO), a plataforma Portal Regional da BVS e a de Periódicos Eletrônicos em Psicologia (PEPSIC), entre os meses de julho e agosto de 2022, foram encontrados os descritores (em português e inglês) na plataforma Decs; Transtorno do espectro autista; autismo infantil; autismo. Os estudos incluídos são apresentados em um quadro-resumo e a análise dos resultados é realizada de forma expositiva, cada pessoa diagnosticada com transtorno do espectro autista é única, com isso podemos perceber neste estudo, que as consequências para a família são enormes, sendo necessário um processo contínuo de adaptação pós-diagnóstico. Considere-se que a família tem um papel relevante e impactante no diagnóstico do TEA, pois os pais da criança diagnosticada tendem a passar por muitas mudanças e dificuldades durante esse processo, buscando entender os sintomas diferentes que a criança apresenta.
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Silva, Francisca de Souza Abreu, Francisco Ronner Andrade da Silva, Paula Regina Rodrigues Salgado, Bruno Rolim Félix Caetano, Bruna Caroline Ruthes de Souza, Ariadne Pereira Pedroza, Enyedja Kerlly Martins de Araújo Carvalho, José Ribamar Marques de Carvalho, Andrea Mendes Araújo, and Maria Jaqueline Moura Lavôr. "Idoso hospitalizado: Enfoque na humanização da assistência em enfermagem." Research, Society and Development 11, no. 13 (October 3, 2022): e156111334627. http://dx.doi.org/10.33448/rsd-v11i13.34627.

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Introdução: O envelhecimento populacional compreende um fenômeno em crescimento, tornando-se um desafio para todos e, em especial, para os serviços de saúde, pois impulsiona também o aumento da prevalência das doenças crônicas degenerativas e, consequentemente, a hospitalização dos idosos Objetivo: Identificar as práticas assistenciais de enfermagem voltadas à humanização direcionada ao atendimento do idoso hospitalizado. Método: Revisão Integrativa, uma Prática Baseada em Evidências (PBE), em que foram identificados 93 artigos extraídos das bases de dados indexadas na Biblioteca Virtual em Saúde (BVS): Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Scientific Electronic Library Online (SCIELO), Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Portal CAPES) e Sistema Online de Busca e Análise de Literatura Médica (MEDLINE). Foram selecionados mediante a leitura analítica 10 artigos, considerando como critério de inclusão os artigos completos disponíveis na íntegra, no idioma português e publicados entre os anos de 2017 e 2021, com discussões relevantes ao idoso hospitalizado. Como critério de exclusão, artigos duplicados, fora do tema e do período definido para essa pesquisa. Resultados: Mediante a leitura dos artigos que compõem o corpus desta pesquisa, observa-se que, apesar de ser uma prática conhecida e desenvolvida por muitos, ainda se faz necessária a realização de novos estudos que possibilitem abordagens a partir das opiniões dos próprios idosos, não apenas dos profissionais, visto que essa é uma população que tende a crescer ainda mais e, sobretudo, porque a humanização durante o atendimento é uma prática preconizada em lei.
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Agrahari, Amit, and Samir K. Srivastava. "A data visualization tool to benchmark government tendering process." Benchmarking: An International Journal 26, no. 3 (April 1, 2019): 836–53. http://dx.doi.org/10.1108/bij-06-2017-0148.

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PurposeGovernment e-Procurement systems are generating tender-level process event data which are not being analyzed much. The purpose of this paper is to present a data visualization tool to benchmark the government tendering process. This tool collects, collates and presents e-Procurement process data in a meaningful way that enables comparisons and benchmarking leading to insights for process improvements and identification of the best practices. This tool is accessible on the website of South Asia’s first public procurement observatory (www.procurementobservatoryup.com) founded by the authors.Design/methodology/approachThe authors started with an initial set of key performance indicators (KPIs) based on extant literature and existing practices. The authors got them verified by various relevant stakeholders through a series of formal and informal discussions. Some of them were dropped due to observed variations or their inability to offer insights to arrive at the final set of KPIs. In this paper, the authors use actual process-level data. Government of India’s National Informatics Center has implemented e-Procurement portals in various states and public enterprises (PEs) in India which provide tender-wise detailed e-tendering process data. The authors designed a web crawler that collects these data in a tabular format, which allows an easy analysis and comparison to measure and compare government tendering process performance for the last five years for the two large PEs. The authors also engaged in discussions with the procurement executives of the two PSEs to derive meaningful managerial insights from the results obtained.FindingsUsing the public procurement data visualization tool, the authors compare the procurement process of two of the largest Indian PEs, Coal India Limited and Indian Oil Corporation on the developed KPIs and draw insights. The results show significant difference in their procurement process performance due to different practices followed by them. Through interaction with the procurement managers of these two organizations, the authors identify few good procurement practices that can be applied to improve public procurement process.Research limitations/implicationsThis paper uses actual process-level data which can be used not just to identify improvement opportunities but also to gauge the impact of any process-level change. It presents a data visualization tool to generate insights from data generated by a procurement/tendering system. Such visualization and benchmarking can uncover better procurement practices and provide an impetus toward data-driven policy formulation. Apart from the two PEs as reported in this paper, this tool has also been applied on the public procurement data of eight Indian states.Practical implicationsThe KPIs presented in this paper are aligned with the various dimensions of public procurement’s objectives. The visualization tool presented in this paper is based on the Open Contract Data Standard and has a universal application.Social implicationsThe use of technology and open data sharing as the enablers of benchmarking and process improvements help in establishing a dynamic competitive environment leading to financial savings, better services to citizens and proper use of taxpayers’ money.Originality/valueThis paper presents an original work carried out under the aegis of South Asia’s first procurement observatory at IIM Lucknow. The benchmarking tool presented in this paper uses open contract data standard and can be applied in most of the public procurement processes. This paper takes the discussions on e-Procurement to the next level, where the concern is no longer restricted to only adoption and assimilation issues, but also on how to make use of the data that these e-Procurement systems generate.
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Дисертації з теми "Tender management portal"

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Townsend, Robert. "An examination of the relationship between Australian Council e-Tender spend and executive strategy: an institutional approach." Thesis, 2018. https://vuir.vu.edu.au/38661/.

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This DBA Dissertation reports on the barriers preventing a relationship between Australian council e-Tender monetary spend and executive strategy, developed from seven Australian mid-range councils across three states. Every year councils spend billions of dollars on procurement of goods, services, works and information to fund community facilities. Electronic Tender (e-Tender), as a determined sub-set of e-Procurement, is an important acquisition activity. The significance of e-Tender through a tender management portal (TMP) was the initial focus of this research project, a subject not examined in previous research. Through the data collection phase the focus changed to the value of the e-Tender monetary spend. The existing research proposes council’s measure e-Procurement (not specifically e-Tender) expenditure and the arguments for this position are explored through their practice dimensions. The practice leads to theories and the perspective exposes the tension between strategic mimicry and acquiescence responses to institutional logics and variant economics which were found to legitimise and entrench practice barriers. The pervasiveness of council procurement is tied to the themes extracted from the case studies showing pressures between the council procurement structure, regulatory compliance, operational effectiveness and shared services or aggregators as practitioners of collaboration. Qualitative methods of interviews and case studies coupled with a back-and-forth abductive process of systematic combining through pragmatic lens enabled development of an own agenda serendipitous research methodology. This strategy responds to calls for reflective learning facets of case studies to advance research in the Purchasing and Supply Management field. This research project will increase the understanding of the dynamic and evolving nature of council e-Tender through a TMP and the value of tender spend as an inclusion in executive strategy, thereby commencing a conversation on council tender epistemology, research avenues yet unexplored. This DBA Dissertation makes a contribution to knowledge in the field of Australian middle range councils through the empirical research and the ensuing development of a tender spend/income ratio as a performance indicator. What was striking is the financial volume of tender spend not recognised across council: although not explicitly stated, acquiescence guides council reasoning for non-inclusion of this essential management data within executive strategy. This research is a contribution to the growing importance of understanding the digitalisation of practice and the impact on all stakeholders.
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Книги з теми "Tender management portal"

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Canada. Bill: An act to provide for imprisonment in certain cases of summary convictions. Ottawa: Hunter, Rose, 2001.

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Canada. Bill: An act to amend the Lower Canada game act as far as respects musk-rats. Ottawa: Hunter, Rose, 2001.

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Canada. Bill: An act to facilitate the collection of demands against vessels in Upper Canada. [Québec: Rose & Lemieux, 2001.

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Canada. Bill: An act for granting to Her Majesty certain sums of money required for defraying certain expenses of the civil government for the year 1865, and for certain other purposes connected with the public service. [Québec]: G.E. Desbarats, 2001.

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Canada. Bill: An act to amend the Act respecting the Notarial Profession. Quebec: Printed for the Contractors by Hunter, Rose & Lemieux, 2001.

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Canada. Bill: An act to encourage shipbuilding within this province. [Toronto: J. Lovell, 2001.

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Canada. Bill: An act to amend the act intituled: An Act respecting fisheries and fishing. Ottawa: Hunter, Rose, 2001.

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Canada. Bill: An act to amend the Insolvent Act of 1864. Ottawa: Hunter, Rose, 2001.

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Canada. Bill: An act to facilitate the arrangement of insolvent estates in Lower Canada. [Toronto: J. Lovell, 2001.

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Canada. Bill: An act to amend the Lower Canada Consolidated Municiapl Act, chapter twenty-four of the Consolidated Statues for Lower Canada. Ottawa: Hunter, Rose, 2001.

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Частини книг з теми "Tender management portal"

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Vallas, Steven. "Manufacturing Knowledge." In Social Dimensions of Information Technology, 236–54. IGI Global, 2000. http://dx.doi.org/10.4018/978-1-878289-86-5.ch014.

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Research on the restructuring of work has tended to neglect the autonomous effects that symbolic or cultural influences can have on the utilization of new technologies. This article draws on fieldwork conducted in three pulp and paper mills to explore the symbolic boundaries that occupational groups bring to bear on the process of workplace automation. As sophisticated technologies and management methods were introduced, process engineers engaged in subtle yet important efforts to portray manual workers’ knowledge in derisive terms. Such boundary work led managers to institute credential barriers that restricted manual workers’ opportunities, eventually enabling engineers to gain exclusive control over analytic functions as their own “natural” domain. The study suggests that symbolic representations can have powerful consequences for the restructuring of work, reproducing social inequalities even when new technologies render them unnecessary.
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Тези доповідей конференцій з теми "Tender management portal"

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Babin, Anatolie, and Zorina Constantin Şişcan. "Discovery of the entrepreneurial potential of settlements, districts in the cross-border territory of the republic of Moldova-Ukraine on the basis of smart specialization approaches and priorities for sustainable territorial development." In MODERN TRENDS IN BUSINESS AND MANAGEMENT: THEORY AND PRACTICE. Odessa National Maritime University, 2022. http://dx.doi.org/10.31375/978-966-7716-90-5-57-58.

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In order for regions today to be globally competitive, their smart specialization strategies cannot be created by an approach limited to one particular region only. The grouping of objectives emphasizes the need to create greater external dynamism by coordinating and maximizing synergies with policy initiatives, instruments and infrastructures in other regions. In this regard, trans-regional cooperation is a central aspect and a challenge of «Smart specialization», especially for neighboring regions with a cross-border dimension. EU best practice shows that cross-border Smart Specialisation Strategies (RIS3T) are singular in the practice of the cross-border RIS approach in the EU. The examples of innovative crossborder cooperation between Portugal and Spain, Germany and France, show that the main objective of this approach is to generate economic knowledge, quality employment through localised smart infrastructure and social well-being by jointly promoting strengths and common challenges. Thus, the Cross-Border − RIS3 aims to enhance the Euroregion's participation in European tenders for inter-territorial cooperation and provides a framework for launching coordinated actions and projects capable of competing with great success in attracting funding within Horizon Europe. The development of such a strategy should be agreed and coordinated on both sides of the border − innovation organisations, clusters, universities and representatives of the European Commission's Joint Research Centre Smart Specialisation team.
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A. LOPES, José, and Ignacio J. DIAZ-MAROTO. "INPUT OF COMMUNAL FORESTS TO SUSTAINABLE DEVELOPMENT OF THE RURAL POPULATION: STUDY CASE OF NORTHERN PORTUGAL AND GALICIA." In RURAL DEVELOPMENT. Aleksandras Stulginskis University, 2018. http://dx.doi.org/10.15544/rd.2017.227.

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Communal forests occupy one million hectares in the Northern of Portugal and Galicia. Since centuries ago, “Baldios” and “Montes Veciñais en Man Común” (MVMC) played an essential function in the economy of their owner communities. This role was lost all through the last century due to the enormous afforestation and the decrease of agriculture. The restitution of democratic regimes returned the communal forests tenure to the communities. Given the extension and high average area, our paper aims to research its potentialities and limitations of contribution to rural development. Two case studies, one in North Portugal and another one in Galicia, allow identifying the individual and collective traditional uses and the achievements made with revenues linked. Both Galician and Portuguese realities exhibit similarities and complementary benefits, and needing social and economic innovation to make a better use of rural resilience. Communal lands and small-scale business projects could maintain the network of local produce markets with attractive aesthetic values as well as biodiversity conservation. The comparison of the different criteria shows economic aspects are the most valorised by the stakeholders. The management decision of collective forests was the alternative mixed by the communities and the Forestry Services as the best one to complete the main objective of sustainable rural development. As a final conclusion of our work, remarking that the communities owning these forests currently seem to have the conditions to successfully manage their properties if the commoners are able to mobilize and adequate organize the communities.
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Zanella, Juliane Cristina, João Artur De Almeida Silveira, and Weverson Luis Monteiro Lima. "PATIENT BLOOD MANAGEMENT (PBM): TRANSFUNDINDO COM SABEDORIA, UMA REVISÃO DE LITERATURA." In II Congresso Brasileiro de Hematologia Clínico-laboratorial On-line. Revista Multidisciplinar em Saúde, 2022. http://dx.doi.org/10.51161/hematoclil/151.

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Introdução: O sangue alogênico é um recurso terapêutico, que apesar do incentivo para doação, se torna escasso com facilidade. Nesse contexto, transfundir com sabedoria se torna uma necessidade e não mais uma opção. Sendo assim, para utilização das bolsas sanguíneas de forma sábia, entra em cena a "Patient Blood Management (PBM)", uma nova abordagem baseada em evidências, multidisciplinar e centrada no paciente que visa otimizar o atendimento daqueles que podem precisar de uma transfusão de sangue. Isso ocorre por meio da transfusão de apenas determinados elementos sanguíneos que são necessários para o paciente, seja nas fases pré-operatória, operatória ou pós-operatória. Objetivos: Avaliar a eficácia, benefícios e contrapontos da PBM através de uma revisão integrativa da literatura. Material e métodos: Trata-se de uma revisão integrativa da literatura que buscou artigos na base de dados PUBMED, utilizando o descritor "Patient Blood Management" e os filtros “Ensaios clínicos randomizados“, “Revisão Sistemática”, “meta análise”, “texto completo” e “resumo”. Foram encontrados 26 resultados, dos quais 12 foram selecionados por se adequarem aos objetivos deste estudo. Resultados: Quando comparada ao manejo padrão de transfusão, a PBM mostrou-se eficaz e esteve relacionada a complicações reduzidas, redução de sangramento e da necessidade de transfusão em pessoas submetidas a cirurgias de grande porte. Uma revisão e análise sistemática mostrou que essa terapia, quando guiada por tromboelastografia (TEG), pode melhorar o gerenciamento de produtos sanguíneos e melhorar o tempo de permanência na sala de cirurgia, taxa de sangramento e mortalidade. Por outro lado, uma meta análise concluiu que as intervenções de PBM não tiveram efeito estatisticamente significativo na duração do tratamento ou na redução da mortalidade hospitalar. Conclusão: Tendo em vista o sistema de saúde sobrecarregado e a falta de bolsas de sangue no Brasil, a terapia PBM mostra-se uma solução promissora, segura, e eficaz, que traz melhora para o desfecho clínico dos pacientes e, portanto, merece a atenção dos profissionais da saúde e deve ser implementada o quanto antes pelos hospitais.
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Roca Cisa, Miquel, Joan Triadó Aymerich, Jordi Arderiu, and David Perelló. "Projecte centre de coneixement urbà: EUP de Mataró - Ajuntament de Mataró: eines d’ajuda a la presa de decisions dins de l’àmbit de la gestió municipal." In International Conference Virtual City and Territory. Barcelona: Centre de Política de Sòl i Valoracions, 2009. http://dx.doi.org/10.5821/ctv.7582.

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La utilització de grans quantitats de dades dins de l’àmbit de gestió municipal, planteja uns problemes importants d’extracció d’informació i , anant més enllà, d’extracció de coneixement. En aquest article es presentaran eines d’ajuda a la presa de decisions, que permeten visualitzar anàlisis complexes que relacionen tipus de dades diversos, tals com l’estructura física de la ciutat (carrers, illes, parcel·les, portals), la població que hi viu, els centres proveïdors de serveis i les característiques de les activitats econòmiques que s’hi desenvolupen. També permeten fer hipòtesis i simulacions dels diferents escenaris. Aquestes eines s’han aplicat a la ciutat de Mataró, mitjançant el Servei d’Estudis i Planificació de l’Ajuntament, i hi estan involucrades dades que tenen origen en diferents departaments municipals, com ara el Padró d’Habitants, el Cadastre i el Mapa de la Ciutat entre altres. L’Ajuntament de Mataró a través del Servei d’Estudis, per una part i l’Escola Universitària Politècnica com soci tecnològic han creat el Centre de Coneixement Urbà per dur a terme aquestes activitats. El projecte es basa, fonamentalment, en la superioritat de la informació gràfica sobre de l’alfanumèrica. Un aspecte essencial és la ubicació de les dades en el territori, a partir de la seva georeferenciació tal com fa un SIG, però en el nostre cas el SIG és simplement una interfície i el que realment es valorat i potenciat és la interacció entres les diferents tipologies de dades, per acabar generant uns indicadorstambé gràfics i georefenciats (entitats o mapes temàtics) que presenten la síntesi resultant aportant una informació qualitativament diferent a la informació inicial. Aplicacions: 1) Centres proveïdors de serveis i proximitat. La idea és associar l’àrea d’influència d’un determinat centre proveïdor de servei (amb aquest nom es pot representar un centre d’ensenyament, un ambulatori, un centre cívic etc.) amb la seva capacitat de donar aquest servei (nombre de places) i amb la població ‘target’ del citat servei que hi ha a l’entorn físic del centre. D’aquesta manera es pot generar un indicador de l’àrea d’influència sobre el seu territori més proper. Això permet al polític o al gestor, d’una mirada, percebre sobre el mapa de la ciutat o el territori, si hi ha ‘buits’ significatius en la cobertura i també veure ‘que passaria si’ s’augmenta la capacitat d’un centre, o es canvia d’emplaçament, o se’n tanquen u obren de nous. 2) Activitat econòmica i relació amb la població Permet tenir una visió de l’activitat econòmica de la ciutat agrupada per sectors (epígrafs normalitzats) podent escollir activitats relacionades de diferents maneres, com per exemple: tot el comerç al detall, tot el comerç a l’engròs, la restauració, la banca, el tèxtil etc. Es presenten totes les entitats que corresponen a cada consulta en forma de números de policia o parcel·les. Es visualitza també en forma gràfica la superfície declarada per aquesta activitat. Igualment també es pot relacionar amb la població, predefinint unes zones d’influència de cada centre d’activitat i mostrant un temàtic de la població que en queda fora permetent per tant aplicacions de geomarketing. The use of massive data within the field of local-government management causes some important problems to extract information and knowledge from data. In this article, tools are presented to help in decision-making. These tools allow to show complex analysis which connect diferent types of data, such as physical structures and elements in town (streets, blocks, plots of land and doorways), with the inhabitants who live there, service supplier centers and economic activity characteristics. Hypothesis and simulations of diferent scenes are also enabled. The Servei d’estudis i planificació - Study and Planning Service – of Mataró Town Council has put into practice these tools in its own town. The data used have their origin in diferent departments, such as Inhabitants Register, Property Register, and the City’s Map Department. Mataró Town Council, through Servei d’estudis i planificació, and the Escola Universitària Politècnica de Mataró (Mataró School of Engineering), as technology partner, have created the Centre de Coneixement Urbà – Urban Knowledge Center – to carry out these activities. The project is mainly based on the idea that graphically-presented information is more useful than alphanumerically-presented information. An essencial aim is the location of data in the territory from its georeference, as a Geographical Information System (GIS) does. In our case, however, the GIS is used just as an interface. What is actually valuable and strengthened is the integration of the diferent types of data to create graphic and georeferenced indicators (entities and thematic maps), which summarizes and improves the quality of the information. Application: 1) Service suppliers and proximity centers The main idea is to associate an area of influence to a particular Service Supplier Center (a school, a health center, a community center, etc.) with its number of vacancies and with the inhabitants targeted by and around this service. So, an indicator of the area of influence around the center can be generated. This indicator is a great tool to politicians or managers because it allows them to understand, over the city map, if there are empty areas not covered by the analysed service. Therefore “what if “ questions can be used to change the number of vacancies of the center, its situation or even removing or creating new ones. 2) Economic activity and relationship with population It allows to have a view of the town’s economic activity grouped into sectors. The user can choose diferent activities related in some diferent ways, for instance: retail, wholesale trading, restaurants, banks, textile, etc. All the entities corresponding to each query are shown on the map as plots of lands or doorways. And you can also graphically see the area legally declared by the owner of the activity. Moreover, these entities can be related to the inhabitants by previously defining a zone of influence of each activity center and by showing a thematic map of inhabitants left out from the area of influence, thus allowing geomarketing applications
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