This thesis deals with a person of the Insolvency Administrator, both in terms of the requirements imposed on the person of the Insolvency Administrator, and in terms of the obligations to be Insolvency Administrator in the course of Insolvency proceedings perform. The main objective of this thesis is to test the hypothesis that can be considered the submitted draft amendments to the Insolvency Act effective from 1. 1. 2014, effective, particularly in relation to the performance of the Insolvency Administrator.

The thesis concers the conclusion of employment. The first chapter characterize emplyoment. The next chapter describes the process before employment. There is also the chapter about the rule of equal treatment and prohibition of discrimination. The essential part of this thesis is devoted to the contract of employment and its necessities. The thesis has a separated chapter about the rights and duties arising from employment contract. Also the experiance of the emplyers and employees with the conclusion of the emplyment is carried out.

This research evaluates the relationship between various individual differences constructs and performance on a past behavior interview (PBI)-one of the most popular forms of personnel selection interviews used today-within a sample of business unit leader level incumbents and applicants from organizations across the United States. Correlation analysis is conducted on the relationship between overall performance on a PBI and four work-related constructs: Experience, Motivation, Personality, and Cognitive Ability. The existing literature on PBIs and the four independent variables is critically reviewed. As limited research has been conducted on the influence of Experience and Motivation on PBI performance, this study makes unique contributions to the literature regarding impact of these two constructs. The major hypotheses stated that Experience and Motivation would yield significant, positive correlations with PBI performance while Personality and Cognitive Ability would not be significantly correlated with PBIs. Results partially supported the hypotheses-Experience, Motivation, and Personality were significantly related to overall PBI score, while Cognitive Ability was not. Implications for the findings as well as suggestions for future research are discussed.

[pt] Os sistemas de agendamento de consultas tradicionalmente realizam as marcações dos pacientes em intervalos fixos de tempo, sem levar em consideração diversos fatores de complexidade do sistema de saúde. Isso pode causar mão de obra ociosa em alguns períodos do dia e longas filas de espera de pacientes em outros momentos. Nesse contexto, esta dissertação tem como intuito propor uma nova política de agendamento para uma clínica especializada em cirurgia bariátrica do Rio de Janeiro, considerando os fatores desse sistema: tempos de serviços estocásticos, impontualidade do paciente, atrasos e interrupções do serviço, e presenças de no-shows. Esta dissertação analisou diversos cenários com overbooking (marcação de pacientes adicionais), e testou as principais políticas por meio de simulação, propondo a mais adequada para a clínica. As 18 políticas de agendamento aplicadas foram encontradas através de uma extensa revisão sistemática da literatura. Com a utilização da política de agendamento OFFSET, foi possível aumentar o número de atendimentos em 30 por cento para o agendamento do principal provedor da clínica, mantendo o nível de serviço prestado. Além disto, foi proposta uma nova política de agendamento, denominada DOME CYCLE, que teve resultados superiores às demais políticas da literatura na média dos cenários realizados. / [en] Appointment-scheduling systems traditionally schedule patient appointments at fixed intervals, without taking into account several complexity factors of health-care system. This schedule can make the server idle at certain times of the day and can produce long queues of patients at other times. In this context, the objective of this study is to propose a new scheduling policy for a clinic specialized in bariatric surgery in Rio de Janeiro, considering the following factors of this system: stochastic service times, patient unpunctuality, delays and interruptions of the provider and presences of no-shows. This study analyzed several scenarios with overbooking, and tested the main policies with a simulation model, proposing the most appropriate for the clinic. The 18 scheduling policies applied were found through an extensive systematic review of the literature. With the use of the OFFSET scheduling policy, it was possible to increase the number of appointments by 30 percent to the scheduling of the main clinic provider, maintaining the level of service provided. In addition, a new scheduling policy, called DOME CYCLE, was proposed, which has outperformed the other policies in the average of the tests performed.

En la gestión de terminales portuarias se ha evidenciado un problema común, alto tráfico de camiones y largos tiempos de espera dada la variabilidad en la llegada de camiones. Este es un desafío importante para los puertos no solo en los países emergentes, sino también en los más desarrollados. Esta situación ha dado la oportunidad de investigar en esta materia y hacer uso de un Sistema de Citas para Camiones (TAS, por sus siglas en inglés) junto con otras herramientas correspondientes a la ingeniería industrial para la optimización de los procesos de atención de camiones dentro de una terminal portuaria en Perú. Para ello, se realiza un diagnóstico de la empresa objeto de estudio y mediante una simulación de sistemas discretos se valida la viabilidad técnica de la propuesta. Se demostró que un procedimiento de atención basado en citas, gestión Último en Entrar, Primero en Salir (UEPS) para contenedores y desarrollo de la gestión visual dentro del patio de contenedores; es una opción altamente viable para reducir tiempos de espera y movimientos improductivos de contenedores. / In the management of port terminals a common problem has been evidenced, high traffic of trucks and long waiting times given the variability of trucks arrival. This is a significant challenge for ports not only in emerging countries, but also in the more developed ones. This situation has given the opportunity to investigate in this matter and make use of a Truck Appointment System (TAS) together with other tools corresponding to industrial engineering for the optimization of truck service processes within a port terminal in Peru. To do this, a diagnosis is made of the company object of study and through a simulation of discrete systems, the technical viability of the proposal is validated. It was demonstrated that a procedure of attention based on appointments, Last in, First Out (LIFO) management for containers and development of visual management within the container yard; it is a highly viable option to shorten waiting times and unproductive movements of containers. / Trabajo de Suficiencia Profesional

MEDEM / Department of Curriculum Studies and Education Management

MPM / Oliver Tambo Institute of Governance and Policy Studies

Having a newborn can be a big change for families, especially for first-time parents. At hospital discharge, parents are often provided with a lot of information, which can be difficult to retain. Due to shortened postnatal lengths of stay, nurses typically have less time to educate parents, which often results in families feeling overwhelmed. After hospital discharge, it is recommended for families to see a health care provider (i.e., physician, nurse practitioner, or registered midwife) within 72 hours for a follow-up appointment. This follow-up appointment is meant to assess both the mother and newborn to ensure they are both in good health and to provide any needed support. Unfortunately, completing the appointment within this timeframe may not be possible for every family or they may not be aware of its importance. Depending on the family’s model of care, completing the follow-up appointment within 72 hours after hospital discharge can be challenging. Families that have a physician as their health care provider may experience delays in scheduling the follow-up appointment. This can be due to the physician’s lack of availability, as there is a physician shortage in most communities. Furthermore, some families do not have access to a health care provider and, therefore, do not see a care provider after hospital discharge. Completing the follow-up appointment later than when it is recommended, or not at all, can result in negative health consequences for the mother and newborn and can also increase re-admission hospital rates and related costs (Cargill et al., 2007). At the moment, postnatal lengths of stay are shortening but the service delivery has not changed to accommodate this trend (Lemyre et al., 2018). This means that the services typically provided to families in the hospital now need to be provided in the community. The follow-up appointment after hospital discharge is an opportunity to provide these services; however, timely access to a health care provider, specifically a physician, can be challenging. Thus, this thesis explores the development of a general design methodology for a postpartum nurse practitioner-led clinic. The aim of the clinic is to provide timely access to any family that needs to complete the necessary postpartum services after hospital discharge within a community. An analytical model was developed to explore the characteristics of a postpartum nurse practitioner-led clinic and how it would operate (i.e., what services would be offered, the amount of time needed for these services, what is needed to offer these services, etc.). The model conducts a simulation of the appointment scheduling process based on the input values entered into it and evaluates a number of performance metrics (e.g., number of diversions, patient wait times, resource idle time, clinic overtime, number of appointments provided within 72 hours and number of appointments provided beyond 72 hours). The findings from the model can support the potential implementation of a postpartum nurse practitioner-led clinic in any community. Implementing such clinics could increase awareness, further educate parents and increase access to postpartum services.

Inledning: Bristfällig information till patienterna inför en MR-undersökning kan leda till att patienterna blir nervösa, stressade och känner obehag och därmed uteblir från bokade tider eller väljer att avbryta sina undersökningar i förtid. Med en tydlig information till patienten innan MR-Kaundersökningen startar ökar det patientens förståelse inför besöket. Det kan göra att patienterna kommer på sina bokade tider och därmed har möjlighet att få svar på oklara funderingar utifrån den skriftliga informationen med hjälp av en röntgensjuksköterska innan undersökningens start. Syfte: Syftet med studien var att sammanställa den information som ges till patienter inför en MR-undersökning samt betydelsen av informationen. Metod: Studien som genomförts är en allmän litteraturöversikt, där artiklarna hämtats från databaserna Pubmed och Cinahl. I studien ingår både kvantitativa och kvalitativa artiklar, som i sin tur har kvalitetsgranskats och analyserats utifrån syftet. Resultat: 10 stycken artiklar har delats in i tre kategorier som följer: skriftlig information, verbal information och digital information. Resultatet av studien visar på att oro och ångest hos patienterna kan ge rörelseartefakter med dålig bildkvalitet som följd, behov av upprepade undersökningar, att patienten väljer att avbryta eller vägrar att lägga sig i kameran. Detta kanresultera i försenad diagnos och behandling för patienten. Genom en kombination av skriftlig, verbal och digital information så ökar det förståelsen och tryggheten på ett bättre sätt än endast skriftlig information. Slutsats: Området är viktigt att belysa då information inför MRundersökning inte bara lindrar stress och ångest utan även ger trygghet till patienten och större möjlighet att få en så bra kvalitet på undersökning och bildframställning som möjligt. Studien tyder på att det finns ett behov av vidare forskning för att kunna utreda vilken information som patienten saknar inför sin MR-undersökning för att ge ökad trygghet. Men det finns stora möjligheter att kunna använda sig av förberedande information inför MR-undersökningar i form av appar och VR i framtiden. / Introduction: Inadequate information to patients prior to an MRI examination can lead to patients becoming nervous, stressed and feeling discomfort and thus absent from booked appointments or choosing to cancel their examinations. With clear information to the patient before the MRI examination starts, it increases the patient's understanding before the visit. This can mean that patients arrive at their booked times and thus have the opportunity to get answers to unclear thoughts based on the written information with the help of an X-ray nurse before the start of the examination. Aim: The purpose of the study was to compile the information given to patients prior to an MRI examination and the importance of the information. Method: The study conducted is a general literature review, where the articles were retrieved from the databases Pubmed and Cinahl. The study includes both quantitative and qualitative articles, which in turn have been quality reviewed and included in the work. Results: 10 articles have been divided into three categories:such as written information, verbal information and digital information. The results of the study show that anxiety and stress in patients may cause motion artifacts with poor image quality as a result, need for repeated examinations, that the patient chooses to interrupt or refuses to go to the camera. Through a combination of written, verbal and digital information, it increases understanding and security in a better way than just written information. Conclusion: The area is important to highlight as information prior to MRI examination not only relieves stress and anxiety but also provides security to the patient and greater opportunity to get the best quality of examination and imaging possible. The study indicates that there is a need for further research in order to be able to investigate what information the patient lacks prior to their MRI examination, in order to increase well-being. But there are great opportunities to be able to use preparatory information for MRI examinations in the form of apps and VR in the future.

En el Perú, el tiempo de espera para la consulta en las instituciones de salud está limitado por el número de recursos médicos y sus franjas horarias disponibles. Investigaciones recientes han demostrado que los sistemas en línea basados en la programación de citas médicas ayudan a los centros médicos a reducir el tiempo de espera de los pacientes para recibir atención médica. La presente investigación tiene como objetivo analizar y comparar sistemas de reserva de citas médicas, tomando en cuenta sus ventajas, características y funcionalidades que ayuden en la optimización de tiempo de espera para la atención médica y mejoren la calidad de la atención a los usuarios. Asimismo, se analizará las plataformas Cloud y herramientas multiplataforma que ayudarán en el desarrollo de la solución tecnológica. / In Peru, waiting time for medical appointments at healthcare facilities is limited by the number of medical resources and their available time slots. Recent studies have shown that online systems based on medical appointment scheduling help medical centers to reduce patients' waiting time for medical healthcare. The present research aims to analyze and compare medical appointment scheduling systems, considering their advantages, features and functionalities that help in the optimization of waiting time for medical care and improve the quality of care to users. Likewise, Cloud platforms and cross-platform development tools that will help in the development of the technological solution will be analyzed. / Trabajo de investigación