The subject of the diploma thesis “External risks of a Critical Infrastructure Entity from the Public Sector” is the analysis and evaluation of the external risks of the Office for Government Representation in in Property Affairs (OGRPA), with emphasis on the continuity of its function and the formulation of recommendations for the existing risks. The first part of the thesis deals with essential concepts and theoretical knowledge. The second part of the thesis focuses on the analysis of the current state of the OGRPA risk management system, the risk analysis, the evaluation and the proposal of the solution for the current OGRPA risks management system.

The first part of this thesis is focused on the literature review that is concerned with Burnout syndrome. The work analyses the development of the burnout concept from the early start in 70th of the 20th century till present-day. It covers major topics that include the definition of the Burnout Syndrome, the difference among Burnout Syndrome and other mental states, signs, symptoms, diagnostics and phases of the Burnout Syndrome and last but least the analysis of the factors, that contribute to formation of the Burnout Syndrome. The factors are divided into two categories, the first are external and the other are internal. The second part of thesis consists of the empirical research. The research examines the difference in copying with Burnout Syndrome between the two groups, where the first group represents psychiatrists, psychologists, psychotherapists who work with clients and the other group, that represents IT specialists, who minimally need to deal their job with people. The empirical part provides the differences between scores of these two groups in SMBM (Shirom-Melamed scale), LET (Life Engagement Test) and ICL (Interpersonal Check List). The goal of this part is to test assumption, that claims the relationship among Burnout Syndrome and intrapsychic or interpersonal context. Keywords:...

Introdução: pneumonia associada à ventilação mecânica (PAV ) é uma infecção relacionada com os cuidados de saúde e a segunda principal causa de infecções hospitalares ligadas a taxas de morbidade e mortalidade. Portanto, a implementação de protocolos de diretrizes de cuidados tornou-se necessária para pacientes criticamente doentes em UTI, a fim de proporcionar um tratamento adequado.Objetivo: avaliar o impacto de um pacote chamado FAST HUG em PAV; analisar os fatores de risco para ocorrencia de PAV em pacientes adultos de uma UTI de um hospital privado; analisar as caracteristicas clinicas dos pacientes que foram ou não submetidos ao FAST HUG; analisar a etiologia dos microrganismos relacionados a PAV; determinar os custos decorrentes da internação em pacientes com a pneumonia e em paciente que receberam o FAST HUG.Métodos: O estudo foi realizado em uma UTI de 8 leitos, de um hospital privado . Foi dividido em duas fases: antes de implementar FAST HUG , de agosto de 2011 a agosto de 2012 e após a implementação do ABRAÇO RÁPIDO, de setembro de 2012 a dezembro de 2013. Uma ficha individual para cada paciente, no estudo, foi preenchida, usando informações tomadas por via eletrônica dos prontuários hospitalares. Os seguintes dados, para cada paciente, foram obtidos : idade, sexo, motivo da internação, o uso de três ou mais tipos de antibióticos, duração da estadia, tempo de intubação e progresso. Resultados: Após a aplicação de FAST HUG , houve uma redução observável na ocorrência de PAV ( p < 0,01 ) , bem como uma redução nas taxas de mortalidade ( p < 0,01 ) . Ela também mostra que a intervenção realizada no estudo resultou numa redução significativa dos custos hospitalares de UTI ( p < 0,05 ). Conclusão: A implementação do FAST HUG reduziu os casos de PAV . Assim, a redução de custos , taxas de mortalidade e tempo de permanência no hospital,apontam a excelência das medidas aqui descritas e resultam em melhoria para a qualidade geral do atendimento. / Background: Ventilator-associated pneumonia (VAP) is a health care related infection and the second leading cause of nosocomial infections linked to morbidity and mortality rates. Therefore, the implementation of care guideline protocols has become necessary for critically ill patients in ICUs in order to provide adequate treatment. Objective: To assess the impact of a package called FAST HUG in PAV ; analyze the risk factors for occurrence of VAP in adult patients at an ICU of a private hospital ; analyze the clinical characteristics of patients who were or were not submitted to the FAST HUG ; analyze the etiology of microorganisms related to EPI ; determine the cost of hospitalization in patients with pneumonia and in patients who received the FAST HUG.Methods: The study was performed in a private hospital that has an 8-bed ICU. It was divided into two phases: before implementing FAST HUG, from August 2011 to August 2012 and after the implementation of FAST HUG, from September 2012 to December 2013. An individual form for each patient in the study was filled out by using information taken electronically from the hospital medical records. The following data for each patient was obtained: age, gender, reason for hospitalization, the use of three or more types of antibiotics, length of stay, intubation time and progress. Findings: After the implementation of FAST HUG, there was an observable decrease in the occurrence of VAP (p <0.01), as well as a reduction in mortality rates (p <0.01). It also shows that the intervention performed in the study resulted in a significant reduction in ICU hospital costs (p <0.05).Conclusion: The implementation of FAST HUG reduced the cases of VAP. Thus, decreasing costs, reducing mortality rates and length of stay, which therefore resulted in an improvement to the overall quality of care. / Dissertação (Mestrado)

This thesis is dealing with analyzing risks in an accredited testing labotarory. In this thesis will be made a search of available manuals and literature issued for accredited testing laboratory. In this thesis will be conducted selected analyzes for selected processes. The aim of this thesis is to analyze and asses the risks in chosen processes of testing laboratory and make a a simple tools for the management and elimination.

Cette étude est une contribution à la connaissance de la biodiversité, la distribution géographique et la conservation des Rubioideae (Rubiaceae) d’Afrique centrale (Burundi,R.D.Congo et Rwanda). Le travail est basé sur l’analyse critique des riches collections conservées dans les grands herbaria de Belgique et du Burundi (plus de 10.000 échantillons). Une check-list critique des Rubioideae d’Afrique centrale a été établie; 291 taxons ont été inventoriés et une carte de distribution géographique a été tracée pour chacun, après géoréférencement de toutes<p>les récoltes. Des taxons nouveaux pour le territoire étudié ont été découverts, révélant le caractère incomplet de la ‘World check-list of Rubiaceae’. Des taxons nouveaux pour la science ont été mis en évidence. Une espèce nouvelle (avec deux variétés) a été décrite. Les analyses de distribution ont utilisé deux niveaux de résolution: le système d’information géographique (SIG) pour la production des cartes de la distribution des espèces et le système de maillage pour calculer la densité et l’effort d’échantillonnage. La richesse floristique apparente est fortement biaisée par l’intensité d’échantillonnage. Après correction de ces biais, la diversité reste inégalement répartie.<p>Des régions de plus haute diversité peuvent être expliquées à la fois par des processus déterministes (régions à haute diversité ’habitats), et, probablement aussi par des contingences historiques (refuges). Elles correspondent à des zones de spéciation active ou de moindre extinction. De plus, cette diversité varie selon les phytochories considérées.<p>La distribution des taxons a été utilisée pour tenter de redéfinir sur une base objective des subdivisions phytogéographiques du territoire étudié. L’approche basée sur la similarité floristique et la distribution potentielle a démontré le rôle déterminant des taxons indicateurs et des variables environnementales<p>dans l’établissement d’un système cohérent de phytochories pour l’Afrique centrale. Un nouveau<p>système de trois territoires floristiques défini sur base des Rubioideae est comparativement proche de celui de White (1979, 1983) mais ne comprend pas des zones de transition.<p>Enfin, la caractérisation de l’état de conservation des Rubioideae de la zone d’étude, sur base de la méthodologie de l’UICN, a porté sur cinquante-six taxons (sub-)endémiques d’Afrique centrale. L’évaluation paramétrique a été largement utilisée. Elle est basée sur la détermination de la zone d’occupation (AOO) et de la zone d’occurrence (EOO). La proportion des Rubioideae menacés et coïncide avec celles des autres groupes déjà évalués. Cette analyse a démontré qu’il existe une corrélation entre les taxons menacés et les zones de forte concentration humaine.<p><p><p>This study is a contribution to the knowledge of biodiversity, geographic distribution and conservation of Rubioideae (Rubiaceae), a group of flowering plants in Central Africa (D.R.Congo, Rwanda, Burundi). The work is based on the critical evaluation of the rich herbarium collections conserved in Belgium and Burundi (> 10,000 specimens). A critical check-list of Rubioideae in Central Africa has been produced, comprising 291 taxa. A distribution map has been obtained for each of them. A number of taxa are new to the area, highlighting the gaps of knowledge in the ‘World check-list of Rubiaceae’. Species new to science have been detected, one of which has been formally described (with two varieties) in this study. The analysis of distribution patterns has been performed at two levels of resolution. Grid-maps have been used to analyse patterns of species diversity. Floristic richness appears strongly correlated with<p>sampling effort. After correction for sampling effort, species diversity remains heterogeneous.<p>Regions of higher diversity correspond either to areas of more active speciation, in relation to a high diversity of habitats, or to forest refuges where extinction rates have been lower. Additionally, this diversity varies between the different phytochoria recognized. The distribution of species has been used in an attempt to redefine phytochoria based only on floristic criteria. Floristic similarity, and potential distribution (based on climatic parameters), has shown that phytochoria can be effectively defined and characterized by the method of indicator taxa. Three major<p>phytochoria show a reasonably match with phytochoria previously proposed by White (1979, 1983), but White’s transition zones are not highlighted. Finally, distribution data have been used to critically evaluate the conservation status of 56 taxa, using the methodology and criteria of IUCN. The area of occupancy (AOO) and extent of occurrence (EOO) were calculated and used as main criteria to evaluate the species. A relatively high proportion of taxa appear to be threatened, especially in relation to urbanization and deforestation in the most<p>highly populated parts of the study area. / Doctorat en Sciences / info:eu-repo/semantics/nonPublished

Les erreurs récurrentes et systématiques dans les processus de décision stratégique sont fréquentes ; et les théories actuelles des organisations sont insuffisantes pour les expliquer. La « Behavioral Strategy » suggère de lier ces erreurs à la psychologie des décideurs, et notamment à leurs biais cognitifs. Toutefois, cette vision suppose de connecter le niveau d’analyse de l’individu et celui de l’organisation. Nous proposons pour ce faire un niveau « méso », la routine de choix stratégique (RCS), où interagissent la psychologie des décideurs et les décisions stratégiques. Après avoir distingué trois types de RCS, nous formulons des hypothèses d’intervention sur celles-ci visant à prévenir les erreurs stratégiques. Nous illustrons ces hypothèses par six cas pratiques, en testons certaines par une étude quantitative, et analysons les préférences qui conduisent les dirigeants à les adopter ou non. Nous concluons en discutant les implications théoriques et pratiques de notre démarche. / Many types of strategic decisions result in recurring, systematic errors. Extant theories of organizations are insufficient to account for this phenomenon. Behavioral Strategy suggests that an explanation may be found in the psychology of decision makers, and particularly in their cognitive biases. This, however, calls for a link between individual-level cognition and affects, and organization-level choices. We propose “Strategic Choice Routines” as a middle level of analysis to bridge this gap, and identify three broad types of Strategic Choice Routines.This leads us to formulate hypotheses on how Strategic Choice Routines can be modified to minimize strategic errors. We illustrate these hypotheses through case studies; test some of them quantitatively; and analyze preferences that drive their adoption by executives. Finally, we discuss theoretical and managerial implications.