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Lignes d'argumentation de la littérature relative à la non-initiation, l'arrêt de traitement, et l'euthanasie de patients inaptesHeveker, Nikolaus 09 1900 (has links)
Des décisions médicales en fin de vie sont souvent prises pour des patients inaptes. Nous avons souhaité connaître les argumentations éthiques entourant ces décisions difficiles. Notre objectif était de pouvoir comprendre et apprécier ces lignes d’argumentation. Pour atteindre cet objectif, nous avons répertorié et analysé les lignes argumentatives présentes dans des articles scientifiques, incluant les sections de correspondance et commentaires des journaux savants.
Afin d’éviter que les résultats de notre analyse soient trop influencés par les caractéristiques d’un problème médical spécifique, nous avons décidé d’analyser des situations cliniques distinctes. Les sujets spécifiques étudiés sont la non-initiation du traitement antibiotique chez des patients déments souffrant de pneumonie, et l’euthanasie de nouveau-nés lourdement hypothéqués selon le protocole de Groningen.
Notre analyse des lignes d’argumentation répertoriées à partir des débats entourant ces sujets spécifiques a révélé des caractéristiques communes. D’abord, les arguments avancés avaient une forte tendance à viser la normativité. Ensuite, les lignes d’argumentation répertoriées étaient principalement axées sur les patients inaptes et excluaient largement les intérêts d’autrui.
Nous n’avons trouvé aucune des lignes d’argumentation à visée normative répertoriés concluante. De plus, nous avons trouvé que l’exclusion catégorique d’arguments visant l’intérêt d’autrui des considérations entrainait l’impossibilité d’ évaluer leur validité et de les exclure définitivement de l’argumentaire. Leur présence non-explicite et cachée dans les raisonnements motivant les décisions ne pouvait alors pas être exclue non plus. Pour mieux mettre en relief ces conclusions, nous avons rédigé un commentaire inspiré par les argumentaires avancés dans le contexte de l’arrêt de traitement de Terri Schiavo, patiente en état végétatif persistant.
Nous pensons que l’utilisation d’un argumentaire qui viserait davantage à rendre les actions intelligibles, et sans visée normative immédiate, pourrait contribuer à une meilleure compréhension réciproque des participants au débat. Une telle argumentation nous semble aussi mieux adaptée à la complexité et l’unicité de chaque cas. Nous pensons qu’elle pourrait mieux décrire les motivations de tous les acteurs participant à la décision, et ainsi contribuer à une plus grande transparence. Cette transparence pourrait renforcer la confiance dans l’authenticité du débat, et ainsi contribuer à une meilleure légitimation de pratiques cliniques. / Medical decision making is often occurring at the end of life of inapt patients. We wished to learn about and appreciate the ethical arguments concerning these difficult decisions. Our objective was to understand and evaluate these lines of argument. To reach this objective, we have listed and analyzed lines of argument as they were presented in scientific articles, including the sections correspondence and commentary of scholarly journals.
In order to avoid that our results are too much influenced by the specifics of one given clinical problem, we decided to analyze distinct clinical settings. The specific subjects studied are the non-initiation of antibiotic treatment for demented patients suffering from pneumonia, and active euthanasia of severely affected newborns following the Groningen protocol.
Our analysis of the indexed lines of arguments from debates dealing with these specific subjects has revealed common characteristics. First, the issued argumentations had a strong normative tendency. Second, the indexed argumentation was principally oriented towards the patient himself, while largely excluding the interests of others.
We found that none of the indexed normative lines of argument was compelling. Moreover, we found that the systematic exclusion of arguments based on the interests of others entailed the impossibility to evaluate them, and potentially to exclude them definitively from the considerations. It was thus also impossible to evaluate their potentially concealed persistence as a driving force motivating the decisions made. In order to illuminate these conclusions, we have written a commentary inspired by the lines of arguments evoked in the context of the treatment withdrawal of Terri Schiavo, a patient in persistently vegetative state.
We believe that the use of lines of argument that render decisions intelligible, without however aiming at immediate normativity, could contribute to a better mutual understanding between the participants of such debates. Such argumentation also seems, in our opinion, more adapted to take the complexity and uniqueness of each single clinical case into account. We believe that such argumentation could better describe the respective motivations of the participants in the decision, and thus increase its transparency. Increased transparency would reinforce the confidence in the authenticity of the debate, and thus better legitimate clinical practice.
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Ochrana hospodářské soutěže - blokové výjimky / Protection of competition - block exemptionsDavidová, Lenka January 2011 (has links)
The main purpose of my thesis was to describe and analyse the system of the block exemptions. Briefly, the block exemption is a kind of exemption from the prohibition under article 101 (1) TFEU because it is supposed to fulfil the criteria of article 101 (3) TFEU. It exempts certain category of agreements, which are covered by the special regulation issued by the Council or more often by the Commission. The paper is divided into seven chapters and the first opening chapters are dealing with more general aspects of block exemption: the function, process of issuing, non- application and the advent of block exemption where the regulation 1/2003 (Modernisation Regulation) should be of special attention. It abolished the regime of previous notification of agreements to the Commission. An introduction to the system of other exemptions from the prohibition under article 101 (1) TFEU is also described there. The following part (chapter 4) focuses more detailed on the kinds of block exemptions, which are divided into the vertical, horizontal and sector exemptions. The former exemptions issued by the Czech Office for the Protection of Competition are no longer applicable and therefore only the block exemptions of the EU are of the concern of this paper. Furthermore, the special competition regime of some...
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Opatření obecné povahy / Measures of a general natureHála, Ondřej January 2012 (has links)
This thesis deals with the institute of Administrative Law called "measure of a general scope". It is a form of administrative activity, the general rules of which were adopted by Act No. 500/2004 Coll., The Administrative Code effective from 1. 1. 2006. During vacatio legis of The Administrative Code, the Act No. 127/2005 Coll., The Electronic Communication Act came into force. It was the first act, which empowered the administrative bodies to issue an act in the form of measure of general scope. The aim of the thesis is to clarify the position of other administrative measures and acts, to assess relevant legislation, to analyze case law, to draw attention to problematic areas and suggest possible solutions. The first chapter deals with the theory of abstract and concrete acts. This is necessary to understand the nature of measures of a general scope as an act that stands between laws and decisions. The second chapter is devoted to the nature of measures of a general scope in Czech law. The institute itself was adopted imperfectly and inconsistently by a negative definition. Therefore, the Supreme Administrative Court had to deal with the character of measures of a general scope. Nowadays, case law and jurisprudence agree on the definition of measures. There is a discrepancy, however, regarding...
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Técnicas decisórias de ponderação: por uma busca de limitação ao subjetivismo judicial / Balancing decisional techniques: a way to find the limitation of judicial subjectivismSponchiado Neto, Silvio 26 October 2016 (has links)
O objeto de estudo da presente dissertação é a análise da forma pela qual se dá a interpretação de normas pelo Poder Judiciário, principalmente através de técnicas decisórias oriundas do movimento neoconstitucionalista, permeadas pelo ativismo e criatividade judiciais, por meio de interpretações expansivas de normas e uso da ponderação entre princípios, valores e direitos fundamentais. Além disso, a pesquisa aborda os fundamentos do uso do princípio da proporcionalidade, com vistas à construção de um modelo de aplicação concreta aos casos em que serve de paradigma de aplicação. Por fim, são ressaltados os elementos necessários para análise da razoabilidade/proporcionalidade no intuito de desenvolver uma construção de parâmetros indutores para uma jurisdição objetiva, mais controlada e menos subjetivista, mediante formas efetivas de controle dos atos decisórios, especialmente quando do uso da técnica da ponderação, evitando assim o surgimento de subjetivismos e decisionismos, visando fortalecer as estruturas do Estado Democrático de Direito. / The aim of this dissertation is the analysis of how the Judiciary gives interpretation of rules, which mostly adjudicated techniques had began with the neoconstitucionalist movement that has been permeated by judiciary creativity and activism throughout expansive laws interpretation besides the prudence use of principles, values and fundamental rights. Moreover, this research covers the fundamental use of principles proportionality in order to build a concrete application model in cases of adhibition paradigm. Therefore, this study points the necessary elements for the analysis of reasonableness/proportionality intending to develop inductors parameters for an objective jurisdiction, more controlled and less subjective, by an effective command of decision-making acts, especially when using the balancing of principles, which may help to avoid subjectivisms and settlings, in order to reinforce the structures of the Democratic State of Law.
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Komparativ Beslutningsanalyse : En komparativ analyse av en organisasjons beslutninger i to land med lik historie og kulturJerring van Kervel Barth, Alette January 2017 (has links)
Decisions and decision-making are a major part of any organization today. New technology and less cultural boundaries have grown new competence and knowledge into organizations. As a direct consequence of knowledge and technology, new opportunities to establish new operations in other markets and countries have become more realistic than before. It has previously been researched how different cultures and backgrounds may affect an organisation's decision process. The researchers have studied the difference in culture, history and environment and how that affects decision-making. The purpose of this report is to provide an analysis of an organisation's decision-making process between two countries that are very close in culture, heritage and social behaviour. The research is done within five categories within decision theory; Clear Objectives, Procedural Rationality, Communication, Management Inclusion and how an organizational makes decisions and assign resources. The study has been conducted at Knowit in Sundsvall, Sweden, and with the same organisation in Oslo, Norway. Data has been collected through interviews, surveys and observations. The outcome of the survey shows that there are both similarities and differences between the organisations in Sweden and Norway in all decision categories. Sweden has clear targets and defined purpose from the beginning of the decision-making process. In Norway, management includes employees in more of the decision-making processes than what Sweden's leaders do. Both countries use communication channels that work for both co-workers and managers. It has been stated by Knowit Sweden and Norway that the organization takes democratic decisions, but this is reflected more in Norway than what it is in Sweden. / Beslutningsprosesser er en helt sentral arbeidsprosess i alle organisasjonsstrukturer. Med hjelp av ny teknologi og økt markedskunnskap har organisasjoner i dag en betydelig større mulighet til å etablere seg i flere land og nye markeder, enn det som var mulig tidligere. Det har tidligere blitt forsket på hvordan en bedrift/ organisasjon påvirkes av kulturelle adferdsmønstre i deres beslutningsprosesser. Det har hvert forsket på hvordan forskjellig kultur, historie, politisk ledelse og miljø påvirker evnen og resultatet av en beslutning. Hensikten med denne rapporten er å utrede forskjeller og likheter i beslutninger og beslutningsprosesser i to land med lik historie og kultur. I rapporten vil det gå frem at det er forsket på fem kategorier innen beslutningsteori; Tydelig målsetning, Rasjonelle beslutninger, Kommunikasjon, Ledelsens inkludering og hvordan organisasjonen tar beslutninger og tildeler resurser. Undersøkelsen har blitt gjennomført på Knowit i Sundsvall, Sverige, og samme virksomhet i Oslo, Norge. Dataene har blitt samlet inn gjennom intervjuer, spørreundersøkelse og observasjoner. Resultatet av undersøkelsen som er gjennomført vil vise at det er både likheter og forskjeller mellom organisasjonen i Sverige og Norge innen alle beslutningskategoriene. Sverige har fra begynnelsen av beslutningsprosessen et tydelig mål og definert mål ved en beslutning. I Norge inkluderer ledelsen medarbeidere i flere beslutningsprosesser enn hva Sveriges ledere gjør. Begge landene bruker kommunikasjonskanaler som fungerer for både medarbeiderne og lederne. Det har blitt uttalt fra Knowit Sverige og Norge at organisasjonen tar demokratiske beslutninger. Basert på medarbeidernes syn på de interne prosessene i selskapet, undersøkelser og observasjoner som ble foretatt i forbindelse med utforming av rapporten, viser det seg at denne delen av prosessen gjennomføres ofte og bedre i Norge, enn hva det gjør i Sverige.
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The Effect of Marketing Automation on the Buying Decisions : A quantitative study on SMEs explored through brand awareness and external branding in a B2B contextNilsson, Benjamin, Tsakmaki, Paraskevi January 2019 (has links)
As digitalization has evolved over the years, the need for automating procedures for faster results has become stronger. Marketing automation is a software that automates an organization’s marketing activities. Its purpose is to deliver a firm’s personalized messages to the existing and potential customers. Consequently, marketing automation is closely related to content marketing which’s main attribute is to raise brand awareness, and having a higher brand awareness can ultimately affect the buying decision. It has been discovered that there is a lack of research in the existing literature about marketing automation and more specifically in how marketing automation can affect the buying decision by raising brand awareness. Therefore, this thesis aims to examine how marketing automation affects the buying decision through brand awareness and external branding. The theory was outlined by six concepts which were marketing automation, external branding, brand communication, brand awareness, and buying decisions. These concepts led the authors to create six different hypotheses in order to find a link between them. The data were collected through a self-completion questionnaire, therefore a quantitative study with an exploratory purpose was conducted. The results from the 118 respondents of the questionnaire suggest that marketing automation influences the organizational buying decision by enhancing brand awareness. Moreover, marketing automation has a positive impact on external branding which also has a positive effect on the buying decision. Concludingly, this suggests that marketing automation does positively affect the B2B buying decision through brand awareness and external branding.
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Estratégias de captura de renda por sobrepreço e medidas corretivas na consolidação do assunto pelo Tribunal de Contas da União brasileiro / Overpricing rent-seeking strategies and corrective mesures for matter consolidation by the Brazilian Supreme Audit CourtTarsitano, Fernanda Anselmo 10 August 2012 (has links)
Esta pesquisa analisa um conjunto de 76 decisões proferidas pelo Tribunal de Contas da União Brasileiro, relativas às irregularidades de sobrepreço em contratos de obras publicas federais licitadas e executadas, com o objetivo de identificar estratégias de captura de renda e as respostas da Corte de contas. Estas decisões são denominadas de acórdãos e foram selecionadas pelo próprio Tribunal para servirem de paradigma para futuras decisões. A pesquisa identificou 4 diferentes estratégias de captura de renda envolvendo manipulação de índices referenciais de preço de itens unitários e verificou que as determinações contidas nos acórdãos analisados limitam-se a corrigir a irregularidade e a penalizar os responsáveis com multas previamente conhecidas. / The study analyzes 76 decisions made by the Brazilian Supreme Audit Court, regarding overpricing irregularities in public bidding contracting for federal construction and execution, in order to identify rent-seeking strategies and Court responses. These decisions are called \"acórdãos\" and they were selected by the Supreme Audit Court to guide future decision making. The study identified 4 different rent-seeking strategies involving the manipulation of price reference indexes for unit items and it also verified that the decisions are limited to correct the irregularity and to penalize the responsible ones with prior known fines.
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Efetividade das decisões proferidas pela Corte Interamericana de Direitos Humanos: identificação dos marcos teóricos e análise da conduta do Estado brasileiro / Effectiveness of the decisions taken by the Inter-American Court of Human Rights: identification of theoretical frameworks and analysis of the brazilian State conductFranco, Thalita Leme 24 September 2014 (has links)
A presente dissertação tem por objetivo demonstrar a efetividade das decisões proferidas pela Corte Interamericana de Direitos Humanos, órgão judicial do Sistema Interamericano de Direitos Humanos. Para tanto, parte da premissa de que é possível se compreender tal atributo por meio de dois enfoques principais: um em sentido estrito, suplantado no cumprimento das decisões proferidas pela Corte Interamericana por parte dos Estados condenados, e outro de caráter mais abrangente, embasado, lato sensu, no impacto que sua jurisprudência opera no direito interno dos Estados Partes da Convenção Americana sobre Direitos Humanos, e, igualmente, como corpus iuris capaz de determinar padrões internacionais. Nesse contexto, examina-se ainda acerca dos limites do compliance como critério único para se caracterizar a efetividade das decisões proferidas pelo Tribunal. Defende-se, assim, que as decisões da Corte produzem efeitos que não podem ser representados necessariamente por números, e tal afirmativa se apóia na perspectiva de que este impacto existe até mesmo quando suas decisões não são cumpridas, ou o são de forma parcial, haja vista que os Estados são constantemente chamados para esclarecer acerca do status de cumprimento das sentenças nos processos em que foram condenados, o que acaba por catalisar as movimentações sociais internas nestes países. / This dissertation aims to demonstrate the effectiveness of the decisions handed down by the Inter-American Court of Human Rights, the judicial body of the Inter-American Human Rights System. Therefore, it starts from the premise that it is possible to understand this attribute through two main approaches: one in a strict sense, supplanted by the compliance with the decisions taken by the Inter-American Court by the States convicted, and another, more embracing, grounded on the impact that its jurisprudence operates in the domestic law of the States Parties of the American Convention on Human Rights, and also as a corpus juris capable to determine international standards. In this context, it also examines about the limits of compliance as a unique criterion to characterize the effectiveness of the decisions of the Court. It is argued, on the other hand, that the Court\'s decisions produce effects that can not necessarily be represented by numbers, and this statement is based on the perspective that this impact exists even when their decisions are not complied, or are partially complied, since States are constantly called to clarify about the status of implementation of the judgments in the cases in which they were condemned, which turns out to catalyze the internal social movements in these countries.
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Productivité de l'agriculture française et volatilité des prix / Productivity, Price Volatility, and Dynamic Choices in French AgricultureZheng, Yu 30 November 2018 (has links)
À la suite des réformes successives de la Politique Agricole Commune (PAC), les soutiens publics par des prix ont diminué au profit de soutiens directs aux revenus agricoles. Cela a exposé les agriculteurs français à une grande volatilité des prix, reconnectés avec les prix mondiaux.Cette thèse mesure l'évolution de la productivité de l'agriculture française dans un modèle dynamique stochastique en intégrant la récente augmentation de la volatilité des prix. Nous étudions le lien dynamique entre le risque de prix, les décisions des agriculteurs et la productivité dans le cadre de l'estimation structurelle. La revue de la littérature présentée dans le chapitre 2 décrit la productivité comme un résidu et souligne les problèmes de mesure des données du capital et le problème de l’endogénéité dans l’estimation primale.Le chapitre 3 compare les méthodes numériques permettant de résoudre et d'estimer les modèles d'équilibre général dynamique stochastique (DSGE) ou de type DSGE, dans lesquels le capital et la productivité sont des variables d'état. Le chapitre 4 estime la productivité dans un modèle dynamique stochastique en utilisant l'approche d'entropie maximale généralisée (GME). Nous trouvons que la croissance de la productivité de l’agriculture française a diminué après la réforme de la PAC, à cause de l'augmentation de la volatilité des prix. En effet, le risque de prix impacte la productivité négativement à travers les choix de production, de consommation, d’investissement et d’emprunt des agriculteurs. Le chapitre 5 simule les impacts de marché des instruments de la P / The EU has adopted many reforms of the Common Agricultural Policy (CAP) in the past decades. Price support has decreased, and decoupled payments have been introduced. As a result, European agricultural prices have become more volatile, in line with world prices.This dissertation measures the evolution of the productivity of French agriculture in a dynamic stochastic farm decision model in the new economic context with increased price volatility. On this basis, it studies the dynamic link between price risk, farmer decisions, and productivity in the structural estimation framework. The literature review in Chapter 2 describes productivity as a residual and emphasizes the measurement issues from the unobserved capital data series and the endogeneity problem in primal estimation.Chapter 3 compares the numerical methods to solve and estimate nonlinear dynamic stochastic general equilibrium (DSGE) or DSGE-like models, in which capital and productivity are latent state variables. Chapter 4 estimates productivity in a dynamic stochastic decision model based on the generalized maximum entropy (GME) approach. We show that the productivity growth in French agriculture has slowed down and become more volatile following the rise in price volatility. Overall, price risk has an impact on productivity in the way that when exposed to high risks, farmers change their production, consumption, investment and financial borrowing decisions, which in turn affects the realized productivity negatively. Chapter 5 simulates the market impacts of the CAP instruments in a dynamic GTAP-AGR CGE mode
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Demandas jurídicas por coberturas assistenciais: estudo de caso: CASSI / Healthcare coverage for Legal demands : case study: CASSIOliveira, José Antonio Diniz de 17 August 2010 (has links)
Introdução - A Lei 9.656/1998 fundamenta o marco legal do setor privado da saúde no Brasil. Igualmente importante, a Lei 9.961/2000 criou a Agência Nacional de Saúde Suplementar (ANS) para fiscalizar e regulamentar a relação entre operadoras e beneficiários de planos. A partir de então houve um crescimento expressivo no número das ações judiciais, fenômeno denominado judicialização da saúde. Objetivo - Conhecer e analisar o montante e os motivos das ações judiciais relacionadas às coberturas assistenciais e avaliar o impacto econômico-financeiro em uma entidade de autogestão. Método Análise de banco de dados das ações judiciais do período 1998 a 2009. A base de dados constitui-se de 7.271 ações cíveis ativas e baixadas. Desse total foram selecionadas 3.569 relacionadas a coberturas assistenciais, cujos dados foram organizados em planilha eletrônica. Analisou-se ainda a população total e o impacto econômico-financeiro a partir de informações de balanço anual. Resultados Várias constatações importantes foram reveladas, como a evolução crescente do número de ações; o fato de a Bahia possuir 9,5 por cento da população assistida e responder por 33,4 por cento das ações totais; as gastroplastias aparecerem como o objeto mais importante 427 ações (12 por cento do total); o impacto econômico-financeiro atingindo em média 1 por cento da receita total, mas 32 por cento do resultado (superávit) do exercício de 2009, entre outros achados. Conclusão o marco legal foi determinante para os beneficiários recorrerem ao Judiciário por coberturas assistenciais. O fenômeno da judicialização da saúde impacta de maneira significativa a Autogestão estudada. Boa parte das decisões judiciais parece não observar critérios técnicos relacionados à homologação de novas tecnologias e aos protocolos médicos, o que vem ensejando uma atuação mais ativa do Conselho Nacional de Justiça no encaminhamento de questões relacionadas à saúde / Introduction - Law 9.656/1998 moved the legal framework of private health sector in Brazil. Equally important, 9.961/2000 Act created the National Agency for Supplementary Health (ANS) to oversee and regulate the relationship between providers and beneficiaries of plans. Since then there has been significant growth in the number of lawsuits, a phenomenon called the legalization of health. Objective - To investigate and analyze the amount and the reasons for lawsuits related to care coverage and to evaluate the economic and financial impact on a self-insured entity. Methods - Analysis of database of lawsuits in the period 1998-2009. The database consists of 7271 civil actions, active or downloaded. Of this total were selected 3569 related to care coverage, and data were organized into a spreadsheet. It was also analyzed the total population and the economic and financial impact from the annual balance sheet information. Results - Several important findings were revealed as a growing trend in the number of shares, the fact that Bahia has 9.5 per cent of the assisted population and account for 33.4 per cent of the total shares, the gastroplasty appears to be the most important object - 427 shares (12 per cent of total), the economic and financial impact means on average 1 per cent of total revenue, but 32 per cent of the result (surplus) for the year 2009, among other findings. Conclusion - the legal framework was crucial for the beneficiaries to avail themselves of judicial assistance coverage. The phenomenon of legalization of health impacts significantly the self study. Much of judicial decisions seem not to notice technical criteria related to approval of new medical technologies and protocols, which have demanded a more active role of the National Council of Justice in addressing health-related issues
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