The purpose of the study is to develop a project health check model to evaluate the status of projects within the coal mining industry. The model will be based on the Buttrick (2000) project health check model as described in his book “The Interactive Project Workout”. The model assesses the current “health” or status of a project. It looks at the full project environment and uses a set of question results in an assessment of the overall risk associated with the project. The model evaluates seven key project success factors which include: 1. Project Plan 5. Expertise 2. Resources 6. Clear Specification 3. Ownership 7. Top Level Support 4. Justifiable Case The model fulfils two roles: • As a checklist, and • As a tool to indicate where a project manager’s efforts should be directed. This study will give an overview of the coal mining industry and the way projects are being evaluated and prioritised. The Buttrick (2000) project health check model will be assessed and adapted to evaluate projects within the coal mining industry. The “new / adapted” model will be applied to the Douglas / Middelburg Optimisation (DMO) to evaluate the health status of the project which is currently at the end of definition (feasibility) stage within BHP Billiton Energy Coal South Africa. The results obtained from the new health check model showed that the DMO project was in a healthy state with a project health check score of 47.33. It could 4 thus be concluded that the DMO project is ready to move in to the execution phase of the BHP Billiton capital investment process. The results obtained from the project team member participants were split into management perception and team members’ perception. The overall health of the DMO project between the two parties gave similar results with the team members score of 43.76 being slightly lower than the management health score of 45.42. The only major difference was observed on the “Communication” project evaluation criteria where the management perspective on the communication effectiveness was higher than that of the project team members.

The purpose of the study is to develop a project health check model to evaluate the status of projects within the coal mining industry. The model will be based on the Buttrick (2000) project health check model as described in his book “The Interactive Project Workout”. The model assesses the current “health” or status of a project. It looks at the full project environment and uses a set of question results in an assessment of the overall risk associated with the project. The model evaluates seven key project success factors which include: 1. Project Plan 5. Expertise 2. Resources 6. Clear Specification 3. Ownership 7. Top Level Support 4. Justifiable Case The model fulfils two roles: • As a checklist, and • As a tool to indicate where a project manager’s efforts should be directed. This study will give an overview of the coal mining industry and the way projects are being evaluated and prioritised. The Buttrick (2000) project health check model will be assessed and adapted to evaluate projects within the coal mining industry. The “new / adapted” model will be applied to the Douglas / Middelburg Optimisation (DMO) to evaluate the health status of the project which is currently at the end of definition (feasibility) stage within BHP Billiton Energy Coal South Africa. The results obtained from the new health check model showed that the DMO project was in a healthy state with a project health check score of 47.33. It could 4 thus be concluded that the DMO project is ready to move in to the execution phase of the BHP Billiton capital investment process. The results obtained from the project team member participants were split into management perception and team members’ perception. The overall health of the DMO project between the two parties gave similar results with the team members score of 43.76 being slightly lower than the management health score of 45.42. The only major difference was observed on the “Communication” project evaluation criteria where the management perspective on the communication effectiveness was higher than that of the project team members.

Yes

Förekomsten av ohälsa är mer vanligt i byggarbetabranschen än i andra branscher, p.g.a. arbetsolyckor och övriga förhållanden i arbetet. En av de viktiga resurserna till att förebygga skada och upprätthålla hälsa i arbetslivet, är företagshälsovård. Syftet med denna kvalitativa intervjustudie var att beskriva byggarbetares upplevelser om deras arbetshälsa/arbetsmiljö och om vad företagshälsovårdens hälsokontroller har haft för betydelse för deras beteendeförändring.   Fem byggarbetare som genomgått en hälsokontroll via företagshälsovård och åstadkommit en potentiell beteendeförändring som förbättrat hälsan, intervjuades. Den tematiska analysen av intervjuerna resulterade i fyra huvudteman: ”möjliggörande faktorer till en god arbetshälsa i byggarbetarens yrke”, ”begränsade faktorer till god arbetshälsa i byggarbetarens yrke”, ”konkreta resultat av företagshälsovårdens hälsokontroller” och ”fördelarna med företagshälsovårdens hälsofrämjande arbete”. Studiens resultat visar att byggarbetare upplevde sin arbetshälsa/arbetsmiljö som både positivt och negativt. Det positiva med arbetet var den sociala kontakten med kollegor och arbetsgivare och det negativt var arbetsmiljön som bidragit till sämre hälsa p.g.a. av muskuloskeletala skador och stress. Hälsokontroller bidrog till beteendeförändring som kan förebygga sjukdomar bland byggarbetarna.   Hälsokontrollen upplevdes som meningsfull då ett gott bemötande möjliggjorde en beteendeförändring samtidigt som en ökad insikt av att förbättra sin egen hälsa skett, efter negativa provsvar. Vidare forskning behövs om hur byggarbetares arbetshälsa kan förbättras genom företagshälsovårdens insatser. / The incidence of illness among construction workers is higher than average in other industries, because of accidents and other conditions at work. One of the most important resources to prevent injury and maintain health in the workplace, is the occupational health care. The aim of this qualitative study was to describe the construction workers experiences of their occupational health and work environment and about whether occupational health check-ups have had any significance for their behavior change. Five male construction workers who had underwent a health check and after that performed a behavior change, was recruited via an occupational care center. Data was collected by face to face and telefon interviews, that were subsequently transcribed and analysed by thematic analyse. The tematic analyse resulted in four main themes: "enabling factors for good health of the construction workers professional”, ”restricted factors to the good health of the construction worker's occupation", "benefits of occupational health promotion" and "concrete results of occupational health check-ups".   The construction workers experienced their occupational health and work environment as both positive and negative. The positive about work was the social contact with colleagues and employers, the negative was that the work environment contributed to poor health due musculoskeletal of injury and stress. Health check-ups contributed to behavior change and pontential prevention of diseases among construction workers.   The health check-ups was considered as being meaningful and enabled a change in behavior after understanding that they must change their lifestyle to avoid disease. Further research is needed on how to improve construction workers occupational health through occupational health services.

The environment of the health care industry resulting in a considerable change in recent years by the NHI system uncertainty, rising health care costs, intra-industry competition, the rise of consumer awareness, as well as the patient's requirements to improve the quality of medical care and other factors impact. Therefore, health care providers have thinking business strategy in the future of medical institutions, and actively pursue a diversification of health services, extend the medical professional services related to health checks which is no constraints by NHI system, and at their own expense systemic health checks. Armed forces hospital is not only provide health check service to military personnel but also to provide the public at their own expense health check service. Many domestic and foreign literature shows that use of customer relationship management effectively can improve service quality. Therefore, how to use customer relationship management to enhance service quality of health check, to explore new customers (public) and retaining customers (military personnel), strengthen the competitiveness is an important issue facing the Armed forces hospitals. In this research, the content of health check service quality are four dimensions to form by the environmental facilities, the health check process, personnel services and health management;the overall customer satisfaction for a single item; the customer loyalty is primarily to repurchase intentions and recommended four questions of. The structure of this research was constructed by "health check service quality", "customer satisfaction", " customer loyalty" the three dimensions together with background information on the dimensions of the formation; and distinguish between "health check service in current" and " health check services in the use of customer relationship management to adjust or increase the service measures " in two part. Explore the relationship and differences between the various dimensions. This research took the example of an armed forces regional hospital. We use the convenient sample method to obtain questionnaires. The result of this research discovers that the demographic factors have no statistical difference with the health check service quality and the overall customer satisfaction; demographic factors of marital status and work patterns (military personnel) for partial questions of the customer loyalty have significant difference. There is moderate to high positive correlation between health check service quality and overall customer satisfaction. With the application of stepwise multiple regression analysis, health management in the health check service quality can efficiently predict overall satisfaction of the health check as a whole explanatory power and statistical-significance. Health check of the overall customer satisfaction and customer loyalty is positively related. "The overall satisfaction of health check services in the use of customer relationship management to adjust or increase the service measures" is higher than "the overall satisfaction of health check service in current" and has the remarkable difference. "The customer loyalty of health check services in the use of customer relationship management to adjust or increase the service measures" is higher than "the customer loyalty of health check service in current" and has the remarkable difference.

Įvadas. Žmonės didelę laiko dalį leidžia dirbdami, daugelis jų yra veikiami profesinių rizikos veiksnių, lemiančių profesinės ligos atsiradimą. Pastaruoju metu profesinės ligos bei jų keliama našta tapo ypač aktualia problema įvairiose šalyse. Siekiant nustatyti veiksnius, kurie sukelia ginčus, būtina analizuoti ginčytinus profesinių ligų atvejus. Profilaktiniai sveikatos tikrinimai padeda nustatyti profesines ligas ankstyvose stadijose, darbo medicinos gydytojams suteikia svarbią, papildomą informaciją apie pacientą, profesinės ligos nustatymo metu. Todėl nagrinėjant ginčytinus profesinių ligų atvejus svarbu įvertinti profilaktinių sveikatos tikrinimų įtaką. Darbo tikslas. Išanalizuoti Lietuvos ginčytinų profesinių ligų atvejų (GPLA) 2005–2009 m. charakteristikas bei jų sąsajas su profilaktiniais sveikatos tikrinimais. Uždaviniai. Įvertinti ginčytinų profesinių ligų atvejų pasiskirstymą pagal charakteristikas (diagnozę (pirminę, galutinę), priežastis, profesiją, ekonominę veiklos rūšį, kenksmingus darbo aplinkos veiksnius, amžių, darbo stažą, lytį, gyvenamąją vietą). Įvertinti ginčytinų profesinių ligų atvejų pasiskirstymą pagal pirminės ir galutinės diagnozės sutapimą. Įvertinti ginčytinų profesinių ligų atvejų pasiskirstymą pagal profilaktinių sveikatos tikrinimų rezultatus. Įvertinti profilaktinių sveikatos tikrinimų ir ginčytinų profesinių ligų atvejų charakteristikų sąsajas. Tyrimo metodika. Darbe naudoti aprašomosios statistikos ir kiekybiniai tyrimo metodai. Duomenys... [toliau žr. visą tekstą] / Intoduction. A lot of people spend their days at work; high proportion is influenced different risk factors causing occupational diseases. Nowadays the burden occupational diseases is discussed very often all around the world. To identify problems causing disputes about occupational disease diagnosis it is necessary to analyze the controversial cases of occupational diseases. Annual health check ups provide important additional information for occupational doctors, who are determining the diagnosis of occupational disease, also helps to identify diseases in early stages. Since the efectivness of annual health check ups is discussed it is necessary to evaluate how annaul health check ups influence changes in the controversial cases of occupational diseases (CCOD). Aim. To analyze the controversial cases of occupational diseases in Lithuania during years 2005-2009, characteristics of cases and their relation to health annual (mandatory) health check ups. Tasks. To evaluate the distribution of CCOD by characteristics (age, gender, place of residence, seniority, cause of dispute, occupation, economic activity, employment, harmful environmental factors, diagnosis (primary and final). To evaluate distribution of CCOD by congruence of primary and final diagnosis. To evaluate distribution of CCOD by the results of annual health check ups. To evaluate associations with characteristics of contraversial cases of occupational diseases. Methodology. The CCOD registered and analysed by... [to full text]

Yes

In rapidly changing environments organization and management theories have to consider more flexible approaches to match the demands (1) (2). Agile methods attempt to enable flexible efficient ways of working in team structures (1). In this thesis we empirically study a model from a constructivist approach in an attempt to contribute to knowledge on the eternal problem of people working efficiently in the structure of teams. Social processes are argued to have a major impact on the general application of agile methods (3). However, the practitioners of agile methods tend to focus more on the physical and technical infrastructure as enablers of successful teamwork rather than the social processes of team development (4). Hence, without knowing how the social processes of a team affects the usage of agile methods for team development, an organization is at risk of becoming less efficient over time without realizing why (5) (6).Therefore it is essential to study how an agile method for team development affects and influences the social processes within a team in order to understand how it can be used for efficient teamwork. The purpose of this thesis was to study how an agile method for team development can aid a software development team to improve their way of working. We empirically tested a team-level workshop-based agile method for team development, SHC, in a case study at the Swedish Police Authority IT Department. This included 14 focus group sessions with seven development teams. We posed the following main research question to fulfill the purpose of the study: how can the use of an agile method for team development help software development teams improve theirway of working? We conclude that there are several ways in which an agile method for team development can help teams improve their way of working, and that these depend on the unique social processes within each team. The purpose of the study was fulfilled by the findings of how an agile method can serve teams in different stages of team development by fulfilling different purposes, how it can assist a team in taking action, as well as the potential it has to enable Shared Leadership. / I snabbt föränderliga miljöer måste organisations-och management-teorier ta hänsyn till mer flexibla angreppssätt för att möta kraven (1) (2). Agila metoder har som mål att möjliggöra flexibla och effektiva arbetssätt i teamstrukturer (1). I denna uppsats studerar vi empiriskt en modell ur ett konstruktivistiskt perspektiv i ett försök att bidra till kunskapen om det eviga problemet i att arbeta effektivt i teamstrukturer. Sociala processer anses ha en stor påverkan på den generella appliceringen av agila metoder (3). Utövare av agila metoder tenderar dock att fokusera mer på den fysiska och tekniska infrastrukturen som mögliggörare för effektivt teamwork snarare än de sociala processerna kring teamutveckling (4). Om en organisation alltså inte vet hur de sociala processerna hos ett team påverkar användandet av en agil metod så riskerar organisationen att bli mindre effektiv över tid utan att inse varför (5) (6). Därför är det essentiellt att studera hur en agil metod för teamutveckling påverkar och influerar de sociala processerna inom ett team, för att förstå hur metoden kan användas  för effektivt teamarbete. Syftet med denna uppsats var att studera hur en agil metod för teamutveckling kan hjälpa ett mjukvaruutvecklingsteam att förbättra sitt arbetssätt. Empiriskt testade vi en workshop-baserad agil metod på team-nivå, SHC, i en fallstudie på Polismyndighetens IT-avdelning. Denna inkluderade 14 fokusgruppsessioner med 7 olika utvecklingsteam. Vi ställde följande huvudsakliga forskningsfråga: hur kan användandet av en agil metod för teamutveckling hjälpa mjukvaruutvecklingsteam att förbättra sitt arbetssätt? Vi nådde slutsatsen att det finns flera sätt som en agil metod för teamutveckling kan hjälpa team att förbättra sitt arbetssätt, och att dessa sätt beror på de unika sociala processerna inom teamet. Syftet med studien uppfylldes av slutsatserna kring hur en agil metod kan stödja team i olika stadier av teamutveckling genom att fylla olika syften, hur en agil metod kan stödja ett team i att agera, samt potentialen metoden har i att möjliggöra delat ledarskap.

Ce travail de thèse a été initié par Renault, en collaboration avec le Centre de Recherche en Automatique de Nancy (CRAN), dans le but de poser les bases d'une méthodologie générique permettant d'évaluer l'état de santé de moyens de production. Cette méthodologie est issue d’une réflexion conjointe machine - produit en lien avec les exigences industrielles. La méthodologie proposée est basée sur une approche PHM (Prognostics and Health Management) et est structurée en cinq étapes séquentielles. Les deux premières étapes sont développées dans ce travail de thèse et en constituent les contributions scientifiques majeures. La première originalité représente la formalisation des connaissance issues de la relation machine-produit. Cette connaissance est basée sur l'extension de méthodes existantes telle que l’AMDEC et l’HAZOP. La formalisation des concepts de connaissance et de leurs interactions est matérialisée au moyen d'une méta-modélisation basée sur une modélisation UML (Unified Modelling Language). Cette contribution conduit à l'identification de paramètres pertinents à surveiller, depuis le niveau du composant jusqu'au niveau de la machine. Ces paramètres servent ensuite d’entrée au processus d'élaboration du bilan de santé machine, qui représente la deuxième originalité de la thèse. L'élaboration de ces indicateurs de santé est basée sur des méthodes d’agrégation, telle que l'intégrale de Choquet, soulevant la problématique de l'identification des capacités. De cette façon, il est proposé un modèle global d'optimisation de l'identification des capacités multi-niveaux du système à travers l’utilisation d’Algorithmes Génétiques. La faisabilité et l'intérêt d'une telle démarche sont démontrés sur le cas de la machine-outil située à l'usine RENAULT de Cléon / This PhD work has been initiated by Renault, in collaboration with Nancy Research Centre in Automatic Control (CRAN), with the aim to propose the foundation of a generic PHM-based methodology leading to machine health check regarding machine-product joint consideration and facing industrial requirements. The proposed PHM-based methodology is structured in five steps. The two first steps are developed in this PhD work and constitute the major contributions. The first originality represents the formalization of machine-product relationship knowledge based on the extension of well-known functioning/dysfunctioning analysis methods. The formalization is materialized by means of meta-modelling based on UML (Unified Modelling Language). This contribution leads to the identification of relevant parameters to be monitored, from component up to machine level. These parameters serve as a basis of the machine health check elaboration. The second major originality of the thesis aims at the definition of health check elaboration principles from the previously identified monitoring parameters and formalized system knowledge. Elaboration of such health indicators is based on Choquet integral as aggregation method, raising the issue of capacity identification. In this way, it is proposed a global optimization model of capacity identification according to system multi-level, by the use of Genetic Algorithms. Both contributions are developed with the objective to be generic (not only oriented on a specific class of equipment), according to industrial needs. The feasibility and the interests of such approach are shown on the case of machine tool located in RENAULT Cléon Factory

Darbo tikslas. Įvertinti slaugytojų riziką susirgti lėtinėmis ligomis ir šių ligų pirminės profilaktikos vykdomas priemones. Darbo uždaviniai. 1. Įvertinti slaugytojų profilaktinių sveikatos patikrinimų organizacinius aspektus. 2. Ištirti slaugytojų nuomonę apie sveikatą stiprinančios darbo aplinkos sudarymą. 3. Ištirti slaugytojų žinias apie lėtinių ligų rizikos veiksnius ir jų dažnį. 4. Palyginti slaugytojų, dalyvavusių ir nedalyvavusių profilaktiniuose patikrinimuose informuotumą apie lėtinių ligų rizikos veiksnius ir kontrolę. 5. Įvertinti slaugytojų profilaktinio sveikatos patikrinimo apimtis ir jų metu pateiktas rekomendacijas. Tyrimo metodika. Tyrimas vykdytas vienoje Lietuvos ligoninėje. Tyrimo dalyviai - bendrosios praktikos slaugytojos. Tyrimo būdas - vienmomentinė anoniminė apklausa ir įstaigos dokumentų analizė. Iš viso pateikta 200 anketų, sugrąžinta – 164 anketos, atsako dažnis 82 proc. Statistinei analizei atlikti buvo naudojamos SPSS 17.0 for Windows bei MS Excel programos. Rezultatai. Slaugytojų profilaktinių sveikatos patikrinimų kokybė nepatenkinama: atliekami ne visi teisės aktuose nurodyti būtini tyrimai, slaugytojos nekonsultuojamos gydytojų specialistų, nors 92,0 proc. darbe susiduria su kenksmingais darbo aplinkos veiksniais, nėra vertinami LNL rizikos veiksniai. Ketvirtadalis slaugytojų pristato medicinos pažymas nesitikrinusios sveikatos. Daugiau nei pusei slaugytojų darbovietėje nėra sudarytos sąlygos stiprinti sveikatą. Dauguma dalyvautų... [toliau žr. visą tekstą] / Aim of the study. To assess NCD risk for the nurses and the primary prevention measures of these diseases. Objectives. 1. To evaluate the organizational aspects of nurses‘ health check-up. 2. To examine the opinion of nurses about health enhancing worksite environment. 3. To assess the nurses‘ awareness about NCD‘ risk factors and their prevalence. 4. To compare the awareness of NCD‘s risk factors, their control among nurses participants and non-participants of health check-up. 5. Toevaluate the coverage of nurses‘ health check-up and the given recommendations. Methods. The study was provided in one Lithuanian hospital. Nurses were the participants of the study.Cross- sectional anonymous survey was carried out and the documentary analysis was performed. 200 questionaires were delivered, 164 - returned, response rate - 82 %. The SPSS 17.0 for Windows and MS Excel programmes were used for statistical anlysis of data. Results. The quality of nurses health check-up is unsatisfactory: not all investigations are carried out which are enumerated in the existing legal documents, nurses are not consulted by physicians specialists, despite the fact, that 92.0 % of them have contact with harmful environmental factors, the NCD risk factors are not detected. The quarter of nurses present the health certificates without health check-up. More than half of the nurses don’t have conditions for health promotion. Majority of nurses express willingness to participate in such health... [to full text]