Bakgrund: Sjukvården beskrivs som oerhört komplex och genom bland annat utveckling av ny och dyr teknik, som i sin tur genererar bättre vård, gör det svårt för sjukhus att hålla sin budget. En controller har en fundamental roll i en organisations ekonomistyrning och ska med hjälp av diverse styrmedel styra och kontrollera så att verksamheten drivs mot ekonomiska mål. Syfte: Syftet med uppsatsen var att beskriva och analysera hur en controller inom sjukvården använder ekonomiska styrmedel för att nå ekonomisk måluppfyllelse samt skapa en förståelse för hur en controller hanterar balansgången mellan ekonomisk måluppfyllelse och vårdkvalité. Metod: Uppsatsen är formad med en kvalitativ forskningsdesign. En flerfallstudie har använts som forskningsstrategi där den empiriska datan är insamlad genom ostrukturerade intervjuer med anställda vid två sjukhus i Småland, länssjukhuset i Kalmar och centrallasarettet i Växjö. Det teoretiska avsnittet är byggt med data som insamlats från litteratur och vetenskapliga artiklar som varit tillgängliga via Linnéuniversitetets bibliotekskatalog. Slutsats: De resultat som framkommer av studien påvisar att en controllerns användning av styrmedel tenderar att fokusera på ekonomisk måluppfyllelse. Genom användning i större utsträckning av de styrmedel som är under utveckling finns möjligheter för controllern att även påverka vårdkvalité. / Background: Health care organisations are seen as complex due to the all time ongoing development of new and expensive technology. Which in other hand generates better quality but makes it hard for these organisations to keep within their budget. A controller has an fundamental role in the work with managing accounting within organisations. With the help of a setup of control instruments the controller are to manage and control so that operations helps the organisation to reach its economic targets. Purpose: Our purpose with this thesis were to study a selection of health care organisation. Through explaining and analyzing the controllers usage of control instruments to reach economic targets and develop an understandning for how a controller are handling priority between economic targets and care quality. Method: The thesis were formed with a qualtivive research design. With a strategy of studying multiple cases were the empirical data gathered from interviews with employees at two hospitals in Småland. Our theoretical chapter is built on information collected from litterature and scientific articles that were available through the library catalogue at Linnaeus University. Conclusion: The results of this thesis shows that a controllers usage of control instruments focus on economic targets rather then care quality. With an greater use of the control instruments that are under development the controller has an opportunity to influence on care quality.

The aim of this thesis is to investigate the dynamical behaviors of spatially extended systems with fluctuating time delays. In recent years, the study of spatially extended systems and systems with fluctuating delays has experienced a fast growth. In ubiquitous natural and laboratory situations, understanding the action of time-delayed signals is a crucial for understanding the dynamical behavior of these systems. Frequently, the length of the delay is found to change with time. Spatially extended systems are widely studied in many fields, such as chemistry, ecology, and biology. Self-organization, turbulence, and related nonlinear dynamic phenomena in spatially extended systems have developed into one of the most exciting topics in modern science. The first part of this thesis considers the discrete system. Diffusively coupled map lattices with a fluctuating delay are used in the study. The uncoupled local dynamics of the considered system are represented by the delayed logistic map. In particular, the influences of diffusive coupling and fluctuating delay are studied. To observe and understand the influences, the results for the considered system are compared with coupled map lattices without delay and with a constant delay as well as with the uncoupled logistic map with fluctuating delays. Identifying different patterns, determining the existence of traveling wave solutions, and specifying the fully synchronized stable state are the focus of this part of the study. The Lyapunov exponent, the master stability function, spectrum analysis, and the structure factor are used to characterize the different states and the transitions between them. The second part examines the continuous system. The delay is introduced into the reactionterm of the Fisher-KPP equation. The focus of this part of study is the time-delay-induced Turing instability in one-component reaction-diffusion systems. Turing instability has previously only been found in multiple-component reaction-diffusion systems. However, this work demonstrates with the help of the stability exponent that fluctuating delay can result in Turing instability in one-component reaction-diffusion systems as well. / Ziel der vorliegenden Arbeit ist die Untersuchung der Einflüsse der zeitlich fluktuierenden Verzögerungen in räumlich ausgedehnten diffusiven Systemen. Durch den Vergleich von Systemen mit konstanter Verzögerung bzw. Systemen ohne räumliche Kopplung erhält man ein tieferes Verständnis und eine bessere Beschreibungsweise der Dynamik des räumlich ausgedehnten diffusiven Systems mit fluktuierenden Verzögerungen. Im ersten Teil werden diskrete Systeme in Form von diffusiven Coupled Map Lattices untersucht. Als die lokale iterierte Abbildung des betrachteten Systems wird die logistische Abbildung mit Verzögerung gewählt. In diesem Teil liegt der Fokus auf Musterbildung, Existenz von Multiattraktoren und laufenden Wellen sowie der Möglichkeit der vollen Synchronisation. Masterstabilitätsfunktion, Lyapunov Exponent und Spektrumsanalyse werden benutzt, um das dynamische Verhalten zu verstehen. Im zweiten Teil betrachten wir kontinuierliche Systeme. Hier wird die Fisher-KPP Gleichung mit Verzögerungen im Reaktionsteil untersucht. In diesem Teil liegt der Fokus auf der Existenz der Turing Instabilität. Mit Hilfe von analytischen und numerischen Berechnungen wird gezeigt, dass bei fluktuierenden Verzögerungen eine Turing Instabilität auch in 1-Komponenten-Reaktions-Diffusionsgleichungen gefunden werden kann

Submitted by Johnny Rodrigues (johnnyrodrigues@ufcg.edu.br) on 2018-07-26T14:26:54Z No. of bitstreams: 1 BRUNO SÉRGIO VASCONCELOS DE ARAÚJO - DISSERTAÇÃO PPGMAT 2011..pdf: 771076 bytes, checksum: d91b1038ca64863eb3d4ce5f4d5200d0 (MD5) / Made available in DSpace on 2018-07-26T14:26:54Z (GMT). No. of bitstreams: 1 BRUNO SÉRGIO VASCONCELOS DE ARAÚJO - DISSERTAÇÃO PPGMAT 2011..pdf: 771076 bytes, checksum: d91b1038ca64863eb3d4ce5f4d5200d0 (MD5) Previous issue date: 2011-07 / Neste trabalho é apresentado um estudo sobre existência e unicidade de soluções do tipo onda viajante para duas classes de equações diferenciais. A primeira delas consiste de um sistema que modela a propagação de uma frente de temperatura em meios porosos. Tal modelo é utilizado em métodos térmicos aplicados à recuperação de óleo em engenharia de petróleo. Para este modelo são provados a existência e unicidade de uma solução do tipo onda viajante para uma faixa de velocidades de propagação a partir de um valor crítico. A existência é provada usando técnicas de perturbação singular geométrica e a unicidade usando a integral de Melnikov. A segundaclasseconsistedeumaequaçãodotiporeação-difusãoconhecidanaliteratura comoaequaçãoKPP.Estaequaçãoapareceemproblemasdereaçõesquímicasautocatalíticas isotérmicas. Usando técnicas similares às da primeira classe são obtemos resultados análogos de existência e unicidade de soluções do tipo onda viajante. O trabalho termina com o estudo da estabilidade espectral daquelas ondas viajantes com velocidades não críticas da equação KPP sob perturbações em um espaço de Banach com peso. / In this work is presented a study about the existence and uniqueness of traveling waves solutions for two classes of differential equations. The first of them is a system modeling a temperature front propagation in a porous media. This model come from a thermal method applied to oil recovery in petroleum engineering. For this model it is proved the existence and uniqueness of a traveling wave solution for a range of propagation velocities above a critical value. The existence is proved by the geometric singular perturbation technique and the uniqueness by the Melnikov Integral. The second class is a reaction-diffusion equation known in literature as the KPP equation. This equation come from isothermal autocatalytic chemical reactions problems. By analogous techniques used in the first class are obtained analogous results on the existence and uniqueness of traveling wave solutions. The workfinisheswiththespectralstabilitystudyofthetravelingwaveswithnoncritical velocities of the KPP equation under perturbations in a weighted Banach space.

The aim of this thesis is to investigate the dynamical behaviors of spatially extended systems with fluctuating time delays. In recent years, the study of spatially extended systems and systems with fluctuating delays has experienced a fast growth. In ubiquitous natural and laboratory situations, understanding the action of time-delayed signals is a crucial for understanding the dynamical behavior of these systems. Frequently, the length of the delay is found to change with time. Spatially extended systems are widely studied in many fields, such as chemistry, ecology, and biology. Self-organization, turbulence, and related nonlinear dynamic phenomena in spatially extended systems have developed into one of the most exciting topics in modern science. The first part of this thesis considers the discrete system. Diffusively coupled map lattices with a fluctuating delay are used in the study. The uncoupled local dynamics of the considered system are represented by the delayed logistic map. In particular, the influences of diffusive coupling and fluctuating delay are studied. To observe and understand the influences, the results for the considered system are compared with coupled map lattices without delay and with a constant delay as well as with the uncoupled logistic map with fluctuating delays. Identifying different patterns, determining the existence of traveling wave solutions, and specifying the fully synchronized stable state are the focus of this part of the study. The Lyapunov exponent, the master stability function, spectrum analysis, and the structure factor are used to characterize the different states and the transitions between them. The second part examines the continuous system. The delay is introduced into the reactionterm of the Fisher-KPP equation. The focus of this part of study is the time-delay-induced Turing instability in one-component reaction-diffusion systems. Turing instability has previously only been found in multiple-component reaction-diffusion systems. However, this work demonstrates with the help of the stability exponent that fluctuating delay can result in Turing instability in one-component reaction-diffusion systems as well. / Ziel der vorliegenden Arbeit ist die Untersuchung der Einflüsse der zeitlich fluktuierenden Verzögerungen in räumlich ausgedehnten diffusiven Systemen. Durch den Vergleich von Systemen mit konstanter Verzögerung bzw. Systemen ohne räumliche Kopplung erhält man ein tieferes Verständnis und eine bessere Beschreibungsweise der Dynamik des räumlich ausgedehnten diffusiven Systems mit fluktuierenden Verzögerungen. Im ersten Teil werden diskrete Systeme in Form von diffusiven Coupled Map Lattices untersucht. Als die lokale iterierte Abbildung des betrachteten Systems wird die logistische Abbildung mit Verzögerung gewählt. In diesem Teil liegt der Fokus auf Musterbildung, Existenz von Multiattraktoren und laufenden Wellen sowie der Möglichkeit der vollen Synchronisation. Masterstabilitätsfunktion, Lyapunov Exponent und Spektrumsanalyse werden benutzt, um das dynamische Verhalten zu verstehen. Im zweiten Teil betrachten wir kontinuierliche Systeme. Hier wird die Fisher-KPP Gleichung mit Verzögerungen im Reaktionsteil untersucht. In diesem Teil liegt der Fokus auf der Existenz der Turing Instabilität. Mit Hilfe von analytischen und numerischen Berechnungen wird gezeigt, dass bei fluktuierenden Verzögerungen eine Turing Instabilität auch in 1-Komponenten-Reaktions-Diffusionsgleichungen gefunden werden kann

This work develops a discontinuous Galerkin finite element discretization of non- linear hyperbolic conservation equations with efficient and robust high order stabilization built on an entropy-based artificial viscosity approximation. The solutions of equations are represented by elementwise polynomials of an arbitrary degree p > 0 which are continuous within each element but discontinuous on the boundaries. The discretization of equations in time is done by means of high order explicit Runge-Kutta methods identified with respective Butcher tableaux. To stabilize a numerical solution in the vicinity of shock waves and simultaneously preserve the smooth parts from smearing, we add some reasonable amount of artificial viscosity in accordance with the physical principle of entropy production in the interior of shock waves. The viscosity coefficient is proportional to the local size of the residual of an entropy equation and is bounded from above by the first-order artificial viscosity defined by a local wave speed. Since the residual of an entropy equation is supposed to be vanishingly small in smooth regions (of the order of the Local Truncation Error) and arbitrarily large in shocks, the entropy viscosity is almost zero everywhere except the shocks, where it reaches the first-order upper bound. One- and two-dimensional benchmark test cases are presented for nonlinear hyperbolic scalar conservation laws and the system of compressible Euler equations. These tests demonstrate the satisfactory stability properties of the method and optimal convergence rates as well. All numerical solutions to the test problems agree well with the reference solutions found in the literature. We conclude that the new method developed in the present work is a valuable alternative to currently existing techniques of viscous stabilization.