TESIS PARA OPTAR AL GRADO DE MAGISTER EN CONTROL DE GESTIÓN / A partir de un proceso de recopilación de información se desarrolla una propuesta de un modelo de control de gestión para el Hospital Juana Ross de Peñablanca (HPB). Metodológicamente se desarrolla un análisis estratégico, la construcción de la propuesta de valor, análisis del modelo de negocio, análisis de rentabilidad o captura de valor, construcción de Mapa Estratégico, Tableros de Gestión y Control, un Cuadro de Mando Integral y un esquema de incentivos. Del análisis estratégico se tuvo como factores relevantes el cambio demográfico y epidemiológico de la población y factores sociales, que otorgan un ambiente propicio para el desarrollo del HPB. Del Análisis de la Industria, se obtuvo que todas las fuerzas evaluadas arrojan un nivel bajo en los ámbitos de negociación de los usuarios y proveedores, baja amenaza de productos sustitutos y rivalidad entre competidores. Del análisis FODA, las amenazas más fuertes son la falta de especialistas e inversión, y como fortalezas la experiencia y compromiso del recurso humano, la localización estratégica y el equilibrio financiero. El análisis posiciona de muy buena forma al HPB, para aprovechar el aumento de la demanda. Como propuesta de Valor se propone “Entregamos Atención de Salud Oportuna, Integral y Personalizada”, sustentada en las creencias de respeto, responsabilidad y compromiso. Desde el punto de vista de la rentabilidad social, la entrega de una prestación oportuna, integral y personalizada, le agrega valor a la atención dado que aumenta la posibilidad de recuperación de los usuarios mejorando su calidad de vida personal, familiar y en su reinserción a la vida social, y con ello una mejora en la satisfacción. Finalmente se realiza el desdoblamiento de la estrategia, a través de un CMI, mapa estratégico, tablero de gestión y control y finalmente se propone un esquema de incentivos, como un instrumento de alineamiento coherente con la estrategia.

Huzuni is a composition for a sinfonietta ensemble comprised of flute, clarinet, oboe, bassoon, horn, trumpet, trombone, two percussion instruments, piano, violin, viola, violoncello, double bass. The inspiration for it began when I was told that my music was too guarded and that a greater degree of emotion was needed. Such a critical response led me to reflect on compositional techniques, styles, and approaches that were outside of my comfort zone, all of which became the inspiration for this work. Huzuni, Swahili for grief, , is a thirteen-minute single movement work in three sections that reflects the raw emotions in dealing with grief. The form of the composition exposes the five stages of grief-denial, anger, bargaining, depression and acceptance- first introduced in 1969 by Elisabeth Kübler-Ross who founded the Kübler-Ross Model. In Huzuni, we move through each stage slightly differently than in the grief model. The first section establishes denial that leads directly into the bargaining stage. Throughout this movement, g minor provides a sense of denial of truth, achieved in part because the traditional and expected g minor tonic-dominant-tonic progression is replaced with i-v-vi. This replacement weakens g minor and sets up different expectations for the listener. The second section begins with “depression” and transitions to “anger.” Throughout this section, dissonance is emphasized and helps to suppress a clear and perceivable tonal center. “Depression” functions as a bridge that slowly and gradually simulates a sense of despair. When juxtaposed against the first section, it shows us that consciousness can be related to tonality and unconsciousness to atonality. Although the second section might be considered the lowest emotional point of the work, I attempted to imbue it with a sense of humor that represents the working through of difficulties while never losing faith. The third and final section exposes the idea of acceptance which is achieved by a juxtaposition of sections one (g minor) and three (B major). The ascending third relationship between their two keys suggests the triumphant climb from a depressed state into a state of acceptance that is finally resolved, in the coda, in the key of E major simulating the sense of moving on. The work relies on processes drawn from electronic music in which sound masses are transformed by adding or subtracting discrete variables, or single parameters of sound and time: pitch, rhythm, and dynamics. For example, bars 111-127 contain a rhythmic figure in the piano that slows down and is transformed into a sound-mass. That sound-mass is then orchestrated throughout different instrumental groupings, creating a spatialized musical effect where the phasing of the sound mass from one instrumental group to the next changes the way the listener experiences the piece. Passing the main melody from one instrumental group to another quickly creates a three-dimensional listening space where the listener can experience a change in timbre in addition to the isolation of the harmonic series as the melody passes through each group. Throughout the compositional process I attempted to incorporate the elastic properties of time and space made possible using the tools found in 8-channel electronic music. These tools were incorporated by manipulating both chordal progressions and orchestration as illustrated in the previous paragraph. Such a musical effect spatializes sound by diffusing energy evenly throughout a performance environment. The result is an immersive listening experience, in which sound is generated from specific directions at precise times, different from the standard front and center direction we have come to expect.

No description available.

Life Holders is a collection of personal essays reflecting on my interactions with others concerning my military service.

Although Lyme disease is the most frequently reported vector-borne illness in the United States, recent evidence from the CDC suggests that Lyme disease incidence in the United States may be much higher than reported. Lyme disease symptoms can be mistaken for a wide variety of diseases, which can complicate the diagnosis. To date, no diagnostic criteria analysis has been conducted examining the association between sociodemographic variables (sex and age) and seasonality of infection with the severity and symptomology found in Lyme disease cases. Using the CDC's outbreak investigation model, a primary case/control study was conducted using the ROSS Scale to collect data. Comparisons were made between a Lyme disease-diagnosed group (n = 203) and a convenience sample of non-Lyme disease patients (n = 388). Novel symptom patterns were found to significantly predict a diagnosis of Lyme disease. Odds ratio results revealed a positive association between musculoskeletal (OR = 11; 95% CI), neurological (OR = 12; 95% CI), cognitive (OR = 10; 95% CI), and cutaneous (OR = 144; 95% CI) symptoms frequency and severity and the diagnosis of Lyme disease. In addition, overall symptom frequency and severity scores displayed significant differences between cases and controls, between males and females, and among certain age groups. No correlation was found between symptom frequency and severity with the seasonality of infection. Current diagnostic tools search for antibodies to the Borrelia bacteria, but antibody production takes a few weeks. The results of this study help identify at-risk patients based on the presentation and severity of Lyme disease symptoms when antibodies are not present in measureable quantities in the blood stream, allowing for earlier diagnosis.

The Upper Pearl River and its watershed is the main source of water flowing into the Ross Barnett Reservoir, the City of Jackson’s major drinking water supply. Groundwater characterization of the watershed was achieved by analyzing viable groundwater wells and a groundwater spring best representing the land use and land cover extraction map created. Incorporated surface geology demarcated specific stratum, helping describe the different hydrogeochemical interactions observed. Analysis indicated that chloride and nitrate exceeded the Maximum Contamination Levels (MCLs) possibly contributing to eutrophication in the reservoir. Several of the metal and trace elements analyzed were below the MCLs, with the exceptions of manganese, aluminum, and iron. No pharmaceuticals, pesticides, or industrial residues exists in Carthage and Philadelphia’s groundwater, the largest cities in the region. Conclusively, the watershed’s groundwater contains high concentrations of anions along with metal concentrations associated with the ferruginous sandy-clay surface geology moving closer to the reservoir.

No description available.

The Treaty of New Echota was signed by a small group of Cherokee Indians and provided for the removal of the Cherokees from their lands in the southeastern United States. This treaty was secured by dishonest means and, despite the efforts of Chief John Ross to prevent the removal of the Cherokees from their homeland to west of the Mississippi River, the terms of the treaty were executed. In May of 1838, under the command of General Winfield Scott, the removal of the Cherokees commenced. Scott encountered many difficulties including inefficient commissioners and superintendents, drought, disease, and the wavering policy of the Van Buren administration in his quest to fulfill his assignment. He considered the humane treatment of the Cherokees to be his primary concern and did everything in his power to assure that they were not mistreated. These events led to the tragic “trail of tears.”

Fran Ross's only novel, Oreo, explores the nature of multiethnic American identities through an empowered female character that embarks on a Theseus-like journey. Ross devotes significant portions of the novel to the introduction of Oreo's family and individual character, in order to carefully outline her interracial and multiethnic upbringing as an African-Jewish American girl. In order to understand Oreo's political and aesthetic sensibilities, this thesis explores the cinematic representations of interracial relationships during the time that Oreo was written, and argues that Fran Ross's main character is in direct conversation with the predominant 70s black movie and political culture of blaxploitation and Black nationalism. Blaxploitation cinema's rise during the early 70s was facilitated by a burgeoning literary genre depicting an urban black experience aligned with Black nationalist ideologies, to which Fran Ross responds with her interracial protagonist. While not all Black nationalist leaders and supporters felt that blaxploitation movies furthered the revolution, the politics of the movement were still present in the movies, especially in regard to interracial relationships. Black nationalist ideologies regarding interracial relationships positioned sexual relationships between black people and white people as counter-revolutionary, because they did not result in the propagation of the black race, and were reminiscent of the rapes that occurred during the slave period and beyond. In contrast with these cinematic depictions, Oreo is a desexualized, witty, and athletic mixed raced female, who challenges the stereotypes of black cinematic culture and the politics of Black nationalism. As Oreo was written at the end of the blaxploitation genre's height (1974), its politics appear to be in direct dialogue with the representation of blackness in the movie genre. Ross even goes as far as rewriting scenes and stereotypes from blaxploitation movies, positioning Oreo as a critique of the Blaxploitation genre, and the genre's Black nationalist political agenda surrounding interracial relationships.

ABSTRACTLeet, Susanne & Mollin, Pia (2011), Barn gör rätt om de kan. (Children do the right thing if they can)Malmö högskola, Lärarutbildningen, Skolutveckling och ledarskapSyftet med vår studie är att undersöka om CPS - Collaborative Problem Solving, på svenska samarbetsbaserad problemlösning, kan hjälpa barn med problemskapande beteende. Vi vill också ta reda på hur pedagoger ser på dessa barn barn och om arbetet med CPS har förändrat deras synsätt? Våra frågeställningar är: Kan CPS hjälpa barn med problemskapande beteende? Hur ser lärare på dessa barn och har arbetet med CPS förändrat deras synsätt?Vi har valt en kvalitativ forskningsansats och använt oss av ett frågeformulär och en gruppintervju för att samla in vårt empiriska material. Detta är ett litet urval. Av frågeformuläret och intervjuerna har det framkommit att barn med problemskapande beteende bemöts olika och att lärare ofta känner att de inte har de rätta verktygen att möta dessa barn på ett bra och tillfredställande sätt. Vi har, genom vår studie, kommit fram till att dessa barn finns i de flesta klasser och att CPS kan vara ett arbetssätt som kan fungera vid bemötandet av, och i arbetet med, barn med problemskapande beteende.