Medicinteknisk utrustning (MT) har en stor och avgörande roll i dagens samhälle för att kunna utföra en patientsäker sjukvård. De senaste tekniska framstegen har försett sjukvården med otaliga skräddarsydda MT-produkter för olika behov som uppstår vid behandling av patienterna. Trots detta har vissa hälso- och sjukvårdssektorer särskilda behov som inte kan tillgodoses genom marknadens utbud. När en sådan situation uppstår, tillåter regelverket sjukvårdsverksamheter att utveckla egentillverkade produkter eller modifiera befintlig MT-utrustning för att lösa det specifika sjukvårdsproblemet. Egentillverkning av en MT-produkt är en reglerad process i enlighet med EU-förordning om MT-produkter MDR (EU 2017/745) artikel 5.5. Detta regelverk säkerställer en patientsäker och kvalitetssäkrad MT-utrustning för intern användning inom sjukvårdsverksamheten.  Karolinska Universitetssjukhuset (Karolinska) som är Nordens största sjukhus har, i enlighet med regelverket, tagit fram egna interna riktlinjer för egentillverkning av MT-produkter. Covid-19-pandemin har aktualiserat att tillämpa dessa rutiner i praktiken. Karolinska har vårdat ett stort antal Covid-19-patienter med svåra respiratoriska symptom som har krävt ett särskilt omhändertagande bland annat på intensivvårdsavdelningen (IVA).  Ett av de mest förekommande kirurgiska ingreppen på IVA-patienter under denna period har varit trakeotomi. På grund av de stora svårigheter som uppstår med att flytta patienten till vanlig operationssal har öron-näsa-halsenheten (ÖNH) på Karolinska, som ansvarar för alla kirurgiska trakeotomier på sjukhuset, behövt utföra operationen på patienten i IVA-sängen. För att utföra en mer patientsäker på-plats-operation och förbättra denna ohållbara arbetsmiljö har ÖNH-kirurger önskat och sökt ett mobilt operationsbord som kan dockas till de olika IVA-sängtyperna som finns på sjukhuset. Eftersom detta operationsbord inte fanns att köpa på marknaden har MT-mekaniska verkstaden på Karolinska utvecklat en prototyp av trakeotomibordet som uppfyller ÖNH-kirurgernas specifika behov.  I detta arbete undersöktes egentillverkning av MT-produkter inom Karolinska i samband med utveckling av trakeotomibordet. I detta avseende studerades hela processen som krävs av regelverket och Karolinskas interna föreskrifter, från behovsanalys och definition av MT-produkten till kvalitetssäkring och riskhanteringen som garanterar en godkänd MT-utrustning för intern användning inom Karolinska Universitetssjukhuset. / Medical devices have a crucial role in performing a high-quality healthcare with patient safety in focus. Recent technological advances have provided healthcare systems with countless customized medical products for the various needs that arise in the treatment of patients. Despite this, some health care sectors have special needs that cannot be met by the market supply. In such circumstances, the regulations allow healthcare providers to develop in-house production or modify existing medical equipment to solve the specific need of the medical staff. In-house production of a medical device is a detailed regulated process defined in accordance with MDR (EU 2017/745) Article 5 (5). This regulatory framework ensures a patient-safe and quality-assured medical equipment for internal use within the healthcare.  Karolinska University Hospital (Karolinska), which is the Nordic region's largest hospital, follows the regulatory praxis for in-house production of medical devices. These praxes were put into use during the Covid-19 pandemic. Karolinska had to take care of many Covid-19 patients with severe respiratory symptoms who required special care, including intensive care unit (ICU).  One of the most common surgical procedures on ICU patients during this period was tracheotomy. Due to the complications that occur in moving patients to regular operating theatre, the ear-nose-throat unit (ENT) at Karolinska, which is responsible for all surgical tracheotomies at the hospital, has had to perform operations directly on ICU beds.  To improve the quality of the operations and the surgeon's work condition, the Karolinska ENT have sought a mobile operating table with ability to be docked to various ICU beds, available at the hospital. Since this medical equipment was not available on the market, the medical engineering workshop at Karolinska has developed a prototype of the tracheotomy table that meets the specific needs of ENT surgeons. This project studies the in-house production of a medical device at Karolinska through examining the development of tracheostomy table’s prototype by medical engineering workshop. In this respect, the regulatory requirements that approve the tracheostomy table for internal use within Karolinska University Hospital, are studied.

身為台灣中小企業一員的汽車零配件貿易公司，在面對(汽車)產業大環境的劇烈轉變與中國大陸供應商的強勢競爭下，為了不被市場淘汰，透過建置其策略地圖、商品分類與顧客分析，重新檢視企業本身的資訊管理策略，計劃相關專案，並配合該公司所重視的營運指標與其資訊執行能力程度，做為判斷各專案的優先順序的依據，進而分配各相關專案預算；確保從規劃企業資訊策略到執行專案的所有步驟，皆以符合策略地圖上所描述”創造企業競爭優勢和策略價值”為目的。 / Being one of Taiwanese small and medium enterprises, an Auto Parts and Accessories trading company, suffers from the rapid change of the market and the fierce competitions from Chinese suppliers. In order to survive in the business environment, the company sets up the Strategy Map, makes the Product Categorization and Customer Portfolios Analyses, to get the best IT planning and initiate several IT projects to support its internal management processes. Also, according to its Business Criticality and Technology Maturity indicators, the company makes the priority for its IT projects and allocates the budgets. These actions are taken as the accomplishments of differentiating from market competitions and creating the strategic values just like the goals of its Strategy Map described.

臺灣自行車產業自1970年代開始，逐漸開始萌芽，一直到1990年代之前，臺灣一直是物廉價美的代工最佳地區。自從1990年起臺灣自行車產業陸續往大陸西移，幸好臺灣自行車業者還是把研發基地留在本國，正因為如此不管生產基地往哪裡擴張，臺灣本廠一直能保有營運總部的根基。隨著產業的壯大，如何能將研發的實力及銷售的利潤留在自家內，發展品牌變成熱門的話題。但由於自行車由許多零配件供應衛星工廠協同生產，這些規模大小不一的廠家，在發展品牌的困難程度遠較自行車整車高出很多。有部分廠商因其經濟規模較大，在其產品橫向發展上非常成功，在自有品牌的行銷上確實有亮麗的成績，如瑪吉斯輪胎、建大輪胎等。本研究針對20家廠商做自有品牌及品牌聯盟之問卷調查，及對四家自行車零配件代表性廠商做深入產業品牌經營訪談研究。根據其對發展自有品牌及品牌聯盟之現況，分析業者未來經營品牌成功之關鍵做法。 臺灣自行車零配件業者雖然在研發及製造實力在國際上位於領導地位，但是品牌實力卻落後於別人，以致開發的報酬的相對不高。現在由於臺灣本國市場、中國大陸及其他新興市場的崛起，此時台灣自行車零配件最有機會建立品牌，培養忠誠客戶，把臺灣業者最擅長的服務行銷成為最佳的市場競爭優勢，掌握產業主導，開創台灣自行車業者品牌價值新頁。 關鍵字: 代工，品牌，自有品牌，品牌聯盟，自行車，自行車零配件

Title: Guide for selection of tennis equipment for players and coaches Objectives: The main purpose of this thesis is to create a detailed guide for selecting tennis equipment for players and coaches, which will help players choose right racquet, strings, balls, shoes and bags. At the same time, it will inform the reader about equipment for tennis coaches. In addition a questionnare will be elaborated to detect the equipment preferences of players at performance level. Methods: Content analysis of documents was used in this thesis and was completed by a questionnare. Results: Result of this thesis is a guide for selecting tennis equipment for players and a coach, which helps people choose the right racquet and strings. One will also gain better knowledge of tennis ball characteristics in connection with different surfaces and varying game styles. Also results from the questionnare will be elaborated to illustrate the preferences of players at performance level. Keywords: Tennis, guide, tennis racquets, tennis strings, tennis shoes, tennis bags, tennis balls, history of tennis, tennis accessories, equipment, coach.

Made available in DSpace on 2014-10-09T12:51:30Z (GMT). No. of bitstreams: 0 / Made available in DSpace on 2014-10-09T14:02:10Z (GMT). No. of bitstreams: 1 11328.pdf: 13067508 bytes, checksum: 886d399df69a8146f0353092e99aa16a (MD5) / Tese (Doutoramento) / IPEN/T / Instituto de Pesquisas Energeticas e Nucleares - IPEN/CNEN-SP

Made available in DSpace on 2014-10-09T12:51:30Z (GMT). No. of bitstreams: 0 / Made available in DSpace on 2014-10-09T14:02:10Z (GMT). No. of bitstreams: 1 11328.pdf: 13067508 bytes, checksum: 886d399df69a8146f0353092e99aa16a (MD5) / O objetivo deste trabalho foi desenvolver potenciais materiais para aplicações automotivas, em particular como insertos para assento de válvula em motores de combustão interna à gasolina. O desenvolvimento compreendeu as etapas de processamento dos materiais via metalurgia do pó, tratamento térmico, caracterização microestrutural e mecânica, usinagem e desgaste dos mesmos. O desenvolvimento objetivou principalmente a redução de custo e a aplicação de elementos menos poluentes, excluindo-se, por exemplo, a aplicação do Co devido ao seu alto custo e do Pb devido aos seus efeitos toxicológicos e prejudiciais ao meio ambiente. A realização de uma pesquisa minuciosa na busca de patentes relacionadas indicou que os materiais estudados apresentam composições particulares, e, portanto inéditas. Os resultados encontrados nos ensaios de dureza e de resistência à compressão radial nas amostras tratadas termicamente apresentaram resultados superiores aos da liga comercial atualmente em uso. Testes de usinabilidade em amostras sem tratamento térmico apresentaram comportamento similar ao da liga comercial, indicando que a usinabilidade do material praticamente não foi afetada com a mudança na composição química. Após a etapa de tratamento térmico, as ligas obtidas apresentaram valores de esforços de corte superiores aos do material comercial. Os resultados dos testes de desgaste abrasivo em amostras tratadas termicamente apresentaram menores valores de coeficientes de atrito e perda de massa em todos os casos em relação ao material comercial. Este comportamento é devido aos benefícios introduzidos pelo tratamento térmico executado e pela adição de alguns elementos resistentes ao desgaste na forma de carbonetos de Nb e Ti/W. Os resultados dos esforços de corte apresentaram boa concordância com os resultados dos ensaios de desgaste. Os materiais produzidos apresentam-se como potenciais candidatos para substituir, com vantagens, inserto para assento de válvula a base de Fe-Co em motores de combustão interna a gasolina. / Tese (Doutoramento) / IPEN/T / Instituto de Pesquisas Energeticas e Nucleares - IPEN/CNEN-SP

L'étude des bijoux - notion complexe pour la période prise en examen - et de leurs représentations, s'appuie sur l'analyse des images en deux dimensions de la Vallée d'Aoste, du Piémont, de Ligurie et de Lombardie aux XIVe et XVe siècle. Elle vise à observer les contextes et les types de support permettant d'observer des détails comme les objets précieux, ainsi qu'à déterminer les grands groupes de commanditaires des images mettant en scène ces objets. Elle vise ensuite à analyser la fréquence d'apparition des différents bijoux et accessoires de parure, ainsi qu'à déterminer les catégories de personnages les plus ornées, tout en confrontant ces résultats avec les autres sources à notre disposition: mobilier archéologique, objets d'orfèvrerie, documentation comptable, inventaires après décès, lois somptuaires, récits de chroniqueurs, sermons, correspondance, poésie, ainsi que les Lapidaires dédiés aux gemmes. Sont abordées les particularités mises en avant par les images, qui insistent sur les différentes valeurs morales attachées à chaque type d'objet de parure, à l'endroit du corps auquel il était destiné ainsi qu'au rang de celui qui les portait.Le recours à plusieurs études relevant du domaine de l'anthropologie historique permet d'observer le rôle important des occasions qui requéraient le port de ces objets ou qui en commandaient les échanges, découlant des nécessités imposées par un cérémonial très ritualisé, lors duquel les objets de parure jouaient un rôle de représentation et de protection.L'analyse s'oriente sur la « stratégie » déployée par les images et leurs commanditaires, au sein d'une logique des apparences visant à légitimer leur position. / The study about jewels and adornment accessories - a complex notion for the period in examination - and their representations, leans on the analysis of the two-dimensions images produced in Aosta Valley, Piedmont, Liguria and Lombardy in the 14th and 15th century.It aims at observing contexts and types of medium allowing images to show such details as jewels and adornment accessories, when still visible, and to determine the different groups of people who subscribed the images where these objects appear.It aims at analyzing the frequency of appearance of the various jewels and dress adornments, as well as determining which are the most decorated categories of characters, while confronting these results with the other sources at our disposal: archeological and goldsmiths' work finds, account books, inventories, sumptuary laws, chroniclers narratives, sermons, correspondence, poetry, and a particular genre of literature dedicated to gemstones: Lapidaries.The particularities advanced by images insist on the various moral values attached to every type of jewel and adornment object, their location on the body, as well as the rank of their owner.The recourse to several studies belonging to the historic anthropology domain allows focusing on the important role played by the occasions which required the bearing of these objects or which commanded their exchanges, ensuing from a ritualized ceremonial, during which the finery objects played a role of representation as well as protection.Finally, the analysis turns on the "strategy" displayed by images and, especially by those who ordered them, joining within logic of appearances, in order to legitimize their position. / Lo studio dei gioielli – nozione complessa per il periodo preso in esame – e delle loro rappresentazioni, si basa sull’analisi delle immagini a due dimensioni prodotte nella Valle d’Aosta, in Piemonte, Liguria e Lombardia ne Trecento e Quattrocento. Mira innanzitutto ad osservare quali sono i contesti ed i tipi di produzione che permettono di osservare dettagli come gli accessori ornamentali, quando questi sono ancora reperibili, così come a determinare i grandi gruppi di promotori delle immagini raffiguranti questi oggetti. Mira poi ad analizzare in modo quantitativo la frequenza delle apparizione di quei differenti tipi di gioielli ed accessori preziosi, nonchè a determinare quali sono le categorie di personaggi più ornati, pure confrontando questi risultati con le altre fonti a disposizione. Tra queste si annoverano reperti archeologici e oggetti di oreficeria, ma anche fonti scritte : documentazione archivistica contabile, inventari, leggi suntuarie, opere di cronisti, sermoni, corrispondenza, poesia, così come une tipo particolare dedicato alle gemme : i Lapidari. Sono così evidenziate le particolarità messe in luce dalle immagini, che insistono sulle differenti caratteristiche morali legate ad ogni tipo di oggetti presi in conto, alla parte del corpo alla quale era destinato, così come al rango sociale di chi lo portava. Il ricorso a parecchi studi che rientrano nel campo dell’antropologia storica permette di osservare il ruolo importante delle occasioni che richiedevano di ornarsi con questi oggetti o che ne determinavano gli scambi, il che dérivava dalle necessità imposte da un cerimoniale molto ritualizzato, nel quale quegli oggetti preziosi assumevano nello stesso tempo una funzione di rappresentazione et di protezione. Infine, l’analisi si orienta sulla « strategia » sviluppata dalle immagini, e sopratutto dai loro donatori, iscrivendosi in una logica delle apparenze che tendeva a legittimare la loro posizione.

Västergarn is a medieval settlement situated on the west coast of the island of Gotland in the Baltic Sea. It has for a long time been the focus of study for researchers due to its cultural heritage in regards of its church, rampart and archaeological remains of a settlement dating to the Early Middle Ages. The University of Uppsala conducted excavations at the site during 2005–2013 which have led to large amounts of archaeological material which enabled several theses being written about the place. This thesis aims to study metal dress accessories from Västergarn and the people behind these artifacts who lived there during the early medieval period. Gender identity, ethnicity and cultural belonging will be addressed. The main part of the thesis focuses on typology and chronology. This will be achieved by a morphological study of the material. In addition to this, an ArcGis study is conducted to study distribution patterns in the settlement. The conclusion is that dress accessories allow different conclusions on the population of Västergarn. In terms of gender, it is argued that both men and women were present, albeit artefacts of male gender dominate the assemblages. The majority of the material in terms of ethnicity and cultural identity can be attributed to a Gotlandic tradition, while some dress accessories seem to come from abroad, to the Slavonic areas and other regions in the Baltic Sea. Also, oriental influences can be seen, mainly in regard to the decorated belt mounts. in conclusion, the result of this thesis indicates that two separate groups, both Gotlanders and non-Gotlanders were active in Västergarn during the early Middle Ages which is visible in the two churches, the Baltic ware pottery and the form of dress accessories people wore at the time.

My diploma thesis solves an extension of rehabilitation centre. The building technological project in this diploma thesis contains primarily technology procedure, model of the building site accessories, time schedule, check and test plan and budget for this extension. Specialization is drawn from the field of structural engineering - thermal and technical assessment of the building.

The introductory part of the thesis deals with the overall issue of valuation, explaining the basic concepts that are necessary for the valuation. Then followed the analysis of market with the real estates and characteristic description of the specified location. For the purposes of the valuation was selected 10 real estates of type garage, which are valued at cost and comparative manner according to the announcement and comparative manner with the database. The real estates were selected around the city Protivin. A local investigation was carried out and the documentation was made for the each garage. The acquired data are evaluated and the result describes the effect of the location on the price of the property.