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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
91

A comprehensive framework for the adoption of techno-relationship innovations : Empirical evidence from eCRM in manufacturing SMEs

Sophonthummapharn, Kittipong January 2008 (has links)
Information Technology (IT) plays a significant role in today business competition. A prominent role is that it helps a firm to manage relationships with customers effectively. Adoption of appropriate technology can lead the firm to greater business competency, improve its business performance, and ensure it retains its competitive advantages. While there is a rich body of literature on IT innovation adoption and implementation, research on the adoption of IT innovation that is specifically intended to perform relationship marketing functions is scant. The problem in this research is to address the lack of a research framework for examining the factors influencing the adoption of techno-relationship innovations. The existing adoption models are insufficient in properly explaining which factors are involved in the adoption decision and which factors are more important, and are especially insufficient with regard to small and medium sized enterprises (SMEs). The aim of this study is to develop a comprehensive research framework used for exploring the factors affecting the adoption of techno-relationship innovations and to apply this framework for empirically investigating the adoption of electronic Customer Relationship Management (eCRM) applications in manufacturing SMEs. This study proposes the term ‘techno-relationship innovation’ and defines it as a technology-related idea, process, method, product, or service that is intended to perform relationship marketing tasks and which is perceived as new to an individual or a firm. The developed research framework contains 20 potential determinant factors covering four contexts: individual, technological, organizational, and environmental. This study was conducted through survey research and the sample was drawn by means of systematic sampling technique. The empirical data were collected by using self-administered questionnaires and the data analysis was based on 508 manufacturing SMEs in Thailand. The analysis was based on multivariate statistical techniques including t-test, factor analysis, deiscriminant analysis, and cluster analysis. The findings reveal interesting insights into understanding the adoption of eCRM applications by manufacturing SMEs. The Key Influential Factors (KIF) model is proposed summarizing the conclusions of the study. It indicates what factors in what contexts should be given more or less attention. From 20 factors, the analysis indicates that 12 factors are important factors that should be given high priority. They are Compatibility, Industry Pressure, Customer Pressure, Subjective Norm, Attitude, External Support, Perceived Advantage, Observability, Perceived Relationship Marketing Functionality, Technological Expertise, Perceived Easiness, and Financial Resources. Five factors have the capability to discriminate between eCRM adopters and non-adopters but their discriminant powers are weak so they receive second priority. They are Competitive Pressure, Innovativeness, Business Experience, Governmental Encouragement, and Internet Experience. The other three factors appear insignificant but they should not be completely ignored when encouraging the adoption of eCRM applications. Thus, these three factors receive third priority. They are Size, Trialability, and Self-efficacy. Furthermore, the eCRM adopters are classified into three groups: basic adopters, moderate adopters, and advanced adopters. The inference is that the basic eCRM adopters are uncertain whether eCRM applications are really needed for business success. In contrast, the moderate and advanced eCRM adopters require different attention which is related to maximizing the advantages of eCRM applications. This classification offers solid information for market segmentation purposes in the eCRM industry. Study implications are acknowledged. A comprehensive research framework is proposed suggesting 20 potential determinant factors involved in examining the adoption of techno-relationship innovations. This research framework provides a tool to marketing researchers in conducting further research. Empirical investigation leads to the KIF model that offers guidance to government and private agencies in properly encouraging the adoption of eCRM applications and their relevant components among manufacturing SMEs. Moreover, the study’s limitations and suggestions for further research are provided.
92

僑外直接投資台灣的決定因素 / Determinants of Overseas Chinese and Foreign Direct Investment in Taiwan

張淑音, Chang,Shu-ying Unknown Date (has links)
台灣經濟屬於淺碟型經濟,且受限於缺乏自然資源,所以資本的形成相當的不容易。為求經濟的發展,資本的形成,尤其是固定投資的累積相當的重要。而資本形成的數種財源中,以僑外直接投資對國際收支與通貨膨脹的壓力影響較小,並能引進新生產技術及經營管理知識,從而促進產業的持續成長與企業管理現代化理想的實現。台灣之所以能成為經濟上的亞洲四小龍之一,這當中經濟成長的背後資金來源,僑外商的直接投資是不可或缺的。近年來,台灣的名目利率不斷下跌,甚至實質利率為負的情況下,投資動能卻仍顯不足。為瞭解構成廠商投資意願的決定因素,故以對投資具相當敏感度的僑外商為研究的主要對象,所以本文的主要目的即是探討僑外直接投資台灣的決定因素。 本研究使用1995年至2004年間的時間數列月資料,以普通最小平方迴歸模型,估計僑外資、僑資、外資、製造業及服務業等五種模型的直接投資決定因素。結果顯示在僑外資及外資的模型中,其顯著變數有工資、利率、世界競爭力及政黨輪替。僑資模型的顯著因素有犯罪率及政黨輪替。製造業模型的顯著變數有工資、匯率及利率。而服務業模型則有工資、利率及研究發展經費為顯著變項。另各模型時間變數方面,僑外資、外資及服務業等模型的第6年虛擬變數具顯著效果。在月虛擬變數上,投資正相關的月份僑外資為6、7月及10至12月;僑資為7、8兩月;外資於5月後各月;製造業則為3月及5月後各月;服務業則為7、11及12月。又僑資及服務業兩模型中,4月均為負相關。至於經濟成長率、每人國內生產毛額及政黨比率等不顯著變項,表示均非僑外商投資所關注的因素。 / Taiwan’s saucer-shallow economic scale and scarce natural resources make capital formation very difficult. Nevertheless, capital formation, especially accumulation of fixed investment, is essential to economic development. Among various sources of capital formation, foreign direct investment imposes least pressure on the balance of payments and inflation, introduces innovative technology and management skills, and hence contributes most significantly to sustainable industrial development and the realization of business management ideals. Taiwan ranks among the four newly-industrialized Asian tigers. Among the funding sources that have promoted Taiwan’s economic growth over the years, direct investment from overseas Chinese and foreigners plays an indispensable part. In recent years, however, even though nominal interest rates have continuously fallen, at times even to the level of negative real interest rates, investment momentum still appeared weakened. Based on this observation, this study tries to understand what drives decisions to invest in Taiwan by focusing on overseas Chinese and foreign investors who are highly investment sensitive. The main purpose of the study is to discuss the determinants of overseas Chinese and foreign direct investment in Taiwan. This study applies the Ordinary Least Square (OLS) Regression model to analyze the monthly time-series data during the period of 1995-2004. Determinants of direct investment are examined in five groups, i.e. overseas Chinese & foreign investment, overseas Chinese investment, foreign investment, the manufacturing sector, and the services sector. The result shows that wages, interest rates, world competitiveness, and the rotation of ruling parties are the most important factors for overseas Chinese & foreign investment, and foreign investment. Overseas Chinese investment is significantly affected by the crime rate and the rotation of ruling parties. For the manufacturing sector, wages, exchange rates and interest rates are important variables. Wages, interest rates and R&D spending significantly affect investment in the services sector. In terms of the time variables in each group, the sixth year dummy variable has a significant effect on overseas Chinese & foreign investment, foreign investment, and the services sector. With regard to monthly dummy variables, positively correlated to investment are June, July, and October to December for overseas Chinese & foreign investment; July and August for overseas Chinese investment; May to December for foreign investment; March, and May to December for the manufacturing sector; and July, November, and December for the services sector. In addition, April shows a negative correlation for both overseas Chinese investment and the services sector. Variables with insignificant effects, including economic growth rates, per capita GDP, and the congressional seats of political parties, are not among the concerns of overseas Chinese and foreign investors.
93

中國大陸外資企業獲利變動之決定因素

呂維智 Unknown Date (has links)
本文主要探討影響外資企業進入中國大陸外資企業獲利變動之因素,分析企業在大陸投資經營環境改變(1993年與1996年間),企業的獲利變動是否會受影響,進一步比較在不同外資來源與不同投資型態下,座落不同地區別與投資不同產業別其獲利變動及其決定因素有何不同 結果顯示,投資環境變遷對外商投資有影響,首先,大陸投資環境逐年改善,有利外商企業進行投資,但是仍須注意大陸內部的不穩定因素,如政治社會問題,不能只單純考慮經濟投資環境。且大陸外資政策逐漸進入調整階段,朝向與產業發展相結合的方向調整,廠商投資更應注意政策發展;其次,在影響外商企業獲利變動之決定因素方面,實證結果顯示,企業在設廠時的投資規模如果較大,顯然與賺取的利潤變動有正向相關之關係;另一方面,員工人數增加,獲利亦會增加。 就企業營運方面而言,根據實證結果顯示資金當地取得比例與企業的獲利變動呈現負相關,外商企業自大陸貸款取得資金比重愈高,其獲利反而愈不利,另外對外資企業之機器進口比例提高,對獲利變動有正面影響,亦即企業進口更多機器設備,對獲利是有幫助。另外筆者發現,員工報酬等級的變動,對獲利變動呈現明顯正相關。就企業成立時間長短對獲利變動影響而言,筆者研究發現,在大陸的外資企業,愈後進者愈能充分表現在搭便車效果,對企業獲利明顯有利。 / The goals of the thesis are researching the following: (i) Impact of investment environment and foreign investment policy changes in mainland China in recent years on foreign firms in mainland China; (ii) Determinant of Profitability change to foreign enterprises in Mainland China; (iii) Analysis determinant of different country firms, different industry firms, different entry modes and different locations of foreign firms in mainland China。 The project concludes the following: 1. The effort of liberalization and internationalization of Mainland China in recent years attracts the inflow of multinationals into Mainland China; with the entry into WTO the inflow will be further encouraged. 2. Foreign investment profitability affected by policies and environment of Mainland China, firms should be more cautious in evaluating their investments in Mainland China. 3. The scales and workers become larger and more, profits of firm will increase 4. More local finance loan rate decrease profits of firms, because cost of loan increase after 1993 5. Obtainment and keeping ability workers show well profits of firms and more efficient equipments do it, too. 6. Early entry firm will not get more profit than latter entry firms; profitability depends on competence of firms.
94

A concept analysis of public participation in health care and health promotion governance: implications for theory, policy and practice

Rodrigues, Gabriela 19 April 2013 (has links)
Purpose: The study focused on investigating the uses of the term “public participation” to clarify an important public policy concept for health governance as a firm foundation for theory building, policy and practice. Key questions concerned: What counts as participation? Who counts as a participant? And, is there legitimated space for dissent within this concept? Method: A combined methodology (Rodrigues, 2006) for the concept analysis of public participation use was adopted after three methods were extensively studied. Procedures were detailed for a systematic, random sampling of the professional, academic, theoretical and empirical literature from 1990 to 2012. Four disciplinary literatures (social work, sociology, political studies, and nursing) relevant to the field of health were surveyed. The databases furnished 336 documents, out of which 120 were randomly selected for study. Each document was read for construct definitions to ascertain the essential features and the contextual basis of the concept. Two distinct analysis phases were performed. Documents were divided by content into either theoretical or empirical studies, then, sorted into use areas. Findings: Analysis found three typical uses (intended, borderline, and contrary) characterized as prudent, spurious, and pernicious types of public participation. Pernicious types account for 40% of the literature surveyed, spurious types account for 37%, followed by prudent types at 23% (though most were failed examples). Normalized inconsistencies between purported ideals and their application were found across all the disciplines. A suggested polarization between theory and practice was strongest in the social work literature, while the nursing literature was striking for its consolidation of spurious and pernicious types. In short, a probability sampling of the literature suggests marginal and contrary uses of the concept predominate in the field. A Trichotomy of Public Participation Use is presented based on the determining criteria found, indicating the need to: affirm constituency interest in participant constructions for open negotiation, not just discussion; admit conflict and dissent as indicators of a healthy functioning democracy; privilege the interests of the poor in public participation designs and practice; and secure commitment from authorities to tie public participation mechanisms to the policy process in representative systems. Implications: The scope of this concept has contracted and continues narrowing by way of normalized contradictions that are well circulated within major discourses. Unless we are prudent with our thinking and theory building, the conceptual architecture for public participation is merely repackaging the master narrative to more effectively disseminate the logics of neoliberalism.
95

A concept analysis of public participation in health care and health promotion governance: implications for theory, policy and practice

Rodrigues, Gabriela 19 April 2013 (has links)
Purpose: The study focused on investigating the uses of the term “public participation” to clarify an important public policy concept for health governance as a firm foundation for theory building, policy and practice. Key questions concerned: What counts as participation? Who counts as a participant? And, is there legitimated space for dissent within this concept? Method: A combined methodology (Rodrigues, 2006) for the concept analysis of public participation use was adopted after three methods were extensively studied. Procedures were detailed for a systematic, random sampling of the professional, academic, theoretical and empirical literature from 1990 to 2012. Four disciplinary literatures (social work, sociology, political studies, and nursing) relevant to the field of health were surveyed. The databases furnished 336 documents, out of which 120 were randomly selected for study. Each document was read for construct definitions to ascertain the essential features and the contextual basis of the concept. Two distinct analysis phases were performed. Documents were divided by content into either theoretical or empirical studies, then, sorted into use areas. Findings: Analysis found three typical uses (intended, borderline, and contrary) characterized as prudent, spurious, and pernicious types of public participation. Pernicious types account for 40% of the literature surveyed, spurious types account for 37%, followed by prudent types at 23% (though most were failed examples). Normalized inconsistencies between purported ideals and their application were found across all the disciplines. A suggested polarization between theory and practice was strongest in the social work literature, while the nursing literature was striking for its consolidation of spurious and pernicious types. In short, a probability sampling of the literature suggests marginal and contrary uses of the concept predominate in the field. A Trichotomy of Public Participation Use is presented based on the determining criteria found, indicating the need to: affirm constituency interest in participant constructions for open negotiation, not just discussion; admit conflict and dissent as indicators of a healthy functioning democracy; privilege the interests of the poor in public participation designs and practice; and secure commitment from authorities to tie public participation mechanisms to the policy process in representative systems. Implications: The scope of this concept has contracted and continues narrowing by way of normalized contradictions that are well circulated within major discourses. Unless we are prudent with our thinking and theory building, the conceptual architecture for public participation is merely repackaging the master narrative to more effectively disseminate the logics of neoliberalism.
96

Paprastųjų diferencialinių lygčių sistemų su ypatuma kraštiniai uždaviniai / The boundary value problems for a system of ordinary differential equations with singularity

Statkevičiūtė, Odeta 08 August 2012 (has links)
Magistro darbe nagrinėjami paprastųjų tiesinių antros eilės diferencialinių lygčių sistemos su ypatuma kraštiniai uždaviniai. Ištirta sprendinių asimptotika ypatingojo taško aplinkoje. Surasti lygčių sistemos sprendinio įverčiai. Nagrinėjamų diferencialinių uždavinių sprendiniai, konstruojami naudojant integralinius operatorius. Įrodyta sprendinių vienatis. / In this paper the some boundary value problems for a system of ordinary second order differential equations with singularity are considered. The asymptotic of solutions in the neighborhood of singular point are discussed. The estimates of the solution are given. The solutions of considered differential problems are constructed using some integral operators. The uniqueness of the solutions is proved.
97

Transfusions de globules rouges aux soins intensifs pédiatriques : épidémiologie et déterminants

Demaret, Pierre 08 1900 (has links)
Les transfusions de globules rouges (GR) sont fréquentes aux soins intensifs pédiatriques (SIP). Cependant, il n’y a pas de donnée récente sur les pratiques transfusionnelles aux SIP. Les objectifs de notre étude étaient 1) de décrire les pratiques transfusionnelles aux SIP du CHU Sainte-Justine en y déterminant la fréquence des transfusions de GR et en caractérisant les déterminants de ces transfusions, 2) de comparer ces pratiques avec celles observées il y a dix ans, et 3) d’évaluer le degré d’adhérence à la recommandation principale d’une large étude randomisée contrôlée, l’étude TRIPICU, laquelle proposait une pratique précise chez les patients stabilisés. Nous avons réalisé une étude monocentrique prospective observationnelle d’une durée d’un an. L’information requise a été extraite des dossiers médicaux. Les déterminants des transfusions ont été recherchés quotidiennement jusqu’à la première transfusion pour les cas transfusés, ou jusqu’à la sortie des SIP pour les cas non transfusés. Les justifications des transfusions déclarées par les médecins traitants ont été compilées à l’aide d’un questionnaire. Il y a eu 913 admissions consécutives durant la période d’étude, dont 842 ont été retenues. Au moins une transfusion a été donnée à 144 patients (17.1%). Le taux moyen d’hémoglobine avant la première transfusion était de 77.3±27.2 g/L. Les déterminants d’un premier événement transfusionnel à l’analyse multivariée étaient le jeune âge (< 12 mois), la présence d’une cardiopathie congénitale, un nadir d’hémoglobine ≤ 70 g/L, la gravité de la maladie, et certaines dysfonctions d’organe. Les trois justifications de transfusions les plus fréquemment évoquées par les médecins étaient une hémoglobine basse, un transport en oxygène insuffisant et une instabilité hémodynamique. La recommandation principale de l’étude TRIPICU a été appliquée dans 96.4% des premiers événements transfusionnels. En conclusion, les transfusions de GR sont fréquentes aux SIP. Jeune âge, cardiopathie congénitale, hémoglobine basse, gravité de la maladie et certaines dysfonctions d’organes sont des déterminants significatifs de transfusions de GR aux SIP. La plupart des premiers événements transfusionnels furent prescrits en accord avec les récentes recommandations. / Red blood cell (RBC) transfusions are common in pediatric intensive care unit (PICU). However, there are no recent data on transfusion practices in PICU. Our objective was 1) to describe transfusion practice in PICU, which means that we aimed to determine the incidence rate and to characterize the determinants of RBC transfusion, 2) to compare this practice with that observed ten years earlier, and 3) to estimate the compliance to the recommendation of a large randomized clinical trial, the TRIPICU study. We conducted a single center prospective observational study over a one-year period. Information was abstracted from medical charts. Determinants of transfusion were searched for daily until the first transfusion in transfused cases or until PICU discharge in non-transfused cases. The justifications for transfusions claimed by the attending physicians were assessed using a questionnaire. Among 913 consecutive admissions, 842 were enrolled. At least one RBC transfusion was given in 144 patients (17.1%). The mean hemoglobin level before the first transfusion was 77.3±27.2 g/L. The determinants of a first transfusion event retained in the multivariate analysis were young age (< 12 months), congenital heart disease, lowest hemoglobin level ≤ 70 g/L, severity of illness, and some organ dysfunctions. The three most frequently quoted justifications for RBC transfusion were a low hemoglobin level, intent to improve oxygen delivery, and hemodynamic instability. The main recommendation of the TRIPICU study was applied in 96.4% of the first transfusion events. In conclusion, RBC transfusions are frequent in PICU. Young age, congenital heart disease, low hemoglobin level, severity of illness and some organ dysfunctions are significant determinants of RBC transfusions in PICU. Most first transfusion events were prescribed according to recent recommendations.
98

[en] EVENTS, FACTS, AND STATES OF AFFAIRS: FROM LOGIC ONTOLOGY TO LANGUAGE USE / [pt] EVENTOS, FATOS E ESTADOS DE COISAS: DESDE A ONTOLOGIA LÓGICA À LINGUAGEM EM USO

ANA CLARA OLIVERA POLAKOF 22 September 2017 (has links)
[pt] Esta tese visa propor uma delimitação ontológica entre eventos, fatos e estados de coisas, a partir de uma ontologia realista/platonista, e relacionar a ontologia lógica à linguagem em uso, a partir da análise da referência a essas entidades. Eventos, fatos e estados de coisas têm estado presentes na discussão analítica desde os tempos de Frege; no entanto, a discussão ainda continua. Eventos têm sido reduzidos a objetos, a fatos e a estados de coisas; fatos têm sido reduzidos a estados de coisas e a proposições; estados de coisas e fatos têm sido considerados como a mesma entidade, e assim por diante. Essas três entidades estão associadas à linguagem desde os tempos de Russell (1918). Os fatos eram relacionados às afirmações verdadeiras, sendo compreendidos como as entidades às quais apontavam essas afirmações. Os eventos eram relacionados com as sentenças de ação. De acordo com Davidson (1981a), temos sentenças de ação porque há eventos no mundo. Embora esta tese vise relacionar a ontologia à linguagem em uso, ela as desvincula num primeiro momento; por isso define a ontologia independentemente da linguagem. Propõe que a diferença entre eventos, fatos e estados de coisas é que os primeiros são concretos e os últimos, abstratos, entre outras características. Uma vez definida a ontologia, a relacionamos, a partir da referência, com a linguagem em uso. Analisamos se é possível referir a essas entidades a partir da análise de certas construções linguísticas, e vemos se é possível estabelecer tal relação a partir dessa análise. / [en] This thesis proposes an ontological delimitation between events, facts and states of affairs. It does so from a Platonist/realist perspective. It also relates the logic ontology to language use through the analysis of reference to these entities. Events, facts, and states of affairs have been present in the discussion of analytical philosophy from the times of Frege. However, the discussion still continues, and nothing has been defined. Events have been reduced to objects, facts and states of affairs. Facts have been reduced to states of affairs and propositions. States of affairs and facts have been considered as the same entity by some authors, and so forth. These three entities have been associated to language since the times of Russell (1918). Facts were related to true statements, and were understood as entities to which those statements pointed. Events were related to action sentences. According to Davidson (1981a), we have action sentences because there are events in the world. Though this thesis relates ontology to language, it defines ontology independent of language use. That is, ontology is defined without taking language use into account. It proposes that the difference between events, facts, and states of affairs is that the first are concrete, and the last abstract. Among other characteristics. Once we define the ontology, we relate it to language use through reference. We analyze whether it s possible to refer to events, facts, and states of affairs, because we understand that it is through reference that we may establish the relationship between ontology and linguistics.
99

Calcul à une boucle avec plusieurs pattes externes dans les théories de jauge : la bibliothèque Golem95 / One-loop Multi-leg Calculation in Gauge Theories : Golem95 Library

Zidi, Mohamed Sadok 06 September 2013 (has links)
Les calculs de précision dans les théories de jauge jouent un rôle très important pour l’étude de la physique du Modèle Standard et au-delà dans les super-collisionneurs de particules comme le LHC, TeVatron et ILC. Par conséquent, il est extrêmement important de fournir des outils du calcul d’amplitudes à une boucle stables, rapides, efficaces et hautement automatisés. Cette thèse a pour but de développer la bibliothèque d’intégrales Golem95. Cette bibliothèque est un programme écrit en Fortran95, qui contient tous les ingrédients nécessaires pour calculer une intégrale scalaire ou tensorielle à une boucle avec jusqu’à six pattes externes. Golem95 utilise une méthode traditionnelle de réduction (réduction à la Golem) qui réduit les facteurs de forme en des intégrales de base redondantes qui peuvent être scalaires (sans paramètres de Feynman au numérateur) ou tensorielles (avec des paramètres de Feynman au numérateur); ce formalisme permet d’éviter les problèmes de l’instabilité numérique engendrés par des singularités factices dues à l’annulation des déterminants de Gram. En plus, cette bibliothèque peut être interfacée avec des programmes du calcul automatique basés sur les méthodes d’unitarité comme GoSam par exemple. Les versions antérieures de Golem95 ont été conçues pour le calcul des amplitudes sans masses internes. Le but de ce travail de thèse est de généraliser cette bibliothèque pour les configurations les plus générales (les masses complexes sont incluses), et de fournir un calcul numériquement stable dans les régions problématique en donnant une représentation intégrale unidimensionnelle stable pour chaque intégrale de base de Golem95. / Higher order corrections in gauge theories play a crucial role in studying physics within the standard model and beyond at TeV colliders, like LHC, TeVatron and ILC. Therefore, it is of extreme importance to provide tools for next-to-leading order amplitude computation which are fast, stable, efficient and highly automatized. This thesis aims at developing the library of integrals Golem95. This library is a program written in Fortran95, it contains all the necessary ingredients to calculate any one-loop scalar or tensorial integral with up to six external legs. Golem95 uses the traditional reduction method (Golem reduction) to reduce the form factors into redundant basic integrals, which can be scalar (without Feynman parameters in the numerator) or tensorial (with Feynman parameter in the numerator); this formalism allows us to avoid the problems of numerical instabilities generated by the spurious singularities induced by the vanishing of the Gram determinants. In addition, this library can be interfaced with automatic programs of NLO calculation based on the unitarity inspired reduction methods as GoSam for example. Earlierversions of Golem95 were designed for the calculation of amplitudes without internal masses. The purpose of this thesis is to extend this library for more general configurations (complex masses are supported); and to provide numerically stable calculation in the problematic regions (det(G) → 0), by providing a stable one-dimensional integral representation for each Golem95 basic integral.
100

Práce jako sociální determinanta a její vliv na zdraví zdravotnického personálu ve vybraných nemocnicích / Work as a social determinant and its influence to health of medical staff in selected hospitals

FRYDRÝNOVÁ, Anna January 2015 (has links)
This Master's thesis called "Labour as a Social Determinant and its Influence on the Health of Medical Staff in Selected Hospitals" is divided into two main sections. The first section summarizes current knowledge from both Czech and world literature from the field of social determinants related to health and labour. The second part of this work deals with the aim of the research, data collection and data processing methods as well as with the very evaluation of the output information and a discussion of the results elicited. The theoretical part is divided into four chapters and consists of basic issues related to the aim of this Master's thesis. The first chapter describes social determinants of health from various points of view. One of the chapter's components is a description of a current conception of these determinants. The second chapter deals with the construct of health, its definition and its conception. Last but not least it treats health as a determiner. The third chapter summarizes a social determinant of labour and labour-related terms. The author is further concerned with the importance of work for humans and with labour safety and hygiene. The fourth and last chapter is dedicated to public health of the Czech republic, its history, the system of health care and further focuses on the structure and services of Ostrov hospital and Sokolov hospital. The aim of this Master's thesis is proposed in the empirical part of this work. The aim was to map the influence of labour as a social determinant of the health of medical staff in selected hospitals. Next, constitutive objectives were established. Their purpose was to map the impact of workplace relationships and their influence on the overall health of medical staff as well as the impact of working environment including salary, working hours, work agenda and workplace security on the overall health of medical staff. The following hypotheses were assessed in connection with the objectives of this work: H1: Workplace relations of medical staff affects their overall health. H2: Salary affects the overall health of medical staff. H3: Working hours affects the overall health of medical staff. H4: Work agenda affects the overall health of medical staff. H5: Workplace safety affects the overall health of medical staff. Based on the statistical testing hypotheses 1, 3 and 4 were confirmed. Hypotheses 2 and 5 were not confirmed. The enquiry within the framework of this Master's thesis was conducted using a quantitative research. The interviewing method and the technique of questionnaire were used for data acquirement. The questionnaire was composed from questions regarding the matter of inquiry, questions evaluating subjective health of the respondents, questions related to the occupation of the people addressed. The round of questions was finally targeted at the issue of respondents' health vs. their work. The questionnaire was anonymous. The research distribution was accomplished via Deputy Minister of health care in both hospitals. The research file was formed by a medical staff who work in Sokolov hospital and Ostrov hospital. The resulting data were entered and processed using SPPS program vision 16.0 and 23.0 (Statistical Package for Social Science). The data were further evaluated and processed via graphs and tables in absolute numbers and percentages. After the evaluation of all questions in the questionnaire I reached a conclusion that labour as a social determinant of health has impact on the health of medical staff. I shall also assume that the majority of respondents were quite positive while rating the overall complacence with their jobs. Their complacence appears despite the mental rather than physical demand which undoubtedly goes with medical careers as well as despite their work conditions and workplace relationship which all impact their overall health.

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