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Care Transitions from the Patient Perspective: A Focus on the Communication of Discharge InstructionsQuigley, Laura 13 January 2011 (has links)
Communication of hospital discharge instructions between patient and provider is an important component of hospital discharge to ensure that patients have the information they need to manage their post-acute care. Patient perception of this interaction is a key indicator of the quality of services provided. This study examined whether there is a correlation between hospital continuity and transition scores (a measure of patient perceptions of hospital discharge instructions) and hospital readmissions in Ontario.
The final regression model for the outcome of all medical readmissions within three days of hospital discharge, showed a significant positive relationship (coefficient=0.0090, p=0.011). The estimate was smaller and not significant once the data was restricted to only community hospitals located outside of Toronto (coefficient=0.0085, p=0.060), and when restricted to urban community hospitals outside of Toronto (coefficient=0.0041, p=0.384). For the outcome of specific medical readmissions within 28 days of hospital discharge, no statistically significant relationship was found.
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Continuing airworthiness policy and application to flying crane aircraftGao, Fei 01 1900 (has links)
This project is part of a collaborative MSc training programme between the
Aviation Industries of China (AVIC) and Cranfield University, aiming at
enhancing the competitiveness of AVIC in both international and domestic
aviation market through applying continuing airworthiness policies in the whole
aircraft development process.
The arrangement of the research project is that all students start with a Group
Design Project which is based on the Flying Crane Project provided by AVIC.
Individual research projects will address some aspects of the Flying Crane
Project during the Group Design Project, and then further developed during the
period for individual projects. The aim of this research is to apply the
airworthiness requirements and the methodology of the Maintenance Steering
Group logic (MSG-3) in the Flying Crane Project. This is because that
maintenance is one of the key factors of Continuing Airworthiness, and MSG-3
logic is the most accepted and approved method to develop scheduled
maintenance for civil aircrafts.
The main objectives of this project include: (1) To investigate current Continuing
Airworthiness regulations, including European airworthiness requirements (as
the main regulation to comply with) and Chinese airworthiness regulations (as
an important reference and supplement to the research); (2) To investigate the
main analysis methodology of reliability and maintainability, including Damage
Tolerance and Failure Mode and Effect Analysis (FMEA); (3) To analyse the
data resulted from the Group Design Project using MSG-3 logic to produce a set
of Continuing Airworthiness instructions, for the operator and maintenance
organisation of the aircraft, from the design organization’s perspective; (4) To
develop Continuing Airworthiness instructions for airline operators to compose
maintenance programmes for Flying Crane aircrafts, including maintenance
tasks and intervals for the selected airframe systems and structural components;
and (5) To identify applicable maintenance organisations in China for Flying
Crane aircrafts in accordance with both European and Chinese airworthiness
requirements.
On completion of this research, two aspects of Continuing Airworthiness have
been investigated, including maintenance programme and maintenance
organization. With MSG-3 logic, the author developed the maintenance plan for
three structural components (fuselage skin panel, wing root joint, and
fin-fuselage attachment) and one airframe system (fuel system) based on results
from the Group Design Project. The author also investigated the Chinese
domestic aircraft maintenance companies, and selected suitable maintenance
organizations based on technical and economical criteria.
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Open acess to customer product information? A case study of Ericsson Radio Base Station CPIs.Ivanova, Vita January 2013 (has links)
Ericsson is a Swedish technology company that provides and operates telecommunication networks,television and video systems and related services in the world.A Case study of Ericsson Radio Base Station CPIs is a research work about technical informationavailability problems on Internet.According to customer product information standards, specific company’s divisions are responsible formeaningful technical information content creation and diffusion to the end user.The main research question is what information related to Ericsson RBS can be found on the Internetand what possible solutions should Ericsson offer to these groups in terms of technical informationavailability?An Internet analysis showed that on Internet appears user generated content about RBS 6000 in a wayof video instructions, manuals selling and consultation giving.This situation shows that users are interested and need information related to technical equipment, buton the other hand it is essentially illegal to spread information this way, and it might have seriousconsequences in terms of misuse or misinterpretation of information.This thesis is investigating Ericsson information sharing traditions in relation to the situation of openinformation on the Internet. Some recommendations for further work are given.
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Process for preparing work instructions : A multiple case study at Volvo Group Trucks Operations / Kartläggning av beredningsprocessen : En multipel fallstudie på Volvo LastvagnarJansson, Sofie, Delin, Frida January 2015 (has links)
A study made by Johansson, Fast-Berglund and Moestam (in press) shows that diversity regarding how information is used exists in global production networks. To be closer to markets, organizations have chosen to globalize their business which is one reason for why diversity arises. This because product types and brands historically have been different. One company that is currently working with improving consistency among processes is Volvo Group Trucks Operations (GTO). The company wants to evaluate how the process for preparing assembly work instructions looks like at different sites within their production network. This enables Volvo GTO to start their work towards a standardized process and uniformity. A starting point for this is to make a current state analysis of the process for preparing assembly work instructions when producing Volvo trucks, engines and transmissions in Sweden. The purpose is to identify key activities within the process and important factors to consider when standardizing the process. This is done on three sites, one for each area. Volvo GTO is the part of the Volvo Group that covers all production of engines and transmissions as well as the production of Volvo, Renault, Mack, and UD trucks. In 2012 the group choose to reorganize from brand based where each brand was an own organization to joint units, for example center of development, operations etc. This has led to a greater need of one common process for preparing assembly work instructions in order to create uniformity among the brands Volvo, Renault, Mack, and UD trucks. The result of the current state analysis shows that the process for preparing assembly work instructions is differently performed depending on the site studied. Despite this, some activities in each process are similar. These were found to be: design, review, time setting, time analysis, balancing, station marking, create assembly work instructions, and share information. Since some activities actually are similar, it would be possible to standardize the process for preparing assembly work instructions in the future. Important to consider when standardizing a process is to create awareness and involvement among employees. It is also important to have the management committed as well as uniformity among IT systems used when performing a process. One last thing to consider is that the process needs to be adaptable because sites are located all over the world and have different culture and regulations. / En studie gjord av Johansson, Fast-Berglund och Moestam (i tryck) visar variation i hur information hanteras i globala produktionsnätverk. För att komma närmre marknader har organisationer valt att globalisera sin verksamhet, vilket är en anledning till varför variation uppstår. Detta eftersom produkttyper och märken historiskt har varit annorlunda. Ett företag som för närvarande arbetar med att förbättra enhetligheten mellan processer är Volvo Group Trucks Operations (GTO). De vill utvärdera hur processen för framställning av monteringsarbetsinstruktioner ser ut på olika siter inom produktionsnätverket. Detta gör det möjligt för Volvo GTO att starta sitt arbete mot en standardiserad process och enhetlighet mellan siter. En början i detta arbete är att göra en nulägesanalys av processen för framställning av monteringsarbetsinstruktioner vid produktion av Volvo lastvagnar, motorer och växellådor i Sverige. Syftet är att identifiera nyckelaktiviteter inom processen och viktiga faktorer att tänka på när man standardisera processen. Detta sker på tre siter, en inom varje område. Volvo GTO är den del av Volvokoncernen som omfattar all tillverkning av motorer och växellådor samt produktion av Volvo, Renault, Mack och UD lastvagnar. År 2012 valde Volvokoncernen att omorganisera från varumärkesbaserad till organisatoriska enheter, till exempel utveckling, tillverkning etc. Detta har lett till ett ökat behov av en gemensam process för framställning av monteringsarbetsinstruktioner för att skapa enhetlighet mellan varumärkena. Resultatet av denna nulägesanalys visar att processen för framställning av monteringsarbetsinstruktioner utförs annorlunda beroende på siten som studerats. Trots detta är vissa aktiviteter i varje process liknande. Dessa visade sig vara: design, granskning, tidsättning, tidsanalys, balansering, stationsmärkning, skapa monteringsarbetsinstruktioner och dela information. Eftersom vissa aktiviteter faktiskt är lika skulle det vara möjligt att standardisera processen för framställning av monteringsarbetsinstruktioner i framtiden. Viktigt att tänka på när man standardisera en process är att skapa medvetenhet och engagemang bland medarbetarna. Det är också viktigt att ha ledningens engagement och stöd samt enhetlighet mellan IT system som används för att utföra processen. En sista sak att tänka på är att processen måste kunna anpassas då siter är placerade över hela världen och har olika kultur och lagar. / GAIS (Global Assembly Instruction Strategy)
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Améliorer la performance séquentielle à l'ère des processeurs massivement multicœursPrémillieu, Nathanaël 03 December 2013 (has links) (PDF)
L'omniprésence des ordinateurs et la demande de toujours plus de puissance poussent les architectes processeur à chercher des moyens d'augmenter les performances de ces processeurs. La tendance actuelle est de répliquer sur une même puce plusieurs cœurs d'exécution pour paralléliser l'exécution. Si elle se poursuit, les processeurs deviendront massivement multicoeurs avec plusieurs centaines voire un millier de cœurs disponibles. Cependant, la loi d'Amdahl nous rappelle que l'augmentation de la performance séquentielle sera toujours nécessaire pour améliorer les performances globales. Une voie essentielle pour accroître la performance séquentielle est de perfectionner le traitement des branchements, ceux-ci limitant le parallélisme d'instructions. La prédiction de branchements est la solution la plus étudiée, dont l'intérêt dépend essentiellement de la précision du prédicteur. Au cours des dernières années, cette précision a été continuellement améliorée et a atteint un seuil qu'il semble difficile de dépasser. Une autre solution est d'éliminer les branchements et de les remplacer par une construction reposant sur des instructions prédiquées. L'exécution des instructions prédiquées pose cependant plusieurs problèmes dans les processeurs à exécution dans le désordre, en particulier celui des définitions multiples. Les travaux présentés dans cette thèse explorent ces deux aspects du traitement des branchements. La première partie s'intéresse à la prédiction de branchements. Une solution pour améliorer celle-ci sans augmenter la précision est de réduire le coût d'une mauvaise prédiction. Cela est possible en exploitant la reconvergence de flot de contrôle et l'indépendance de contrôle pour récupérer une partie du travail fait par le processeur sur le mauvais chemin sur les instructions communes aux deux chemins pour éviter de le refaire sur le bon chemin. La deuxième partie s'intéresse aux instructions prédiquées. Nous proposons une solution au problème des définitions multiples qui passe par la prédiction sélective de la valeur des prédicats. Un mécanisme de rejeu sélectif est utilisé pour réduire le coût d'une mauvaise prédiction de prédicat.
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Améliorer la performance séquentielle à l'ère des processeurs massivement multicœursPrémillieu, Nathanaël 03 December 2013 (has links) (PDF)
L'omniprésence des ordinateurs et la demande de toujours plus de puissance poussent les architectes processeur à chercher des moyens d'augmenter les performances de ces processeurs. La tendance actuelle est de répliquer sur une même puce plusieurs c\oe urs d'exécution pour paralléliser l'exécution. Si elle se poursuit, les processeurs deviendront massivement multic\oe urs avec plusieurs centaines voire un millier de c\oe urs disponibles. Cependant, la loi d'Amdahl nous rappelle que l'augmentation de la performance séquentielle sera toujours nécessaire pour améliorer les performances globales. Une voie essentielle pour accroître la performance séquentielle est de perfectionner le traitement des branchements, ceux-ci limitant le parallélisme d'instructions. La prédiction de branchements est la solution la plus étudiée, dont l'intérêt dépend essentiellement de la précision du prédicteur. Au cours des dernières années, cette précision a été continuellement améliorée et a atteint un seuil qu'il semble difficile de dépasser. Une autre solution est d'éliminer les branchements et de les remplacer par une construction reposant sur des instructions prédiquées. L'exécution des instructions prédiquées pose cependant plusieurs problèmes dans les processeurs à exécution dans le désordre, en particulier celui des définitions multiples. Les travaux présentés dans cette thèse explorent ces deux aspects du traitement des branchements. La première partie s'intéresse à la prédiction de branchements. Une solution pour améliorer celle-ci sans augmenter la précision est de réduire le coût d'une mauvaise prédiction. Cela est possible en exploitant la reconvergence de flot de contrôle et l'indépendance de contrôle pour récupérer une partie du travail fait par le processeur sur le mauvais chemin sur les instructions communes aux deux chemins pour éviter de le refaire sur le bon chemin. La deuxième partie s'intéresse aux instructions prédiquées. Nous proposons une solution au problème des définitions multiples qui passe par la prédiction sélective de la valeur des prédicats. Un mécanisme de rejeu sélectif est utilisé pour réduire le coût d'une mauvaise prédiction de prédicat.
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Kemikalier som en del av arbetsmiljön : En fallstudie om hantering av och risker med kemikalier ombord på en svensk passagerarfärja / Chemicals as part of the working environment : A case study on chemicals risk management and handling on board a Swedish passenger ferryTufvesson, Linda, Wall, Evita January 2014 (has links)
Kemikalier hanteras i det dagliga arbetet ombord. Syftet med den här studien var att ta reda på hur kemikalier hanteras ombord på en svensk passagerarfärja. Frågeställningarna koncentrerades på produkt- och metodval, kommunikation och tillämpning av rutiner och instruktioner samt riskmedvetenhet hos besättningen. Studien genomfördes som en enfallsstudie och bestod av dokumentanalyser, observationer och intervjuer med besättningsmedlemmar. Resultatet visar att informanterna på däcks- och maskinavdelningarna hade stora möjligheter att påverka arbetssituationen vad gäller hantering av kemikalier till skillnad från informanten på intendenturavdelningen som enbart hade begränsad möjlighet att påverka. En god kännedom om säkerhetsdatablad fanns hos samtliga informanter, liksom en hög riskmedvetenhet. Den personliga skyddsutrustningen prioriterades högt och sågs som en viktig del för att minska riskerna med kemikaliehanteringen. Den slutsats som drogs var att det praktiska arbetet med kemikalier ombord fungerade tillfredsställande, men dokumentationen kan förbättras i form av tydligare instruktioner och utförligare information. / Chemicals are a part of the daily work on board. The purpose of this study was to find out about the handling of chemicals on board a Swedish passenger ferry. The research questions were focused on choice of products and methods, communication and application of routines and instructions and risk awareness among the crew members. The study was carried out as a single-case study and consisted of analysis of documents, observations and interviews with crew members. The results show that the informants on the deck and engine departments had ample opportunity to influence the working situation in regards to handling of chemicals. The informant from the service department had limited ability to influence. All informants had a good knowledge about material safety data sheets and a high awareness about risks with chemicals. The personal protective equipment was highly prioritized and regarded as a vital part to minimize the risks with chemical handling. The conclusion drawn was that the practical work with chemicals on board functioned satisfactorily, but the documentation could be improved in terms of clearer instructions and more detailed information.
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Podpora výuky technických předmětů na středních školách za využití otevřené robotické platformy / Support for teaching technical subjects at high schools using an open robotic platformPRŮCHA, Tomáš January 2015 (has links)
This diploma thesis deals with the use of robotic kits in teaching technical subject at high schools in the Czech Republic. The theoretical part describes the concepts of robotics and pedagogy. It deals with the history, types of robots, describes its components and provides an overview of the available robotic kits. It also examines the concepts and approaches in teaching, goals and activation methods. The results of research among students, alumni and teachers of high schools are summarized in the practical part. The outcome of this thesis is methodical instructions for teaching technical subjects, such as microprocessor technology and control systems, etc. using a robotic kit based on the Raspberry Pi. Elaborated tasks are: Hardware Hello World! LED, buzzer, switcher with LED, interrupt, motion detection, tracking a black line, keypad 4×4, fan speed control, steering the direction of rotation of DC motors, servo motor control, distance measurement, temperature measurement, display messages on the LCD screen, building a robotic rover and image acquisition from a webcam.
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Tystläsning i helklass : Av gammal vana eller en lektion med syfte?Vedbring, Marléne January 2018 (has links)
Independet silent reading - Out of old habit or a lesson with purpose? The aim of this study was to examine whether teachers use the method of independent silent reading purposefully or if they do it out of old habit. The research focuses on what purpose the teachers have and which working methods they use when working with silent reading. I investigated who it is that chooses the books to be read and what factors are determining this choise. Finally, I wanted to find out how the silent reading time is used by the pupils and the teachers. In order to investigate this, observations were made in classes during silent reading time and semistructured interviews were conducted with teachers and students. The results show that most teachers have a clear purpose with silent reading and that they work with different reading strategies to teach the children to become independent silent readers. However, an important part of succeeding in silent reading is that it happens on a regular basis, preferably every day. Finally, I would like to thank my supervisor Yvonne Knospe, university lecturer at the Department of Language Studies, Umeå University for all the feedback and guidence during the work process. It has been a pleasure to have you as a supervisor. Thank you!
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Os efeitos do feedback e instruções no desempenho e tarefas do indivíduo: um análogo experimental / The effects of the feedabck and instructions on the performance and task of the individualMesquita, Fernanda Leão 29 June 2017 (has links)
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Previous issue date: 2017-06-29 / Organizations need to control and manage human behavior, given the environmental
complexity to which they are inserted. In this context, feedabck and instructions are
techniques widely used by leaders in the organizational sphere, and that allows the
collaborator to revise his posture, that is, his behavior according to what he is taught. Thus,
this research aimed at comparing the effects of verbal instructions that determine the
execution of organizational tasks in relation to the feedabck, being operationalized as a verbal
stimulus with properties that also specify the behavior and the consequence. To reach this
goal, an experimental study was carried out involving 20 undergraduate subjects of several
undergraduate courses, of both sexes, ranging in age from 18 to 40 years. The research
involved two stages, being: the first one that the subjects learned to produce four techniques
of bracelets; And the second stage in which the independent variables were inserted. An
experimental design of the subject was used as its own ABAC control. At first, characterized
by (A ') baseline, where the subjects had no contact with the variables; (B ') occurred at the
introduction of the independent variables; (A ") baseline, where subjects were not exposed to
independent variables and, (C") where subjects will again have contact with one of the
independent variables. The conclusion of the experimental analogue occurred with the
analysis of the production behavior of the participants, approaching two procedures of
analysis: intra group and intra subject. The results indicated that the feedabck may be
performing an order function, since its specifier content points to the orders to be executed.
Another issue is that the continuous presentation seemed to influence a refinement of the
production, once the subject was sensitive to the properties of the content by its presentation
form. The results related to the instructions pointed to the effects of learning-set, in which as
the participant was exposed to a scheduled sequence of tasks, the need for exposure to these
tasks for learning diminishes. / As organizações necessitam controlar e gerenciar o comportamento humano, diante da
complexidade ambiental a qual estão inseridas. Neste contexto, o feedabck e as instruções
são técnicas amplamente utilizadas por líderes no âmbito organizacional, e que possibilita o
colaborador rever sua postura, ou seja, seu comportamento de acordo com aquilo que lhe é
ensinado. Assim sendo, esta pesquisa teve como objetivo comparar os efeitos de instruções
verbais determinantes de execução de tarefas organizacionais em relação ao feedabck, sendo
operacionalizados como um estímulo verbal com propriedades que também especificam o
comportamento e a consequência. Para o alcance desse objetivo foi realizada uma pesquisa
experimental envolvendo 20 sujeitos universitários, de diversos cursos de graduação, de
ambos os sexos, com idade variando entre 18 a 40 anos. A pesquisa envolveu duas etapas,
sendo: a primeira que os sujeitos aprenderam a produzir quatro técnicas de pulseiras; e a
segunda etapa em que foram inseridas as variáveis independentes. Foi utilizado um
delineamento experimental de sujeito como seu próprio controle do tipo ABAC. Num primeiro
momento, caracterizado por (A’) linha de base, onde os sujeitos não tiveram contato com as
variáveis; posteriormente (B’) ocorreu à introdução das variáveis independentes; (A”) Linha
de base, onde os sujeitos não foram expostos as variáveis independentes e, (C”) onde os
sujeitos terão contato novamente com uma das variáveis independentes. A finalização do
análogo experimental ocorreu com a análise do comportamento de produção dos
participantes, abordando dois procedimentos de análise: intra grupo e intra sujeito. Os
resultados apontaram que, o feedabck pode estar exercendo uma função de ordem, posto que
seu conteúdo especificador aponta as ordens a serem executadas. Outra questão, é que a
apresentação continuada pareceu influenciar num refinamento da produção, uma vez que o
sujeito ficou sensível às propriedades do conteúdo pela sua forma de apresentação. Os
resultados, relativos às instruções assinalaram os efeitos do learning-set (aprender a
aprender), em que na medida que o participante foi exposto a uma sequência programada de
tarefas, a necessidade de exposição a essas tarefas para o aprendizado diminui.
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