The thesis is aimed at discussing the principles of the Toyota Way, philosophy and system of management guidelines, by way of elaborating and evaluating upon its fourteen core principles that are followed by companies worldwide. Further, the discussion will throw light on why the systemic root cause of the multiple recalls of 2009 and 2010 was not due to their concepts of lean manufacturing but can be attributed to the inability of the management of Toyota Motor Corporation to thoroughly apply their core principles. / text

Worldwide, riparian areas are considered among the most biologically productive and species-rich habitats on the landscape and provide important breeding areas for many bird species. In the Boreal Plain ecozone of western Canada, forests adjacent to riparian areas are generally protected from forest harvesting through the retention of treed buffer strips. <p>Riparian buffer strips are expected to provide habitat for wildlife including many passerine bird species. Recently, non-conventional methods of riparian management have been implemented in parts of the Boreal Plain with the intent of aligning forestry more closely with natural disturbance processes. How bird communities associated with these management scenarios diverge from natural disturbances and how riparian birds interact with disturbances in the adjacent upland habitat are key questions in the conservation of boreal riparian bird communities. To answer these questions, I surveyed birds inhabiting riparian areas with adjacent naturally disturbed (burned) and harvested forest to determine how bird communities differ early (1-5 years) post-disturbance and, separately, in a before-and-after harvesting study. <p>Riparian species associated with burned merchantable shoreline forests and riparian areas included Common Yellowthroat (<i>Geothlypis trichas</i>) and Eastern Kingbird (<i>Tyrannus tyrannus</i>). Le Contes Sparrow (<i>Ammodramus leconteii</i>) was associated with burned riparian habitats adjacent to non-merchantable forests (e.g., bog, fen), while Alder Flycatcher (<i>Empidonax alnorum</i>) and Wilsons Warbler (<i>Wilsonia pusilla</i>) were indicative of harvested sites with larger buffers (30 m). Riparian species richness was highest in burned non-merchantable sites. Multivariate Redundancy Analysis of post-disturbance bird communities showed greater divergence in overall (riparian and upland) community composition than one with only riparian species. This suggests reduced sensitivity of riparian birds to disturbances in forested areas compared to upland bird communities. However, a higher natural range of variability was exhibited in riparian bird community composition in post-fire sites than in post-harvested sites. This emphasizes that forest management practices do not currently fully approximate natural disturbance for boreal riparian birds. <p>To assess the response of bird communities in riparian habitats to forestry, I studied bird communities one year (2004) prior to forest harvest and two years (2005 and 2006) after harvest. One of three treatments, 1) 5-35% retention (0 m buffer), 2) 35-75% retention (10 m buffer with variable retention in the next 30 m), 3) 75-100% retention (50 m buffer) and unharvested reference sites, was randomly assigned to 34 wetlands. Treatments were designed to represent buffer management strategies currently applied in the Boreal Plain. Eight of 22 species showed a significant response (p<0.1) to treatment, year or year*treatment effects including two riparian species, the Common Yellowthroat and Song Sparrow (<i>Melospiza melodia</i>) that increased in abundance in harvested sites. Overall pre-disturbance communities diverged (p<0.05) over the three-year study period as shown using Multiple-response Permutation Procedures (MRPP). However, riparian bird communities did not diverge from pre-disturbance or from reference sites providing further evidence that riparian bird communities are less impacted by forestry in the adjacent upland habitats than overall bird communities. Therefore, alternative forest harvesting methods should be explored that encompass landscape-scale management including total buffer removal to maximize conservation objectives for boreal forest bird communities while attempting to maintain natural disturbance processes.

Worldwide, riparian areas are considered among the most biologically productive and species-rich habitats on the landscape and provide important breeding areas for many bird species. In the Boreal Plain ecozone of western Canada, forests adjacent to riparian areas are generally protected from forest harvesting through the retention of treed buffer strips. <p>Riparian buffer strips are expected to provide habitat for wildlife including many passerine bird species. Recently, non-conventional methods of riparian management have been implemented in parts of the Boreal Plain with the intent of aligning forestry more closely with natural disturbance processes. How bird communities associated with these management scenarios diverge from natural disturbances and how riparian birds interact with disturbances in the adjacent upland habitat are key questions in the conservation of boreal riparian bird communities. To answer these questions, I surveyed birds inhabiting riparian areas with adjacent naturally disturbed (burned) and harvested forest to determine how bird communities differ early (1-5 years) post-disturbance and, separately, in a before-and-after harvesting study. <p>Riparian species associated with burned merchantable shoreline forests and riparian areas included Common Yellowthroat (<i>Geothlypis trichas</i>) and Eastern Kingbird (<i>Tyrannus tyrannus</i>). Le Contes Sparrow (<i>Ammodramus leconteii</i>) was associated with burned riparian habitats adjacent to non-merchantable forests (e.g., bog, fen), while Alder Flycatcher (<i>Empidonax alnorum</i>) and Wilsons Warbler (<i>Wilsonia pusilla</i>) were indicative of harvested sites with larger buffers (30 m). Riparian species richness was highest in burned non-merchantable sites. Multivariate Redundancy Analysis of post-disturbance bird communities showed greater divergence in overall (riparian and upland) community composition than one with only riparian species. This suggests reduced sensitivity of riparian birds to disturbances in forested areas compared to upland bird communities. However, a higher natural range of variability was exhibited in riparian bird community composition in post-fire sites than in post-harvested sites. This emphasizes that forest management practices do not currently fully approximate natural disturbance for boreal riparian birds. <p>To assess the response of bird communities in riparian habitats to forestry, I studied bird communities one year (2004) prior to forest harvest and two years (2005 and 2006) after harvest. One of three treatments, 1) 5-35% retention (0 m buffer), 2) 35-75% retention (10 m buffer with variable retention in the next 30 m), 3) 75-100% retention (50 m buffer) and unharvested reference sites, was randomly assigned to 34 wetlands. Treatments were designed to represent buffer management strategies currently applied in the Boreal Plain. Eight of 22 species showed a significant response (p<0.1) to treatment, year or year*treatment effects including two riparian species, the Common Yellowthroat and Song Sparrow (<i>Melospiza melodia</i>) that increased in abundance in harvested sites. Overall pre-disturbance communities diverged (p<0.05) over the three-year study period as shown using Multiple-response Permutation Procedures (MRPP). However, riparian bird communities did not diverge from pre-disturbance or from reference sites providing further evidence that riparian bird communities are less impacted by forestry in the adjacent upland habitats than overall bird communities. Therefore, alternative forest harvesting methods should be explored that encompass landscape-scale management including total buffer removal to maximize conservation objectives for boreal forest bird communities while attempting to maintain natural disturbance processes.

South African incidence of rape ranks amongst the highest worldwide. No direct policy exists for the emergency care provider management of rape victims in the pre-hospital setting. The pre-hospital exposure to rape cases is unknown as its health information system is not gender-based violence sensitive. In the absence of a clearly defined protocol, indiscretion in the emergency care treatment of rape victims remains undocumented. As a particularly vulnerable group globally, victims of rape are deserving of focused intervention. A qualitative, descriptive approach guided the research in which nine semi-structured voluntary interviews were held with emergency care providers, forensic medical practitioners and emergency consultants. Through a critical theory lens thematic content analysis was employed. University of Cape Town ethics approval was attained. The study found that pre-hospital providers lack knowledge and skills of rape victim identification and management but are desirous of evidence-informed guidelines for treatment and referral in a multidisciplinary approach. Educational and policy deficiencies are documented. The recommendations support a community of practice that is mutually inclusive of specialist rape-care centres, emergency department and pre-hospital providers in the interest of forensic emergency medicine. Due regard must be had for needs of practitioners at risk of vicarious traumatization from sexual assault management. Transformative curricula and responsive clinical guidelines are likely to redress any complicity of the health sector non-response to rape/sexual assault. This study is likely to benefit emergency care regulators, educators and researchers whose professional interest is to promote responsivity of the health system to rape.

OF MASTER THESIS Author: Bc. Tereza Sádlová Supervisor: Mgr. Barbora Vaculíková, MBA Expert guarantor: plk. MUDr. Michal Říha, PhD., MBA Title of master thesis: Quality management of rehabilitation in patients with cerebrovascular accident This master thesis deals with quality management of rehabilitation in patients with cerebrovascular accident and we can also seen her as a basic summary of everything what is connected with quality rehabilitation understood as a service provided in medical devices. The main goal of this master thesis was determined as a presentation of possible form for monitoring and evaluating quality of rehabilitation using Indicator of quality stroke rehabilitation in patients with cerebrovascular accident. For the complex assessment of functional status of patient before and after stroke rehabilitation was reflected all items which are trained during physiotherapy, occupational theray, speech therapy etc. This master thesis is divided into two parts - theoretical and empirical. Theoretical part provides basic information of cerebrovascular accident, system of stroke rehabilitation and quality management of health care, which si relative to stroke rehabilitation. Empirical part describes a process of creating of Indicator of quality management of rehabilitation in patients...

Population growth for species with long lifespans and low reproductive rates (i.e., K-selected species) is influenced primarily by both survival of adult females and survival of young. Because survival of adults and young is influenced by habitat quality and resource availability, it is important for managers to understand factors that influence habitat selection during the period of reproduction. My thesis contains two chapters addressing this issue for K-selected species in Utah. Chapter one evaluates habitat selection of greater sage-grouse (Centrocercusurophasianus) on Diamond Mountain during the critical nesting and brood-rearing period. Chapter two address selection of birth sites by bison (Bison bison) on Antelope Island, Utah. We collected micro-habitat data for 88 nests and 138 brood locations of greater sage-grouse from 2010-2012 to determine habitat preferences of nesting and brooding sage-grouse. Using random forests modeling techniques, we found that percent sagebrush, percent canopy cover, percent total shrubs, and percent obscurity (Robel pole) best differentiated nest locations from random locations with selection of higher values in each case. We used a 26-day nesting period to determine an average nest survival rate of 0.35 (95% CI = 0.23 – 0.47) for adults and 0.31 (95% CI = 0.14 – 0.50) for juvenile grouse.Brood sites were closer to habitat edges, contained more forbs and less rock than random locations. Average annual adult female survival across the two-year study period was 0.52 (95% CI= 0.38 – 0.65) compared to 0.43 (95% CI= 0.28 – 0.59) for yearlings.Brooding and nesting habitat at use locations on Diamond Mountain met or exceeded published guidelines for everything but forb cover at nest sites. Adult and juvenile survival rates were in line with average values from around the range whereas nest success was on the low end of reported values. For bison, we quantified variables surrounding 35 birth sites and 100 random sites during 2010 and 2011 on Antelope Island State Park. We found females selected birth sites based on landscape attributes such as curvature and elevation, but also distance to anthropogenic features (i.e., human structures such as roads or trails). Models with variables quantifying the surrounding vegetation received no support.Coefficients associated with top models indicated that areas near anthropogenic features had a lower probability of selection as birth sites. Our model predicted 91% of observed birth sites in medium-high or high probability categories. This model of birthing habitat, in cooperation with data of birth timing, provides biologists with a map of high-probability birthing areas and a time of year in which human access to trails or roads could be minimized to reduce conflict between recreation and female bison.

Magistro tezių tikslas yra sukurti skirtingų programinės įrangos tipų (gatavos arba reikalingos sukurti) įsigijimo valdymo gaires. Tokioms gairėms sukurti pirmiausia reikia apibrėžti programinės įrangos tipus. Kiekvienam apibrėžtam programinės įrangos tipui nustatyti jų įsigijimo keliai ir sudaryti kriterijai, kurie padėtų parinkti tinkamą įsigijimo kelią. Literatūros šaltinių apžvalgoje išanalizavus programinės įrangos įsigijimo modelius bei standartus nustatyti šie programinės įrangos tipai: COTS, MOTS ir naujai kuriama programinė įranga (NKPĮ). Remiantis įsigijamos programinės įrangos tipais ir projekto charakteristikomis nustatyti įsigijimo keliai. Programinės įrangos įsigijimo keliui parinkti sudaryti kriterijai, kurie apibūdina įsigyjamą programinę įrangą, įsigijimo projekto resursus ir aplinkos faktorius. Veiklos, kurios turi būti vykdomos kiekviename programinės įrangos įsigijimo kelyje, nustatytos panaudojant CMMI-ACQ procesų modelį. Procesų veiklos vykdytinos kiekviename programinės įrangos įsigijimo kelyje: nurodoma, kokiu keliu turi būti įsigyjama programinė įranga, kokias veiklas reikia vykdyti, pateikiamos rekomenduojamos pastangos, reikalingos kiekvienam PĮ įsigijimo keliui. / The primary objective of master thesis is to provide guidelines for managing a different types of software acquisition projects. Firstly, to provide guidelines is necessary to define types of software. Secondly, to create the ways of acquisition for each defined type of software and to create criteria that allows to select the right way of acquisition. During the analysis of existing software acquisition process models software types was defined: COTS (Commercial-off-the-shelf software), MOTS (Modified-off-the-shelf software), fully developed software. To have an effective acquisition processes, it is useful to employ an adequate level of formality for those processes according to the characteristics of the acquisition project. The ways of software acquisition was defined in accordance with defined software types and characteristics of acquisition projects. That can be used as a guideline on what level of formality is appropriate for the actual software acquisition project. To select the way to acquire software, there were created criteria that describes the characteristics of acquiring software, acquisition project resources and environment factors. CMMI-ACQ process model was used to define activities of each software acquisition way. Each acquisition way contains suggestions on what activities to perform for the different acquisition project customization.

Pain is the most prevalent medical problem that elderly persons experience in a long-term care home. Nurses play an essential role in managing their pain. The purpose of this study was to explore nurses’ pain management practices in Ontario long-term care homes facilities. The ultimate aim was to recommend measures for effective pain management in aged people. The setting for this study was a selected long-term care home in Ontario, Canada, a 160-bed nursing home for aged people offering various medical care services. Semi-structured focus group interviews, averaging approximately one hour, were conducted. The population of this study was 45 nurses. The researcher used a purposive sampling method to select a sample of 25 nurses. Open-ended questions were used to explore pain management practices and to find barriers to effective pain management. Qualitative data analysis was used to review the data to identify common issues that recurred, and they were summarised in a narrative form. This study demonstrated the importance of recognising and overcoming barriers to the effective management of pain and reinforcing good practices in long-term care homes. Therefore, improved pain management practices are required to manage pain in a long-term care home effectively. / Health Studies / M.A. (Nursing Sciences)

The purpose of the study was to explore the understanding and implementation of the guidelines by nurses to detect mental disorders in Human Immunodeficiency Virus (HIV) management in the Limpopo Province, South Africa. The study aimed to recommend measures to strengthen implementation practices. Qualitative, exploratory and descriptive approach was conducted. Non-probability purposive sampling was used to select primary health professional nurses trained in HIV programme at primary health care facilities in Capricorn District. Data were collected through focus groups and in-depth individual interviews approach using the interview guide. The interviews started with focus group discussions as primary method and in-depth individual interviews as follow-up. Interviews were tape recorded and transcribed. Data were analysed using Creswell’s data analysis steps. Four themes emerged from data: understanding of HIV management guidelines; implementation of the guidelines; strengthening of mental health screening and competencies required for mental health screening. The study revealed that the nurses who did not have psychiatric nursing as an additional qualification lacked confidence and skills to conduct mental health screening in HIV positive infected individuals. However, they used their background nursing knowledge to manage clients. They all experienced challenges with information provided in the guidelines to screen for mental health in HIV management. Based on the results of this study, it was recommended that there should be integration of mental health and HIV and development of practical assessment tools for mental health screening. The study acknowledges the importance of equipping nurses with adequate skills to diagnose altered mental health states among HIV infected individuals. / Health Studies / M.A. (Nursing Science)

MESMEG / Department of Mining and Environmental Geology / Although clay brick manufacturing has been going on for many years in South Africa, informal small-scale clay brick manufacturing enterprises are not officially regulated. Consequently, informal brick makers in the study area do not adhere to the demanding requirements of the South African National Standards for burnt clay masonry. Therefore, their clay bricks lack uniformity in terms of quality. Preliminary work revealed that over time, buildings constructed with these bricks develop cracks, thereby compromising safety. The importance of product quality management is not well understood in the informal brick manufacturing enterprises. As a result, they do not have any product quality management guidelines. The main purpose of this research was to develop the product quality management guidelines for ensuring quality in small-scale brick making enterprises in Dididi area. The specific objectives were to characterize the raw materials for clay brick manufacturing, identify and assess the technical problems of clay brick production, analyse the process of clay brick production and determine areas where product quality improvement is warranted. The research involved fieldwork which included soil sampling, analysis of clay brick production through the use of questionnaires and onsite observation of the production process, collection of samples of burnt bricks which were examined for compressive strength, water absorption as well as dimension measurements. These were then compared with the prescribed quality standards. Laboratory analyses of samples of raw materials were conducted and these included sieve analysis which was conducted in order to establish the particle size distribution of the raw materials; Atterberg limit tests were conducted in order to establish the physical characteristics of the soil. Chemical and mineralogical analyses were carried out to determine the chemical and mineralogical composition of the soil using XRF and XRD respectively. The textural characterisation of the material revealed abundance of sand sized particles and significantly low amounts of clay and silt. The plasticity of the soil used for bricks manufacturing in the study area was found to be ranging from slight to medium plasticity. Chemical analysis showed elevated silica contents with minor amounts of alumina and iron oxide. XRD analysis revealed the dominance of non-clay minerals with the highest concentration of quartz. The average compressive strengths of the tested brick samples for site A was 3.8, and 2.9 and 3.8 MPa for sites B and C respectively. The water absorption of the bricks was 13.5, 15.0 and 16.1% for samples from Site A, B and C respectively. The bricks dimensions met the recommended standards although their sizes were not uniform. v The survey conducted on brick manufacturing process revealed that the technical inefficiencies were mostly influenced by human and mechanical factors as well as the material inappropriateness. The production process was found to be too manual and labour intensive. Selection of the raw materials for brick manufacturing was based on indigenous knowledge and experience and most of the brick manufacturers lacked the prerequisite experience for making quality bricks. On the basis of the results of this research, it can be concluded that the materials used for manufacturing of clay bricks in Dididi are not well suited for making good quality bricks due to the reduced plasticity of the soil and the high concentration of quartz. These render the bricks brittle. It was also concluded that the production process also contributes to the poor quality of the bricks as the nature of the process was too manual. Selection of materials based merely on knowledge and experience and no scientific tests resulted in selection of inadequate materials which in turn affect the quality of the final bricks. It is therefore recommended that plastic clays be added to the raw clay materials to enhance its moulding property. In addition, materials such as internal fuels and anti-shrinkage materials should be incorporated into the process cycle to prevent cracking during drying and firing. Based on the findings of the analysis of the production process, it is recommended that mechanized techniques be employed in the operation and awareness training conducted to improve the understanding and skills of the brick manufacturers and to ensure production of good quality bricks. / NRF