Il existe une inefficience du processus de décision [...] due à un dysfonctionnement de compétence des dirigeants [...]. Pour augmenter l'efficience du processus de décision, les dirigeants doivent maîtriser les Stratégies de Décision, par l'utilisation d'un Modèle-Outil [...] PPPERFFS [qui] répertorie 36 Stratégies de Décision dans les catégories Domaines managériaux, Postures cognitives et Mécanismes cognitifs... / Inefficiency of decision process exists and is characterised by:- simple loop learning,- strictly limited rationality,- and hidden costs of the decision process.The inefficiency of decision process is due to a dysfunction of managers’ competence, who:- lose their decision marks,- lack reflexivity,- use Decision Strategies in beneficial and toxic way, such as:· lack of contradictory mindset (strongly validated hypothesis),· lack of perfectionism (weakly validated hypothesis).To increase the efficiency of decision process, managers should master DecisionStrategies, by using a problem solving support Model-Tool, integrator-facilitator ofDecision Strategies steering, and endowed with PPPERFFS qualities:- "Practical",- "Paradoxical",- "Polyvalent / Exhaustive" (Multi-Skilled / Comprehensive),- "Rapid / Fluent" (Fast / Easy)- "Faithfull" (Reliable),- "Schematic" (Diagrammatic).This Model-Tool has to be drafted and its performance has to be tested.[This has been done:]The drafted PPPERFFS Model-Tool itemises 36 Decision Strategies into the followingcategories: managerial Domains, cognitive Postures and cognitive Mechanisms. Firsttests demonstrate a contingent performance.

The purpose of this study was to explore and describe staff experiences in managing data and/or information when utilising the District Health Information System (DHIS) as a support mechanism for data quality improvement, including the strengths and weaknesses of current data management processes. It was also aimed to identify key barriers and to make recommendations on how data management can be strengthened. Key informants included in this study were those based at the district office (health programme managers and information officers) and at the primary health care (PHC) facilities (facility managers, clinical nurse practitioners and data capturers). An exploratory, descriptive and generic qualitative study was conducted. Consent was requested from each participant. Data were collected through semi-structured interviews. The study findings highlighted strengths, weaknesses and key barriers as experienced by the staff. Strengths, such as having data capturers and DHIS software at most if not all facilities, were highlighted. The weaknesses and key barriers highlighted were staff shortages of both clinical and health management information staff (HMIS), shortage of resources such as computers and Internet access, poor feedback, training needs and data quality issues. Most of the weaknesses and key barriers called for further and proper implementation of the District Health Management Information Systems (DHMIS) policy, the standard operating procedures (SOP), the eHealth strategy and training of the staff, due to the reported gaps between the policy and the reality and/or practice at the facility / Health Studies / M.A. (Public Health with specialisation in Medical Informatics)

本論文旨在經由新聞組織常規與記者專業性兩個面向，來探討置入性行銷對電視新聞的影響。其研究問題有四：（一）了解電視新聞置入性行銷的樣貌；（二）探討置入性行銷對電視新聞常規的影響；（三）探討置入性行銷對記者專業性的影響；（四）探索廣告主導向新聞的內涵為何？ 本研究以質性深度訪談三十位電視新聞工作者，有以下幾項發現：（一）電視新聞的置入性行銷應重新予以定義，其內涵應包括直接付費的專案新聞，及不直接付費的業配新聞，它們都是以服務廣告主為目的而產製的新聞。（二）自2003年起政府將置入性行銷納入公開招標項目中後，已使電視新聞組織內逐漸建制了一種產製置入性新聞的常規，它與生產一般新聞的常規有所不同，宛如一個新聞工廠卻開闢了兩條生產線，用不同的邏輯來生產不同的新聞產品。研究顯示，這種常規使組織內得以藉此分享如何產製置入性新聞的知識。同時，也使得原來在組織中不被認可的價值，藉此取得合理與合法的地位。（三）置入性行銷雖然對記者的專業性認知影響至鉅，但也並非全然悲觀。在產製置入性新聞的過程，記者會呈現出四種不同的自主模式，以協商的方式從廣告主手中爭取更多自主空間；然而，研究也發現，在公共服務的認知上，記者往往會採取自我審查的方式，淡化有爭議的訊息，或用「新聞點」的角度來合理化自己的採訪。（四）本研究進一步提出置入性新聞是一種「廣告主導向」新聞。在台灣的電視新聞界目前正同時生產三種不同價值、不同目的、不同導向的新聞，它們分別是：公共利益導向、市場導向、及廣告主導向。 儘管如此，本研究仍然主張：置入性行銷使得媒體監督的對象可以出錢來影響新聞，而新聞所傳達的資訊摻雜了包裝精良的「廣告」，最終新聞作為一種「信任貨幣」的價值盡失，媒體守望監督的功能也跛了腳，其後果不單是對新聞界的衝擊，對社會整體的負面效果更是全面的。 / Product placement has been used in TV news production since 2000 in Taiwan. It raises an ethical discussion about whether journalism serves public or business interests. This study examines the use of product placement in TV journalism and its impact on TV news routine and professionalism. By using qualitative and quantative methods, this study found the traditional definition of product placement which is used in the marketing field is not suitable for Taiwan’s news placement. The definition of news placement should include “project news placement” and “service news placement”. When the advertisers pay directly for news placement, this is called “project news placement”; on the other hand, when the advertisers pay indirectly and possibly with a promise of future rewards or benefits for the TV news organization, this is called “service news placement”. This study found the production of this kind of paid news has become routinized . It seems like there are two assembly lines in a news factory: one for producing regular news and the other for producing paid news. Through this routinized process, journalists learn how to deal with this kind of news; in other words, the routine provide the mechanism to share the knowledge of producing paid news and also makes this kind of news legitimate in the news organization. The results of this study also show the impact of product placement on the journalists’ perception of their professionalism. Although most TV journalists admit their autonomy has been limited due to control from advertisers who pay for the news, they still perceive they can have different autonomy models: negotiation, domination, accommodation, and carelessness. However, the perception of serving the public for journalists is quite limited. This study found that journalists focused on newsworthiness instead of public service when they were doing news placement, and journalists employ self-censorship when they are doing this paid news. Many respondents admitted they did not criticize the advertisers who pay money for reporting. This kind of news is not serving the public but just serving business. This study suggests it should be called “advertiser oriented news”. In Taiwan, the TV news factory does produces three different kinds of news, which include public oriented, market driven, and advertiser oriented. However advertiser oriented news can be seen daily, this study concluded that unless journalists are able to report independently the audience cannot expect the news to fulfill public service. Any media organization that accepts news placement will gain profit but lose credibility in return.

Mémoire numérisé par la Direction des bibliothèques de l'Université de Montréal.

The purpose of this study was to explore and describe staff experiences in managing data and/or information when utilising the District Health Information System (DHIS) as a support mechanism for data quality improvement, including the strengths and weaknesses of current data management processes. It was also aimed to identify key barriers and to make recommendations on how data management can be strengthened. Key informants included in this study were those based at the district office (health programme managers and information officers) and at the primary health care (PHC) facilities (facility managers, clinical nurse practitioners and data capturers). An exploratory, descriptive and generic qualitative study was conducted. Consent was requested from each participant. Data were collected through semi-structured interviews. The study findings highlighted strengths, weaknesses and key barriers as experienced by the staff. Strengths, such as having data capturers and DHIS software at most if not all facilities, were highlighted. The weaknesses and key barriers highlighted were staff shortages of both clinical and health management information staff (HMIS), shortage of resources such as computers and Internet access, poor feedback, training needs and data quality issues. Most of the weaknesses and key barriers called for further and proper implementation of the District Health Management Information Systems (DHMIS) policy, the standard operating procedures (SOP), the eHealth strategy and training of the staff, due to the reported gaps between the policy and the reality and/or practice at the facility / Health Studies / M. A. (Public Health with specialisation in Medical Informatics)

The dissertation discusses topics in environmental criminology, which is concerned with crime in relation to the environment where it occurs. The environmental approach is based upon a premise that occurrence of crime in space is neither random nor uniform. On the contrary, various types and forms of criminal activity tend to concentrate in certain places during certain times. Environmental characteristics play an important role in behaviour of individuals, hence it is possible to analyse them as one of the most important determinants of criminal behaviour. The aim of the thesis is to comprehensively introduce to the Czech and Slovak legal and criminological scholarship historical background, development and the main contemporary theoretical approaches in environmental criminology, as well as their implications and utilization in crime analysis and crime prevention. The theoretical part discusses in detail rational choice perspective, routine activity approach and crime pattern theory as an environmental meta-theory. The analytical part introduces the basics of the methods of crime mapping and geographical profiling. It also demonstrates how statistical and mapping techniques can be utilized in practice, using a set of police data concerning thefts from motor vehicles in Prague during the first...

Income inequalities have become a matter of major concern following reports that the working class and lower middle class of developed economies have income levels that are falling behind. Few studies have been conducted on the regional level even though this perspective might better capture the development of income inequalities, since national averages might hide local differences. This study uses panel data for 286 Swedish municipalities in between 1991-2017 and fixed effect regressions, to examine if the theory of a skill-biased technological change could be used to explain resent developments. We find an labor income divergence for Swedish municipalities within the studied time period. The share of high skilled workers is found to be a good predictor of the growth in regional labor income inequalities, while an ageing population of the regions falling behind counteracts the growth of inequality, possibly leading to an underestimation of the size of regional labor income divergence. These results are in support of a skill-biased technological change at work and a job polarization transforming regional labor markets and regional societies. We conclude that adopting a regional perspective in the analysis and development of future economic growth policies is necessary to ensure long term economic growth, equality of opportunity and social cohesion.

Made available in DSpace on 2014-07-29T15:25:16Z (GMT). No. of bitstreams: 1 Suelene Brito do Nascimento.pdf: 777082 bytes, checksum: f9660425f3055477271c6efbe8608c9e (MD5) Previous issue date: 2011-09-29 / False-negative rates constitute a common problem in the daily routine of cytopathology laboratories. Among the various internal quality control methods, 10% random review is the least effective in detecting false-negative results in routine screening. On the other hand, good results have been found with 100% rapid review and with rapid prescreening. Nevertheless, no studies comparing these two methods have been reported. Objective: To compare the performance of rapid prescreening and 100% rapid review as internal quality control methods in cervical cytopathology. Methods: Over 27 months, 12,208 cervical cytology smears collected from Units of Primary Health Care of Goiânia were submitted to rapid prescreening and routine screening at Rômulo Rocha Center for Clinical Analyses at the School of Pharmacy, Federal University of Goiás, Goiânia, Goiás, Brazil. The 100% rapid review method was performed on all smears classified as negative at routine screening. Conflicting results obtained with either method were reviewed in detail to define final diagnosis, which was considered the gold-standard for evaluating the performance of rapid prescreening and 100% rapid review. In cases with abnormal cytology were evaluated the results of colposcopy, histopathology and of the new cytopathology. The sensitivity and specificity of internal quality control methods were estimated when compared to the final diagnosis, and to follow-up colposcopy, histopathology and at new cytopathology. Results: Compared to the final diagnosis, the sensitivity of routine screening and rapid prescreening was 72.9% (IC 95%: 70,0%-75,8%) and 75.6% (IC 95%: 72,8%-78,4%), respectively. Taking into account only those smears classified as negative at routine screening, the sensitivity of rapid prescreening and RR-100% was 90.2% (IC 95%: 86,4-93,9) and 57.0% (50,8%-63,2%), respectively. Rapid prescreening identified 220 (1.8%), while RR-100% identified 140 (1.15%) of the 244 (2.0%) cases with false-negative results at routine screening. The sensitivity of rapid prescreening in detect abnormal cases at follow-up colposcopy, histopathology and at new cytopathology was 87.5% (CI95%; 74.3%-100.7%) 82,4% (CI95%: 64.2%-100.,5%), 95.7% (CI95%:89.8%-101.5%), respectively, the sensitivity of 100% rapid review was 54.2% (CI95%: 34.2%-74.1%), 52.9% (CI95%: 29.2%-76.7%), 47.8% (CI95%: 33.4%-62.3%) respectively and the sensibility of routine screening was 83.2% (CI95%: 77.1%-89.3%), 85.7% (CI95%: 79.4%-92.0%), 73.3% (CI95%: 66.6%-79.9%), respectively. Conclusions: Rapid prescreening was more effective than 100% rapid review for the detection of false-negative results at routine screening, with a better performance when compared to final diagnosis, to follow-up colposcopy and at new cytopathology. The methods showed similar performance when compared at follow-up histopathology. Therefore, according to the results of this study, rapid prescreening provides subsidies to improve the performance of cervical cytopathology tests, whose the principal function of which is to detect cervical cancer precursor lesions. / As altas taxas de resultados falso-negativos são problemas enfrentados na rotina dos laboratórios de citopatologia. Dentre os métodos de controle interno da qualidade, a revisão de 10% é a menos eficiente para detectar os resultados falso-negativos do escrutínio de rotina. No entanto, há evidências de que a revisão rápida de 100% e o pré-escrutínio rápido apresentam bons resultados na sua detecção. Porém, não existem estudos que compararam estes dois métodos. Objetivo: Comparar o desempenho do pré-escrutínio rápido e da revisão rápida de 100% como métodos de controle interno da qualidade dos exames citológicos do colo do útero. Métodos: Durante 27 meses 12.208 esfregaços citológicos cervicais provenientes das Unidades de Atenção Básica à Saúde do município de Goiânia foram submetidos ao pré-escrutínio rápido e ao escrutínio de rotina no Centro de Análises Clínicas Rômulo Rocha da Faculdade de Farmácia da Universidade Federal de Goiás-Goiânia-GO-Brasil. A revisão rápida de 100% foi realizada nos esfregaços negativos no escrutínio de rotina. Os resultados discordantes por qualquer dos métodos foram revisados detalhadamente para definição do diagnóstico citológico final, considerado padrão ouro para avaliar o desempenho do pré-escrutínio rápido e da revisão rápida de 100%. Nos casos com anormalidades citológicas foi avaliado o resultado dos exames colposcópicos, histológicos e da nova citologia. Foram estimadas a sensibilidade e a especificidade dos métodos de controle interno da qualidade quando comparados ao diagnóstico citológico final, ao exame colposcópico, histológico e ao novo exame citológico. Resultados: Comparado ao diagnóstico citológico final a sensibilidade do escrutínio de rotina e do pré-escrutínio rápido foi de 72,9% (IC 95%: 70,0%-75,8%) e 75,6% (IC 95%: 72,8%-78,4%), respectivamente. A sensibilidade do pré-escrutínio rápido e da revisão rápida de 100%, levando em conta os esfregaços negativos no escrutínio de rotina foi 90,2% (IC 95%: 86,4-93,9) e 57,0% (50,8%-63,2%), respectivamente. O pré-escrutínio rápido identificou 220 (1,8%) e a revisão rápida de 100% 140 (1,15%) dos 244 (2,0%) falso-negativos do escrutínio de rotina. A sensibilidade do pré-escrutínio rápido na detecção de anormalidades colposcópicas, histoológicas e no novo exame citológico foi de 87,5% (IC95%: 74,3%-100,7%), 82,4% (IC95%: 64,2%-100,5%), 95,7% (IC95%: 89,8%-101,5%), respectivamente, a sensibilidade da revisão rápida de 100% foi de 54,2% (IC95%: 34,2%-74,1%), 52,9% (IC95%: 29,2%-76,7%), 47,8% (IC95%: 33,4%-62,3%), respectivamente e a sensibilidade do escrutínio de rotina foi de 83,2% (IC95%: 77,1%-89,3%), 85,7% (IC95%: 79,4%-92,0%), 73,3% (IC95%: 66,6%-79,9%), respectivamente. Conclusões: O pré-escrutínio rápido foi mais eficiente que a revisão rápida de 100% para detectar resultados falso-negativos do escrutínio de rotina obtendo melhor desempenho quando comparado ao diagnóstico citológico final, ao resultado do exame colposcópico e ao novo exame citológico. Os métodos apresentaram desempenho semelhante quando comparado ao resultado do exame histológico. Portanto, de acordo com os resultados desse estudo, o pré-escrutínio rápido fornece subsídios para melhorar o desempenho dos exames citológicos, cuja principal função é detectar as lesões precursoras do câncer do colo do útero.

Made available in DSpace on 2016-03-15T19:25:56Z (GMT). No. of bitstreams: 1 Simone Basile Alves.pdf: 1982195 bytes, checksum: 167f0712dcb66c27f479920e3d831afc (MD5) Previous issue date: 2012-08-09 / Fundo Mackenzie de Pesquisa / The challenge of competing in highly dynamic and complex environments, which involve high technology and knowledge and resources distributed among different agents, encourages organizations to develop strategic alliances contract. Alliances are a way to expand the boundaries and a way to transfer knowledge and to access complementary assets. However, a large number of alliances fail to meet expectations of the partners involved. In this work, there is the question of how the ability to manage strategic alliances contract relates to the performance of alliances. The relevance of the research is to conduct a qualitative study to complement previous theoretical and quantitative studies and seeking to expand the understanding of the relationships between the processes of relational capacity and performance of alliances. To study this question we chose to map the alliances in the sector of pharmaceutical biotechnology, in human health segment. Noteworthy is the fact that the Brazilian government has chosen this sector as a central tenet of its industrial policy through several incentive programs. This sector is highly complex and dependent on multidisciplinary knowledge, and is characterized by the distribution of knowledge and resources needed by the agents, with a large number of alliances involving activities such as research, development, innovation, clinical testing, marketing, which are crucial to the good performance and competitive advantage. For the study we opted for the methodology of multiple case studies. We studied three biotechnology organizations, and one alliance from each organization. We interviewed managers of rank 1 and 2 (directors and managing partners), one manager for each alliance. Data were analyzed through categorical thematic analysis, with categories defined a priori from the literature on the subject. The main categories and cases have been crossed. It was concluded that the business model through alliances is very present in biotechnology sector, and the ability to manage alliances have a value for organizations, as it contributes to the performance of alliances. Another highlight is the importance of the relationship of cooperation and trust between partners, for the good performance of alliances. / O desafio da competição em ambientes altamente dinâmicos, complexos e que envolvem alta tecnologia, com conhecimento e recursos distribuídos entre diferentes agentes, estimula as organizações a desenvolverem alianças estratégicas contratuais. As alianças são uma forma de expandir as fronteiras e um meio de transferência do conhecimento e de acesso a ativos complementares. No entanto, um grande número de alianças não atendem às expectativas dos parceiros envolvidos. Neste trabalho, coloca-se a questão de como a capacidade de gestão de alianças estratégicas contratuais se relaciona com o desempenho das alianças. A relevância da pesquisa está em realizar um estudo qualitativo que complemente estudos teóricos e quantitativos anteriores, buscando ampliar o entendimento das relações processuais entre a capacidade relacional e o desempenho das alianças. Para estudar esta questão optou-se por mapear as alianças no setor de biotecnologia farmacêutica, segmento de saúde humana. Destaca-se o fato do governo brasileiro ter escolhido esse setor como um dos eixos centrais de sua política industrial por meio de diversos programas de incentivo. Esse setor é altamente complexo e dependente de conhecimento multidisciplinar, e se caracteriza pela distribuição dos conhecimentos e recursos necessários pelos agentes, apresentando um grande número de alianças envolvendo atividades como pesquisa, desenvolvimento, inovação, testes clínicos, comercialização, as quais são cruciais para o bom desempenho e para a vantagem competitiva. Para a realização do estudo optou-se pela metodologia de estudos de casos múltiplos. Foram estudadas alianças de três organizações de biotecnologia, sendo uma aliança de cada organização. Foram entrevistados gestores do nível hierárquico 1 e 2 (diretoria e sócios-diretores), sendo um gestor para cada aliança. Os dados foram analisados via análise temática categorial com categorias definidas a priori a partir da literatura sobre o tema. As principais categorias e casos foram cruzados. Concluiu-se que o modelo de negócios via alianças está muito presente no setor de biotecnologia, e que a capacidade de gestão de alianças tem um valor para as organizações, na medida em que contribui para o bom desempenho das alianças. Outro ponto de destaque é a importância da relação de cooperação e de confiança entre os parceiros, para o bom desempenho das alianças.

Learning to self-regulate one's behavior is a core developmental task in early childhood. Regulation of behavior is a challenge for young children largely due to cognitive constraints, specifically in the areas of attention and memory. As such, it has been theorized that both caregivers and a child's environment can support the development of behavioral self-regulation by providing cues as to what constitutes acceptable behavior in any given context. Although much research has been conducted on the role caregivers play in this regard, little is known about how a child's environment may also serve to support emerging self-regulation of behavior. The present study sought to identify differences among children's daily activities in terms of their degree of structure and routine and how they related to changes in patterns of self-regulated behavior over time. Twenty-one children ages 6 to 60 months in three age-graded classrooms at a constructivist child-care center were video-taped at three measurement points over a six-month period as they engaged in a variety of daily activities (i.e., free play, meals and clean-up). Trained observers coded for nine self-regulatory behaviors and the daily activities during which they occurred. It was hypothesized that structured and routine daily activities would scaffold the development of self-regulation and internalization such that these behaviors would occur more frequently during activities high in structure and routine. Over time, practice during activities that are high and low in structure and routine should support self-regulated behavior in the absence of structure and routine as well. Overall, results demonstrated that in the presence of environmental cues for expected behavior (i.e., structure and routine) children tend to engage in more self-regulated behavior than in the absence of such cues.