Global ETD Search

471	日本の介護サービス組織における連携と組織の有効性 / ニホンノカイゴサービスソシキニオケルレンケイトソシキノユウコウセイ大平剛士, Tsuyoshi Ohira 21 March 2019 (has links) 日本の介護サービス組織における連携が組織の有効性（介護職の職務満足や職場継続意思、また介護サービス組織のケアの質の管理や効率性）に与える影響を探索し、施設と訪問介護の組織構造が連携や有効性に与える影響、および組織連携と有効性の関係に対する組織構造の調整効果を検証した。その結果、連携は効率性の一部を除いて組織の有効性を高めること、また組織構造は連携と有効性に対して、個別に影響を与えることが明らかになった。 / 博士(技術・革新的経営) / Doctor of Philosophy in Technology and Innovative Management / 同志社大学 / Doshisha University 介護サービス組織連携組織の有効性組織構造職務満足職場継続意思ケアの質の管理効率性訪問介護施設介護包絡線分析 Elderly Care Organization Collaboration Organizational Effectiveness Organizational Structure Job Satisfaction Intent to Stay at Work Quality Management of Elderly Care Efficiency Home Care Nursing Home Data Envelopment Analysis
472	Use of Emergency Departments by the Elderly in Rural Areas Hamdy, Ronald C., Forrest, L J., Moore, S W., Cancellaro, L. 01 June 1997 (has links) Sparse information is available concerning use of emergency departments (EDs) by the elderly in rural areas. We reviewed records of all patients seeking care at EDs of three rural hospitals during 7 days in October 1991. We found that elderly people did not use EDs in proportion to their numbers in the community (15.2% versus 19.3%). Compared with younger ED patients, more elderly patients required an ambulance (40.8% versus 10.7%), more needed hospitalization (38.4% versus 11.9%), and their ED stays were longer (140 minutes versus 89 minutes). Falls/injuries (18.7%) and cardiac illness (18.1%) were the most frequent reasons for ED visits by the elderly, and relatively few (2.8%) had confusion. More elderly patients arrived during daytime hours than during the night, and more on weekends than weekdays. Also, we found no difference between patients in the 65- to 74-year-old age group and those aged 75 years and older. adult age factors aged aged 80 and over confusion (epidemiology) diagnosis emergency service female heart diseases (epidemiology) humans male retrospective studies tennessee (epidemiology) time factors wounds and injuries (epidemiology) QCOM
473	Methicillin-resistant Staphylococcus Aureus in Canadian Hospitals from 1995 to 2007: A Comparison of Adult and Pediatric Inpatients Locke, Tiffany 12 September 2013 (has links) The literature directly comparing the epidemiology of MRSA among adult and pediatric hospitalized patients is strikingly minimal. The objective of this thesis was to identify any differences between these two patient groups. The Canadian Nosocomial Infections Surveillance Program MRSA data (1995 to 2007: n=1,262 pediatric and 35,907 adult cases) were used to compare MRSA clinical and molecular characteristics and rates. Hospital characteristics were modeled using repeated measures Poisson regressions. The molecular and epidemiological characteristics of MRSA differed significantly between adults and children. Compared to children, MRSA in adults was more likely to be healthcare-associated, colonization, SCCmec type II, PVL negative, and resistant to most antibiotics. Rates of MRSA in Canada increased in both populations over time but were significantly higher in adults. The hospital characteristics associated with increased MRSA rates differed in adult and pediatric facilities. Implications for infection prevention and control strategies are discussed. Epidemiology Humans Cross Infection Hospitals Drug resistance, antimicrobial Infant Child Infant, newborn Child, preschool Age factors Sentinel Surveillance Population Surveilance Canada Hospitals, pediatric Community-Acquired Infections Hospitalization Methicillin Resistance Incidence Molecular Epidemiology Molecular Typing Cluster Analysis Staphylococcal Infection/epidemiology Healthcare Associated Infections Panton-Valentine leukocidin Age Groups Adult Aged Nosocomial Infections MRSA Adolescent Aged, 80 and over Young adult Drug Resistance, Multiple, Bacterial Infection Control Infection Control Practitioners Hospital Bed Capacity Bed Occupancy Pediatrics Epidemiologic Factors Health Facilities Risk Factors Length of Stay Patient Admission Staphylococcus aureus Public Health Agency of Canada
474	Methicillin-resistant Staphylococcus Aureus in Canadian Hospitals from 1995 to 2007: A Comparison of Adult and Pediatric Inpatients Locke, Tiffany January 2013 (has links) The literature directly comparing the epidemiology of MRSA among adult and pediatric hospitalized patients is strikingly minimal. The objective of this thesis was to identify any differences between these two patient groups. The Canadian Nosocomial Infections Surveillance Program MRSA data (1995 to 2007: n=1,262 pediatric and 35,907 adult cases) were used to compare MRSA clinical and molecular characteristics and rates. Hospital characteristics were modeled using repeated measures Poisson regressions. The molecular and epidemiological characteristics of MRSA differed significantly between adults and children. Compared to children, MRSA in adults was more likely to be healthcare-associated, colonization, SCCmec type II, PVL negative, and resistant to most antibiotics. Rates of MRSA in Canada increased in both populations over time but were significantly higher in adults. The hospital characteristics associated with increased MRSA rates differed in adult and pediatric facilities. Implications for infection prevention and control strategies are discussed. Epidemiology Humans Cross Infection Hospitals Drug resistance, antimicrobial Infant Child Infant, newborn Child, preschool Age factors Sentinel Surveillance Population Surveilance Canada Hospitals, pediatric Community-Acquired Infections Hospitalization Methicillin Resistance Incidence Molecular Epidemiology Molecular Typing Cluster Analysis Staphylococcal Infection/epidemiology Healthcare Associated Infections Panton-Valentine leukocidin Age Groups Adult Aged Nosocomial Infections MRSA Adolescent Aged, 80 and over Young adult Drug Resistance, Multiple, Bacterial Infection Control Infection Control Practitioners Hospital Bed Capacity Bed Occupancy Pediatrics Epidemiologic Factors Health Facilities Risk Factors Length of Stay Patient Admission Staphylococcus aureus Public Health Agency of Canada
475	La condition juridique des personnes privées de liberté du fait d'une décision administrative / The legal status of persons deprived of liberty by an administrative decision Boutouila, Nawal 09 July 2014 (has links) En empruntant une démarche prospective, l’objectif de cette contribution est de mettre en lumière l’existence d’une évolution de la condition juridique des personnes privées de liberté du fait d’une décision administrative. Si pendant longtemps l’obligation de préserver l’ordre public a été présentée comme conférant de nombreuses prérogatives à l’administration, elle doit désormais être décrite comme une mission de service public devant s’accomplir conformément à un modèle de comportement, sans toutefois que l’on puisse aujourd’hui évoquer l’existence de véritables sujétions à la charge de l’administration. Si cette évolution a été rendue possible, c’est en grande partie grâce à de «nouveaux contre-pouvoirs» qui ont contribué au renforcement de leur protection en participant plus ou moins directement à l’identification des obligations que toute administration qui prend en charge une personne privée de liberté devrait respecter et en concourant à leur défense. / By taking a prospective approach, the main of this work is to highlight the existence of an evolution of the legal status of persons deprived of their liberty for an administrative decision. Though the obligation to preserve public order has long been introduced as granting the administration many prerogatives, it must from now on to be equally described as a public-service mission that should be accomplished in accordance with a particular behavior model, without however, always mentioning the presence of actual constraints at the expense of the administration because of the numerous shortcomings currently affecting the protection system. Presumably, if this improvement has been made possible, it is in mainly due to “this new opposing-force concept” that has contributed to strengthening theirs protection especially by participating in the identification of the obligations that should be respected by all administrations which have to take care of a person deprived of liberty. Arbitraire Association Autorité administrative indépendante Cellule de dégrisement Contrôle d’identité Défenseur des droits Détention Dignité Droit souple Étrangers Internement administratif Ordre public Police administrative Personne atteinte de troubles mentaux Privation de liberté Recours effectif Rétention administrative Soins psychiatriques sous contrainte Sûreté Zone d’attente Arbitrary Association Independent administrative authority Sobering cell Identity control Controller general of detention places Human rights defender Detention Dignity Soft law Foreigners Administrative detention Public order Administrative police Person with mental disorders Liberty deprivation Effective remedy Psychiatric care under stress Safety Waiting area 344.035 6
476	UTILIZATION OF WIND POWER IN RWANDA : Design and Production Option Eric, MANIRAGUHA January 2013 (has links) This Master Thesis is the research done in the country of Rwanda. The project leads to study the climate of this country in order to establish whether this climate could be used to produce energy from air and to implement the first wind turbine for serving the nation. After an introduction about the historical background of wind power, the thesis work deals with assessment of wind energy potential of Rwanda in focusing of the most suitable place for wind power plants. The best location with annual mean wind speed, the rate of use of turbine with hub height for an annual production per year, the mean wind speeds for 6 sites of Rwanda based on ECMWF for climatic data for one year at relief of altitude of 100m and coordinates are reported too. The result of energy produced and calculations were done based on power hitting wind turbine generator in order to calculate Kinetic energy and power available at the best location to the measurement over the period of 12 months, that could be hoped for long term. With help of logarithmic law, where wind speed usually increases with increasing in elevation and the desired wind speeds at all 6 sites were used. The annual energy production was taken into account at the best site with desired wind speed at the initial cost of turbine as well as the cost of energy (COE).However, with comparison of the tariff of EWSA, the price of Wind designed in this Research per kWh is cheaper and suitable for people of Rwanda. / <p><em>Rwanda has considerable opportunities development energy from hydro sources, methane gas, solar and peat deposits. Most of these energy sources have not been fully exploited, such as solar, wind and geothermal. As such wood is still being the major source of energy for 94 per cent of the population and imported petroleum products consume more than 40 per cent of foreign exchange. Energy is a key component of the Rwandan economy. It is thus recognized that the current inadequate and expensive energy supply constitutes a limiting factor to sustainable development. Rwanda’s Vision 2020 emphasizes the need for economic growth, private investment and economic transformation supported by a reliable and affordable energy supply as a key factor for the development process. To achieve this transformation, the country will need to increase energy production and diversify into alternative energy sources. Rwandan nations don’t have small-scale solar, wind, and geothermal devices in operation providing energy to urban and rural areas. These types of energy production are especially useful in remote locations because of the excessive cost of transporting electricity from large-scale power plants. The application of renewable energy technology has the potential to alleviate many of the problems that face the people of Rwanda every day, especially if done so in a sustainable manner that prioritizes human rights.</em></p> guidance staff and fellow students Oxana SAMOTEEVA; Dr. Chamindie SENARATNE for their suggestions Engineering and Technology Teknik och teknologier

Page generated in 0.2037 seconds