Search results for "Nuit"
showing 10 items of 553 documents
Problemas multiplicativos relacionados con la división de fracciones : un estudio sobre su enseñanza y aprendizaje
2013
Los estudiantes tienen dificultades para asociar el enunciado de un problema multiplicativo con la operación que permite resolverlo; esta investigación identifica los tipos de problemas multiplicativos que los estudiantes reconocen como de división de fracciones. Mediante el análisis histórico-epistemológico de textos de enseñanza sobre tres épocas históricas y ocho períodos diferentes, se obtiene un listado de variables de enseñanza (algoritmos, sentidos de uso de fracción y de división de fracciones, representaciones, problemas), así como los valores de dichas variables. Se localizan en los textos consultados algunas reglas particulares y seis algoritmos generales, cuyo predominio ha vari…
Proportional and Preemption-Enabled Traffic Offloading for IP Flow Mobility: Algorithms and Performance Evaluation
2018
IP Flow Mobility (IFOM) enables a user equipment to offload data traffic at the IP flow level. Although the procedure of IFOM-based flow offloading has been specified by 3GPP, how many IP flows should be offloaded and when offloading should be performed are not defined. Consequently, IP flows may be routed to a target access network which has a strong signal strength but with backhaul congestion or insufficient access capability. In this paper, we propose two algorithms, referred to as proportional offloading (PO), and proportional and preemption-enabled offloading (PPO), respectively, for IP flow offloading in hybrid cellular and wireless local area networks. The PO algorithm decides an op…
Global-Local model for guided wave scattering problems with application to defect characterization in built-up composite structures
2020
Abstract Predicting scattering of elastic guided waves in multi-layered solid plates with geometrical and/or material discontinuities is of great interest to many fields, including ultrasonic-based Non-Destructive Testing (NDT) and health monitoring of critical structural components (SHM). The problem is complicated by the multimode and dispersive behaviour of the guided waves. This paper describes a unified Global-Local (GL) approach that is computationally efficient in cases that can be very complex in terms of geometry and/or material properties. One example of this is a composite built-up structure. The proposed GL procedure discretizes the “local” region with the scattering discontinui…
Converting Retirement Benefit into a Life Care Annuity with Graded Benefits: How Costly Would it Actually Be?
2016
This paper deals with life care annuities, i.e. bundled products comprising a life annuity and long-term care insurance. It aims to assess the cost of converting retirement benefit into a life care annuity with graded benefits using a pre-existing public pay-as-you-go pension scheme. With this objective in mind, we present an actuarial method based on array calculus for valuing this type of life care annuity. The health dynamics of the annuitant rely on a reversible illness-death multistate framework. The paper contains a numerical example in which mortality and disability assumptions are based on data from the USA and Australia, although this should be viewed simply as an illustration. In …
Adolescents’ and young adults’ transition experiences when transferring from paediatric to adult care: A qualitative metasynthesis
2014
Author's version of an article in the journal: International Journal of Nursing Studies. Also available from the publisher at: http://dx.doi.org/10.1016/j.ijnurstu.2013.02.001 Objectives: The objective of this study was to synthesize qualitative studies of how adolescents and young adults with chronic diseases experience the transition from paediatric to adult hospital care. Design: The review is designed as a qualitative metasynthesis and is following Sandelowski and Barroso's guidelines for synthesizing qualitative research. Data sources: Literature searches were conducted in the databases PubMed, Ovid, Scopus, Cumulative Index to Nursing and Allied Health Literature (CINAHL), ISI Web of …
The choice between retirement and bridge employment: a continuity theory and life course perspective.
2009
The rapid aging of the workforce in most developed countries, and the strengthening presence of bridge employment among older employees, has brought about a need for a deeper theoretical and practical understanding of this employment phenomenon. This study examined the concept of bridge employment from a continuity theory and life course perspective. Several personal and job-related antecedents of 539 middle-aged and older U.S. Federal Government employees' intentions of full retirement or engagement in bridge employment were investigated. A multinomial logistic regression analysis provided support for most of the hypotheses on the antecedents of full retirement and overall bridge employme…
Facilitating holistic continuity of care for older patients: Home care nurses' experiences using checklists.
2019
Aims and objectives To explore home care nurses' experiences of implementation and use of checklists developed for improving continuity of care for older patients (65+ years). Background The Norwegian Coordination Reform was implemented to improve coordination between hospitals and communities and facilitate a quicker return to home community after hospital discharge. To follow-up, national learning networks were initialised to improve pathways for chronically ill older patients, including the development and use of standardised checklists. Design An explorative qualitative design was chosen. Methods Three focus group interviews were conducted, including 18 registered nurses from eight muni…
Opioid use and effectiveness of its prescription at discharge in an acute pain relief and palliative care unit
2013
The aim of this study was to present how opioids are used in an acute pain relief and palliative care unit (APRPCU), where many patients with difficult pain conditions are admitted from GPs, home palliative care programs, oncology departments, other hospitals or emergency units, and other regional places. From a consecutive sample of cancer patients admitted to an APRPCU for a period of 6 months, patients who had been administered opioids were included in this survey. Basic information was collected as well as opioid therapy prescribed at admission and, subsequently, during admission and at time of discharge. Patients were discharged once stabilization of pain and symptoms were obtained and…
Impact of the SARS-CoV2 pandemic dissemination on the management of neuroendocrine neoplasia in Italy: a report from the Italian Association for Neur…
2020
Introduction The organization of the healthcare system has significantly changed after the recent COVID-19 outbreak, with a negative impact on the management of oncological patients. The present survey reports data collected by the Italian Association for Neuroendocrine Tumors on the management of patients with neuroendocrine neoplasia (NEN) during the pandemic dissemination. Methods A survey with 57 questions was sent to NEN-dedicated Italian centers regarding the management of patients in the period March 9, 2020, to May 9, 2020 Results The main modification in the centers’ activity consisted of decreases in newly diagnosed NEN patients (− 76.8%), decreases in performed surgical procedure…
How do gastroenterologists follow patients with colorectal cancer after curative surgical resection? A three-year population-based study
2008
Summary Objectives To assess the contribution of gastroenterologists (GEs) to the surveillance of colorectal cancer after curative surgery. Patients and methods This registry-based study included 407 patients residing in two French administrative areas diagnosed with newly diagnosed colorectal cancer in 1998 and free of disease six months after curative surgery. All surveillance examinations performed either in the three years after surgery or until death or recurrence were collected retrospectively. Results One hundred nine patients (27%) had a regular clinical check-up with a GE at least once a year. Factors independently associated with GE follow-up were young age (P=0.004), use of adjuv…