Search results for "Operation"
showing 10 items of 2969 documents
Improving e-economy by regional governments
2014
Purpose – The purpose of this paper is to analyse and assess a government support programme for business innovation in a very peripherical European region: the Spanish region of Andalucía. Design/methodology/approach – Endogenous development approach is used to categorize the main public and private actions included in the government ICT support programme. Cross-time analysis has been carried out by using three territorial indicators of diffusion and effective use of ICT: the physical aspect, refereed to the infrastructures used as a base for the information society development (infrastructures, technology and equipment); the actors and their degree of organization (firms present on the in…
Delphi method applied to horticultural cooperatives
2012
PurposeAgricultural cooperatives have been able to become a strong and consolidated organizational form, although the new challenges of globalization and trade liberalization require changes in the strategic approach. The requirements of the distribution companies, consumers and government about the concentration of demand, traceability, food safety and respect for the environment had led to a thorough reorganization of agricultural food systems. So it is necessary to undertake a strategic review of horticultural cooperatives in order to conduct a strategic assessment and hence identify the strategic actions to be followed in the coming years. This paper seeks to address these issues.Design…
A method for the territorial organization of socio-sanitary services
1983
The need for a profound change in the health service has recently led to the development of a national sanitary plan, which the Italian government has submitted to the political and social forces as a midterm strategy for the transformation of the health service.
A Stochastic Model for Population and Well-Being Dynamics
2014
This article presents a stochastic dynamic model to study the demographic evolution per sexes and the corresponding well-being of a general human population. The main model variables are population per sexes and well-being. The considered well-being variable is the Gender-Related Development Index (GDI), a United Nations index. The model's objectives are to improve future well-being and to reach a stable population in a country. The application case consists of adapting, validating, and using the model for Spain in the 2000–2006 period. Some instance strategies have been tested in different scenarios for the 2006–2015 period to meet these objectives by calculating the reliability of the res…
Postoperative Repositioning of Inverted Descemet Membrane Endothelial Keratoplasty Grafts
2019
Item does not contain fulltext PURPOSE: To present 4 cases of postoperative repositioning of inverted grafts after Descemet membrane endothelial keratoplasty (DMEK). METHODS: Retrospective case reports of 4 patients presenting with subtotal to total graft detachment after DMEK, most probably owing to upside-down graft positioning. Graft repositioning was performed 1 to 14 days after initial DMEK surgery. In 3 cases (cases 1, 3, and 4), repositioning was performed without removing the graft from the anterior chamber (AC), whereas for case 2, the graft had to be removed from the AC to attain correct graft orientation. RESULTS: In all 4 cases, the initially upside-down DMEK grafts could be suc…
Comparison of results of combined liver-kidney transplantation vs. isolated liver transplantation
2013
Introduction. Combined liver-kidney transplantation (LKT) is the best therapeutic option for patients with end-stage liver and kidney disease. Objectives. To analyze baseline characteristics and clinical outcome of LKT compared to isolated liver transplantation (LT). Material and methods. The study included 16 LKT performed between 1998 and 2006 and 32 LT matched by age, sex, date and indication for transplantation. Demographic, pretransplant, post-transplant and survival variables were analyzed. Results. As planned by the study design, mean age, distribution by sex and indication for LT were similar between groups. The most common indication for LT was HCV- and/or alcohol-induced cirrhosis…
High-urgency kidney transplantation in the Eurotransplant Kidney Allocation System : success or waste of organs? The Eurotransplant 15-year all-centr…
2016
Item does not contain fulltext BACKGROUND: In the Eurotransplant Kidney Allocation System (ETKAS), transplant candidates can be considered for high-urgency (HU) status in case of life-threatening inability to undergo renal replacement therapy. Data on the outcomes of HU transplantation are sparse and the benefit is controversial. METHODS: We systematically analysed data from 898 ET HU kidney transplant recipients from 61 transplant centres between 1996 and 2010 and investigated the 5-year patient and graft outcomes and differences between relevant subgroups. RESULTS: Kidney recipients with an HU status were younger (median 43 versus 55 years) and spent less time on the waiting list compared…
Results of heart retransplantation: subanalysis of the Spanish Heart Transplant Registry
2021
Heart retransplantation (ReHT) is controversial in the current era. The aim of this study was to describe and analyze the results of ReHT in Spain. Methods We performed a retrospective cohort analysis from the Spanish Heart Transplant Registry from 1984 to 2018. Data were collected on donors, recipients, surgical procedure characteristics, immunosuppression, and survival. The main outcome was posttransplant all-cause mortality or need for ReHT. We studied differences in survival according to indication for ReHT, the time interval between transplants and era of ReHT. Results A total of 7592 heart transplants (HT) and 173 (2.3%) ReHT were studied (median age, 52.0 and 55.0 years, respectively…
Graph-grammar semantics of a higher-order programming language for distributed systems
1994
We will consider a new tiny, yet powerful, programming language for distributed systems, called DHOP, which has its operational semantics given as algebraic graph rewrite rules in a certain category of labeled graphs. Our approach allows to separate actions which affect several processes from local changes such as variable bindings. We also sketch how to derive an implementation from this specification.
Hotel chain performance: a gravity-DEA approach
2011
Performance in business management can be measured in terms of competitiveness and efficiency. Generally speaking, competitiveness is a comparative concept of the ability of a firm, sub-sector or country to sell and supply goods and/or services in a given market, as measured by its market share. Particularly in competitive markets, efficiency plays a key role in determining this ability but it is not, by itself, sufficient. Indeed, while competitiveness has more to do with “pursuing the correct strategy” towards the conservation and/or increase of the market share, operational efficiency is mainly a measure of how well the firm, sub-sector or country under study processes inputs to achieve …