Search results for "Operative"

Les motivations des administrateurs des coopératives : une question de gouvernance revisitée par les approches de la proximité

2016

National audience; Comprendre les motivations des acteurs de gouvernance peut contribuer à favoriser la réussite et la pérennité de l’entreprise. L’article s’intéresse aux motivations des administrateurs pour mieux appréhender ce qui les incite à exercer pleinement leur rôle et à s’impliquer pour contribuer à l’atteinte des objectifs de la société. L’étude porte sur un type spécifique d’organisation, les coopératives, dont l’engagement des membres est souvent cité comme particulièrement fort. Les approches de la proximité sont mobilisées pour analyser les quatre principales motivations identifiées chez les administrateurs des coopératives : l’envie d’accroître leurs compétences, celle de dé…

Management accounting: effect on key factors of competitive success in the cooperative sector

2020

Las cooperativas cobran cada vez más relevancia por su participación en el mercado y para ser competitivas, sus directivos deben sortear las exigencias de entornos dinámicos, tomando decisiones a partir de información extensa, ambigua y cambiante. Por otro lado, se entiende a la contabilidad de gestión como la herramienta que apoya a la gerencia en este proceso, sin embargo, en la literatura no existe claridad sobre su contribución a la competitividad. En consecuencia, el objetivo es explicar la incidencia de las dimensiones de la contabilidad de gestión en los factores clave del éxito competitivo de las cooperativas multiactivas. Para ello, se desarrolla una investigación de enfoque cuanti…

Renal Transplantation by Automatic Anastomotic Device in a Porcine Model

2015

Automatic vascular staplers for vascular anastomoses in kidney transplantation may dramatically reduce the operative time and, in particular, warm ischemia time, thus increasing the outcome of transplantation. Ten pigs underwent kidney auto-transplantation by automatic anastomotic device. Kidneys were collected by laparotomy with selective ligations at the renal hilum and perfused with cold storage solution. To overcome the shortage in length of renal hilum, a tract of the internal jugular vein was harvested to increase the length of the vessels. The anastomoses were totally performed by the use of the anastomotic device. On 10 kidney transplants, nine were successful and no complications o…

Hroniska pankreatīta ķirurģiskās ārstēšanas rezultāti: sešu gadu pieredze Rīgas Austrumu klīniskās universitātes slimnīcas, stacionārā "Gaiļezers"

2022

Ievads. Hronisks pankreatīts (HP) ir progresējoša iekaisuma slimība aizkuņģa dziedzerī, kas rada neatgriezenisku dziedzera audu atrofiju un fibrozi. Tas pakāpeniski rada eksokrīnu un endokrīnu aizkuņģa dziedzera mazspēju. Slimībai progresējot, pastiprinoties sāpju sindromam, aizkuņģa dziedzerī attīstās arī lokālas komplikācijas. Iepriekšminētais rada indikācijas ķirurģiskai ārstēšanai. Iespējamo operāciju veidi iedalās divās grupās: rezecējošas un drenējošas. Kopumā aizkuņģa dziedzera operācijas ir tehniski izaicinošas un augsti invazīvas, līdz ar to asociējas ar nozīmīgu pēcoperācijas komplikāciju risku (53,3 %). Darba mērķis. Retrospektīvi noskaidrot ķirurģiskās ārstēšanas veidus un intra…

Towards Implementation of OMOP in a German University Hospital Consortium

2018

Background In 2015, the German Federal Ministry of Education and Research initiated a large data integration and data sharing research initiative to improve the reuse of data from patient care and translational research. The Observational Medical Outcomes Partnership (OMOP) common data model and the Observational Health Data Sciences and Informatics (OHDSI) tools could be used as a core element in this initiative for harmonizing the terminologies used as well as facilitating the federation of research analyses across institutions. Objective To realize an OMOP/OHDSI-based pilot implementation within a consortium of eight German university hospitals, evaluate the applicability to support dat…

Coauthorship and institutional collaborations on cost-effectiveness analyses: a systematic network analysis

2012

BackgroundCost-Effectiveness Analysis (CEA) has been promoted as an important research methodology for determining the efficiency of healthcare technology and guiding medical decision-making. Our aim was to characterize the collaborative patterns of CEA conducted over the past two decades in Spain.Methods and findingsA systematic analysis was carried out with the information obtained through an updated comprehensive literature review and from reports of health technology assessment agencies. We identified CEAs with outcomes expressed as a time-based summary measure of population health (e.g. quality-adjusted life-years or disability-adjusted life-years), conducted in Spain and published bet…

Educational Application Design Process Experiences : Case Perioperative Nursing

2014

From an educational point of view, the only relevant basis for the design of an educational application is the learning objectives of the content area. In the development process of an educational application, there are also other people involved besides educational experts. This paper describes a project which primarily aims at developing an application for the needs of enhancing perioperative nursing skills’. Besides application development, the project included research about the process. The research task was to discover how the real – not only the formal – objectives could work as the starting point for the construction of an educational game-like application. This paper presents the s…

Diaries at work

1998

3. Vispārējam Kooperatīvu Pārstāvju Kongresam iesniegtās tēzes, 1926. g. 20. un 21. martā

1926

Robust control in uncertain multi-inventory systems and consensus problems

2008

Abstract We consider a continuous time linear multi–inventory system with unknown demands bounded within ellipsoids and controls bounded within polytopes. We address the problem of ∈-stabilizing the inventory since this implies some reduction of the inventory costs. The main results are certain conditions under which ∈-stabilizability is possible through a saturated linear state feedback control. The idea of this approach is similar to the consensus problem solution for a network of continuous time dynamic agents, where each agent evolves according to a first order dynamics has bounded control and it is subject to unknown but bounded disturbances. In this context, we derive conditions under…