scholarly journals Design of the LAN Network of Hospital Comandante Manuel Piti Fajardo

2021 ◽  
pp. 88-98
Author(s):  
Yunet Gasca Su Suárez ◽  
◽  
◽  
Omar Mar Cornelio
Keyword(s):  
Health Services ◽  
Network Design ◽  
Design Methodology ◽  
Cost Benefit ◽  
Hospital Management ◽  
Health Institution ◽  
Minimal Time ◽  
The Matrix ◽  
Network Backbone ◽  
Complicated Task

The design of the network of a health institution is a complicated task due to all the aspects that it encompasses, to satisfy the consumption needs of digitized services, using minimal time and at the lowest possible cost. The Manuel Piti Fajardo Hospital, according to the scope of health services it provides, has a system for Hospital Management, the Galen Clinica. This system requires a well-structured network design, with the appropriate equipment that responds quickly and efficiently to the traffic generated in the network. In line with this objective, a cost-benefit study was carried out, after applying the LAN design methodology and calculating approximately the traffic generated on the network in the main departments of the hospital, whether it be the Matrix or the Unit. Surgical and Imaging. With this, the result was to locate the network backbone, and determine the network components that should be replaced according to the financial budget of the hospital, a better response to the requests made by users and according to the evolution of technologies. of information and communications.

Fatigue behavior of precipitation strengthened Cu–Ni–Si alloy modified by Cr and Zr addition

2020 ◽  
Vol 11 (6) ◽  
pp. 861-873
Author(s):  
Ş. Hakan Atapek ◽  
Spiros Pantelakis ◽  
Şeyda Polat ◽  
Apostolos Chamos ◽  
Gülşah Aktaş Çelik
Keyword(s):  
Design Methodology ◽  
Fatigue Behavior ◽  
Fatigue Tests ◽  
Lower Stress ◽  
Content Type ◽  
Hardened Alloy ◽  
Zr Addition ◽  
Nucleation Sites ◽  
The Matrix ◽  
Lower Stress Level

Purpose The purpose of this paper is to investigate the fatigue behavior of precipitation-strengthened Cu‒2.55Ni‒0.55Si alloy, modified by the addition of 0.25 Cr and 0.25 Zr (wt%), using mechanical and fractographical studies to reveal the effect of microstructural features on the fracture. Design/methodology/approach For strengthening, cast and hot forged alloy was subjected to solution annealing at 900°C for 60 min, followed by quenching in water and then aging at 490°C for 180 min. Precipitation-hardened alloy was exposed to fatigue tests at R=−1 and different stress levels. All fracture surfaces were examined within the frame of fractographical analysis. Findings Fine Ni-rich silicides responsible for the precipitation strengthening were observed within the matrix and their interactions with the dislocations at lower stress level resulted in localized shearing and fine striations. Although, by the addition of Cr and Zr, the matrix consisted of hard Ni, Zr-rich and Cr-rich silicides, these precipitates adversely affected the fatigue behavior acting as nucleation sites for cracks. Originality/value These findings contribute to the present knowledge by revealing the effect of microstructural features on the mechanical behavior of precipitation-hardened Cu‒Ni‒Si alloy modified by Cr and Zr addition.

scholarly journals Code-switching within the noun phrase: Evidence from three corpora

2017 ◽  
Vol 23 (2) ◽  
pp. 695-714 ◽  
Author(s):  
Maria Carmen Parafita Couto ◽  
Marianne Gullberg
Keyword(s):  
Linear Regression ◽  
Noun Phrase ◽  
Word Order ◽  
Design Methodology ◽  
Code Switching ◽  
Word Class ◽  
Statistical Software ◽  
Switching Patterns ◽  
The Matrix ◽  
Research Questions

Aims and objectives/purpose/research questions: This study aims to improve our understanding of common switching patterns by examining determiner–noun–adjective complexes in code-switching (CS) in three language pairs (Welsh–English, Spanish–English and Papiamento–Dutch). The languages differ in gender and noun–adjective word order in the noun phrase (NP): (a) Spanish, Welsh, and Dutch have gender; English and Papiamento do not; (b) Spanish, Welsh, and Papiamento prefer post-nominal adjectives; Dutch and English, prenominal ones. We test predictions on determiner language and adjective order derived from generativist accounts and the Matrix Language Frame (MLF) approach. Design/methodology/approach: We draw on three publicly available spoken corpora. For the purposes of these analyses, we re-coded all three datasets identically. From the three re-coded corpora we extracted all monolingual and mixed simplex NPs (DetN) and complex NPs with determiners (determiner–adjective–noun (DetAN/NA)). We then examined the surrounding clause for each to determine the matrix language based on the finite verb. Data and analysis: We analysed the data using a linear regression model in R statistical software to examine the distribution of languages across word class and word order in the corpora. Findings/conclusions: Overall, the generativist predictions are borne out regarding adjective positions but not determiners and the MLF accounts for more of the data. We explore extra-linguistic explanations for the patterns observed. Originality: The current study has provided new empirical data on nominal CS from language pairs not previously considered. Significance/implications: This study has revealed robust patterns across three corpora and taken a step towards disentangling two theoretical accounts. Overall, the findings highlight the importance of comparing multiple language pairs using similar coding.

Developing organizations: a system of enquiry, action and learning

2017 ◽  
Vol 31 (1) ◽  
pp. 12-14
Author(s):  
Wayne Graham
Keyword(s):  
Health Services ◽  
Small Business ◽  
Organizational Development ◽  
Design Methodology ◽  
Action Learning ◽  
Organizational Outcomes ◽  
Business Owners ◽  
Content Type ◽  
Business Practitioners ◽  
Practical Implications

Purpose This paper aims to demonstrate the applicability of an action learning model to improve organizational outcomes. Design/methodology/approach This paper extends previous work by applying the system of enquiry, action and learning (SEAL) model using an action research methodology to a small business operating in the health services industry. Findings The SEAL model is a useful approach to introduce small business practitioners to the principles of organizational development (OD). Research limitations/implications The application is limited to one small business, and subsequent studies could apply the model to more organizations that operate in industries other than health services. Practical implications Business owners from this study and previous studies have found the model to be useful in the improvement of organizational outcomes. Originality/value The SEAL model is a simplified model that introduces principles of OD and has provided value to the business owners of this study.

Maternal health services in China’s western rural areas: uptake and correlates

2016 ◽  
Vol 8 (2) ◽  
Author(s):  
Chengfang Liu ◽  
Linxiu Zhang ◽  
Yaojiang Shi ◽  
Huan ZHOU ◽  
Alexis Medina ◽  
...  
Keyword(s):  
Public Health ◽  
Maternal Health ◽  
Health Services ◽  
Health Systems ◽  
Uptake Rate ◽  
Rural Areas ◽  
Design Methodology ◽  
Maternal Health Services ◽  
Western China ◽  
Public Health Systems

Purpose Many public health systems have struggled with the dual questions of (1) why the uptake rate of maternal health services is low among some subpopulations; and (2) how to raise it. The objective of this study is to assess the uptake rate of a new set of maternal health services in poor rural areas of China. Design/methodology/approach The analysis is based on the survey responses of women’s representatives and village cadres from almost 1000 villages in June 2012 as part of a wide-scale public health survey in Sichuan, Gansu and Yunnan provinces in the western part of China. Findings We find that the uptake rate of maternal health services (including in-hospital delivery, antenatal care visits and post-partum care visits) in poor rural areas of western China are far below average in China, and that the rates vary across provinces and ethnic groups. Our analyses demonstrate that distance, income, ethnicity and availability appear to be systematically correlated with low uptake rates of all maternal health services. Demand-side factors seem to be by far the most important sources of the differences between subpopulations. We also find that there is potential for creating a Conditional Cash Transfer program to improve the usage of maternal health services. Originality/value We believe that our results will contribute positively to the exploration of answers to the dual questions that many public health systems have struggled with (1) why the uptake rate of maternal health services is low among some subpopulations; and (2) how to raise it.

A day in the life of a peer support worker: re-entry

2016 ◽  
Vol 20 (3) ◽  
pp. 149-152
Author(s):  
Emma Watson
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Peer Support ◽  
Design Methodology ◽  
Narrative Approach ◽  
Personal Recovery ◽  
Support Worker ◽  
Content Type ◽  
Returning To Work

Purpose – The purpose of this paper is to share the experiences and reflections of a peer support worker over the course of a day working in mental health services. Design/methodology/approach – A narrative approach has been taken to structure reflections based on the experience of returning to work after taking sick leave. Findings – Reflections are offered based on the process of returning to work and the way that this experience sheds light on personal recovery. Originality/value – This paper adds to the small number of accounts of the experiences of peer support working in mental health services and as such is highly original.

Service quality function deployment by the C-shaped QFD 3D matrix

2018 ◽  
Vol 25 (9) ◽  
pp. 3386-3405 ◽  
Author(s):  
Maryam Hassani ◽  
Arash Shahin ◽  
Manouchehr Kheradmandnia
Keyword(s):  
Quality Function Deployment ◽  
Design Methodology ◽  
Three Dimensional ◽  
Two Dimensional ◽  
Customer Requirements ◽  
Content Type ◽  
Process Characteristics ◽  
The Matrix ◽  
3D Matrix ◽  
Simultaneous Comparison

Purpose The purpose of this paper is to examine the application of C-shaped QFD 3D Matrix in comparing process characteristics (PC), performance aspects (PA) and customer requirements, simultaneously and to prioritize the first two sets, respectively. Design/methodology/approach A three dimensional matrix has been developed with three sets of PC, PA and customers’ requirements and C-shaped matrix has been applied for simultaneous comparison of the dimensions and prioritization of the subsets of PC and PA. The proposed approach has been examined in a post bank. Findings Findings confirm the possibility of simultaneous comparison and prioritization of the three sets of dimensions of this study in post bank services. In addition, “growth and learning” and “bilateral relationship with suppliers” had the first priorities among PA and PC, respectively. Research limitations/implications While the proposed approach has many advantages, filling the matrixes is time-consuming. Since illustrating the 3D matrix was not possible, the matrix was separated into five two-dimensional matrixes. Originality/value Compared to the studied literature, the proposed approach is practically new in the post bank services.

scholarly journals Comparison of thromboprophylaxis patterns in arthroplasty in public and private hospitals

2015 ◽  
Vol 13 (3) ◽  
pp. 410-416
Author(s):  
Aline Pinheiro dos Santos Cortada ◽  
Telma Gomes da Silva ◽  
André Campos da Silva ◽  
Ricardo Prado Golmia ◽  
Renata Leborato Guerra ◽  
...  
Keyword(s):  
Venous Thromboembolism ◽  
Health Services ◽  
Hip Replacement ◽  
Descriptive Analysis ◽  
Cost Benefit ◽  
Thromboembolism Prophylaxis ◽  
Private Hospitals ◽  
Public And Private ◽  
Total Cost ◽  
Private Organization

Objective To compare therapy for prophylaxis of venous thromboembolism and costs related to hospitalization of patients undergoing total knee and hip replacement within the context of the Brazilian health system.Methods A retrospective study of patients undergoing arthroplasty in 2010 in a public hospital and two private hospitals in the state of São Paulo, conducted by means of medical record review. Costs were estimated based on the use of health care resources during hospitalization. A descriptive analysis was performed using frequency and mean (standard deviation) according to the type of care delivered (by public or private organization).Results A total of 215 patients were evaluated, and 56.3% were submitted to knee surgery and 43.7%, to hip replacement. Approximately 88% and 98% of patients from public and private health services, respectively, received some form of venous thromboembolism prophylaxis, and enoxaparin was the drug most widely used in both systems. The total cost of prophylaxis was R$ 1,873.01 (R$ 26.38 per patient) in the public service and R$ 21,559.73 (R$ 163.33 per patient) in the private service. For the individuals who presented with thromboembolism, the average cost of hospitalization was R$ 6,210.80 and R$ 43,792.59 per patient in public and private health services, respectively.Conclusion Thromboembolism prophylaxis in patients undergoing arthroplasty is most commonly used in the private health services than public organizations, despite its high costs in both services. The cost per patient with thrombosis during hospitalization was higher than the total cost of prophylaxis, suggesting that prevention is associated to better cost-benefit ratio.

scholarly journals The Comprehensive Quality in Health Services by Using Six Sigma

2019 ◽  
Vol 7 (9) ◽  
pp. 83-103
Author(s):  
Amal Yassin
Keyword(s):  
Health Services ◽  
Six Sigma ◽  
Practical Importance ◽  
Hospital Management ◽  
Public Hospitals ◽  
Total Quality ◽  
Government Hospitals ◽  
Intermediate Degree ◽  
High Degree

Abstract The study aimed to know the overall quality of the concept and its importance in providing high-quality health services and the availability of the key factors in the application and services and to take administrative factors, technical and human and financial, which may contribute to the raise if directed properly and have an adult in improving the quality of health services impact. Based on the nature of the study and the objectives it seeks, the analytical descriptive approach was used. It was based on the study of the phenomenon as it exists in reality and it is treated as a precise description and expressed in qualitative and quantitative terms. To analyze the analytical aspects of the research subject and then collect the initial data through the questionnaire as a main tool for research, designed specifically for this purpose, and distributed to government hospitals in Khartoum State, and included the study community department managers and patients in government hospitals in Khartoum state. A random sample was collected (300) department managers and patients from the Khartoum government hospitals. Each individual has the opportunity to be a member of the study sample during the year 2016. The study concluded with a number of results, the most important of which is that the hospital management has the material potential (furniture, equipment, ...) to use the Six Sigma curriculum with an intermediate degree. The hospital management is ready to use the Six Sigma curriculum to a high degree. Six Sigma In the middle level, the hospital management is keen to train the heads of departments to form teams for the process of continuous improvement to a high degree, the hospital administration is continuously improving the purpose of reducing the deviations and errors that occur, the hospital management is ready to provide an information system Its data continuously At, there is the management of the hospital readiness to provide direct contact with an intermediate degree of quality coaches tuning software system. The study presented a number of recommendations, the most important of which is linking the promotion system in the public hospitals in Khartoum state with the quality control program, paying attention to the overall quality and stressing the possibility of using it in hospitals in Khartoum State because of its scientific and practical importance and improving the quality of the services and the operations provided. Keywords: total quality management, health services, competitiveness, sigma six

A Lego-based Neural Network Design Methodology with Flexible NoC

2021 ◽  
pp. 1-1
Author(s):  
Kun-Chih Chen ◽  
Cheng-Kang Tsai ◽  
Yi-Sheng Liao ◽  
Han-Bo Xu ◽  
Masoumeh Ebrahimi
Keyword(s):  
Neural Network ◽  
Network Design ◽  
Design Methodology

Research watch: what really helps recovery in relation to severe mental health difficulties?

2020 ◽  
Vol 24 (1) ◽  
pp. 6-12
Author(s):  
Sue Holttum
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Design Methodology ◽  
Support Service ◽  
Health Condition ◽  
Service Users ◽  
Content Type ◽  
Inpatient Settings ◽  
Mental Health Difficulties

Purpose The purpose of this paper is to examine three recent papers on mental health services and how they support recovery following a diagnosis of a severe mental health condition. Design/methodology/approach A search was carried out for recent papers on mental health and recovery. The author selected three papers that seemed to advance understanding of not only whether, but also how recovery of a meaningful life may be best supported in mental health services. Findings One paper suggested how staff were able to support service users’ personal goals and focus on recovery in acute inpatient settings, and what got in the way. The author suggests practical ways to address the barriers. A second paper reported the testing of a new model for supporting staff in primary and secondary care to work together so that service users with a diagnosis of bipolar or schizophrenia were better supported to work towards valued goals. A third paper reviewed 40 studies of how people can experience positive change after a first diagnosis of psychosis, and how change happened. Originality/value By studying the issues in detail, all three papers show how improved support for recovery and inclusion can be implemented against the backdrop of many years of service shortcomings.

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