29 research outputs found
Schizotypy in community samples: The three-factor structure and correlation with sustained attention
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The Taipei adolescent twin/sibling study on behavioral problems, personality features, and cognitive function.
No full textDiagnosis of zygosity by questionnaire and polymarker polymerase chain reaction in young twins
No full textA twin study of Competence and Behavioral/emotional Problems among adolescents in Taiwan.
No full textPerformance on the Wisconsin Card Sorting Test among adolescents in Taiwan: norms, factorial structure, and relation to schizotypy
No full textOperating Strategy, Growth and Innovation of Medical Institutions – A Case Study of ChangHua Christian Healthcare System
No full text 近年來面臨內外部環境的衝擊，彰化基督教醫療體系在眾多醫療機構中，以醫療經營管理的工具與方法，領導醫療管理專業以及成長策略之典範，以維持醫療機構的醫療品質與永續經營。 本研究採用個案研究分析法，以彰化基督教醫療體系為主要研究個案，並以美國梅約醫學中心(Mayo Clinic)作為個案對照，兩個個案機構之發展背景與組織文化方面有相同點，但也因規模與優勢的相異，而有不同的策略發展，值得作為本研究針對彰基個案研究進行對照。 本研究綜合比較彰化基督教醫療體系與梅約醫學中心在組織文化、領導、董事會治理結構、成長策略與創新、醫療策略管理與財務績效等各構面之相同點與特性，同時也介紹郭守仁院長的利他主義行為（包含僕人式領導與轉型領導之特質），凸顯組織文化與領導對組織成長策略與管理之影響。 研究結果發現：彰基以創業育成之觀點，吸引不同合作夥伴共同開發新市場，以醫務管理知識與彰基品牌為優勢，創造培訓輔導、財務投資與多角化經營等營收模式。梅約醫學中心憑藉醫療技術與實務的優勢，以合作的模式增加病患的接觸率，透過技術研發合作與授權，增加與人才交流合作的機會，創造技術移轉收入與專利權收入的營收模式。 研究結論與管理意涵係以組織文化為延伸，反映彰化基督教醫療體系與梅約醫學中心在營運策略與成長創新之特色，包含：組織文化對組織成長擴張策略與財務績效的影響、領導特質對重新展現組織文化的影響、董事會治理結構對於信仰使命與世俗化求生存的決策影響、軟實力（知識、資訊與文化精神）為成長與創新的基礎、組織文化對於醫療策略管理與財務策略的影響。 本研究以創新個案分析架構，探討個案機構之組織文化、領導、董事會治理結構、成長策略與創新、醫療策略管理以及財務績效，同時對照美國梅約醫學中心之案例，以歸納及演繹法而得出結論與管理意涵，以期作為其他醫療機構或產業在永續經營的學習典範。在個案研究方法的限制下，建議未來研究可針對國內醫療機構作為對照個案機構以及長期縱貫的研究設計。In recent years, when facing the impact of internal and external environment, Changhua Christian Healthcare System (C.C.H.) has utilized many management tools to improve quality of medical care and sustainable development. In this study, case study analysis is used on the C.C.H., the main case study, and the US Mayo Clinic, the comparison case. Though both cases have similar characteristics on cultural background and organizational development, their different scales and advantages lead to varied development strategies. In this study, a comprehensive comparison of C.C.H. with Mayo Clinic in terms of each facet of organizational culture, leadership, structure of board governance, growth strategy and innovation, strategy management in healthcare systems and financial performance, etc. At the same, the altruism behavior (including characteristics of servant leadership and transformation leadership) of Superintendent, Dr. Shou-Jen, Guo, is described, highlighting the impact of organizational culture and leadership to the growth strategy and management. The findings are that: with the view of incubation, C.C.H. attracts different partners to develop new markets. Based on the knowledge of medical management and advantage of brand superiority, C.C.H. creates revenue model of mentoring, financial investment and diversification. On the other hand, using the advantage of medical technology and practice, Mayo Clinic increases the contact rate of patients in a cooperative mode and enhances the opportunity of talent exchange and development via cooperation and authorization of R&D. In this way, the revenue generated from technology transfer and patent fee are expected. Conclusions and implications are based on organizational culture as an extension to reflect the characteristics of operating strategy, growth and innovation of Mayo Clinic and C.C.H.. This includes the impact of organizational culture on organizational growth strategy and financial performance, the impact of characteristics of leadership on re-demonstration of organizational culture, the impact of board governance structure on the strategy making between mission and survival, soft power (ex. knowledge, information and cultural spirit) as a foundation for growth and innovation, influence of organizational culture on strategy management in healthcare system and financial strategy. Innovative case study approach is taken to investigate the organizational culture, leadership, the board governance structure, growth strategy and innovation, strategy management, and financial performance of C.C.H, with comparison to the case of the US Mayo Clinic. Under the method of induction and deduction, it derived conclusion and management implications, which are expected as a model to other medical institutions and other industries. With the limitation of case study method, to take domestic medical institutions as comparison case and to design a long-term longitudinal case study for future research are suggested
The Connaraceae : a taxonomic study with special emphasis on Africa
Full text linkC. C. H. JongkindIn the general part of this work the author of this thesis treats the leaves, flowers and fruits of Connaraceae. Additional chapters reflect upon the phylogeny of the genus Rourea , the phytochemistry of the family, and the relationship of Connaraceae with other families.In the taxonomic part a description of the family is presented together with keys to the genera. A revision of the genera Agelaea , Manotes , and Rourea is presented with special emphasis on Africa, including descriptions of the genera and differential keys to the species.In the revision of the genus Agelaea six species are recognized including the Asiatic species.Manotes is only found in Africa and comprises five species.The genus Rourea is revised for Africa only, twelve species are recognized for this area. The American and Asiatic species are studied but not revised. New combinations are made for American and Asiatic species that are transferred to this genus. The American species are classified into clusters. In this work Rourea also includes Bernardinia , Byrsocarpus , Jaundea , Roureopsis , Santaloidella , Santaloides , Spiropetalum , and Paxia , formely recognized as separate genera.The treatment of the African species comprises full synonymy, literature, diagnosis, a distribution map, and ecological notes. In most cases an illustration is presented as well.The author studied and collected most species of Agelaea , Manotes , and Rourea on location in the rain forest in Gabon.R. H. M. J. LemmensIn the general part of this work the author of this thesis treats the geography, habit, morphology of stems and branches, and inflorescences of Connaraceae. The phenomenon of heterostyly, its expression and evolutionary developments are dealt with in a separate chapter. Additional chapters reflect upon the phylogeny of the genera within the family and on mutual relations of the species in the genus Cnestis. The, author has assembled what is known about the pollen morphology, and provides supplementary original information.In the taxonomic part a revision of the genera Cnestis , Connarus , and Ellipanthus is presented, with special emphasis on Africa, including descriptions of the genera and differential keys to the species. Additional keys are presented for plants that are either exclusively flowering or fruiting.In the genus Cnestis 13 species are recognized, including the Asiatic C.palala and two new species, C.bomiensis and C. uncata. Compared to Schellenberg's monograph on Connaraceae (1938) the number of species is extensively reduced.Connarus comprises seven species in Africa, including the new species C.gabonensis , while Ellipanthus has two African species, of which one was collected only once on Madagascar.The treatment of each species comprises its full synonymy, literature, diagnosis, an illustration, a distribution map, and ecological and botanical notes.The author studied and collected five species of Cnestis, and two species of Connarus on location in the rain forest in Gabon
Falencia multiplas de orgaos. Avaliacao critica da experiencia pessoal em dois periodos de dez anos
No full textDid M.O.F. of the seventies occur in subsequent years in I.C.U? Are they peculiar to surgical and post-traumatic patients? Are they frequent in non-surgical or non-traumatic patients in the seventies, eighties and nineties? The author studied the incidence and prevalence of M.O.F. in two different periods, 1966 to 1975, 1981 to 1990, in two I.C.U. of his own direction. The first in C.C.H. and the second in S.C.H. In the first one, critical patients, predominantly medical were studied, in the second, critical surgical, medical and high-risk patients. In C.C.H. 715 patients, 477 with R.F. and 238 with A.R.F. as initial insults were studied. The patients of the first group included 147 A.T., 76 N.B.T., 40 G.B., 30 N., 52 C.N.S.I., 42 C.O.D., 28 P., 22 L.T., 22 B.A., 27 T.T.. The A.R.F. cases included 59 G.N., 41 O.N., 41 G.L.N., 52 T.N., 45 P.S.N.. In the second period of the 4420 admitted to the I.C.U. the great majority prophilatically post-surgery, factors associated with survival were studied in 763, 473 critical and 289 high-risk. In the whole 343 were surgical and 419 medical. Global mortality for R.F., C.C.H. patients was 41,6%. The incidence of failures in 2,3,4, and more organs occurred in 257 patients. Mortality was: in 166 patients with 2 O.F. 74, in 69 with 3-44; in 22 with 4 or more- 19. In A.R.F. with global mortality of 46,2% in 56 with 2 O.F., 36 survived; in 59 with 3,18; in 15 with 4-2. All the patients with R.F. were studied retrospectively with APACHA and TISS in C.C.H.. The A.R.F. patients were not studied with these methods. The statistical results obtained with discriminant analysis and logistic regression entering with M.O.F. were better than those achieved with APACHE and TISS. In S.C.H., of the 4420 patients, 618 died, 57% of them with one O.F. and 43% with M.O.F. The failures in deceased patients were R.F. in 61,6% C.V.F. 52,3%; A.R.F. 34,5%; sepsis 18,8%; C.N.S. 14,3%; liver 10,2%; blood 5,7%. In 343 surgical and in 419 medical, 455 had A.R.F., 56 of them being high-risk patients. The mortality of medical cases with A.R.F. was 21,8% and of surgical ones 16,1%. In high-risk patients, R.F. occurred in 105,40 had one O.F.; 107 two or more and 41 none. In the M.O.F. patients mortality was 50%. In C.T.R.F. in high medical or surgical risk, the highest mortality was associated with hemorragic and respiratory insults. In 289 high-risk patients APACHE and TISS were prospectivelly applied. Th O.F. mortality in both hospitals was much lower than the mortality in M.O.F. patients. Mortality associated with M.O.F. in patients with a prevous O.F. varied with the new insults. Cardiac insults associated with R.F. in C.C.H. had a mortality of 57,6% and with A.R.F. of 73,3%. Logistic regression showed the importance of each individual insult. In A.R.F., in both hospitals cardiac, septic, respiratory and digestive were the most severe. In C.C.H. the largest mortality in R.F. occurred in the first 4 days; in A.R.F, in the first 15 and only 50% survived at the end of 60 days. In S.C.H. the mortality was more distributed in time, declining slowly in A.R.F. to 35% in 150 days. In high-risk patients in S.C.H. it fell down in pleteau till 50 days. In the patients of this group, 25 occupied half of the internment days and had the highest mortality Besides the type of the insults, the ethiology of the initial process and age were of high importance. These factors may contribute to the development of M.O.F. in a population of the eighties and nineties with characteristics different from the sixties, namely in high-risk patientsAvailable from Fundacao para a Ciencia e a Tecnologia, Servico de Informacao e Documentacao, Av. D. Carlos I, 126, 1200 Lisboa / FCT - Fundação para o Ciência e a TecnologiaSIGLEPTPortuga
Justicia jamisonii Jongkind & Vollesen (Acanthaceae), a new species from Guinée, Côte d'Ivoire and Kenya
No full textA new species, Justicia jamisonii is described and illustrated. It resembles Rungia paxiana but has a much narrower membranous margin on the inflorescence bracts and the corolla is hairy on the outside. The species has an extraordinary geographical distribution, it is only known from Guinée and Côte d’Ivoire in the west and Kenya in the east, two areas separated by a c. 4,700 km gap. It is described here in Justicia because the genus Rungia will soon be united with the older genus Justicia by the second author
