1,721,005 research outputs found
Hospital disaster management : optimization of critical resources
No full textSelon le rapport annuel de la croix rouge et du croissant rouge pour l’année 2006, le nombre de catastrophes, d’origine naturelle et humaine, a augmenté ces dernières décennies dans des proportions importantes. Ces catastrophes engendrent souvent un nombre de victimes important nécessitant des interventions urgentes. Face à une telle situation, les moyens sanitaires classiques et de routines se trouvent souvent dépassés, et par conséquent inefficaces pour absorber cet afflux massif de victimes. Ainsi, la mise en œuvre d’un système de gestion hospitalier conditionné par une optimisation des différentes ressources médicales est indispensable pour sauver le maximum de vies humaines. Dans ce contexte, nous proposons dans cette thèse, d’étudier le problème d’optimisation des ressources humaines et matérielles critiques à savoir, les chirurgiens et les salles opératoires en situation de crise. L’objectif est de traiter le maximum de victimes, autrement dit sauver le maximum de vies humaines. Notre étude comprend deux niveaux : (1) un niveau préparatoire qui consiste à dimensionner les ressources dans le cadre des exercices de simulation du plan blanc, et (2) un niveau opérationnel permettant d’optimiser l’ordonnancement des interventions dans les salles opératoires. Aussi, nous étudions l’impact de la mutualisation des ressources sur le nombre de victimes traitées. L’un des défis posés à la programmation opératoire en situation d’exception est l’aptitude à faire face aux perturbations. Dans ce cadre, nous abordons le problème réactif d’optimisation de l’ordonnancement des interventions dans les salles opératoires. Nous considérons diverses perturbations possibles telles : une durée opératoire qui dépasse la durée estimée, l’insertion d’une nouvelle victime dans le programme opératoire, et l’évolution du degré d’urgence d’une victime. Cette thèse est menée avec la collaboration de plusieurs structures sanitaires publiques en France et en Tunisie. Les résultats expérimentaux mettent en exergue l’apport de ces approches pour l’aide à la décision.Disaster like terrorist attack, earthquake, and hurricane, often cause a high degree of damage. Thousands of people might be affected. The 2006’s annual report of the International Federation of Red Cross and Red Crescent Societies proves that the number of disasters increased during these last decades. In such situations, hospitals must be able to receive injured persons for medical and surgical treatments. For these reasons medical resources optimization of different is fundamental in human life save.In this context, we propose in this thesis, to study the optimization of human and material resources in relation with hospital management. We focus more precisely on critical resources: operating rooms and surgeons. The goal is to handle the maximum of victims and then to save the maximum of human lives. Our research consists of two phases: (1) Sizing critical resources during the preparedness phase of disaster management plan so called white plan. (2) Operational phase that provides the optimization of surgical acts scheduling in the operating rooms. Also, we study the impact of sharing resources on the number of treated victims. A disaster situation is characterized by different disruptions. In this setting, we approach a reactive problem for optimization of surgical acts scheduling in the operating rooms. We consider various possible disruptions: the overflow of assessed surgical care duration, the insertion of a new victim in the scheduling program, and the evolution of victim’s emergency level.This work is achieved with the collaboration of several public health institutions (hospitals, ministry, etc.) both in France and Tunisia. Empirical study shows that a substantial aid is proposed by using the proposed approaches
Analyse de la coordination des acteurs via les flux décisionnels vers une meilleure prise en charge des personnes âgées vulnérables dans le cadre du maintien à domicile (MAD)
No full textInternational audienc
Gestion hospitalière en situation d'exception (optimisation des ressources critiques)
No full textSelon le rapport annuel de la croix rouge et du croissant rouge pour l année 2006, le nombre de catastrophes, d origine naturelle et humaine, a augmenté ces dernières décennies dans des proportions importantes. Ces catastrophes engendrent souvent un nombre de victimes important nécessitant des interventions urgentes. Face à une telle situation, les moyens sanitaires classiques et de routines se trouvent souvent dépassés, et par conséquent inefficaces pour absorber cet afflux massif de victimes. Ainsi, la mise en œuvre d un système de gestion hospitalier conditionné par une optimisation des différentes ressources médicales est indispensable pour sauver le maximum de vies humaines. Dans ce contexte, nous proposons dans cette thèse, d étudier le problème d optimisation des ressources humaines et matérielles critiques à savoir, les chirurgiens et les salles opératoires en situation de crise. L objectif est de traiter le maximum de victimes, autrement dit sauver le maximum de vies humaines. Notre étude comprend deux niveaux : (1) un niveau préparatoire qui consiste à dimensionner les ressources dans le cadre des exercices de simulation du plan blanc, et (2) un niveau opérationnel permettant d optimiser l ordonnancement des interventions dans les salles opératoires. Aussi, nous étudions l impact de la mutualisation des ressources sur le nombre de victimes traitées. L un des défis posés à la programmation opératoire en situation d exception est l aptitude à faire face aux perturbations. Dans ce cadre, nous abordons le problème réactif d optimisation de l ordonnancement des interventions dans les salles opératoires. Nous considérons diverses perturbations possibles telles : une durée opératoire qui dépasse la durée estimée, l insertion d une nouvelle victime dans le programme opératoire, et l évolution du degré d urgence d une victime. Cette thèse est menée avec la collaboration de plusieurs structures sanitaires publiques en France et en Tunisie. Les résultats expérimentaux mettent en exergue l apport de ces approches pour l aide à la décision.Disaster like terrorist attack, earthquake, and hurricane, often cause a high degree of damage. Thousands of people might be affected. The 2006 s annual report of the International Federation of Red Cross and Red Crescent Societies proves that the number of disasters increased during these last decades. In such situations, hospitals must be able to receive injured persons for medical and surgical treatments. For these reasons medical resources optimization of different is fundamental in human life save.In this context, we propose in this thesis, to study the optimization of human and material resources in relation with hospital management. We focus more precisely on critical resources: operating rooms and surgeons. The goal is to handle the maximum of victims and then to save the maximum of human lives. Our research consists of two phases: (1) Sizing critical resources during the preparedness phase of disaster management plan so called white plan. (2) Operational phase that provides the optimization of surgical acts scheduling in the operating rooms. Also, we study the impact of sharing resources on the number of treated victims. A disaster situation is characterized by different disruptions. In this setting, we approach a reactive problem for optimization of surgical acts scheduling in the operating rooms. We consider various possible disruptions: the overflow of assessed surgical care duration, the insertion of a new victim in the scheduling program, and the evolution of victim s emergency level.This work is achieved with the collaboration of several public health institutions (hospitals, ministry, etc.) both in France and Tunisia. Empirical study shows that a substantial aid is proposed by using the proposed approaches.ARRAS-Bib.electronique (620419901) / SudocSudocFranceF
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Full text linkWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
Full text linkWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
koamabayili/VECTRON-author-checklist: VECTRON author checklist
No full textWe have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used
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