Horizontal Grid Size Selection and its Influence on Mesoscale Model Simulations

The use of two-dimensional spectral analysis applied to terrain heights in order to determine characteristic terrain spatial scales and its subsequent use for the objective definition of an adequate grid size required to resolve terrain forcing are presented in this paper. In order to illustrate the influence of grid size, atmospheric flow in a complex terrain area of the Spanish east coast is simulated by the Regional Atmospheric Modeling System (RAMS) mesoscale numerical model using different horizontal grid resolutions. In this area, a grid size of 2 km is required to account for 95% of terrain variance. Comparison among results of the different simulations shows that, although the main wind behavior does not change dramatically, some small-scale features appear when using a resolution of 2 km or finer. Horizontal flow pattern differences are significant both in the nighttime, when terrain forcing is more relevant, and in the daytime, when thermal forcing is dominant. Vertical structures also are investigated, and results show that vertical advection is influenced highly by the horizontal grid size during the daytime period. The turbulent kinetic energy and potential temperature vertical cross sections show substantial differences in the structure of the planetary boundary layer for each model configuration

Impact of maternity care policy in Catalonia: a retrospective cross-sectional study of service delivery in public and private hospitals

Background: As a result of the growing number of interventions that are now performed in the context of maternity care, health authorities have begun to examine the possible repercussions for service provision and for maternal and neonatal health. In Spain the Strategy Paper on Normal Childbirth was published in 2008, and since then the authorities in Catalonia have sought to implement its recommendations. This paper reviews the current provision of maternity care in Catalonia. Methods: This was a descriptive study. Hospitals were grouped according to their source of funding (public or private) and were stratified (across four strata) on the basis of the annual number of births recorded within their respective maternity service. Data regarding the distribution of obstetric professionals were taken from an official government survey of hospitals published in 2010. The data on obstetric interventions (caesarean, use of forceps, vacuum or non-specified instruments) performed in 2007, 2010 and 2012 were obtained by consulting discharge records of 44 public and 20 private hospitals, which together provide care in 98% of all births in Catalonia. Proportions and confidence intervals were calculated for each intervention performed in all full-term (3742 weeks) singleton births. Results: Analysis of staff profiles according to the stratification of hospitals showed that almost all the hospitals had more obstetricians than midwives among their maternity care staff. Public hospitals performed fewer caesareans [range between 19.20% (CI 18.84-19.55) and 28.14% (CI 27.73-28.54)] than did private hospitals [range between 32.21% (CI 31.78-32.63) and 39.43% (CI 38.98-39.87)]. The use of forceps has decreased in public hospitals. The use of a vacuum extractor has increased and is more common in private hospitals. Conclusions: Caesarean section is the most common obstetric intervention performed during full-term singleton births in Catalonia. The observed trend is stable in the group of public hospitals, but shows signs of a rise among private institutions. The number of caesareans performed in accredited public hospitals covers a limited range with a stable trend. Among public hospitals the highest rate of caesareans is found in non-accredited hospitals with a lower annual number of births.

Impact of maternity care policy in Catalonia: a retrospective cross-sectional study of service delivery in public and private hospitals

Background: As a result of the growing number of interventions that are now performed in the context of maternity care, health authorities have begun to examine the possible repercussions for service provision and for maternal and neonatal health. In Spain the Strategy Paper on Normal Childbirth was published in 2008, and since then the authorities in Catalonia have sought to implement its recommendations. This paper reviews the current provision of maternity care in Catalonia. Methods: This was a descriptive study. Hospitals were grouped according to their source of funding (public or private) and were stratified (across four strata) on the basis of the annual number of births recorded within their respective maternity service. Data regarding the distribution of obstetric professionals were taken from an official government survey of hospitals published in 2010. The data on obstetric interventions (caesarean, use of forceps, vacuum or non-specified instruments) performed in 2007, 2010 and 2012 were obtained by consulting discharge records of 44 public and 20 private hospitals, which together provide care in 98% of all births in Catalonia. Proportions and confidence intervals were calculated for each intervention performed in all full-term (3742 weeks) singleton births. Results: Analysis of staff profiles according to the stratification of hospitals showed that almost all the hospitals had more obstetricians than midwives among their maternity care staff. Public hospitals performed fewer caesareans [range between 19.20% (CI 18.84-19.55) and 28.14% (CI 27.73-28.54)] than did private hospitals [range between 32.21% (CI 31.78-32.63) and 39.43% (CI 38.98-39.87)]. The use of forceps has decreased in public hospitals. The use of a vacuum extractor has increased and is more common in private hospitals. Conclusions: Caesarean section is the most common obstetric intervention performed during full-term singleton births in Catalonia. The observed trend is stable in the group of public hospitals, but shows signs of a rise among private institutions. The number of caesareans performed in accredited public hospitals covers a limited range with a stable trend. Among public hospitals the highest rate of caesareans is found in non-accredited hospitals with a lower annual number of births.

Veus ignorades: representacions socials, subjectivitat i resiliència en persones grans amb pèrdua d’autonomia funcional

Els processos per a l’aprovació i la implementació de la Llei per a l’Autonomia personal i l’Atenció a les Persones en situació de Dependència (LAPAD) han donat lloc a un intens debat polític i social que, coincidint també amb les millores en la provisió de serveis i els avenços mèdics, ha contribuït a un procés de classificació i d’etiquetatge basats en els dèficits de les persones que es troben en aquestes circumstàncies. Aquesta visió anul·la el subjecte i la seva experiència singular i condiciona l’abordatge dels models d’atenció i de cura. L’estudi pretén fer una aproximació a les persones grans amb pèrdua d’autonomia funcional, fent emergir les seves veus, que expressen com perceben, interpreten, afronten i es reajusten a la nova situació. Partint d’un enfocament constructivista, basat en la subjectivitat, es fa un recorregut sobre els models de la discapacitat que han reeixit en l’activitat científica dels darrers anys, els mecanismes de regulació de les pèrdues que defensen les teories del cicle vital i les aportacions que s’han fet sobre el model de la resiliència aplicat a les persones que envelleixen. El resultats de l’estudi mostren com les representacions i els significats que les persones grans atribueixen a la seva experiència s’inscriuen en les seves trajectòries vitals, donant un sentit únic i singular a la forma de viure i de respondre a la pèrdua d’autonomia funcional i les seves conseqüències. Aquelles que expressen una vivència d’integritat respecte de la vida viscuda, amb predomini d’afectes positius envers un mateix i els altres, que conserven l’esperança i el desig de continuar vivint, s’ajusten a les pèrdues de manera més satisfactòria que aquelles que expressen desconfiança i una certa amargor respecte de la pròpia vida. D’això se’n deriva que els espais d’escolta i d’acompanyament poden ser un recurs vàlid i necessari en el qual, a través de la paraula i el testimoni narrat, el subjecte pugui repensar i resignificar les seves experiències.

MCMC Analysis Of Classical Time Series Algorithms

Identification of order of an Autoregressive Moving Average Model (ARMA) by the usual graphical method is subjective. Hence, there is a need of developing a technique to identify the order without employing the graphical investigation of series autocorrelations. To avoid subjectivity, this thesis focuses on determining the order of the Autoregressive Moving Average Model using Reversible Jump Markov Chain Monte Carlo (RJMCMC). The RJMCMC selects the model from a set of the models suggested by better fitting, standard deviation errors and the frequency of accepted data. Together with deep analysis of the classical Box-Jenkins modeling methodology the integration with MCMC algorithms has been focused through parameter estimation and model fitting of ARMA models. This helps to verify how well the MCMC algorithms can treat the ARMA models, by comparing the results with graphical method. It has been seen that the MCMC produced better results than the classical time series approach.

Public-Private Partnerships: Managing organizational change for acquiring value creative capabilities

The objective of the dissertation is to examine organizational responses of public actors to customer requirements which drive the transformation of value networks and promote public-private partnership in the electricity distribution industry and elderly care sectors. The research bridges the concept of offering to value networks where capabilities can be acquired for novel product concepts. The research contributes to recent literature, re-examining theories on interactions of customer requirements and supply management. A critical realist case study approach is applied to this abductive the research which directs to describe causalities in the analyzed phenomena. The presented evidence is based on three sources, which are in-depth interviews, archival analysis and the Delphi method. Service provision requires awareness on technology and functionalities of offering. Moreover, service provision includes interactions of multiple partners, which suggests the importance of the co-operative orientation of actors. According to the findings,portfolio management has a key role when intelligent solutions are implemented in public service provision because its concepts involve a variety of resources from multiple suppliers. However, emergent networks are not functional if they lack leaders who have access to the customer interface, have power to steer networks and a capability to build offerings. Public procurement policies were recognized to focus on a narrow scope in which price is a key factor in decisions. In the future, the public sector has to implement technology strategies and portfolio management, which mean longterm platform development and commitment to partnerships. On the other hand, the service providers should also be more aware of offerings into which their products will be integrated in the future. This requires making the customer’s voice in product development and co-operation in order to increase the interconnectivity of products.

Integrating eco-innovation principles into regional strategy and policy: case of Päijät-Häme region, Finland

This study focuses on the integration of eco-innovation principles into strategy and policy at the regional level. The importance of regions as a level for integrating eco-innovative programs and activities served as the point of interest for this study. Eco-innovative activities and technologies are seen as means to meet sustainable development objective of improving regions’ quality of life. This study is conducted to get an in-depth understanding and learning about eco-innovation at regional level, and to know the basic concepts that are important in integrating eco-innovation principles into regional policy. Other specific objectives of this study are to know how eco-innovation are developed and practiced in the regions of the EU, and to analyze the main characteristic features of an eco-innovation model that is specifically developed at Päijät-Häme Region in Finland. Paijät-Häme Region is noted for its successful eco-innovation strategies and programs, hence, taken as casework in this study. Both primary (interviews) and secondary data (publicly available documents) are utilized in this study. The study shows that eco-innovation plays an important role in regional strategy as reviewed based on the experience of other regions in the EU. This is because of its localized nature which makes it easier to facilitate in a regional setting. Since regional authorities and policy-makers are normally focused on solving its localized environmental problems, eco-innovation principles can easily be integrated into regional strategy. The case study highlights Päijät-Häme Region’s eco-innovation strategies and projects which are characterized by strong connection of knowledge-producing institutions. Policy instruments supporting eco-innovation (e.g. environmental technologies) are very much focused on clean technologies, hence, justifying the formation of cleantech clusters and business parks in Päijät-Häme Region. A newly conceptualized SAMPO model of eco-innovation has been developed in Päijät-Häme Region to better capture the region’s characteristics and to eventually replace the current model employed by the Päijät-Häme Regional Authority. The SAMPO model is still under construction, however, review of its principles points to some of its three important spearheads – practice-based innovation, design (eco-design) and clean technology or environmental technology (environment).

Kunnossapitopalveluiden arvopohjaisen elinkaarimallin kehittäminen

Tutkimuksen päätavoitteena on luoda yleispätevä elinkaarimalli, jota voidaan hyö-dyntää laitetason kunnossapitoon liittyvissä päätöksentekotilanteissa eri teollisuu-denaloilla. Elinkaarimalliin yhdistettiin arvoajattelu, jonka pohjalta mallin käyttäjät voivat valita ja painottaa omien näkemyksiensä mukaan arvoa luovat elementit sekä nähdä muille verkostojäsenille arvoa lisäävät tekijät. Aiemmissa elinkaarimalleissa on keskitytty pääasiassa yhteen tarkastelunäkökulmaan, joten verkostotason työkalulle on selkeä tarve. Myöskään arvoajattelua ei ole aiemmin yhdistetty elinkaarilaskentaa soveltaviin malleihin. Työn osalta käytettiin konstruktiivista tutkimusotetta. Elinkaarimallia kehitettiin ja testattiin kaivosteollisuuden yritysverkostoon kuuluvien kahden case-tapauksen avulla. Tutkimuksen teoreettinen osa pohjautui työn oleellisempiin osa-alueisiin, kuten kunnossapitoon, arvoelementteihin ja elinkaarilaskentaan. Työn empiirisessä osiossa hyödynnettiin verkostoon kuuluvien yritysedustajien haastatteluita sekä yritysten tietojärjestelmästä saatuja tietoja. Arvoelementtien muodostuksessa käy-tettiin hyväksi myös muiden teollisuusyritysten ajatuksia ja näkökulmia. Työn merkittävin tulos on ensimmäisen version kehittäminen arvopohjaisesta elinkaarimallista. Elinkaarimalli antaa tuloksina jokaisen verkostojäsenen osalta laitteen kunnossapidon kustannukset ja tuotot vuositasolla sekä kumulatiivisesti koko elinkaaren ajalta niin reaali- kuin nykyarvonakin. Mallin tuloksena saadaan myös yhteistyön myötä kasvaneen lisäarvon suuruus ja jakautuminen verkoston toimijoiden välillä heidän valitsemiensa arvoelementtien mukaisesti. Näin ollen mallia voidaan käyttää tulevaisuuden ennustamisen lisäksi menneiden kustannusten ja tuottojen seurantamallina. Kokonaisuudessaan arvopohjaisen elinkaarimallin tuloksia voidaan hyödyntää laitetason kunnossapitoon liittyvissä sopimusneuvotte-luissa niin arvoa luovien elementtien kuin kustannus- ja tuottotekijöidenkin osalta. Kokonaisuudessaan arvoajattelun yhdistäminen ja hyödyntäminen elinkaarilas-kennassa on vielä alkuvaiheessa, joten kyseinen osa-alue onkin varsin järkevä jat-kotutkimuskohde. Avoimen ja tiiviin yritysyhteistyön kautta saadaan arvopohjai-sesta elinkaarimallista jatkokehitettyä erittäin hyödyllinen työkalu yritysverkosto-jen käytettäväksi. Kiristyvässä kilpailussa verkoston kokonaisarvon kasvu ja ja-kautuminen ovat tulevaisuudessa erittäin keskeisiä aihealueita, joten tämäntyylisten verkostotyökalujen hyödyntäminen nostanee ehdottomasti suosiotaan.

Service Productization and Product Servitization in The Contract Manufacturing Company

The role of contract manufacturing and subcontracting has been seen in black and white in product and service point of view. It used to be seen either as a product or a service. In the thesis product-service system, offering combining products and services, was discussed. Theory was created from two perspectives; Service productization via Business Model generation and product servitization via New Service Development process. Target for the case study was to point out new ways of service thinking and ways for changing business environment in contract manufacturing, especially in customer satisfaction and profitability point of view. The case study is following the New Service Development process phases. First ideas were collected from literature and via sales management interviews. Service offering and tool for service requirement evaluation was created. Last financial results of example service scenarios were calculated. It is recommended to take service offering into internal use and further develop it into modular service model. It is also recommended to take created customer service requirement evaluation tool into use for capturing customer service needs but also for communicating those internally.

Balanced Scorecardin ja palkitsemisen hyödyntäminen palvelutuotannon johtamisessa

Suorituskyvyn johtamista on tutkittu paljon teollisuustalouden näkökulmasta. Sen sijaan palvelutuotannon näkökulmasta katsottuna tutkimustyö on vasta aluillaan. Iso osa yritysten liiketoiminnasta muodostuu palvelujen tuottamisesta, joten palvelutuotannon merkitys on tänä päivänä varsin keskeisessä roolissa. Suorituskyvyn johtaminen tarvitsee rinnalleen kannustavia palkitsemismalleja. Oikein toteutettuna palkitseminen ohjaa strategian mukaisiin tavoitteisiin ja parantaa organisaation tuloksellisuutta. Palkitseminen tulee kuitenkin nähdä riittävän monipuolisena kokonaisuutena. Parhaimmillaan se sitouttaa, motivoi ja kannustaa työntekijöitä entistä parempiin suorituksiin. Epäonnistuessaan sillä on monia negatiivissa vaikutuksia. Se saattaa lisätä epäoikeudenmukaisuuden tunnetta, jolloin työilmapiiri heikkenee sekä poissaolot ja vaihtuvuus lisääntyvät. Tässä tutkimuksessa on keskitytty palvelutuotannon organisaation tutkimiseen. Tutkimuksessa selvitettiin, mitä tekijöitä tulee huomioida logistiikkasektorin palvelutuotannon organisaation onnistumista mitattaessa ja palkitessa. Tutkimus toteutettiin case-organisaatiossa konstruktiivista tutkimusotetta hyödyntäen. Tiedonkeruumenetelmänä käytettiin puolistrukturoituja haastatteluja. Tutkimuksessa rakennettiin suorituskykyä mittaava mallimittaristo ja suorituskykyä tukeva palkitsemismalli. Mittariston viitekehyksenä käytettiin Balanced Scorecardia. Tulosten perusteella voidaan todeta, että palvelutuotannon erityispiirteet tulee huomioida mittaristoa rakennettaessa. Asiakkaan rooli tulee palvelutuotannossa korostuneesti esiin. Lisäksi on huomioitava kohdeorganisaation omat strategiset tavoitteet. Mittaristoon tulee ottaa tulosmittareita, ennakoivia mittareita ja ympäristön muutosta selittäviä mittareita. Palkitsemismalleja tulee tutkia sekä aineellisen että aineettoman palkitsemisen näkökulmista. Aineellisessa palkitsemisessa tulee huomioida suoritukseen perustuva palkitseminen. Aineettomassa palkitsemisessa puolestaan on huomioitava yksilölliset tarpeet, jotka perustuvat henkilökohtaisiin ominaisuuksiin ja arvomaailmaan.

Parameter identification in time series models

Time series analysis can be categorized into three different approaches: classical, Box-Jenkins, and State space. Classical approach makes a basement for the analysis and Box-Jenkins approach is an improvement of the classical approach and deals with stationary time series. State space approach allows time variant factors and covers up a broader area of time series analysis. This thesis focuses on parameter identifiablity of different parameter estimation methods such as LSQ, Yule-Walker, MLE which are used in the above time series analysis approaches. Also the Kalman filter method and smoothing techniques are integrated with the state space approach and MLE method to estimate parameters allowing them to change over time. Parameter estimation is carried out by repeating estimation and integrating with MCMC and inspect how well different estimation methods can identify the optimal model parameters. Identification is performed in probabilistic and general senses and compare the results in order to study and represent identifiability more informative way.

Tietovirtojen hyödyntäminen alueellisen terveysjärjestelmän johtamisessa

Julkinen terveydenhuollon toimintaympäristö on muuttumassa. Terveydenhuollon käytettävissä olevat resurssit ovat heikkenemässä yleisen taloudellisen tilanteen ja väestön ikääntymisen johdosta. Terveydenhuollon palvelurakenteita ollaan uudistamassa. Merkittävien päätösten perusteiksi ja organisaatioiden johtamisen tueksi tarvitaan tietoa ja tietovirtoja. Tutkimus toteutettiin kvalitatiivisena tutkimuksena, jonka empiirinen osuus toteutettiin erikoissairaanhoidon palveluita tuottavassa keskussairaalassa. Haastatteluaineisto kerättiin sairaalan ylimmästä johdosta. Tutkimuksen mukaan informaatio-ohjaukseen, asiantuntijoiden johtamiseen ja palvelutuotannon vaikuttavuuteen liittyvät tietovirrat ovat alueellisen terveydenhuollon organisaation keskeisiä tietovirtoja.

Analysis of Stochastic Volatility Sequences Generated by Product Autoregressive Models

The classical methods of analysing time series by Box-Jenkins approach assume that the observed series uctuates around changing levels with constant variance. That is, the time series is assumed to be of homoscedastic nature. However, the nancial time series exhibits the presence of heteroscedasticity in the sense that, it possesses non-constant conditional variance given the past observations. So, the analysis of nancial time series, requires the modelling of such variances, which may depend on some time dependent factors or its own past values. This lead to introduction of several classes of models to study the behaviour of nancial time series. See Taylor (1986), Tsay (2005), Rachev et al. (2007). The class of models, used to describe the evolution of conditional variances is referred to as stochastic volatility modelsThe stochastic models available to analyse the conditional variances, are based on either normal or log-normal distributions. One of the objectives of the present study is to explore the possibility of employing some non-Gaussian distributions to model the volatility sequences and then study the behaviour of the resulting return series. This lead us to work on the related problem of statistical inference, which is the main contribution of the thesis

Identifying the factors governing attitude towards the e-Agriservice among dairy farmers in Maharashtra, India

Information and communication technology (ICT) projects have a great potential to revolutionise the information delivery system by bridging the gap between farmers and extension personnel. aAQUA (Almost All Questions Answered) portal was launched by the Developmental Informatics Laboratory (DIL) at Indian Institute of Technology (IIT) Mumbai, Maharashtra, India in 2003 as an information providing system to deliver technology options and tailored information for the problems and queries raised by Indian dairy farmers. To measure the effectiveness of this service the attitudinal dimensions of the users of aAQUA e-Agriservice were investigated using a 22 item scale. A simple random sampling technique was used to select 120 dairy farmers from which data were collected and subjected to factor analysis to identify the underlying constructs in this research. From the attitude items, four components were extracted and named as the pessimistic, utility, technical and efficacy perspective, which influenced the development of varied level of attitudinal inclination towards the e-Agriservice. These components explained 64.40 per cent of variation in the attitude of the users towards the aAQUA e-Agriservice. This study provides a framework for technically efficient service provision that might help to reduce the pessimistic attitude of target population to adopt e-Agriservice in their farming system. The results should also be helpful for researchers, academics, ICT based service providers and policy makers to consider these perspectives while planning and implementing ICT projects.

Diferencias en costo efectividad del cuidado paliativo domiciliario frente a la atención convencional hospitalaria para el manejo de enfermedades crónicas en fase terminal

En Colombia la dinámica poblacional ha experimentado cambios a través de los años; lo cual modifica las características epidemiológicas y los perfiles de morbimortalidad de la población, aumentando la incidencia y prevalencia de enfermedades crónicas de difícil pronóstico dentro de la población; siendo estos grupos etarios hacía quienes deben destinarse nuevas modalidades de atención y soporte paliativo. Se realizó una revisión sistemática de diversos artículos, clasificados con niveles de evidencia I y II; cuyas variables de análisis fueron: El lugar de fallecimiento del paciente, alivio de la sintomatología, nivel de satisfacción del paciente y sus cuidadores con los servicios recibidos, número de ingresos hospitalarios independientemente de la causa y días promedio de estancia hospitalaria. El 88% de los pacientes que fueron vinculados a la atención domiciliaria falleció en su hogar; el 68% refirió haber experimentado disminución en la intensidad de al menos 2 síntomas como resultado de la atención en casa. El nivel de satisfacción para el cuidado en casa puntuó 19 puntos porcentuales por encima de la calificación que obtuvo el manejo hospitalario. El 23% de los pacientes tratados en su hogar, requirió al menos una hospitalización durante el manejo; mostrando una disminución en el tiempo de estancia hospitalaria de 3.4 días promedio. El manejo paliativo domiciliario de pacientes crónicos en fase terminal, no sólo es una alternativa en la reducción de costos para el sistema de salud, sino que es un factor protector de tipo emocional que refleja también una importante disminución de los riesgos de la hospitalización.