807 resultados para problem solving approach


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Land degradation is intrinsically complex and involves decisions by many agencies and individuals, land degradation map- ping should be used as a learning tool through which managers, experts and stakeholders can re-examine their views within a wider semantic context. In this paper, we introduce an analytical framework for mapping land degradation, developed by World Overview for Conservation Approaches and technologies (WOCAT) programs, which aims to develop some thematic maps that serve as an useful tool and including effective information on land degradation and conservation status. Consequently, this methodology would provide an important background for decision-making in order to launch rehabilitation/remediation actions in high-priority intervention areas. As land degradation mapping is a problem-solving task that aims to provide clear information, this study entails the implementation of WOCAT mapping tool, which integrate a set of indicators to appraise the severity of land degradation across a representative watershed. So this work focuses on the use of the most relevant indicators for measuring impacts of different degradation processes in El Mkhachbiya catchment, situated in Northwest of Tunisia and those actions taken to deal with them based on the analysis of operating modes and issues of degradation in different land use systems. This study aims to provide a database for surveillance and monitoring of land degradation, in order to support stakeholders in making appropriate choices and judge guidelines and possible suitable recommendations to remedy the situation in order to promote sustainable development. The approach is illustrated through a case study of an urban watershed in Northwest of Tunisia. Results showed that the main land degradation drivers in the study area were related to natural processes, which were exacerbated by human activities. So the output of this analytical framework enabled a better communication of land degradation issues and concerns in a way relevant for policymakers.

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Background Nowadays there is extensive evidence available showing the efficacy of cognitive remediation (CR). To date, only limited evidence is available about the impact of the duration of illness on CR effects. The Integrated Neurocognitive Therapy (INT) represents a new developed CR approach. It is a manualized group therapy targeting all 11 NIMH-MATRICS domains. Methods In an international multicenter study, 166 schizophrenia outpatients (DSM-IV-TR) were randomly assigned either to INT or to Treatment-As-Usual (TAU). 60 patients were defined as Early Course group (EC) characterized by less than 5 years of illness, 40 patients were in the Long-Term group (LT) characterized by more than 15 years of illness, and 76 patients were in the Medium-Long-Term group (MLT) characterized by an illness of 5-15 years. Treatment comprised of 15 biweekly sessions. Assessments were conducted before and after treatment and at follow up (1 year). Multivariate General Linear Models (GLM) examined our hypothesis, whether EC, LT, and MLT groups differ under INT and TAU from each other in outcome. Results First of all, the attendance rate of 65% was significantly lower and the drop out rate of 18.5% during therapy was higher in the EC group compared to the other groups. Interaction effects regarding proximal outcome showed that the duration of illness has a strong impact on neurocognitive functioning in speed of processing (F>2.4) and attention (F>2.8). But INT intervention compared to TAU only had a significant effect in more chronically ill patients of MLT and LT, but not in younger patients in EC. In social cognitive domains, only the EC group showed a significant change in attribution (hostility; F>2.5), LT and MLT groups did not. However, no differences between the 3 groups were evident in memory, problem solving, and emotion perception. Regarding more distal outcome, LT patients had more symptoms compared to EC (F>4.4). Finally, EC patients showed higher improvements in psychosocial functioning compared to LT and MLT (F=1.8). Conclusions Against common expectations, long-term, more chronically ill patients showed higher effects in basal cognitive functions compared to younger patients and patients without any active therapy (TAU). On the other hand, early-course patients had a greater potential to change in attribution, symptoms and psychosocial functioning. Consequently, more integrated therapy offers are also recommended for long-term course schizophrenia patients.

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Polymorbid patients, diverse diagnostic and therapeutic options, more complex hospital structures, financial incentives, benchmarking, as well as perceptional and societal changes put pressure on medical doctors, specifically if medical errors surface. This is particularly true for the emergency department setting, where patients face delayed or erroneous initial diagnostic or therapeutic measures and costly hospital stays due to sub-optimal triage. A "biomarker" is any laboratory tool with the potential better to detect and characterise diseases, to simplify complex clinical algorithms and to improve clinical problem solving in routine care. They must be embedded in clinical algorithms to complement and not replace basic medical skills. Unselected ordering of laboratory tests and shortcomings in test performance and interpretation contribute to diagnostic errors. Test results may be ambiguous with false positive or false negative results and generate unnecessary harm and costs. Laboratory tests should only be ordered, if results have clinical consequences. In studies, we must move beyond the observational reporting and meta-analysing of diagnostic accuracies for biomarkers. Instead, specific cut-off ranges should be proposed and intervention studies conducted to prove outcome relevant impacts on patient care. The focus of this review is to exemplify the appropriate use of selected laboratory tests in the emergency setting for which randomised-controlled intervention studies have proven clinical benefit. Herein, we focus on initial patient triage and allocation of treatment opportunities in patients with cardiorespiratory diseases in the emergency department. The following five biomarkers will be discussed: proadrenomedullin for prognostic triage assessment and site-of-care decisions, cardiac troponin for acute myocardial infarction, natriuretic peptides for acute heart failure, D-dimers for venous thromboembolism, C-reactive protein as a marker of inflammation, and procalcitonin for antibiotic stewardship in infections of the respiratory tract and sepsis. For these markers we provide an overview on physiopathology, historical evolution of evidence, strengths and limitations for a rational implementation into clinical algorithms. We critically discuss results from key intervention trials that led to their use in clinical routine and potential future indications. The rational for the use of all these biomarkers, first, tackle diagnostic ambiguity and consecutive defensive medicine, second, delayed and sub-optimal therapeutic decisions, and third, prognostic uncertainty with misguided triage and site-of-care decisions all contributing to the waste of our limited health care resources. A multifaceted approach for a more targeted management of medical patients from emergency admission to discharge including biomarkers, will translate into better resource use, shorter length of hospital stay, reduced overall costs, improved patients satisfaction and outcomes in terms of mortality and re-hospitalisation. Hopefully, the concepts outlined in this review will help the reader to improve their diagnostic skills and become more parsimonious laboratory test requesters.

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Se plantea la discusión sobre la cientificidad de la Archivística desde la perspectiva kuhniana. Se realiza una reseña histórica de la disciplina, mencionando sus principales logros teóricos. Se analizan diversos intentos propuestos por autores para dotar de fundamentos epistemológicos al área. Las posturas estudiadas para este análisis son aquellas que proponen un enfoque desde la perspectiva de Thomas Kuhn. Se observa en la literatura el uso del concepto paradigma como modelo de análisis para el fundamento epistemológico de la disciplina. Se analizan las problemáticas surgidas a partir su introducción, notando que con su aplicación se incurre en una mudanza de niveles de análisis epistémicos. Como consecuencia, resulta dificultoso esclarecer las pretensiones de cientificidad de la Archivística. Se presenta como primera interrogante la posibilidad de articular el desarrollo histórico de la Archivística con la existencia de paradigmas; y en segundo término se plantea si los paradigmas identificados en la literatura pueden ser considerados como tales, o si se trata de teorías que han adquirido cierto grado de organización. Se afirma que la cientificidad y madurez disciplinar se determina mediante la asunción de una tradición exitosa de resolución de problemas, ya que los intentos exitosos terminan consolidando el campo de investigación.

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Se plantea la discusión sobre la cientificidad de la Archivística desde la perspectiva kuhniana. Se realiza una reseña histórica de la disciplina, mencionando sus principales logros teóricos. Se analizan diversos intentos propuestos por autores para dotar de fundamentos epistemológicos al área. Las posturas estudiadas para este análisis son aquellas que proponen un enfoque desde la perspectiva de Thomas Kuhn. Se observa en la literatura el uso del concepto paradigma como modelo de análisis para el fundamento epistemológico de la disciplina. Se analizan las problemáticas surgidas a partir su introducción, notando que con su aplicación se incurre en una mudanza de niveles de análisis epistémicos. Como consecuencia, resulta dificultoso esclarecer las pretensiones de cientificidad de la Archivística. Se presenta como primera interrogante la posibilidad de articular el desarrollo histórico de la Archivística con la existencia de paradigmas; y en segundo término se plantea si los paradigmas identificados en la literatura pueden ser considerados como tales, o si se trata de teorías que han adquirido cierto grado de organización. Se afirma que la cientificidad y madurez disciplinar se determina mediante la asunción de una tradición exitosa de resolución de problemas, ya que los intentos exitosos terminan consolidando el campo de investigación.

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Se plantea la discusión sobre la cientificidad de la Archivística desde la perspectiva kuhniana. Se realiza una reseña histórica de la disciplina, mencionando sus principales logros teóricos. Se analizan diversos intentos propuestos por autores para dotar de fundamentos epistemológicos al área. Las posturas estudiadas para este análisis son aquellas que proponen un enfoque desde la perspectiva de Thomas Kuhn. Se observa en la literatura el uso del concepto paradigma como modelo de análisis para el fundamento epistemológico de la disciplina. Se analizan las problemáticas surgidas a partir su introducción, notando que con su aplicación se incurre en una mudanza de niveles de análisis epistémicos. Como consecuencia, resulta dificultoso esclarecer las pretensiones de cientificidad de la Archivística. Se presenta como primera interrogante la posibilidad de articular el desarrollo histórico de la Archivística con la existencia de paradigmas; y en segundo término se plantea si los paradigmas identificados en la literatura pueden ser considerados como tales, o si se trata de teorías que han adquirido cierto grado de organización. Se afirma que la cientificidad y madurez disciplinar se determina mediante la asunción de una tradición exitosa de resolución de problemas, ya que los intentos exitosos terminan consolidando el campo de investigación.

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Se plantea la discusión sobre la cientificidad de la Archivística desde la perspectiva kuhniana. Se realiza una reseña histórica de la disciplina, mencionando sus principales logros teóricos. Se analizan diversos intentos propuestos por autores para dotar de fundamentos epistemológicos al área. Las posturas estudiadas para este análisis son aquellas que proponen un enfoque desde la perspectiva de Thomas Kuhn. Se observa en la literatura el uso del concepto paradigma como modelo de análisis para el fundamento epistemológico de la disciplina. Se analizan las problemáticas surgidas a partir su introducción, notando que con su aplicación se incurre en una mudanza de niveles de análisis epistémicos. Como consecuencia, resulta dificultoso esclarecer las pretensiones de cientificidad de la Archivística. Se presenta como primera interrogante la posibilidad de articular el desarrollo histórico de la Archivística con la existencia de paradigmas; y en segundo término se plantea si los paradigmas identificados en la literatura pueden ser considerados como tales, o si se trata de teorías que han adquirido cierto grado de organización. Se afirma que la cientificidad y madurez disciplinar se determina mediante la asunción de una tradición exitosa de resolución de problemas, ya que los intentos exitosos terminan consolidando el campo de investigación.

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This paper reports a learning experience related to the acquisition of project management competences. Students from three different universities and backgrounds, cooperate in a common project that drives the learning-teaching process. Previous related works on this initiative have already evaluated the goodness of this multidisciplinary, project-based learning approach in the context of a new educative paradigm. Yet the innovative experience has allowed the authors to define a rubric in order to measure specific competences in project management. The study shows the rubric’s main aspects as well as competence acquisition evaluation alternatives, based in the metrics defined. Key indicators and specific reports obtained from data base fields in the web tool will support this work. As a result, new competences can be assessed, such ones like teamwork, problem solving, communication and leadership. Final goal is to provide an overall competence map to the students at the same time they improve their skills.

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The aim of this study is to evaluate the effects obtained after applying two active learning methodologies (cooperative learning and project based learning) to the achievement of the competence problem solving. This study was carried out at the Technical University of Madrid, where these methodologies were applied to two Operating Systems courses. The first hypothesis tested was whether the implementation of active learning methodologies favours the achievement of ?problem solving?. The second hypothesis was focused on testing if students with higher rates in problem solving competence obtain better results in their academic performance. The results indicated that active learning methodologies do not produce any significant change in the generic competence ?problem solving? during the period analysed. Concerning this, we consider that students should work with these methodologies for a longer period, besides having a specific training. Nevertheless, a close correlation between problem solving self appraisal and academic performance has been detected.

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In this chapter we are going to develop some aspects of the implementation of the boundary element method (BEM)in microcomputers. At the moment the BEM is established as a powerful tool for problem-solving and several codes have been developed and maintained on an industrial basis for large computers. It is also well known that one of the more attractive features of the BEM is the reduction of the discretization to the boundary of the domain under study. As drawbacks, we found the non-bandedness of the final matrix, wich is a full asymmetric one, and the computational difficulties related to obtaining the integrals which appear in the influence coefficients. Te reduction in dimensionality is crucial from the point of view of microcomputers, and we believe that it can be used to obtain competitive results against other domain methods. We shall discuss two applications in this chapter. The first one is related to plane linear elastostatic situations, and the second refers to plane potential problems. In the first case we shall present the classical isoparametric BEM approach, using linear elements to represent both the geometry and the variables. The second case shows how to implement a p-adaptive procedure using the BEM. This latter case has not been studied until recently, and we think that the future of the BEM will be related to its development and to the judicious exploitation of the graphics capabilities of modern micros. Some examples will be included to demonstrate the kind of results that can be expected and sections of printouts will show useful details of implementation. In order to broaden their applicability, these printouts have been prepared in Basic, although no doubt other languages may be more appropiate for effective implementation.

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Abstract Transport is the foundation of any economy: it boosts economic growth, creates wealth, enhances trade, geographical accessibility and the mobility of people. Transport is also a key ingredient for a high quality of life, making places accessible and bringing people together. The future prosperity of our world will depend on the ability of all of its regions to remain fully and competitively integrated in the world economy. Efficient transport is vital in making this happen. Operations research can help in efficiently planning the design and operating transport systems. Planning and operational processes are fields that are rich in combinatorial optimization problems. These problems can be analyzed and solved through the application of mathematical models and optimization techniques, which may lead to an improvement in the performance of the transport system, as well as to a reduction in the time required for solving these problems. The latter aspect is important, because it increases the flexibility of the system: the system can adapt in a faster way to changes in the environment (i.e.: weather conditions, crew illness, failures, etc.). These disturbing changes (called disruptions) often enforce the schedule to be adapted. The direct consequences are delays and cancellations, implying many schedule adjustments and huge costs. Consequently, robust schedules and recovery plans must be developed in order to fight against disruptions. This dissertation makes contributions to two different fields: rail and air applications. Robust planning and recovery methods are presented. In the field of railway transport we develop several mathematical models which answer to RENFE’s (the major railway operator in Spain) needs: 1. We study the rolling stock assignment problem: here, we introduce some robust aspects in order to ameliorate some operations which are likely to fail. Once the rolling stock assignment is known, we propose a robust routing model which aims at identifying the train units’ sequences while minimizing the expected delays and human resources needed to perform the sequences. 2. It is widely accepted that the sequential solving approach produces solutions that are not global optima. Therefore, we develop an integrated and robust model to determine the train schedule and rolling stock assignment. We also propose an integrated model to study the rolling stock circulations. Circulations are determined by the rolling stock assignment and routing of the train units. 3. Although our aim is to develop robust plans, disruptions will be likely to occur and recovery methods will be needed. Therefore, we propose a recovery method which aims to recover the train schedule and rolling stock assignment in an integrated fashion all while considering the passenger demand. In the field of air transport we develop several mathematical models which answer to IBERIA’s (the major airline in Spain) needs: 1. We look at the airline-scheduling problem and develop an integrated approach that optimizes schedule design, fleet assignment and passenger use so as to reduce costs and create fewer incompatibilities between decisions. Robust itineraries are created to ameliorate misconnected passengers. 2. Air transport operators are continuously facing competition from other air operators and different modes of transport (e.g., High Speed Rail). Consequently, airline profitability is critically influenced by the airline’s ability to estimate passenger demands and construct profitable flight schedules. We consider multi-modal competition including airline and rail, and develop a new approach that estimates the demand associated with a given schedule; and generates airline schedules and fleet assignments using an integrated schedule design and fleet assignment optimization model that captures the impacts of schedule decisions on passenger demand.

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This paper describes a knowledge model for a configuration problem in the do-main of traffic control. The goal of this model is to help traffic engineers in the dynamic selection of a set of messages to be presented to drivers on variable message signals. This selection is done in a real-time context using data recorded by traffic detectors on motorways. The system follows an advanced knowledge-based solution that implements two abstract problem solving methods according to a model-based approach recently proposed in the knowledge engineering field. Finally, the paper presents a discussion about the advantages and drawbacks found for this problem as a consequence of the applied knowledge modeling ap-proach.

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The aim of this paper is to describe an intelligent system for the problem of real time road traffic control. The purpose of the system is to help traffic engineers in the selection of the state of traffic control devices on real time, using data recorded by traffic detectors on motorways. The system follows an advanced knowledge-based approach that implements an abstract generic problem solving method, called propose-and-revise, which was proposed in Artificial Intelligence, within the knowledge engineering field, as a standard cognitive structure oriented to solve configuration design problems. The paper presents the knowledge model of such a system together with the strategy of inference and describes how it was applied for the case of the M-40 urban ring for the city of Madrid.

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This paper describes the adaptation approach of reusable knowledge representation components used in the KSM environment for the formulation and operationalisation of structured knowledge models. Reusable knowledge representation components in KSM are called primitives of representation. A primitive of representation provides: (1) a knowledge representation formalism (2) a set of tasks that use this knowledge together with several problem-solving methods to carry out these tasks (3) a knowledge acquisition module that provides different services to acquire and validate this knowledge (4) an abstract terminology about the linguistic categories included in the representation language associated to the primitive. Primitives of representation usually are domain independent. A primitive of representation can be adapted to support knowledge in a given domain by importing concepts from this domain. The paper describes how this activity can be carried out by mean of a terminological importation. Informally, a terminological importation partially populates an abstract terminology with concepts taken from a given domain. The information provided by the importation can be used by the acquisition and validation facilities to constraint the classes of knowledge that can be described using the representation formalism according to the domain knowledge. KSM provides the LINK-S language to specify terminological importation from a domain terminology to an abstract one. These terminologies are described in KSM by mean of the CONCEL language. Terminological importation is used to adapt reusable primitives of representation in order to increase the usability degree of such components in these domains. In addition, two primitives of representation can share a common vocabulary by importing common domain CONCEL terminologies (conceptual vocabularies). It is a necessary condition to make possible the interoperability between different, heterogeneous knowledge representation components in the framework of complex knowledge - based architectures.

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This paper presents the knowledge model of a distributed decision support system, that has been designed for the management of a national network in Ukraine. It shows how advanced Artificial Intelligence techniques (multiagent systems and knowledge modelling) have been applied to solve this real-world decision support problem: on the one hand its distributed nature, implied by different loci of decision-making at the network nodes, suggested to apply a multiagent solution; on the other, due to the complexity of problem-solving for local network administration, it was useful to apply knowledge modelling techniques, in order to structure the different knowledge types and reasoning processes involved. The paper sets out from a description of our particular management problem. Subsequently, our agent model is described, pointing out the local problem-solving and coordination knowledge models. Finally, the dynamics of the approach is illustrated by an example.