Innovation Processes and Industrial Districts

In this survey, we examine the operations of innovation processes within industrial districts by exploring the ways in which differentiation, specialization, and integration affect the generation, diffusion, and use of new knowledge in such districts. We begin with an analysis of the importance of the division of labor and then investigate the effects of social embeddedness on innovation. We also consider the effect of forms of organization within industrial districts at various stages of product and process life, and we examine the negative aspects of embeddedness for innovation. We conclude with a discussion of the possible consequences of new information and communications technologies on innovation in industrial districts.

Quality of life, symptom experience, and use of complementary and alternative medicine among women with ovarian cancer

The objectives of this dissertation were to determine the quality of life in women with ovarian cancer and the association of their physical and emotional well-being with the number of symptoms, duration of symptoms, and the scores of common symptoms of ovarian cancer; to study the prevalence of complementary and alternative medicine techniques for symptom relief and its association with the number of symptoms, age, education, insurance, comorbidity, and satisfaction with medical care they received, and their pre-diagnostic experience of symptoms.^ This study was based on a secondary data analysis of a study of early detection of ovarian cancer. A sample of 139 women with ovarian cancer was recruited and was administered a questionnaire comprised of questions on their quality of life, their symptoms and what they did about the symptoms, whether they used any complementary and alternative medicine techniques, and other medical conditions they had. Out of this sample, 53 patients underwent in-depth interviews relating to their symptoms before the diagnosis and their experiences with the health care system leading to the ovarian cancer diagnosis. ^ In article #1, ovarian cancer patients were observed to have significantly poorer quality of life on all subscales and summary scores except pain, compared to that of the general population of US women. Physical well-being scores were negatively associated with the number of symptoms before diagnosis and a significant negative association of comorbidity index was observed with physical well-being. Higher education and increase in time since diagnosis was found to have better physical scores. Emotional well-being scores showed marginally significant associations with number of symptoms and bloating. ^ In article #2, a thematic content analysis of the ovarian cancer patients’ interviews revealed that on recognition of their symptoms women first assumed their symptoms to be a normal transient occurrence due to a pre-existing disease condition, or due to some other disease. A series of misattributions of their symptoms on their and their doctors’ part impacted their health care seeking.In article #3, a significantly greater likelihood of CAM use with an increase in the number of symptoms was observed.^ Based on the foregoing results, it is important to educate women on possible signs of ovarian cancer and also to educate doctors about the results of current research regarding ovarian cancer diagnosis. This will help to avoid a delay in getting a diagnosis and improve women’s quality of life. It emphasizes the diagnosis of ovarian cancer in earlier stages by more sensitive screening techniques. This study emphasizes the importance of consideration of comorbidity in any quality of life research. Additionally, educating women in the safe use of CAM techniques carries immense significance because the efficacy and safety of many of the currently advertized CAM products has not been scientifically validated. Further research is needed to confirm the findings of this study. ^

Intensive care unit utilization among patients with cancer at the end of life

Over the last 2 decades, survival rates in critically ill cancer patients have improved. Despite the increase in survival, the intensive care unit (ICU) continues to be a location where end-of-life care takes place. More than 20% of deaths in the United States occur after admission to an ICU, and as baby boomers reach the seventh and eighth decades of their lives, the volume of patients in the ICU is predicted to rise. The aim of this study was to evaluate intensive care unit utilization among patients with cancer who were at the end of life. End of life was defined using decedent and high-risk cohort study designs. The decedent study evaluated characteristics and ICU utilization during the terminal hospital stay among patients who died at The University of Texas MD Anderson Cancer Center during 2003-2007. The high-risk cohort study evaluated characteristics and ICU utilization during the index hospital stay among patients admitted to MD Anderson during 2003-2007 with a high risk of in-hospital mortality. Factors associated with higher ICU utilization in the decedent study included non-local residence, hematologic and non-metastatic solid tumor malignancies, malignancy diagnosed within 2 months, and elective admission to surgical or pediatric services. Having a palliative care consultation on admission was associated with dying in the hospital without ICU services. In the cohort of patients with high risk of in-hospital mortality, patients who went to the ICU were more likely to be younger, male, with newly diagnosed non-metastatic solid tumor or hematologic malignancy, and admitted from the emergency center to one of the surgical services. A palliative care consultation on admission was associated with a decreased likelihood of having an ICU stay. There were no differences in ethnicity, marital status, comorbidities, or insurance status between patients who did and did not utilize ICU services. Inpatient mortality probability models developed for the general population are inadequate in predicting in-hospital mortality for patients with cancer. The following characteristics that differed between the decedent study and high-risk cohort study can be considered in future research to predict risk of in-hospital mortality for patients with cancer: ethnicity, type and stage of malignancy, time since diagnosis, and having advance directives. Identifying those at risk can precipitate discussions in advance to ensure care remains appropriate and in accordance with the wishes of the patient and family.^

India's senior citizen's policy and an examination of the life of senior citizens in North Delhi

The paper investigates the ageing situation in India and the development of the government initiatives for the welfare of senior citizens. It also presents the initial results of a survey that the author conducted in 2011 in North Delhi. The main features related to ageing in India are 'feminisation', 'rurality' and 'poverty'. The survey in North Delhi reveals the differences between the male and the female senior citizens, and the vulnerability of the latter, in particular. The social security coverage such as pensions and health insurance was found quite limited among the respondents.

Reverse logistics systems for waste generated throughout vehicles life-cycle

Waste produced during the service life of automobiles has received much less attention than end-of-life vehicles themselves. In this paper, we deal with the set up of a reverse logistics system for the collection and treatment of use-phase residues. First, the type of waste arising during vehicles? service life is characterized. Data were collected in collaboration with SIGRAUTO, the product stewardship organization in charge of vehicles? recovery in Spain. Next, three organizational models are proposed. The three alternatives are benchmarked and assessed from a double organizational and operational perspective for the particular case of the Madrid region in Spain

Laser Shock Processing: An Emerging Technique for the Enhancement of Surface Properties and Fatigue Life of High Strength Metal Alloys

Profiting by the increasing availability of laser sources delivering intensities above 10 9 W/cm 2 with pulse energies in the range of several Joules and pulse widths in the range of nanoseconds, laser shock processing (LSP) is being consolidating as an effective technology for the improvement of surface mechanical and corrosion resistance properties of metals and is being developed as a practical process amenable to production engineering. The main acknowledged advantage of the laser shock processing technique consists on its capability of inducing a relatively deep compression residual stresses field into metallic alloy pieces allowing an improved mechanical behaviour, explicitly, the life improvement of the treated specimens against wear, crack growth and stress corrosion cracking. Following a short description of the theoretical/computational and experimental methods developed by the authors for the predictive assessment and experimental implementation of LSP treatments, experimental results on the residual stress profiles and associated surface properties modification successfully reached in typical materials (specifically steels and Al and Ti alloys) under different LSP irradiation conditions are presented

The new challenges of end-of-life tyres management systems: a Spanish case study

Directive 2008/98/EC released by the European Union represents a significant step forward in all relevant aspects of waste management. Under the already established, extended produced responsibility (EPR) principle, new policies have been enunciated to continuously achieve better overall environmental performance of key products throughout their life phases. This paper discusses how the directive is being articulated in Spain by the main integrated management system (IMS) for end-of-life (EOL) tyres since its creation in 2006. Focusing on the IMS technological, economic and legal aspects, the study provides a global perspective and evaluation of how the IMS is facing the current issues to resolve, the new challenges that have appeared and the management vision for the coming years.

Criterios de restauración, intervención y revitalización del patrimonio industrial : la fábrica de gas de San Paolo en Roma

La tesis está centrada en el patrimonio industrial, y trata de ahondar en los temas enunciados en el título, Criterios de restauración, intervención y revitalización del patrimonio industrial (capítulo 1). La fábrica de gas de San Paolo en Roma (capítulo 2): En el primer capítulo, se profundiza en los criterios institucionalizados de actuación en el patrimonio, pero también se habla sobre la singularidad, los valores originales, estratificados en cada construcción y su contexto. Ello resume la intención de la doctoranda al entender la necesidad del análisis de cada obra en modo profundo, concreto y abierto a novedosos acercamientos, antes de su transformación. Al hablar de intervención frente a restauración, se aborda la conocida polémica que plantea el modo de acercarse al legado histórico. Parece necesario enunciar cómo se consideran en el trabajo estos términos. Mientras la restauración (como diría Cesare Brandi, constituye el momento metodológico del reconocimiento de la obra de arte en su consistencia física y en su doble polaridad estética e histórica, en orden a su transmisión al futuro) es una acción más restrictiva, que implica atención suma a la recuperación y conservación de los valores significativos y únicos del bien, en comunicación con un (posible) equipo interdisciplinar; por intervención se entiende aquí un desarrollo más personal y libre por parte del proyectista, en el que se produce un proceso dialéctico entre la preexistencia y el posicionamiento crítico adoptado a la hora de dar un obligado nuevo uso a ese bien. Es decir, el contraste está en el diferente reconocimiento de la materialidad física y sus significados. En torno a la restauración/intervención, se analizan las perspectivas de actuación en España e Italia, contrastando factores como la formación del arquitecto o el entorno laboral-cultural, y utilizando el método analítico comparativo de casos. Habría un tercer concepto: el de revitalización del patrimonio industrial, Éste hace referencia a su transformación, a sus usos más comunes y compatibles, a la redimensión artística que ha experimentado la arquitectura industrial gracias al arte contemporáneo y a su relación con la Modernidad. Por último, se enuncia en el título el caso de estudio, la Fábrica, que ocupa el segundo capítulo. Se trata de un enorme conjunto industrial singular semi abandonado en el confín del centro histórico, cuyo protagonista es un gran gasómetro, que la autora ha tenido la oportunidad de descubrir en su estancia en la Ciudad Eterna. Este barrio constituyó el primer y único sector industrial de la Roma moderna a inicios del siglo XX. Por varias causas históricas y voluntad política, la ciudad prácticamente no tuvo más desarrollo industrial que el área mencionada, donde se implantaron servicios y actividades de gran transformación (Matadero, Mercados Generales, Almacenes Fluviales, Central Montemartini o esta fábrica). A partir de 1920, se empezó a construir un tejido productivo que la llevó de la situación de posguerra al milagro económico. Frente al mito de la Roma monumental o de la Roma cotidiana, aparece el aspecto industrial como mito de la contemporaneidad. Sin embargo, esta ciudad es demasiado antigua como para convertirse en moderna, y su proceso industrial en contraste con su larga historia resulta breve. La inmediata relación de la fase industrial romana con el resultado de este desarrollo viene identificada con las instalaciones señaladas, más significativas por su excepcionalidad que por la duración del momento irrepetible que representan. Su presencia física perdura a pesar de su abandono, aisladas tras su muro perimetral y casi desconocidas. Esto las hace apetecibles para la especulación inmobiliaria y resultan un caso de estudio ideal para realizar un Plan de Intervención Global, en el que determinar una serie de intervenciones necesarias, usos compatibles y directrices para la ordenación del conjunto, coherentes con los conceptos manejados en el primer capítulo. ABSTRACT The thesis focuses on industrial heritage, delving into the topics listed in its title, Criteria for the restoration, intervention and revitalisation of industrial heritage (chapter 1). The San Paolo gas factory in Rome (chapter 2): Chapter one elaborates on the official criteria to take action on heritage, but also deals with the singularity and original values unique to each construction and its context. This underlines the PhD candidate’s intentions by understanding the need for an in-depth and specific analysis, open to novel approaches to each site before its transformation. When speaking of intervention, as opposed to restoration, we address the well-known controversy that stems from the different ways of approaching historical heritage. It seems necessary to explain how these terms are interpreted in this piece of work. Whereas restoration (as Cesare Brandi would say, constitutes the methodological moment in which the work of art is appreciated in its material form and in its historical and aesthetic duality, with a view to transmitting it to the future) is a more restrictive action, demanding the utmost attention to the recovery and preservation of the piece of heritage’s defining and exceptional values, (ideally) in communication with a interdisciplinary team. By intervention, we hereby understand a more personal and free procedure carried out by the designer in which a dialectical process takes place between preexistence and the critical stance taken in order to give that good a much needed new use. That is, contrast lies in the different recognition of physical materiality and its meanings. As for the restoration/intervention dilemma, the different courses of action followed in Spain and Italy will be analysed, contrasting the architects’ training, the labourcultural environment and taking an analytical comparative case study method. There is a third concept: the revitalisation of industrial heritage, which refers to its transformation, its most common and compatible uses, the artistic redimensioning that industrial architecture has experienced thanks to contemporary art, and its relationship with Modernity. Lastly, the title refers to the case study, i.e., the analysis of the Factory, which makes up chapter 2. It is an enormous and semiabandoned peerless industrial complex on the edge of the historical city centre whose main landmark is a huge gasometer, which the author had the chance to discover during her stay in the Eternal City. This district made up the first and only industrial sector in the modern Rome of the early 20th century. Due to a number of reasons, both historical and political, barely no further industrial development took place in the city beyond the mentioned area, where processing services and activities were set up (Slaughterhouse, General Markets, Riverside Warehouses, Montemartini Power Plant or the said factory). In the 1920s began the construction of the productive fabric that raised the city from its postwar plight to the economic miracle. As opposed to the myth of monumental Rome and daily-life Rome, this industrial Rome rose as contemporaneity’s myth. However, this city is too ancient to become modern, and its industrial process strikes us as brief when confronted with its long history. The close relationship between Rome’s industrial stage and the consequences of this development is best represented by the aforementioned facilities, more relevant due to their uniqueness than the length of the once-in-a-lifetime moment they represent. Their physical presence lives on despite abandonment and isolation, as they stand vastly unknown behind their perimeter walls. This renders them appealing to property speculators, becoming an ideal case study for the creation of a Global Intervention Plan in which to determine a series of necessary actions, compatible uses and directives, all of them consistent with the concepts dealt with in chapter 1. RIASSUNTO La tesi è focalizzata sul patrimonio industriale e cerca di approfondire le tematiche contenute nel titolo, Criteri di restauro, intervento e rivitalizzazione del patrimonio industriale (capitolo 1). La Fabbrica del gas di San Paolo a Roma (capitolo 2): Nel primo capitolo vengono presi in esame i criteri istituzionalizzati di attuazione nel patrimonio, ma si parla anche della unicità, i valori originali, stratificati in ogni costruzione ed il suo contesto. Questo riassume l’intenzione della dottoranda di capire la necessità dell’analisi di ogni opera in modo profondo, concreto e aperto a nuovi approcci, prima della sua trasformazione. Nel parlare di intervento versus restauro, si affronta la famosa polemica che considera il modo di avicinarsi all’eredità storica. Appare necessario precisare come questi termini sono considerati in questo lavoro. Mentre il restauro (come direbbe Cesare Brandi, costituisce il momento metodologico del riconoscimento dell’opera d’arte nella sua consistenza fisica e nella duplice polarità estetica e storica, in vista della sua trasmissione nel futuro) è un’azione più restrittiva, e quindi implica massima attenzione al recupero e conservazione dei valori significativi ed unici del bene, in comunicazione con una (eventuale) squadra interdisciplinare; per intervento si intende qui un processo più personale e libero del progettista, nel quale si produce uno sviluppo dialettico tra la preesistenza e la posizione critica adottata quando si deve dare un nuovo uso di quel bene. Vale a dire che il contrasto risiede nel diverso riconoscimento della materialità fisica e i loro significati. Intorno al restauro / intervento, si analizzano le prospettive di attuazione in Spagna e Italia, contrastando diversi fattori come la formazione dell’architetto o l’ambiente lavorativo-culturale, ed impiegando il metodo analitico comparativo dei casi. Ci sarebbe un terzo concetto: quello della rivitalizzazione del patrimonio industriale. Questo fa riferimento alla sua trasformazione, ai suoi usi più comuni e compatibili, al ridimensionamento artistico vissuto dall’archeologia industriale grazie all’arte contemporanea ed al suo rapporto con la Modernità. In ultimo, si enuncia nel titolo il caso di studio, ovvero l’analisi della Fabbrica, che occupa il secondo capitolo. Si tratta di un enorme complesso industriale semi-abbandonato al confine con il centro storico, il cui protagonista è un grande gasometro, che l’autrice ha avuto modo di scoprire durante il suo soggiorno nella Città Eterna. Questo quartiere costituì il primo e unico moderno settore industriale della Roma moderna all’inizio del Novecento. Per diverse ragioni storiche e volontà politiche, la città praticamente non ha subito ulteriore sviluppo industriale oltre l’area citata, dove si impiantarono servizi e attività di grande trasformazione (Mattatoio, Mercati Generali, Magazzini Generali, Centrale Montemartini o questa fabbrica). Dal 1920, si inizió a costruire un tessuto prodottivo che portò la città dalla situazione post-bellica al miracolo economico. Di fronte al mito della Roma monumentale o della Roma quotidiana, appare questa Roma industriale come mito della contemporaneità. Tuttavia, questa città è troppo antica per diventare moderna, ed il suo processo industriale in contrasto con la sua lunga storia risulta breve. Il rapporto diretto della fase industriale romana con il risultato di questo sviluppo viene identificato con gli impianti segnalati, più significativi per la loro unicità che per la durata del momento irripetibile che rappresentano. La loro presenza fisica perdura nonostante l’abbandono, isolati dietro il loro muro di cinta e quasi sconosciuti. Questo li rende auspicabile per la speculazione immobiliare e sono un caso ideale per eseguire un Piano di Intervento Globale, che determini una serie di interventi necessari, usi compatibili e linee guida per la pianificazione del tutto, in linea con i concetti utilizzati nel primo capitolo.

Extending working life in Belgium. CEPS Working Document No. 386, 22 November 2013

This report aims at understanding how persons aged 50 years and older are and can be integrated into the working society in Belgium. We are interested in how people in this age group can be induced to engage in various forms of employment and lifelong learning. Based on secondary literature, descriptive databases as well as interviews with experts and focus groups, we find that the discussion on active ageing in Belgium is well advanced with numerous contributions by academics, stakeholders, social partners, the public administration and interest groups. The wish to retire at 60 is widely shared, but at the same time the majority of Belgium’s elderly are able and would be willing to work under specific conditions. Therefore, we recommend that Belgium should invest in more flexible systems including a revision of the tax scheme, such as the part-time retirement system proposed by the insurance company Delta Lloyd. An equally relevant recommendation would be to ensure that public employment agencies, employers and agencies that provide training encourage all workers to work and learn regardless of their age.

Annual report of the insurance commissioner.

Issued in 2 pt.: Pt. I, Fire and marine insurance; pt. II, Life, casualty and assessment insurance.

Development of a prototype service-life indicator for organic vapor respirators /

Mode of access: Internet.

Annual [Insurance] Report

Issued In Two Parts: Pt. i, Fire and Marine Insurance; Pt. Ii, Life and Miscellaneous Insurance

Towards industrial freedom /

"I have gathered together in this volume papers on 'Industry as an art', on 'Beauty in everyday life', on 'Non-governmental society','Agricultural cooperation', and so forth ... At the conclusion I have introduced a ... paper on 'Social and political life in China'."--Introd.

Ohio State workmen's compensation insurance fund manual: premium rules and rates.

Vols. for 1923-61 include financial statements of the Ohio State insurance fund for the preceding calendar year.

Index to publications of the Life Office Management Association, 1924 to 1941 ...

Subject index.--Index to contributors.--The Life office management association.