DISCHARGE PLANNING: A PROCESS MODEL

As the requirements for health care hospitalization have become more demanding, so has the discharge planning process become a more important part of the health services system. A thorough understanding of hospital discharge planning can, then, contribute to our understanding of the health services system. This study involved the development of a process model of discharge planning from hospitals. Model building involved the identification of factors used by discharge planners to develop aftercare plans, and the specification of the roles of these factors in the development of the discharge plan. The factors in the model were concatenated in 16 discrete decision sequences, each of which produced an aftercare plan.^ The sample for this study comprised 407 inpatients admitted to the M. D. Anderson Hospital and Tumor Institution at Houston, Texas, who were discharged to any site within Texas during a 15 day period. Allogeneic bone marrow donors were excluded from the sample. The factors considered in the development of discharge plans were recorded by discharge planners and were used to develop the model. Data analysis consisted of sorting the discharge plans using the plan development factors until for some combination and sequence of factors all patients were discharged to a single site. The arrangement of factors that led to that aftercare plan became a decision sequence in the model.^ The model constructs the same discharge plans as those developed by hospital staff for every patient in the study. Tests of the validity of the model should be extended to other patients at the MDAH, to other cancer hospitals, and to other inpatient services. Revisions of the model based on these tests should be of value in the management of discharge planning services and in the design and development of comprehensive community health services.^

Cuantificación de la captura de CO2 por la flora nativa de totora en un humedal costero de Perú

Resumen: Se cuantifica la captura de CO2 por la flora nativa de totora (Schoenoplectus californicus) en los humedales de Villa María, sobre la costa del Pacífico en Perú. Se delimitó el área representativa ocupada por esta especie para evitar zonas heterogéneas y se cuadriculó la zona trazando líneas que atraviesen toda el área, donde se realizaron muestreos aleatorios de 1 m2 de la parte aérea y de la raíz de la biomasa. El contenido de carbono en la estructura vegetal se determinó por método de “Walkley y Black” y la captura de dióxido de carbono se estimó mediante el “factor de conversión de carbono a dióxido de carbono”. Se obtuvo un valor de contenido de dióxido de carbono capturado por totora (partes aérea +raíz) de 84.05 tCO2/ha comprobándose que, entre otros importantes servicios al medio ambiente y al Ser Humano, estos humedales actúan de modo crucial en la captación de CO2 atmosférico ante el presente escenario de cambio climático planetario.

Essential elements of postabortion care: origins, evolution and future directions

In this comment, we chronicle the development and expansion of a postabortion care model designed to promote interventions that address abortion-related public health concerns even when abortion laws and policies are restrictive. We review years of program experience with the original model, which led to the development of an expanded and updated model, Essential Elements of Postabortion Care (PAC). Implementing the model challenges global public health leaders, donors, technical assistance agencies and ministries of health to work with communities to ensure that all women who want to prevent or space pregnancies can obtain contraceptive services; that all women have access to services to manage complications from abortion, whether induced or spontaneous; and that all women receiving treatment also receive counseling and the reproductive and other health services they need at the treatment visit, as well as follow-up care and contraceptive resupply

Area-averaged mean seasonal cycles of chlorophyll-a concentration, sea surface temperature, alongshore wind stress, westward wind speed and dust component of the aerosol optical depth at 550 nm

Nutrient supply in the area off Northwest Africa is mainly regulated by two processes, coastal upwelling and deposition of Saharan dust. In the present study, both processes were analyzed and evaluated by different methods, including cross-correlation, multiple correlation, and event statistics, using remotely sensed proxies of the period from 2000 to 2008 to investigate their influence on the marine environment. The remotely sensed chlorophyll-a concentration was used as a proxy for the phytoplankton biomass stimulated by nutrient supply into the euphotic zone from deeper water layers and from the atmosphere. Satellite-derived alongshore wind stress and sea-surface temperature were applied as proxies for the strength and reflection of coastal upwelling processes. The westward wind and the dust component of the aerosol optical depth describe the transport direction of atmospheric dust and the atmospheric dust column load. Alongshore wind stress and induced upwelling processes were most significantly responsible for the surface chlorophyll-a variability, accounting for about 24% of the total variance, mainly in the winter and spring due to the strong north-easterly trade winds. The remotely sensed proxies allowed determination of time lags between biological response and its forcing processes. A delay of up to 16 days in the surface chlorophyll-a concentration due to the alongshore wind stress was determined in the northern winter and spring. Although input of atmospheric iron by dust storms can stimulate new phytoplankton production in the study area, only 5% of the surface chlorophyll-a variability could be ascribed to the dust component in the aerosol optical depth. All strong desert storms were identified by an event statistics in the time period from 2000 to 2008. The 57 strong storms were studied in relation to their biological response. Six events were clearly detected in which an increase of chlorophyll-a was caused by Saharan dust input and not by coastal upwelling processes. Time lags of <8 days, 8 days, and 16 days were determined. An increase in surface chlorophyll-a concentration of up to 2.4 mg m**3 after dust storms in which the dust component of the aerosol optical depth was up to 0.9 was observed.

A Divergent Path of Industrial Upgrading: Emergence and Evolution of the Mobile Handset Industry in China

Starting from almost null in the late 1990s, China's mobile phone handset industry has grown to account for more than 40 percent of the current world production. While export growth has been overwhelmingly led by multi-national corporations (MNCs), increasingly fierce competition in the domestic market ignited by the advent of local handset makers has induced unique industrial evolution: (1) outgrowth of independent design houses specialized in handset development and (2) emergence of IC fabless ventures that design core ICs for handsets. In the background of this evolutionary industrial growth there are factors such as, the scale and increasing diversity of China's domestic market that advantages local firms vis-a-vis MNCs; modularization of handset and semiconductor technologies; policy interventions that supports local startups. The emergence and evolution of China's handset industry is likely to have international implications as the growth of the global demand for low-cost and multi-function mobile phone handsets is expected to accelerate. Thus, our case suggests that the conventional view of latecomer industrialization and upgrading that emphasizes the key role of international production networks organized by MNCs needs to be modified in order to accommodate China's rise into perspective.

Growth of the Firm and Economic Backwardness: A Case Study and Analysis of China's Mobile Handset Industry

Economic backwardness often influences the growth of firms in developing countries. In this paper, we investigate the growth conditions and paths available for latecomers competing with first movers. Employing the concepts of boundaries of the firm and the disadvantage of backwardness, we present a case study of China's mobile handset industry and proceed to develop a simple model. We find that although significant disadvantage does not allow latecomers to grow, there are possibilities for changing the conditions of growth if latecomers can utilize outside resources and/or indigenous advantages.

Technology Choice, Change of Trade Structure, and A Case of Hungarian Economy

In the IT industry, there has been a remarkable increase in the demand for system LSI. A system LSI must be tailor-designed for each electrical appliance, and then produced. It is said that in recent years, this production method has made the IC cycle ambiguous. It can be sought that the choice of whether the economy pursues a development path centering on technology which is tradable or technology which is embodied in labor, depends on the historical background. In this paper, the economic background is explained in order to analyze and capture movements in the IT industry and technology. Then, an econometric model for Hungary has been constructed to estimate the effect of technological progress on the economy.

Technology Choice in the IT Industry and Changes of the Trade Structure

In the IT industry, there has been a remarkable increase in the demand for system LSI. A system LSI must be produced, tailor-designed for each electrical appliance. It is said that this production method has made the IC cycle ambiguous in recent years. It can be sought that the choice of whether the economy pursues a development path centering on technology which is tradable or technology which is embodied in labor, depends on the historical background. The relationship between these two types of technologies is changing rapidly every one or two years. In this background, the analysis is focused on the new trend of technology. In the section 2, the newest trend of technology in the field of system LSI is explained. Then, which kind of technology will be developed and how it will have an affect in the near future, is considered.

Innovating global value chains : creation of the netbook market by Taiwanese firms

This paper explores the process of creation of the netbook market by Taiwanese firms as an example of a disruptive innovation by latecomer firms. As an analytical framework, I employ the global value chain perspective to capture the dynamics of vertical inter-firm relationships that drive some firms in the chain to change the status quo of the industry. I then divide the process of the emergence of the netbook market into three consecutive stages, i.e. (1) the launch of the first-generation netbook by a Taiwanese firm named ASUSTeK, (2) the response of the two powerful platform leaders of the industry, Intel and Microsoft Intel, to ASUSTeK’s innovation, and (3) the market entry by another powerful Taiwanese firm, Acer, and explain how Taiwanese firms broke the Intel-centric market and tapped into the market-creating innovation opportunities that had been suppressed by the two powerful platform leaders. I also show that the creation of the netbook industry was an evolutionary process in which a series of responses by different industry players led to changes in the status quo of the industry.

A Visual AGV-Urban Car using Fuzzy Control

The goal of the work described in this paper is to develop a visual line guided system for being used on-board an Autonomous Guided Vehicle (AGV) commercial car, controlling the steering and using just the visual information of a line painted below the car. In order to implement the control of the vehicle, a Fuzzy Logic controller has been implemented, that has to be robust against curvature changes and velocity changes. The only input information for the controller is the visual distance from the image center captured by a camera pointing downwards to the guiding line on the road, at a commercial frequency of 30Hz. The good performance of the controller has successfully been demonstrated in a real environment at urban velocities. The presented results demonstrate the capability of the Fuzzy controller to follow a circuit in urban environments without previous information about the path or any other information from additional sensors

Implementación de Algoritmos de Procesado de Señal sobre FPGA: Especificación, Reutilización y Exploración del Espacio de Diseño

Esta Tesis aborda el diseño e implementación de aplicaciones en el campo de procesado de señal, utilizando como plataforma los dispositivos reconfigurables FPGA. Esta plataforma muestra una alta capacidad de lógica, e incorpora elementos orientados al procesado de señal, que unido a su relativamente bajo coste, la hacen ideal para el desarrollo de aplicaciones de procesado de señal cuando se requiere realizar un procesado intensivo y se buscan unas altas prestaciones. Sin embargo, el coste asociado al desarrollo en estas plataformas es elevado. Mientras que el aumento en la capacidad lógica de los dispositivos FPGA permite el desarrollo de sistemas completos, los requisitos de altas prestaciones obligan a que en muchas ocasiones se deban optimizar operadores a muy bajo nivel. Además de las restricciones temporales que imponen este tipo de aplicaciones, también tienen asociadas restricciones de área asociadas al dispositivo, lo que obliga a evaluar y verificar entre diferentes alternativas de implementación. El ciclo de diseño e implementación para estas aplicaciones se puede prolongar tanto, que es normal que aparezcan nuevos modelos de FPGA, con mayor capacidad y mayor velocidad, antes de completar el sistema, y que hagan a las restricciones utilizadas para el diseño del sistema inútiles. Para mejorar la productividad en el desarrollo de estas aplicaciones, y con ello acortar su ciclo de diseño, se pueden encontrar diferentes métodos. Esta Tesis se centra en la reutilización de componentes hardware previamente diseñados y verificados. Aunque los lenguajes HDL convencionales permiten reutilizar componentes ya definidos, se pueden realizar mejoras en la especificación que simplifiquen el proceso de incorporar componentes a nuevos diseños. Así, una primera parte de la Tesis se orientará a la especificación de diseños basada en componentes predefinidos. Esta especificación no sólo busca mejorar y simplificar el proceso de añadir componentes a una descripción, sino que también busca mejorar la calidad del diseño especificado, ofreciendo una mayor posibilidad de configuración e incluso la posibilidad de informar de características de la propia descripción. Reutilizar una componente ya descrito depende en gran medida de la información que se ofrezca para su integración en un sistema. En este sentido los HDLs convencionales únicamente proporcionan junto con la descripción del componente la interfaz de entrada/ salida y un conjunto de parámetros para su configuración, mientras que el resto de información requerida normalmente se acompaña mediante documentación externa. En la segunda parte de la Tesis se propondrán un conjunto de encapsulados cuya finalidad es incorporar junto con la propia descripción del componente, información que puede resultar útil para su integración en otros diseños. Incluyendo información de la implementación, ayuda a la configuración del componente, e incluso información de cómo configurar y conectar al componente para realizar una función. Finalmente se elegirá una aplicación clásica en el campo de procesado de señal, la transformada rápida de Fourier (FFT), y se utilizará como ejemplo de uso y aplicación, tanto de las posibilidades de especificación como de los encapsulados descritos. El objetivo del diseño realizado no sólo mostrará ejemplos de la especificación propuesta, sino que también se buscará obtener una implementación de calidad comparable con resultados de la literatura. Para ello, el diseño realizado se orientará a su implementación en FPGA, aprovechando tanto los elementos lógicos generalistas como elementos específicos de bajo nivel disponibles en estos dispositivos. Finalmente, la especificación de la FFT obtenida se utilizará para mostrar cómo incorporar en su interfaz información que ayude para su selección y configuración desde fases tempranas del ciclo de diseño. Abstract This PhD. thesis addresses the design and implementation of signal processing applications using reconfigurable FPGA platforms. This kind of platform exhibits high logic capability, incorporates dedicated signal processing elements and provides a low cost solution, which makes it ideal for the development of signal processing applications, where intensive data processing is required in order to obtain high performance. However, the cost associated to the hardware development on these platforms is high. While the increase in logic capacity of FPGA devices allows the development of complete systems, high-performance constraints require the optimization of operators at very low level. In addition to time constraints imposed by these applications, Area constraints are also applied related to the particular device, which force to evaluate and verify a design among different implementation alternatives. The design and implementation cycle for these applications can be tedious and long, being therefore normal that new FPGA models with a greater capacity and higher speed appear before completing the system implementation. Thus, the original constraints which guided the design of the system become useless. Different methods can be used to improve the productivity when developing these applications, and consequently shorten their design cycle. This PhD. Thesis focuses on the reuse of hardware components previously designed and verified. Although conventional HDLs allow the reuse of components already defined, their specification can be improved in order to simplify the process of incorporating new design components. Thus, a first part of the PhD. Thesis will focus on the specification of designs based on predefined components. This specification improves and simplifies the process of adding components to a description, but it also seeks to improve the quality of the design specified with better configuration options and even offering to report on features of the description. Hardware reuse of a component for its integration into a system largely depends on the information it offers. In this sense the conventional HDLs only provide together with the component description, the input/output interface and a set of parameters for its configuration, while other information is usually provided by external documentation. In the second part of the Thesis we will propose a formal way of encapsulation which aims to incorporate with the component description information that can be useful for its integration into other designs. This information will include features of the own implementation, but it will also support component configuration, and even information on how to configure and connect the component to carry out a function. Finally, the fast Fourier transform (FFT) will be chosen as a well-known signal processing application. It will be used as case study to illustrate the possibilities of proposed specification and encapsulation formalisms. The objective of the FFT design is not only to show practical examples of the proposed specification, but also to obtain an implementation of a quality comparable to scientific literature results. The design will focus its implementation on FPGA platforms, using general logic elements as base of the implementation, but also taking advantage of low-level specific elements available on these devices. Last, the specification of the obtained FFT will be used to show how to incorporate in its interface information to assist in the selection and configuration process early in the design cycle.

Mapping the visual landscape quality in Europe using physical attributes

he inclusion of environmental care data in the decision-making process should be based on the results obtained after scienti?cally evaluating different environmental variables. Herein, a European landscape geographic model is presented. This landscape map would allow the environmental care variable ?visual landscape?, along with other information related to vegetation, geology, soils, cultural variables, etc., to be integrated into the planning process. The methodology used is not new since it has already been tested in Spain by the authors. Nevertheless, the model was adapted to cope with the much more extensive territory of the European Union. This meant dealing with computational dif?culties, and a lack of information. The result of this work is a raster map (100 m cell size) that evaluates landscape quality in Europe by dividing the area into seven visual quality classes. This is a practical tool for territorial development that will facilitate the environmental assessment of plans, such as infrastructure plans, within a strategic pan-European framework.

Modelo de análisis organizativo para la mejora del desempeño de empresas sociales

La empresa social es un modelo organizativo que presenta un interesante potencial para resolver problemáticas sociales. La empresa social ha despertado interés tanto en países industrializados como en economías en vías de desarrollo porque representa un modelo dentro del capitalismo que persigue objetivos sociales mediante la realización de actividades de mercado (compra y venta de productos y/o servicios principalmente). A pesar de sus raíces lejanas en el tiempo se trata de un campo de conocimiento relativamente joven, donde la literatura académica presenta escasez de estudios empíricos. El desarrollo teórico para buscar claridad conceptual ha sido el principal caballo de batalla de los últimos años, y por tanto, se ha prestado poca atención a generar evidencias sobre cómo funcionan las empresas sociales y sobre sus claves de su éxito. Se considera que la mejora en la comprensión de este modelo organizativo pasa por la construcción de herramientas para que académicos y practicantes mejoren su conocimiento sobre los mecanismos internos de las empresas sociales. En este contexto nace la presente tesis doctoral sobre empresa social, que tiene por objetivo la creación de un marco de análisis que permita el estudio de las empresas sociales desde una dimensión organizativa, es decir, que aborde los elementos clave que describen el funcionamiento de este tipo de organizaciones. Para ello, en este trabajo se aborda la construcción del modelo para el análisis organizativo de las empresas sociales a partir del análisis semántico de las 45 principales definiciones de empresa social. A partir de este análisis se identifican dos dimensiones de análisis de la empresa social: -Cuatro principios, comunes a todas las manifestaciones del fenómeno, que recogen la esencia del concepto. -Ocho elementos organizativos específicos de la empresa social que describen la forma en la que cada iniciativa se implementa en un contexto determinado. Es decir, elementos de diseño presentes en diferente medida que dan lugar a tipologías de empresa social diferentes. Estos elementos son: la proposición de valor social, la búsqueda de impacto a largo plazo, la cultura organizativa, la conexión con los beneficiarios, el liderazgo emprendedor y los mecanismos de gobernanza, el ecosistema colaborativo, la estrategia empresarial y la orientación a la autosuficiencia económica. A partir de este marco de análisis, se construyen dos herramientas de diagnóstico que permiten su aplicación al estudio de empresas sociales: una tabla de indicadores para el análisis externo (por parte de un investigador ajeno a la organización) y un cuestionario de diagnóstico para el análisis interno (a través del personal de la empresa social objeto de estudio). Las herramientas intentan dar respuesta a la necesidad de desarrollar constructos para el estudio empírico de las empresas sociales. Para analizar la utilidad del modelo y de las herramientas se llevaron a cabo tres estudios de caso: -La empresa social ACCIONA Microenergía Perú que proporciona energía eléctrica a comunidades rurales aisladas en la región peruana de Cajamarca. -La empresa social Integra-e que propone un mecanismo de inserción socio-laboral en Madrid para jóvenes en riesgo de exclusión a través de la formación en Tecnologías de la Información y la Comunicación (TIC). -Un conjunto de redes de telecentros pertenecientes a la red LAC de la fundación Telecentres.org que proporcionan acceso a servicios de información (Internet entre otros) en diferentes países de Latinoamérica. La aplicación de las herramientas mostró ser útil en los tres estudios de caso para obtener una relación de evidencias con las que analizar la proximidad de una organización al ideal de empresa social. El ejercicio de análisis también resultó interesante como ejercicio reflexivo para las entidades participantes. Los resultados del cuestionario fueron especialmente interesantes en los telecentros de la Fundación Telecentre.org ya que al ser un estudio multicaso se pudo realizar un rico análisis estadístico sobre el funcionamiento de los telecentros y su desempeño. El estudio permitió identificar relaciones interesantes entre los ocho elementos de diseño del modelo propuesto y el desempeño de la organización. En particular, se detectó que para todos los casos estudiados: -La dimensión económica es la componente del desempeño que mayor desafíos plantea. -La existencia de una alta correlación entre el desempeño y siete de los ocho elementos organizativos del modelo. -La importancia de la cultura organizativa como elemento que explica el desempeño global de la organización y la satisfacción de los empleados. El campo de la empresa social presenta importantes retos de futuro, como la claridad conceptual, el desarrollo de estudios empíricos y la medida de su impacto social. El conocimiento de las claves organizativas puede ayudar a diseñar empresas sociales más robustas o a que organizaciones con fines sociales que no se basan en mecanismos de mercado consideren la posibilidad de incorporar éstos en su estrategia. ABSTRACT Social enterprise is an organizational model with a strong potential to help solving social problems. Recently, interest for the model has risen in both industrialized and developing countries because it is organized to achieve altruistic or social goals through market activities (mainly sales of products and services). Despite its historic roots, it is a relatively young field of research, where academic literature has little empirical data to accompany the theoretical development of social enterprise. Conceptual clarification has been the main challenge during the recent years, and there has been little attention given to generate evidence on how social enterprises operate and their keys to success. Progress in empirical study involves the construction of tools for researchers, in order to increase understanding of the internal mechanisms of social enterprises. This thesis aims to create a conceptual framework to study social enterprises from an organizational point of view, by analyzing the key elements that explain the operation and organization of this organizational model. The framework for the organizational analysis of social enterprises was built supported by the semantic analysis of 45 main definitions of social enterprise. The framework is divided into two dimensions: -There are four principles which capture the essence of the social enterprise concept, and are present in the manifestations of cases. -There are eight design elements which help analyze the characteristics of each particular social enterprise initiative: the social value proposition, social impact orientation, organizational culture, links to beneficiaries, entrepreneurial leadership, collaborative ecosystem, entrepreneurial strategy and orientation to economic self-sufficiency. Two diagnostic tools were developed to apply the framework to case studies: a scoreboard of indicators (to be used by the researcher during external analysis of the organization) and a questionnaire (to be answered by the social enterprise staff). The dissertation undertakes the study of three case studies: -ACCIONA Microenergia Peru, a social enterprise that provides electricity to isolated rural communities in the Peruvian region of Cajamarca. -Integra-e, a social enterprise located in Madrid that promotes socioprofessional integration of young people through training in ICT. -A sample of telecenters of the LAC network that provide access to information services (such as Internet) in Latin America. Applying the tools proved to be useful in all three cases, because it helped to obtain evidence to compare the proximity of an organization to an ideal type of social enterprise. In all the cases studied, the economic sustainability proved to be the biggest challenge for the organizations. The application of the questionnaire to the telecenters was especially informative because it was a multicase study which provided a rich statistical analysis on the performance of call centers. The study identified unique relationships between the model elements and the organziation performance. A statistical analysis shows a high correlation between performance and seven organizational elements described in the model. The organizational culture seems to be an important factor in explaining the overall organizational performance and employee satisfaction. The field of social enterprise has significant future challenges -such as conceptual clarity, the development of empirical studies and social impact assessment. A deep understanding of key organizational aspects of social enterprises can help in the design of more robust organizations and to bring success to social-purpose organizations.