977 resultados para Consulting engineers
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Review of the Diploma in Social Work (JM Consulting Report)
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El projecte que he dut a terme és la implementació d'una pàgina web orientada a aquells usuaris que necessiten assessorament davant d'un crèdit bancari que ja posseeixen o que vulguin realitzar. Aquesta web financera té com a objectiu donar un cop de mà a tota aquella gent que té demanat un crèdit bancari a interès fixe i vol saber en un moment determinat si és convenient o no amortitzar anticipadament tenint en compte variables com: interès del mercat, penalització deguda a l'anticipació, la fiscalitat en el cas de les empreses, anys que queden per acabar de pagar el crèdit, sistema d'amortització financera utilitzat, etc.
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The study provides an evaluation of health and social services from the perspective of older people themselves and provides an opportunity for older people to express their lifelong care preferences. The National Council on Ageing and Older People strongly endorses the principle that older people should be involved in the development, planning and evaluation of their health and social services. This is underpinned by the principle that a health service fit for older people is a quality service that benefits everyone Download the Report here
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Rapport de synthèseObjectif: Evaluer les données sociales, économiques et médicales concernant les enfants sans permis de séjour pris en charge à l'Hôpital de l'Enfance afin de pouvoir mieux comprendre leurs besoins spécifiques.Conclusions: La majorité des enfants ayant participé à l'étude sont originaires d'Amérique Latine et vivent dans des conditions de vie très précaires. Leur état de santé global est satisfaisant et la plupart bénéficient d'un suivi médical régulier. La prévention ciblée sur une meilleure hygiène de vie est particulièrement importante en raison de l'incidence élevée de sur poids et d'obésité dans cette population. Ce qui est connu et ce que l'étude apporte de nouveau: Cette étude est la 1ère qui analyse la situation socio-économique et l'état de santé d'enfants sans?papiers en Suisse. Les points forts de cette étude sont son caractère prospectif et le suivi de plus de la moitié de ces enfants à 1 an malgré une population particulièrement vulnérable et difficile à monitorer.Méthode: Etude exploratoire prospective par le biais d'un questionnaire incluant des données socio-démographiques, médicales et scolaires de 103 enfants sans permis de séjour ayant consulté pour la 1ère fois l'Hôpital de l'Enfance entre août 2003 et mars 2006. Ces enfants étaient ensuite reconvoqués pour une deuxième consultation 1 année plus tard afin d'obtenir un suivi médical.Résultats principaux: 87% des enfants sont originaires d'Amérique Latine, 36% ont moins de 2 ans. Cette population vit dans des conditions précaires avec un revenu familial sous le seuil de pauvreté (89% des familles vivent avec moins de 3100.- CHF/mois). Les raisons principales de consultation étaient des maladies infectieuses, un bilan de santé demandé par l'école ou un contrôle du nourrisson. La plupart des enfants étaient en bonne santé ou présentaient les mêmes pathologies retrouvées chez des enfants d'un âge similaire. 13% des enfants entre 2 et 16 ans sont obèses et 27% souffrent de surpoids. Tous les enfants en âge d'être scolarisés fréquentent l'école dans l'année suivant le 1er contrôle médical et 48% sont assurés auprès d'une assurance maladie.Biais: Au contrôle medical à 1 an, nous n'avions pas de donnée supplémentaire concernant 43% des enfants qui avaient été perdus de vue (courrier envoyé revenu en retour).
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BACKGROUND: Little is known on the impact of travel vaccinations during pregnancy on child outcomes, in particular on the long-term psychomotor development. The objectives of the study were (1) to estimate the rate of premature births, congenital abnormalities, and mental and physical development problems of children born from mothers who had been vaccinated during pregnancy and (2) to compare these rates with those of children whose mothers had not been vaccinated during pregnancy. METHODS: Longitudinal study including (1) retrospectively pregnant women having attended our travel clinic before (vaccinated) and (2) prospectively mothers attending our clinic (nonvaccinated). We performed phone interviews with mothers vaccinated during pregnancy, up to 10 years before, and face-to-face interviews with nonvaccinated age-matched mothers, ie, women attending the travel clinic who had one child of about the same age as the one of the case to compare child development between both groups. RESULTS: Fifty-three women vaccinated during pregnancy were interviewed as well as 53 nonvaccinated ones. Twenty-eight (53%) women received their vaccination during the first trimester. The most frequent vaccine administered was hepatitis A (55% of the cases), followed by di-Te (34%), IM poliomyelitis (23%), yellow fever (12%), A-C meningitis (8%), IM typhoid (4%), and oral poliomyelitis (4%). Children were followed for a range of 1 to 10 years. Rates of premature births were 5.7% in both groups; congenital abnormalities were 1.9% in the vaccinated cohort versus 5.7% in the nonvaccinated one; children took their first steps at a median age of 12 months in both cohorts; among schoolchildren, 5% of the vaccinated cohort versus 7.7% of the nonvaccinated attended a lower level or a specialized school. CONCLUSION: In this small sample size, there was no indication that usual travel vaccinations, including the yellow fever one, had deleterious effect on child outcome and development
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This doctoral thesis deals with the rise and potential fall of achievement career as an institutional biographical pattern. I start with the assumption that the achievement career, as a result of the spread of large-scale bureaucratic companies, the male-breadwinner family model, and meritocratic ideals, came to life in the first half of the twentieth century. During the so-called 30 glorieuses, it became even a normatively dominant and also politically significant male biographical pattern. But the structural changes that announced the end of the post-war golden age seemed also to threaten and-according to certain scholars-erode this type of occupational trajectory. In order to understand this dynamic I will try to reconstruct the achievement career in Switzerland empirically. I examine (1) the structural changes of the economic field from 1970 to 2000, (2) the transformations of the trajectories during this period, and (3) ways in which the concerned individuals interpret and react to these changes.
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Special investigation of the Monona County Engineer’s Office for the period January 1, 2004 through April 20, 2007
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OBJECTIVE: To assess social, economic and medical data concerning children without a resident permit taken into care by the Children's Hospital of Lausanne (HEL) in order to evaluate their specific needs. METHODS: Prospective exploratory study by a questionnaire including the socio-demographic, medical and education data of 103 children without a resident permit, who consulted the HEL for the first time between August 2003 and March 2006. These children were then recalled for a second check-up one year later in order to allow a regular monitoring. RESULTS: Eighty-seven percent of the children were native of Latin America, 36% being less than two years old. This population of children lived in precarious conditions with a family income lower than the poverty level (89% of the families with less than 3100 CHF/month). Forty-five percent of the children had a health insurance. The main reasons for consultation were infectious diseases, a check-up requested by the school or a check-up concerning newborn children. Most of them were in good health and the others were affected by illnesses similar to those found in other children of the same age. At least 13% of the children were obese and 27% were overweight. All children who were of educational age went to school during the year after the first check-up and 48% were affiliated to a health insurance. CONCLUSIONS: The majority of the children from Latin America lived in very precarious conditions. Their general health status was good and most of them could benefit from regular check-ups. Prevention, focused on a healthier life style, was particularly important among this population characterised by a high incidence of overweight and obesity.
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Report on a special investigation of the Adair County Engineer’s Office for the period December 5, 2001 through December 31, 2011
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Report on a special investigation of the Lyon County Engineer’s Office for the period August 1, 2006 through May 31, 2012
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Report on applying agreed-upon procedures to the Fayette County Engineer’s Office for the period July 1, 2012 through June 30, 2013
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The ICEA Service Bureau, created in 1998 after nearly seven years of prior effort, has now existed for 2% years. Although assisted in starting up by a grant of $300,000 from the Iowa Highway Research Board, it now operates exclusively on the basis of dues paid by 98 member counties. Its three person staff operates out of an office in Des Moines, Iowa, where the 28E agency subleases space from the Iowa State Association of Counties. Services, provided via the Internet, include News & updates, Communications support, Files for download, On-line database driven applications, a reference center, and a business area. Future services are being identified by both formal and informal processes and the Bureau has established itself as a valued member of the county engineering world in Iowa.
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The design of satisfactory supporting and expansion devices for highway bridges is a problem which has concerned bridge design engineers for many years. The problems associated with these devices have been emphasized by the large number of short span bridges required by the current expanded highway program of expressways and interstate highways. The initial objectives of this investigation were: (1) To review and make a field study of devices used for the support of bridge superstructures and for provision of floor expansion; (2) To analyze the forces or factors which influence the design and behavior of supporting devices and floor expansion systems; and (3) To ascertain the need for future research particularly on the problems of obtaining more economical and efficient supporting and expansion devices, and determining maximum allowable distance between such devices. The experimental portion was conducted to evaluate one of the possible simple and economical solutions to the problems observed in the initial portion. The investigation reported herein is divided into four major parts or phases as follows: (1) A review of literature; (2) A survey by questionnaire of design practice of a number of state highway departments and consulting firms; (3) Field observation of existing bridges; and, (4) An experimental comparison of the dynamic behavior of rigid and elastomeric bearings.