DEVELOPMENT OF A FAIR CHARGING MODEL FOR A PUBLIC DATA CENTER

The purpose of the study was to explore how a public, IT services transferor, organization, comprised of autonomous entities, can effectively develop and organize its data center cost recovery mechanisms in a fair manner. The lack of a well-defined model for charges and a cost recovery scheme could cause various problems. For example one entity may be subsidizing the costs of another entity(s). Transfer pricing is in the best interest of each autonomous entity in a CCA. While transfer pricing plays a pivotal role in the price settings of services and intangible assets, TCE focuses on the arrangement at the boundary between entities. TCE is concerned with the costs, autonomy, and cooperation issues of an organization. The theory is concern with the factors that influence intra-firm transaction costs and attempting to manifest the problems involved in the determination of the charges or prices of the transactions. This study was carried out, as a single case study, in a public organization. The organization intended to transfer the IT services of its own affiliated public entities and was in the process of establishing a municipal-joint data center. Nine semi-structured interviews, including two pilot interviews, were conducted with the experts and managers of the case company and its affiliating entities. The purpose of these interviews was to explore the charging and pricing issues of the intra-firm transactions. In order to process and summarize the findings, this study employed qualitative techniques with the multiple methods of data collection. The study, by reviewing the TCE theory and a sample of transfer pricing literature, created an IT services pricing framework as a conceptual tool for illustrating the structure of transferring costs. Antecedents and consequences of the transfer price based on TCE were developed. An explanatory fair charging model was eventually developed and suggested. The findings of the study suggested that the Chargeback system was inappropriate scheme for an organization with affiliated autonomous entities. The main contribution of the study was the application of TP methodologies in the public sphere with no tax issues consideration.

Colloquial Finnish in Subtitles – a Survey on the British Situation Comedy Peep Show

The use of dialects in audiovisual texts is increasing, but the use of standard language in Finnish subtitles is still the prevalent norm and seldom flouted. This may not be in the best interest of the audience as the way the characters speak – their idiolects – is very important for the atmosphere of the audiovisual text and widely used to give the characters personalities and background. This thesis studies whether the viewing experience could be enhanced by taking the characters’ idiolects into account in subtitling. The study was executed as a survey, and the respondents were recruited from social media and an university of applied sciences. A total of 113 respondents were divided into two groups: the experimental group (n=59) and the control group (n=54). Both groups were shown an excerpt of the British situation comedy Peep Show, but with different subtitles. In the experimental subtitles, three characters were given a written idiolect with a level of colloquial language corresponding to the spoken idiolect of the character, while the control subtitles followed the norm of using standard language. The questionnaire contained background questions, a Likert-scale question and open questions. The quantitative responses were analysed statistically through cross tabulation and Mann–Whitney U test or Kruskal-Wallis test (CI=95%, α=0,05). The results showed a statistically significant difference in keeping track on which of the characters was speaking for the benefit of the experimental subtitles. In the other items no statistically significant difference was found between the groups. In the open questions the use of colloquial language was mostly commented favourably.

Direitos do aluno em contexto escolar : um estudo comparado entre o Ensino Secundário Público e o privado no Concelho de Lisboa

Considerando o importante papel que as instituições educativas desempenham na formação das crianças e dos jovens, o respeito pelos direitos dos alunos é condição fundamental, para lhes proporcionar uma educação de qualidade. Partindo desta consciência, resolvemos efetuar um estudo de caso, numa escola da rede pública de ensino e numa escola da rede privada de ensino, ambas situadas no concelho de Lisboa, com o objetivo de conhecer as perceções dos alunos sobre a promoção dos seus direitos em contexto escolar e descortinar as semelhanças e as diferenças entre os dois contextos educativos, atendendo à diferente natureza jurídica das duas instituições. Para concretizarmos esse objetivo, formulámos as seguintes perguntas derivadas, cujas respostas procuraremos obter no decurso do nosso estudo: (i) os alunos têm conhecimento de que são titulares de direitos?; (ii) exercem os seus direitos em condições de plena igualdade e sem qualquer discriminação?; (iii) o interesse superior do aluno é a primordial consideração que a Escola tem em conta, em todos os assuntos que lhe dizem respeito?; (iv) o direito à vida, à sobrevivência e ao desenvolvimento dos alunos é garantido na Escola? e (v) a opinião dos alunos é tida em consideração, em todos os assuntos que lhes dizem respeito?. Para atingirmos os objetivos que delineamos, desenvolvemos um estudo de caso, recorrendo a uma abordagem metodológica predominantemente qualitativa, com recurso a técnicas variadas, designadamente a entrevista, o inquérito por questionário e a análise documental. Procedemos à revisão da literatura, de acordo com as áreas conceptuais previamente definidas, que se consubstanciaram nos princípios gerais de direito internacional, consignados na Convenção sobre os Direitos da Criança de 1989, e à luz dos quais todos os direitos nela constantes devem ser interpretados: o princípio da não discriminação, o princípio do interesse superior da criança, o direito à vida, à sobrevivência e ao desenvolvimento, e o princípio do respeito pelas opiniões da criança. A análise dos conceitos e da diferente natureza jurídica das duas instituições foi, também, objeto do nosso estudo. Por outro lado, a legislação portuguesa relacionada com os direitos dos alunos, também, foi por nós revista neste estudo, nomeadamente, os diversos estatutos do aluno que se sucederam no tempo. A análise dos resultados obtidos permitiu-nos concluir que o respeito dos direitos dos alunos, nas suas diversas dimensões, não foi ainda totalmente conseguido, sobretudo o seu direito à não discriminação e o seu direito à participação a nível micro e meso. Não se podendo generalizar o estudo, a comunidade educativa tem de desenvolver um esforço para a compreensão da dimensão e da importância do respeito dos direitos dos alunos, sobretudo na criação de um clima democrático, que favoreça a plena igualdade de oportunidades a todos os alunos e a livre escolha do projeto educativo pelas famílias das crianças e dos jovens.

La aplicación del principio interés superior del niño, niña y adolescente” en los procesos disciplinarios administrativos del ministerio de educación

La monografía titulada “La Aplicación del principio Interés Superior del Niño, Niña y Adolescente” en los procesos disciplinarios administrativos del Ministerio de Educación; analiza el cumplimiento del mismo principio, en relación a la aplicación de acciones educativas disciplinarias en los procesos instaurados en contra de los estudiantes, dependiendo de la gravedad de la falta cometida. Posteriormente se analiza la legislación ecuatoriana en cuanto a la clasificación de las faltas, la sustanciación y resolución del proceso, a través de la Ley Orgánica de Educación Intercultural, con su Reglamento General, y el Acuerdo Ministerial 434, cuerpos normativos que velan por el respeto y garantía de los principios y derechos constitucionales de este grupo de atención prioritaria. Serealiza un análisis jurídico de aspectos relacionados al ámbito disciplinario entre la normativa colombiana del departamento de Caqueta, con respecto de la Ley Orgánica de Educación Intercultural y su Reglamento General. También se consideran los procesos disciplinariosinstaurados en contra de los estudiantes del Colegio Nacional Juan Pio Montufar de la ciudad de Quito,desde el Auto Inicial hasta la emisión de la Resolución;fiscalizando que en cada una de sus etapas se respete el principio del Interés Superior de los niños, niñas y adolescentes, yel derecho al Debido Proceso.

An Analysis of the Factors that Influence Regional Economic Development Cooperation

This dissertation is a comparative case study of regional cooperation in the field of economic development. In the 21st century global economy, proponents of regionalism have put forth fresh arguments for collective action. A regional approach to economic development activity presents a classic social dilemma: How can local officials collectively improve the economic prospects of a region, and remain autonomous to act in the best interest of the local community? This research examines the role of social capital in overcoming this social dilemma. Three (3) comparable Metropolitan Statistical Areas (MSAs) form the empirical basis of this research. The Houston MSA, the Atlanta MSA and the Miami MSA present distinct variations of regionalized economic development activity. This dissertation seeks to explain this disparity in the dependent variable. The hypothesis is that accrued social capital is crucial to obtaining economic development cooperative agreements. This qualitative research utilized secondary demographic and economic databases, survey instruments, interviews, field observations, and a review of legislative and administrative decisions to formulate a clear understanding of the factors influencing the current state of regional economic development cooperation within each region. The study concludes that the legislative and executive decisions of state government exert inordinate influence on the capacity of local officials to cooperate regionally for economic development purposes.

Evaluación del desempeño pronóstico de dos puntajes de predicción de mortalidad a siete días en pacientes adultos oncológicos críticamente enfermos admitidos a una unidad de cuidados intensivos en Bogotá

Introducción Los sistemas de puntuación para predicción se han desarrollado para medir la severidad de la enfermedad y el pronóstico de los pacientes en la unidad de cuidados intensivos. Estas medidas son útiles para la toma de decisiones clínicas, la estandarización de la investigación, y la comparación de la calidad de la atención al paciente crítico. Materiales y métodos Estudio de tipo observacional analítico de cohorte en el que reviso las historias clínicas de 283 pacientes oncológicos admitidos a la unidad de cuidados intensivos (UCI) durante enero de 2014 a enero de 2016 y a quienes se les estimo la probabilidad de mortalidad con los puntajes pronósticos APACHE IV y MPM II, se realizó regresión logística con las variables predictoras con las que se derivaron cada uno de los modelos es sus estudios originales y se determinó la calibración, la discriminación y se calcularon los criterios de información Akaike AIC y Bayesiano BIC. Resultados En la evaluación de desempeño de los puntajes pronósticos APACHE IV mostro mayor capacidad de predicción (AUC = 0,95) en comparación con MPM II (AUC = 0,78), los dos modelos mostraron calibración adecuada con estadístico de Hosmer y Lemeshow para APACHE IV (p = 0,39) y para MPM II (p = 0,99). El ∆ BIC es de 2,9 que muestra evidencia positiva en contra de APACHE IV. Se reporta el estadístico AIC siendo menor para APACHE IV lo que indica que es el modelo con mejor ajuste a los datos. Conclusiones APACHE IV tiene un buen desempeño en la predicción de mortalidad de pacientes críticamente enfermos, incluyendo pacientes oncológicos. Por lo tanto se trata de una herramienta útil para el clínico en su labor diaria, al permitirle distinguir los pacientes con alta probabilidad de mortalidad.

“THE PATIENT SURVIVED DESPITE THE TREATMENT”. A study of Finnish health policy and New Public Management. Case: The Government Resolution on the Health 2015 public health programme.

Internationally, Finland has been among the most respected countries during several decades in terms of public health. WHO has had the most significant influence on Finnish health policy and the relationship has traditionally been warm. However, the situation has slightly changed in the last 10-20 years. The objectives of Finnish national health policy have been to secure the best possible health for the population and to minimize disparities in health between different population groups. Nevertheless, although the state of public health and welfare has steadily improved, the socioeconomic disparities in health have increased. This qualitative case study will demonstrate why health is political and why health matters. It will also present some recommendations for research topics and administrative reforms. It will be argued that lack of political interest in health policy leads to absence of health policy visions and political commitment, which can be disastrous for public health. This study will investigate how Finnish health policy is defined and organised, and it will also shed light on Finnish health policy formation processes and actors. Health policy is understood as a broader societal construct covering the domains of different ministries, not just Ministry of Social Affairs and Health (MSAH). The influences of economic recession of the 1990s, state subsidy reform in 1993, globalisation and the European Union will be addressed, as well. There is not much earlier Finnish research done on health policy from political science viewpoint. Therefore, this study is interdisciplinary and combines political science with administrative science, contemporary history and health policy research with a hint of epidemiology. As a method, literature review, semi-structured interviews and policy analysi will be utilised. Institutionalism, policy transfer, and corporatism are understood as the theoretical framework. According to the study, there are two health policies in Finland: the official health policy and health policy generated by industry, media and various interest organisations. The complex relationships between the Government and municipalities, and on the other hand, the MSAH and National Institute for Health and Welfare (THL) seemed significant in terms of Finnish health policy coordination. The study also showed that the Investigated case, Health 2015, does not fulfil all necessary criteria for a successful public health programme. There were also several features both in Health 2015 and Finnish health policy, which can be interpreted in NPM framework and seen having NPM influences.

Preinterventional screening of the TAVI patient: how to choose the suitable patient and the best procedure.

Transcatheter aortic valve implantation (TAVI) is a novel therapy, which has transformed the management of inoperable patients presenting with symptomatic severe aortic stenosis (AS). It is also a proven and less invasive alternative therapeutic option for high-risk symptomatic patients presenting with severe AS who are otherwise eligible for surgical aortic valve replacement. Patient age is not strictly a limitation for TAVI but since this procedure is currently restricted to high-risk and inoperable patients, it follows that most patients selected for TAVI are at an advanced age. Patient frailty and co-morbidities need to be assessed and a clinical judgment made on whether the patient will gain a measureable improvement in their quality of life. Risk stratification has assumed a central role in selecting suitable patients and surgical risk algorithms have proven helpful in this regard. However, limitations exist with these risk models, which must be understood in the context of TAVI. When making final treatment decisions, it is essential that a collaborative multidisciplinary "heart team" be involved and this is stressed in the most recent guidelines of the European Society of Cardiology. Choosing the best procedure is contingent upon anatomical feasibility, and multimodality imaging has emerged as an integral component of the pre-interventional screening process in this regard. The transfemoral route is now considered the default approach although vascular complications remain a concern. A minimal vessel diameter of 6 mm is required for currently commercial available vascular introducer sheaths. Several alternative access routes are available to choose from when confronted with difficult iliofemoral anatomy such as severe peripheral vascular disease or diffuse circumferential vessel calcification. The degree of aortic valve leaflet and annular calcification also needs to be assessed as the latter is a risk factor for post-procedural paravalvular aortic regurgitation. The ultimate goal of patient selection is to achieve the highest procedural success rate while minimizing complications and to choose patients most likely to derive tangible benefit from this procedure.

Consensus on the Need for a Hierarchical List of Patient-reported Pain Outcomes for Metaanalyses of Knee Osteoarthritis Trials: An OMERACT Objective.

OBJECTIVE Although protocol registration for systematic reviews is still not mandatory, reviewers should be strongly encouraged to register the protocol to identify the methodological approach, including all outcomes of interest. This will minimize the likelihood of biased decisions in reviews, such as selective outcome reporting. A group of international experts convened to address issues regarding the need to develop hierarchical lists of outcome measurement instruments for a particular outcome for metaanalyses. METHODS Multiple outcome measurement instruments exist to measure the same outcome. Metaanalysis of knee osteoarthritis (OA) trials, and the assessment of pain as an outcome, was used as an exemplar to assess how Outcome Measures in Rheumatology (OMERACT), the Cochrane Collaboration, and other international initiatives might contribute in this area. The meeting began with formal presentations of background topics, empirical evidence from the literature, and a brief introduction to 2 existing hierarchical lists of pain outcome measurement instruments recommended for metaanalyses of knee OA trials. RESULTS After discussions, most participants agreed that there is a need to develop a methodology for generation of hierarchical lists of outcome measurement instruments to guide metaanalyses. Tools that could be used to steer development of such a prioritized list are the COSMIN checklist (Consensus-based Standards for the selection of health status Measurement Instruments) and the OMERACT Filter 2.0. CONCLUSION We list meta-epidemiological research agenda items that address the frequency of reported outcomes in trials, as well as methodologies to assess the best measurement properties (i.e., truth, discrimination, and feasibility).

Afro-American encyclopaedia : or, the thoughts, doings, and sayings of the race, embracing addresses, lectures, biographical sketches, sermons, poems, names of universities, colleges, seminaries, newspapers, books, and a history of the denominations, giving the numerical strength of each. In fact, it teaches every subject of interest to the colored people, as discussed by more than one hundred of their wisest and best men and women /

Mode of access: Internet.

The Canadian handbook and tourist's guide, giving a description of Canadian lake and river scenery and places of historical interest, with the best spots for fishing and shooting;

"A catalogue of the animals of British North America: Zoological": p. 189-190; "Ornithological": p. 190-196.

The Canadian handbook and tourist's guide; giving a description of Canadian lake and river scenery and places of historical interest with the best spots for fishing and shooting.

"A catalogue of the animals of British North America": p. [189]-196.