916 resultados para THE EMERGENCY SERVICES CALL CENTER


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Information and communication technologies are the tools that underpin the emerging “Knowledge Society”. Exchange of information or knowledge between people and through networks of people has always taken place. But the ICT has radically changed the magnitude of this exchange, and thus factors such as timeliness of information and information dissemination patterns have become more important than ever.Since information and knowledge are so vital for the all round human development, libraries and institutions that manage these resources are indeed invaluable. So, the Library and Information Centres have a key role in the acquisition, processing, preservation and dissemination of information and knowledge. ln the modern context, library is providing service based on different types of documents such as manuscripts, printed, digital, etc. At the same time, acquisition, access, process, service etc. of these resources have become complicated now than ever before. The lCT made instrumental to extend libraries beyond the physical walls of a building and providing assistance in navigating and analyzing tremendous amounts of knowledge with a variety of digital tools. Thus, modern libraries are increasingly being re-defined as places to get unrestricted access to information in many formats and from many sources.The research was conducted in the university libraries in Kerala State, India. lt was identified that even though the information resources are flooding world over and several technologies have emerged to manage the situation for providing effective services to its clientele, most of the university libraries in Kerala were unable to exploit these technologies at maximum level. Though the libraries have automated many of their functions, wide gap prevails between the possible services and provided services. There are many good examples world over in the application of lCTs in libraries for the maximization of services and many such libraries have adopted the principles of reengineering and re-defining as a management strategy. Hence this study was targeted to look into how effectively adopted the modern lCTs in our libraries for maximizing the efficiency of operations and services and whether the principles of re-engineering and- redefining can be applied towards this.Data‘ was collected from library users, viz; student as well as faculty users; library ,professionals and university librarians, using structured questionnaires. This has been .supplemented by-observation of working of the libraries, discussions and interviews with the different types of users and staff, review of literature, etc. Personal observation of the organization set up, management practices, functions, facilities, resources, utilization of information resources and facilities by the users, etc. of the university libraries in Kerala have been made. Statistical techniques like percentage, mean, weighted mean, standard deviation, correlation, trend analysis, etc. have been used to analyse data.All the libraries could exploit only a very few possibilities of modern lCTs and hence they could not achieve effective Universal Bibliographic Control and desired efficiency and effectiveness in services. Because of this, the users as well as professionals are dissatisfied. Functional effectiveness in acquisition, access and process of information resources in various formats, development and maintenance of OPAC and WebOPAC, digital document delivery to remote users, Web based clearing of library counter services and resources, development of full-text databases, digital libraries and institutional repositories, consortia based operations for e-journals and databases, user education and information literacy, professional development with stress on lCTs, network administration and website maintenance, marketing of information, etc. are major areas need special attention to improve the situation. Finance, knowledge level on ICTs among library staff, professional dynamism and leadership, vision and support of the administrators and policy makers, prevailing educational set up and social environment in the state, etc. are some of the major hurdles in reaping the maximum possibilities of lCTs by the university libraries in Kerala. The principles of Business Process Re-engineering are found suitable to effectively apply to re-structure and redefine the operations and service system of the libraries. Most of the conventional departments or divisions prevailing in the university libraries were functioning as watertight compartments and their existing management system was more rigid to adopt the principles of change management. Hence, a thorough re-structuring of the divisions was indicated. Consortia based activities and pooling and sharing of information resources was advocated to meet the varied needs of the users in the main campuses and off campuses of the universities, affiliated colleges and remote stations. A uniform staff policy similar to that prevailing in CSIR, DRDO, ISRO, etc. has been proposed by the study not only in the university libraries in kerala but for the entire country.Restructuring of Lis education,integrated and Planned development of school,college,research and public library systems,etc.were also justified for reaping maximum benefits of the modern ICTs.

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This study deals the professional Services civil Liability for deficiency with special reference to medical professionals.the study deals with the characteristics of profession,basis of liability , historical evolution of legal controls on professional services, liability of doctors for negligence under tort law. Expectations to liability for medical negligence are critically evaluated. consent of medical treatment etc are studied

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This thesis Entitled Internet Utilization and Academic Activities of Faculty Members in the Universities of kerala: an analytical study. Today, scientific research is throwing up new discoveries, inventions and vistas by the hour. We are witnessing a veritable knowledge explosion. It is important for members of university faculty members to keep abreast of it for giving up-t-date information to their students about the new development in the subject of their study. The internet is an invaluable tool for achieving it. Most of the universities have sufficient internet facility, but the accessibility to all the faculty members is not adequate. University Libraries also provides standard supplementary service in the internet area. This study indicates differential level of awareness and utilization of the internet services by the faculty members in the areas of teaching, research and publication. However the overall impression is that the awareness and utilization is inadequate. This point to the urgent need to devise programs and schemes to promote internet utilization among the faculty members. The suggestions indicate the key areas that deserve attention by policy makers and administrators. Thanks to the internet, every new development in every field of study is just a click away for faculty members, research scholars and students.

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This paper discusses our research in developing a generalized and systematic method for anomaly detection. The key ideas are to represent normal program behaviour using system call frequencies and to incorporate probabilistic techniques for classification to detect anomalies and intrusions. Using experiments on the sendmail system call data, we demonstrate that concise and accurate classifiers can be constructed to detect anomalies. An overview of the approach that we have implemented is provided.

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In a business environment that is characterized by intense competition, building customer loyalty has become a key area of focus for most financial institutions. The explosion of the services sector, changing customer demographics and deregulation and emergence of new technology in the financial services industry have had a critical impact on consumers’ financial services buying behaviour. The changes have forced banks to modify their service offerings to customers so as to ensure high levels of customer satisfaction and also high levels of customer retention. Banks have historically had difficulty distinguishing their products from one another because of their relative homogeneity; with increasing competition,the problem has only intensified with no coherent distinguishing theme. Rising wealth, product proliferation, regulatory changes and newer technologies are together making bank switching easier for customers. In order to remain competitive, it is important for banks to retain their customer base. The financial services sector is the foundation for any economy and plays the role of mobilization of resources and their allocation. The retail banking sector in India has emerged as one of the major drivers of the overall banking industry and has witnessed enormous growth. Switching behaviour has a negative impact on the banks’ market share and profitability as the costs of acquiring customers are much higher than the costs of retaining. When customers switch, the business loses the potential for additional profits from the customer the initial costs invested in the customer by the business get . The Objective of the thesis was to examine the relationship among triggers that customers experience, their perceptions of service quality, consumers’ commitment and behavioral intentions in the contemporary India retail banking context through the eyes of the customer. To understand customers’ perception of these aspects, data were collected from retail banking customers alone for the purpose of analysis, though the banks’ views were considered during the qualitative work carried out prior to the main study. No respondent who is an employee of a banking organization was considered for the final study to avoid the possibility of any bias that could affect the results adversely. The data for the study were collected from customers who have switched banks and from those who were non switchers. The study attempted to develop and validate a multidimensional construct of service quality for retail banking from the consumer’s perspective. A major conclusion from the empirical research was the confirmation of the multidimensional construct for perceived service quality in the banking context. Switching can be viewed as an optimization problem for customers; customers review the potential gains of switching to another service provider against the costs of leaving the service provider. As banks do not provide tangible products, their service quality is usually assessed through service provider’s relationship with customers. Thus, banks should pay attention towards their employees’ skills and knowledge; assessing customers’ needs and offering fast and efficient services.

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In the 1980’s, many United States industrial organizations started developing new production processes to improve quality, reduce cost, and better respond to customer needs and the pressures of global competition. This new paradigm was coined Lean Production (or simply “Lean”) in the book The Machine That Changed The World published in 1990 by researchers from MIT’s International Motor Vehicle Program. In 1993, a consortium of US defense aerospace firms and the USAF Aeronautical Systems Center, together with the AFRL Materials and Manufacturing Directorate, started the Lean Aircraft Initiative (LAI) at MIT. With expansion in 1998 to include government space products, the program was renamed the Lean Aerospace Initiative. LAI’s vision is to “Significantly reduce the cost and cycle time for military aerospace products throughout the entire value chain while continuing to improve product performance.” By late 1998, 23 industry and 13 government organizations with paying memberships, along with MIT and the UAW were participating in the LAI.

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Each player in the financial industry, each bank, stock exchange, government agency, or insurance company operates its own financial information system or systems. By its very nature, financial information, like the money that it represents, changes hands. Therefore the interoperation of financial information systems is the cornerstone of the financial services they support. E-services frameworks such as web services are an unprecedented opportunity for the flexible interoperation of financial systems. Naturally the critical economic role and the complexity of financial information led to the development of various standards. Yet standards alone are not the panacea: different groups of players use different standards or different interpretations of the same standard. We believe that the solution lies in the convergence of flexible E-services such as web-services and semantically rich meta-data as promised by the semantic Web; then a mediation architecture can be used for the documentation, identification, and resolution of semantic conflicts arising from the interoperation of heterogeneous financial services. In this paper we illustrate the nature of the problem in the Electronic Bill Presentment and Payment (EBPP) industry and the viability of the solution we propose. We describe and analyze the integration of services using four different formats: the IFX, OFX and SWIFT standards, and an example proprietary format. To accomplish this integration we use the COntext INterchange (COIN) framework. The COIN architecture leverages a model of sources and receivers’ contexts in reference to a rich domain model or ontology for the description and resolution of semantic heterogeneity.

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This article studies the static pricing problem of a network service provider who has a fixed capacity and faces different types of customers (classes). Each type of customers can have its own capacity constraint but it is assumed that all classes have the same resource requirement. The provider must decide a static price for each class. The customer types are characterized by their arrival process, with a price-dependant arrival rate, and the random time they remain in the system. Many real-life situations could fit in this framework, for example an Internet provider or a call center, but originally this problem was thought for a company that sells phone-cards and needs to set the price-per-minute for each destination. Our goal is to characterize the optimal static prices in order to maximize the provider's revenue. We note that the model here presented, with some slight modifications and additional assumptions can be used in those cases when the objective is to maximize social welfare.

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L’objectiu dels Serveis Intel·ligents d’Atenció Ciutadana (SAC) és donar resposta a les necessitats d'informació dels ciutadans sobre els serveis i les actuacions del municipi i, per extensió, del conjunt del serveis d'interès ciutadà. Des que l’ iSAC s’ha posat en funcionament, periòdicament s’analitzen les consultes que es fan en el sistema i el grau de satisfacció que la ciutadania té d’aquest servei. Tot i que en general les valoracions són satisfactòries s’ha observat que actualment aquest sistema té un buit, hi ha un ampli ventall de respostes que, de moment, l’iSAC no és capaç de resoldre, i possiblement el 010, el call center del servei d’atenció ciutadana, tampoc. Algunes de les cerques realitzades marxen molt de l’àmbit municipal i és l’experiència de la mateixa ciutadania la que pot oferir un millor resultat. És per aquest motiu que ha sorgit la necessitat de crear wikiSAC. Eina que te com a principals objectius que: poder crear, modificar i eliminar el contingut d’una pàgina de forma interactiva de manera fàcil i ràpida a través d’un navegador web; controlar els continguts ofensius i malintencionats; conservar un historial de canvis; incentivar la participació ciutadana i aconseguir que aquest sigui un lloc on els ciutadans preguntin, suggereixin i opinin sobre temes relacionats amb el seu municipi i aconseguir que els ciutadans es sentin més integrats amb el funcionament de l’administració, col∙laborant en les tasques d’informació i atenció ciutadana

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El Almacén de Adornos FAMEGO, ubicado dentro del sector de San Victorino, el cual a través de los años se ha caracterizado por ser muy concurrente por las familias Colombianas de los estratos 1, 2 y 3, gracias a que su ubicación en el centro de la capital hace sea que el destino más próximo para aquellos consumidores finales de Adornos, que su principal objetivo es buscar el mejor precio en sus insumos para confección.Mediante el estudio prospectivo del Almacén FAMEGO, se analizaron características como: tendencias (Globalización, nuevos concepto del mercado, tasa de cambio), factores internos y externos (Precios, seguridad, población marginal), los cuales llevaron a generar hipótesis que mostraran los distintos escenarios del Almacén FAMEGO con un horizonte al año en el 2015. En el 2015, el sector de San Victorino, se vislumbra como un centro de negocios al aire libre, en el cual habrá un ambiente más confortable para todos los clientes, con mayor seguridad por parte de las autoridades y control en cuanto al desarrollo sostenible del sector, brindando adecuados niveles de limpieza en las calles y una menor contaminación visual. El almacén FAMEGO, caracterizado por brindar a sus clientes el mejor servicio, ha creado alianzas con sus principales competidores para crear un ambiente más sano en el mercado, estableciendo una equidad en los precios de los productos.

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Cada día se tiene más conocimiento acerca de la voz como un elemento fundamental en el desempeño laboral. Los diferentes sectores económicos tienen como estrategias de comunicación las asesorías personales a través de las centrales de llamadas telefónicas, aumentado así el reporte de síntomas vocales en trabajadores. El objetivo de este estudio fue conocer la prevalencia de los síntomas de la voz en agentes de llamadas y los factores asociados como antecedentes médicos, ocupacionales y extraocupacionales, a través de una encuesta aplicada a los trabajadores. La población de estudio fue de 495 trabajadores de la central de llamadas de la Organización Sanitas Internacional – Fonosanitas-sede Bogotá. Colombia; de la cual se obtuvo una muestra de forma randomizada y aleatorizada. Es necesario destacar que en Colombia no se encontraron estadísticas relacionadas con este tema. El 91.3 % de los asesores de llamadas reportaron más de dos síntomas vocales de una escala de once (11) síntomas. Tanto los hombres como las mujeres reportaron síntomas por igual, aunque en la distribución de la población predomino el género femenino (64.2%). Entre los hallazgos más importantes, el síntoma principal fue la sensación de mucosidad de la garganta en un 72%, seguido por la voz tensa en un 59.2 % y por la voz ronca en un 51.6 %, principalmente al final de la jornada 62.6%. El 54% de los trabajadores notaron un deterioro progresivo de la voz durante la jornada laboral. Los factores biológicos con mayor significancia estadística fueron las patologías respiratorias altas, el reflujo gastroesofágico,tensión cervical y patología tiroidea. Las características del ambiente laboral podrían llegar a aumentar la prevalencia de estos síntomas, incrementando las incapacidades y afectando la productividad.

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Se desconoce en la actualidad en Colombia la calidad de la interpretación de los gases arteriales por parte de los residentes de medicina de emergencias. Los gases arteriales es una de las ayudas diagnósticas de más rápida consecución en el servicio de urgencias y más utilizadas por ser indispensable en la valoración de patologías de alta prevalencia como son las enfermedades respiratorias y la sepsis. Su mala interpretación puede llevar a mal direccionamiento del manejo de pacientes en estado crítico por lo que es indefectible que los residentes logren un buen entrenamiento en la interpretación de los mismos. Por esta razón se realiza este estudio analítico de concordancia con recolección prospectiva, de corte transversal que busca determinar el grado de concordancia en la interpretación de gases arteriales de los residentes del programa de Medicina de Emergencias de la Universidad del Rosario y especialista en cuidado crítico, así como la interpretación entre ellos según su nivel de entrenamiento y describir cuáles son los hallazgos que encuentran en la interpretación de los mismos. Se recolectaron 60 gases arteriales realizados a paciente hospitalizados en la unidad de cuidados intensivos de la Fundación Santa Fe de Bogotá y se halló la concordancia entre la lectura de los residentes del programa de Medicina de Emergencias y un intensivista. Encontrando una concordancia moderada (r 0.445 y 0.442, ) en las respuestas identificadas en los residentes de segundo y tercer año de residencia(p:0,000y0,01).(MESH: Blood Gas Análisis, Emergency Medical Services, Education, Medical, Graduate)

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El CEDISIMAR es el Centro de Documentación e Información del Instituto Pedagógico de Miranda José Manuel Siso Martínez, el cual tiene como misión brindar información especializada para la realización de las actividades de investigación de pregrado y postgrado, extensión y docencia del IPMJMSM y de otras Universidades, por lo que se realizó un Proyecto Especial, el cual tuvo como objetivo general: Rediseñar el Centro de Información y Documentación del Instituto Pedagógico de Miranda José Manuel Siso Martínez, ubicado en la Urbina Estado Miranda en el segundo piso del edificio Mirage, tomando en consideración la misión que tiene este centro de gran relevancia para la institución. Este proyecto tuvo seis fases: I fase diagnóstico; II fase detección de las necesidades; III fase la propuesta con soporte de la factibilidad; IV fase de ejecución; V fase resultados y producto y VI fase estudio de impacto sobre los usuarios. Los resultados evidenciaron a través de los cambios que se generan en los centros de este tipo, en cuanto a la remodelación, la infraestructura y los distintos servicios que ofrece, lo cual favoreció un mejor servicio y atención al usuario.

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El cáncer de cuello uterino y su mortalidad en Colombia ha permanecido constantes pese a los esfuerzos institucionales, distritales y nacionales que han buscado fortalecer los programas de prevención; sin embargo las estrategias actuales hacen énfasis en la toma de citología y no en la solicitud oportuna del resultado y el tratamiento de la usuaria en caso de anormalidad. METODOLOGIA: Se realizó un estudio en dos fases, un análisis descriptivo se analizaron 12875 y una segunda que involucro 257 pacientes en un análisis de casos y controles de una muestra aleatoria. RESULTADOS: Se utiliza para análisis bivariado la prueba de Chi cuadrado y regresión logística que muestran diferencias significativas en los siguientes variables: la explicación sobre la importancia del examen (p= 0.0060), importancia de la solicitud de resultado (p= 0.003), explicación sobre cuando reclamarlo (p=0.030), distancia entre residencia y centro de salud (p=0.065) DISCUSIÓN: En nuestro estudio se identificó que los factores como el acceso de la paciente al centro de salud, el tiempo del cual dispone para solicitar el resultado, si el dinero con el que cuenta la paciente para desplazarse al hospital, si es la primera vez que se realiza la citología, si le explicaron la importancia de reclamar el resultado y en que lapso de tiempo debía hacerlo, la información que tiene acerca de la importancia de realizarse la citología contribuyen en el hecho de que una paciente de esta población de un hospital público reclame o no su resultado de su citología

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Abstract Google and YouTube are quickly becoming the training resource of choice for the IT literate, especially in relation to computer based applications. Many businesses are addressing this training issue in a number of ways, some more successful than others. Find out what the IT services at the university are doing to adapt to this change and contribute to the discussion on how the approach could be improved. Before the talk you could have a look at the following; * One service that has been licenced is Lynda http://go.soton.ac.uk/lynda or lynda.com (note you have to enter www.southampton.ac.uk as the organisation if you don’t log in through the go.soton link) * The IT training team publish a portfolio of systems and courses at http://www.southampton.ac.uk/isolutions/computing/training/portfolio/index.php. * More and more internal systems are being supported through online guides such as http://go.soton.ac.uk/bgsg