957 resultados para Symptom Clusters


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O artigo tem como objetivo utilizar a contribuição do conceito de cluster para avaliação estratégica e apresentar uma proposta de análise das oportunidades do setor turístico, considerando todos os agentes envolvidos na criação, comercialização e divulgação dos serviços/produtos turísticos, que possibilitem atender as necessidades exigidas pela demanda e o desenvolvimento sustentável da população receptora. Utilizando como foco o distrito de Paranapiacaba, na cidade de Santo André/SP, foi feita uma pesquisa descritiva, em que inicialmente foram utilizados dados secundários e, em seguida, foi realizada a coleta de dados primários por meio de entrevistas programadas e observação direta em campo dos agentes envolvidos. Os resultados obtidos indicam a necessidade da consolidação de uma entidade supra-empresarial que exerça a governança e que seja capaz de agregar os interesses dos diversos setores, além de garantir a implantação de uma série de ações que venham contribuir para a criação de vantagens competitivas.

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O presente trabalho teve por objetivo identificar se a aglomeração de lojas de veículos existente na Avenida Marechal Tito / Avenida São Miguel (zona leste do município de São Paulo) forma um cluster comercial varejista, a partir dos fundamentos da performance competitiva de clusters descritos por Zaccarelli et al. (2008). Este é um estudo descritivo de natureza quantitativa, executado a partir de amostragem não-probabilística fundamentada no critério de acessibilidade dos pesquisadores junto aos proprietários e gestores de 128 lojas de automóveis, das quais 85,94% são microempresas, 12,50% são de pequeno porte e 1,56% são de médio porte. Constatou-se que a localidade ainda se encontra em um estágio inicial de cluster comercial varejista, pois apesar de haver forte concorrência entre os lojistas naquela concentração geográfica, com ausência de posições privilegiadas e substituição seletiva dos participantes não competitivos, a cooperação entre eles é incipiente, bem como não há nenhuma iniciativa voltada para o aumento da competitividade do aglomerado como um todo.

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O presente trabalho teve como objetivo a identificação de atributos relacionados à atratividade de clientes em clusters comerciais, na percepção de consumidores. Partindo-se da atratividade de clientes para lojas, desenvolveu-se um construto de avaliação de atratividade de clientes para clusters comerciais. Por meio de estudo descritivo-quantitativo junto a 240 consumidores, em dois reconhecidos clusters comerciais, utilizando-se a técnica de PLS-PM (Partial Least Squares Path Modeling), avaliou-se a relação entre a atratividade de clientes (variável reflexiva) e as dimensões do mix varejista de clusters comerciais (variáveis latentes), a partir do tratamento de indicadores de efeitos observáveis. Como principais resultados, observou-se que: (1) atratividade está associada significativamente às variáveis latentes, sugerindo robustez do modelo; (2) condições de compra e preços são dimensões com maior associação à atratividade de clientes, embora lojas, produtos e atendimento apresentem relevância; e (3) localização apresentou-se como dimensão menos correlacionada à atratividade de clientes para ambos os clusters.

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Purpose – In the field of humanitarianism, cluster thinking has been suggested as a solution to the lack of coordinated disaster response. Clusters for diverse functions, including sheltering, logistics and water and sanitation, can be viewed as an effort to achieve functional coordination. The purpose of this paper is to contribute to a greater understanding of the potential of cluster concepts using supply chain coordination and inter‐cluster coordination. The focus is on the conceptual level rather than on specific means of coordination. Design/methodology/approach – The cluster concept in humanitarian relief, along with some key empirical issues, is based on a case study. The concept is then compared to the literature on clusters and coordination in order to develop a theoretical framework with propositions on the tradeoffs between different types of coordination. Findings – The results provide important reflections on one of the major trends in contemporary development of humanitarian logistics. This paper shows that there is a tradeoff between different types of coordination, with horizontal coordination inside cluster drawing attention away from important issues of the supply chain as well as the need to coordinate among the clusters. Research limitations/implications – There is a need for more in‐depth case studies of experiences with clusters in various operations. Various perspectives should be taken into account, including the field, responding agencies, beneficiaries, donors, military and commercial service providers, both during and between disasters. Practical implications – The paper presents the tradeoffs between different types of coordination, in which basic aims such as standardisation through functional coordination, must be balanced with cross‐functional and vertical coordination in order to more successfully serve the users' composite needs. Originality/value – The focus on possible trade‐offs between different types of coordination is an important complement to the literature, which often assumes simultaneous high degrees of horizontal and vertical coordination.

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Magnetic fields are ubiquitous in galaxy cluster atmospheres and have a variety of astrophysical and cosmological consequences. Magnetic fields can contribute to the pressure support of clusters, affect thermal conduction, and modify the evolution of bubbles driven by active galactic nuclei. However, we currently do not fully understand the origin and evolution of these fields throughout cosmic time. Furthermore, we do not have a general understanding of the relationship between magnetic field strength and topology and other cluster properties, such as mass and X-ray luminosity. We can now begin to answer some of these questions using large-scale cosmological magnetohydrodynamic (MHD) simulations of the formation of galaxy clusters including the seeding and growth of magnetic fields. Using large-scale cosmological simulations with the FLASH code combined with a simplified model of the acceleration of cosmic rays responsible for the generation of radio halos, we find that the galaxy cluster frequency distribution and expected number counts of radio halos from upcoming low-frequency sur- veys are strongly dependent on the strength of magnetic fields. Thus, a more complete understanding of the origin and evolution of magnetic fields is necessary to understand and constrain models of diffuse synchrotron emission from clusters. One favored model for generating magnetic fields is through the amplification of weak seed fields in active galactic nuclei (AGN) accretion disks and their subsequent injection into cluster atmospheres via AGN-driven jets and bubbles. However, current large-scale cosmological simulations cannot directly include the physical processes associated with the accretion and feedback processes of AGN or the seeding and merging of the associated SMBHs. Thus, we must include these effects as subgrid models. In order to carefully study the growth of magnetic fields in clusters via AGN-driven outflows, we present a systematic study of SMBH and AGN subgrid models. Using dark-matter only cosmological simulations, we find that many important quantities, such as the relationship between SMBH mass and galactic bulge velocity dispersion and the merger rate of black holes, are highly sensitive to the subgrid model assumptions of SMBHs. In addition, using MHD calculations of an isolated cluster, we find that magnetic field strengths, extent, topology, and relationship to other gas quantities such as temperature and density are also highly dependent on the chosen model of accretion and feedback. We use these systematic studies of SMBHs and AGN inform and constrain our choice of subgrid models, and we use those results to outline a fully cosmological MHD simulation to study the injection and growth of magnetic fields in clusters of galaxies. This simulation will be the first to study the birth and evolution of magnetic fields using a fully closed accretion-feedback cycle, with as few assumptions as possible and a clearer understanding of the effects of the various parameter choices.

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To study the stoichiometry dependence of irradiation e ects in fluorite-type mixed oxide nuclear fuel (UPuO2), ion implantation in La doped ceria was used. Cerium dioxide single crystals with 0 mol%, 5 mol% and 25 mol% La concentration were irradiated with 1 MeV Kr ions at 800 C. In-situ transmission electron microscope (TEM) was utilized to observe the the damage process and defects created by the ion beam irradiation. Dislocation loops were observed after irradiation and were determined to be on {111} planes, but not on {220} or {200} planes. Ab substantial difference in the average size of dislocation loops for 0 %, 5% and 25% cases was observed at several doses.The growth rate of dislocation loops and the oxygen vacancy di usivity were found to be inversely correlated.

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We simulate currents and concentration profiles generated by Ca2+ release from the endoplasmic reticulum (ER) to the cytosol through IP3 receptor channel clusters. Clusters are described as conducting pores in the lumenal membrane with a diameter from 6 nm to 36 nm. The endoplasmic reticulum is modeled as a disc with a radius of 1–12 mm and an inner height of 28 nm. We adapt the dependence of the currents on the trans Ca2+ concentration (intralumenal) measured in lipid bilayer experiments to the cellular geometry. Simulated currents are compared with signal mass measurements in Xenopus oocytes. We find that release currents depend linearly on the concentration of free Ca2+ in the lumen. The release current is approximately proportional to the square root of the number of open channels in a cluster. Cytosolic concentrations at the location of the cluster range from 25 μM to 170 μM. Concentration increase due to puffs in a distance of a few micrometers from the puff site is found to be in the nanomolar range. Release currents decay biexponentially with timescales of < 1 s and a few seconds. Concentration profiles decay with timescales of 0.125–0.250 s upon termination of release.

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Este Trabajo de Fin de Grado constituye el primero en una línea de Trabajos con un objetivo común: la creación de una aplicación o conjunto de aplicaciones que apoye a la administración de un cluster de supercomputación mediante una representación en tres dimensiones del mismo accesible desde un navegador. Esta aplicación deberá ser de fácil manejo para el personal que haga uso de ella, que recibirá información procedente de distintas fuentes sobre el estado de cada uno de los dispositivos del cluster. Concretamente, este primer Trabajo se centra en la representación gráfica del cluster mediante WebGL, el estándar para renderizado 3D en navegadores basado en OpenGL, tomando como modelo de desarrollo el SCBI (Centro de Supercomputación y Bioinnovación) de la Universidad de Málaga. Para ello, se apoyará en la creación de una herramienta con la que describir texualmente de forma intuitiva los elementos de una sala de supercomputadores y los datos asociados a los mismos. Esta descripción será modificable para adaptarse a las necesidades del administrador de los datos.

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Background: Appetite and symptoms, conditions generally reported by the patients with cancer, are somewhat challenging for professionals to measure directly in clinical routine (latent conditions). Therefore, specific instruments are required for this purpose. This study aimed to perform a cultural adaptation of the Cancer Appetite and Symptom Questionnaire (CASQ), into Portuguese and evaluate its psychometric properties on a sample of Brazilian cancer patients. Methods: This is a validation study with Brazilian cancer patients. The face, content, and construct (factorial and convergent) validities of the Cancer Appetite and Symptom Questionnaire, the study tool, were estimated. Further, a confirmatory factor analysis (CFA) was conducted. The ratio of chi-square and degrees of freedom (χ2/df), comparative fit index (CFI), goodness of fit index (GFI) and root mean square error of approximation (RMSEA) were used for fit model assessment. In addition, the reliability of the instrument was estimated using the composite reliability (CR) and Cronbach’s alpha coefficient (α), and the invariance of the model in independent samples was estimated by a multigroup analysis (Δχ2). Results: Participants included 1,140 cancer patients with a mean age of 53.95 (SD = 13.25) years; 61.3% were women. After the CFA of the original CASQ structure, 2 items with inadequate factor weights were removed. Four correlations between errors were included to provide adequate fit to the sample (χ2/df = 8.532, CFI = .94, GFI = .95, and RMSEA = .08). The model exhibited a low convergent validity (AVE = .32). The reliability was adequate (CR = .82 α = .82). The refined model showed strong invariance in two independent samples (Δχ2: λ: p = .855; i: p = .824; Res: p = .390). A weak stability was obtained between patients undergoing chemotherapy and radiotherapy (Δχ2: λ: p = .155; i: p < .001; Res: p < .001), and between patients undergoing chemotherapy combined with radiotherapy and palliative care (Δχ2: λ: p = .058; i: p < .001; Res: p < .001). Conclusion: The Portuguese version of the CASQ had good face and construct validity and reliability. However, the CASQ still presented invariance in independent samples of Brazilian patients with cancer. However, the tool has low convergent validity and weak invariance in samples with different treatments.

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We investigate the reaction dynamics of diffusive molecules with immobile binding partners. The fixed reactants build clusters that comprise just a few tens of molecules, which leads to small cluster sizes. These molecules participate in the reaction only if they are activated. The dynamics of activation is mapped to a time-dependent size of an active region within the cluster. We focus on the deterministic description of the dynamics of a single cluster. The spatial setup accounts for one of the most important determinants of the dynamics of a cluster, i.e. diffusional transport of reaction partners toward or away from the active region of the cluster. We provide numerical and analytical evidence that diffusion influences decisively the dynamic regimes of the reactions. The application of our methods to intracellular Ca²⁺ dynamics shows that large local concentrations saturate the Ca²⁺ feedback to the channel state control. That eliminates oscillations depending on this feedback.

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We consider the Gierer-Meinhardt system with precursor inhomogeneity in a one-dimensional interval. A spike cluster is the combination of several spikes which all approach the same point in the singular limit of small activator diffusivity. We rigorously prove the existence of a steady-state spike cluster consisting of N spikes near a non-degenerate local minimum point of the smooth inhomogeneity, where N is an arbitrary positive integer. Further, we show that this solution is linearly stable. We explicitly compute all eigenvalues, both large (of order O(1)) and small (of order o(1)). The main features of studying the Gierer-Meinhardt system in this setting are as follows: (i) it is biologically relevant since it models a hierarchical process (pattern formation of small-scale structures induced by a pre-existing large-scale inhomogeneity), (ii) it contains three different spatial scales two of which are small. (iii) all the expressions can be made explicit and often have a particularly simple form.