983 resultados para New centers
Resumo:
The International GNSS Service (IGS) issues four sets of so-called ultra-rapid products per day, which are based on the contributions of the IGS Analysis Centers. The traditional (“old”) ultra-rapid orbit and earth rotation parameters (ERP) solution of the Center for Orbit Determination in Europe (CODE) was based on the output of three consecutive 3-day long-arc rapid solutions. Information from the IERS Bulletin A was required to generate the predicted part of the old CODE ultra-rapid product. The current (“new”) product, activated in November 2013, is based on the output of exactly one multi-day solution. A priori information from the IERS Bulletin A is no longer required for generating and predicting the orbits and ERPs. This article discusses the transition from the old to the new CODE ultra-rapid orbit and ERP products and the associated improvement in reliability and performance. All solutions used in this article were generated with the development version of the Bernese GNSS Software. The package was slightly extended to meet the needs of the new CODE ultra-rapid generation.
Resumo:
The Empirical CODE Orbit Model (ECOM) of the Center for Orbit Determination in Europe (CODE), which was developed in the early 1990s, is widely used in the International GNSS Service (IGS) community. For a rather long time, spurious spectral lines are known to exist in geophysical parameters, in particular in the Earth Rotation Parameters (ERPs) and in the estimated geocenter coordinates, which could recently be attributed to the ECOM. These effects grew creepingly with the increasing influence of the GLONASS system in recent years in the CODE analysis, which is based on a rigorous combination of GPS and GLONASS since May 2003. In a first step we show that the problems associated with the ECOM are to the largest extent caused by the GLONASS, which was reaching full deployment by the end of 2011. GPS-only, GLONASS-only, and combined GPS/GLONASS solutions using the observations in the years 2009–2011 of a global network of 92 combined GPS/GLONASS receivers were analyzed for this purpose. In a second step we review direct solar radiation pressure (SRP) models for GNSS satellites. We demonstrate that only even-order short-period harmonic perturbations acting along the direction Sun-satellite occur for GPS and GLONASS satellites, and only odd-order perturbations acting along the direction perpendicular to both, the vector Sun-satellite and the spacecraft’s solar panel axis. Based on this insight we assess in the third step the performance of four candidate orbit models for the future ECOM. The geocenter coordinates, the ERP differences w. r. t. the IERS 08 C04 series of ERPs, the misclosures for the midnight epochs of the daily orbital arcs, and scale parameters of Helmert transformations for station coordinates serve as quality criteria. The old and updated ECOM are validated in addition with satellite laser ranging (SLR) observations and by comparing the orbits to those of the IGS and other analysis centers. Based on all tests, we present a new extended ECOM which substantially reduces the spurious signals in the geocenter coordinate z (by about a factor of 2–6), reduces the orbit misclosures at the day boundaries by about 10 %, slightly improves the consistency of the estimated ERPs with those of the IERS 08 C04 Earth rotation series, and substantially reduces the systematics in the SLR validation of the GNSS orbits.
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Background. Over half of children in the United States under age five spend 32 hours a week in child care, facilities, where they consume approximately 33-50% of their food intake. ^ Objectives. The aim of this research was to identify the effects of state nutrition policies on provision of food in child care centers. ^ Subjects. Eleven directors or their designee from ten randomly selected licensed child care centers in Travis County, Texas were interviewed. Centers included both nonprofit and for-profit centers, with enrollments ranging from 19 to 82. ^ Methods. Centers were selected using a web-based list of licensed child care providers in the Austin area. One-on-one interviews were conducted in person with center directors using a standard set of questions developed from previous pilot work. Interview items included demographic data, questions about state policies regarding provision of foods in centers, effects of policies on child care center budgets and foods offered, and changes in the provision of food. All interviews were audiotaped and transcribed, and themes were identified using standard qualitative techniques. ^ Results. Four of the centers provided both meals and snacks, four provided snacks only, and two did not provide any food. Directors of centers that provided food were more likely to report adherence to the Minimum Standards than directors of centers that did not. In general, center directors reported that the regulations were loosely enforced. In contrast, center directors were more concerned about a local city-county regulation that required food permits and new standards for kitchens. Most of these local regulations were cost prohibitive and, as a result, centers had changed the types of foods provided, which included providing less fresh produce and more prepackaged items. Although implementation of local regulations had reduced provision of fruits and vegetables to children, no adjustments were reported for allocation of resources, tuition costs or care of the children. ^ Conclusions. Qualitative data from a small sample of child care directors indicate that the implementation and accountability of food- and nutrition-related guidelines for centers is sporadic, uncoordinated, and can have unforeseen effects on the provision of food. A quantitative survey and dietary assessment methods should be conducted to verify these findings in a larger and more representative sample.^
Resumo:
There is currently much interest in the appropriate use of obstetrical technology, cost containment and meeting consumers' needs for safe and satisfying maternity care. At the same time, there has been an increase in professionally unattended home births. In response, a new type of service, the out-of-hospital childbearing center (CBC) has been developed which is administratively and structurally separate from the hospital. In the CBC, maternity care is provided by certified nurse-midwives to carefully screened low risk childbearing families in conjunction with physician and hospital back-up.^ It was the purpose of this study to accomplish the following objectives: (1) To describe in a historical prospective study the demographic and medical-obstetric characteristics of patients laboring in eleven selected out-of-hospital childbearing centers in the United States from May 1, 1972, to December 15, 1979. Labor is defined as the onset of regular contractions as determined by the patient. (2) To describe any differences between those patients who require transfer to a back-up hospital and those who do not. (3) To describe administrative and service characteristics of eleven selected out-of-hospital childbearing centers in the United States. (4) To compare the demographic and medical-obstetric characteristics of women laboring in eleven selected out-of-hospital childbearing centers with a national sample of women of similar obstetric risk who according to birth certificates delivered legitimate infants in a hospital setting in the United States in 1972.^ Research concerning CBCs and supportive to the development of CBCs including studies which identified factors associated with fetal and perinatal morbidity and mortality, obstetrical risk screening, and the progress of technological development in obstetrics were reviewed. Information concerning the organization and delivery of care at each selected CBC was also collected and analyzed.^ A stratified, systematic sample of 1938 low risk women who began labor in a selected CBC were included in the study. These women were not unlike those described previously in small single center studies reported in the literature. The mean age was 25 years. Sixty-three per cent were white, 34 per cent Hispanic, 88 per cent married, 45 per cent had completed at least two years of college, nearly one-third were professionals and over a third were housewives. . . . (Author's abstract exceeds stipulated maximum length. Discontinued here with permission of school.) UMI ^
Resumo:
This study sought to understand the elements affecting the success or failure of strategic repositioning efforts by academic medical centers (AMC). The research question was: What specific elements in the process appear to be most important in determining the success or failure of an AMC.s strategic repositioning? Where success is based on the longterm sustainability of the new position.^ "An organization's strategic position is its perceptual location relative to others" (Gershon, 2003). Hence, strategic repositioning represents a shift from one strategic position within an environment to another (H. Mintzberg, 1987a). A deteriorating value proposition coupled with an unsustainable national health care financing system is forcing AMCs to change their strategic position. Where the value proposition is defined as the health outcome per dollar spent. ^ AMCs are of foundational importance to our health care system. They educate our new physicians, generate significant scientific breakthroughs, and care for our most difficult patients. Yet, their strategic, financial and business acumen leaves them particularly vulnerable in a changing environment. ^ After a literature review revealed limited writing on this subject, the research question was addressed using three separate but parallel exploratory case study inquiries of AMCs that recently underwent a strategic repositioning. Participating in the case studies were the Baylor College of Medicine, the University of Texas M. D. Anderson Cancer Center, and the University of Texas Medical Branch.^ Each case study consisted of two major research segments; a thorough documentation review followed by semi-structured interviews of selected members of their governance board, executive and faculty leadership teams. While each case study.s circumstances varied, their response to the research question, as extracted through thematic coding and analysis of the interviews, had a high degree of commonality.^ The results identified managing the strategic risk surrounding the repositioning and leadership accountability as the two foundational elements of success or failure. Metrics and communication were important process elements. They both play a major role in managing the strategic repositioning risk communication loop. Sustainability, the final element, was the outcome sought.^ Factors leading to strategic repositioning included both internal and external pressures and were primarily financial or mission based. Timing was an important consideration as was the selection of the strategic repositioning endpoint.^ In conclusion, a framework for the strategic repositioning of AMCs was offered that integrates the findings of this study; the elements of success, the factors leading to strategic repositioning, and the risk communication loop. ^
Resumo:
Objective: This dissertation evaluated three aspects of the Centers for Medicare and Medicaid Services' Hospital Acquired Conditions and Present on Admission Indicator Reporting program (HACPOA program) to produce three journal articles for publication. ^ Methods: All payer admission records from state inpatient databases from Arizona, New Jersey and Washington states were analyzed for the year 2008. However some analyses required a sample of adult only Medicare patients in the first two studies. California's inpatient data (2004 – 2010) was also analyzed in the third study to examine the reporting and non-payment program elements' impact on the incidence of hospital acquired conditions. ^ Results: Majority diagnoses reported in inpatient prospective payment systems hospitals were present on admission. However, some diagnoses are still coded as "not present on admission" and "insufficient documentation to determine whether or not conditions are present on admission or not". This is important because it reveals that hospital complications still occur in hospitals. Hospital fall and trauma injuries were the most common hospital acquired conditions observed in this study. Predictors of hospital fall injuries include age, gender, number of diagnoses, number of procedures, number of chronic conditions while predictors of hospital trauma injuries include number of e-codes, number of diagnoses and the presence of chronic conditions on a patient's admission records. Finally, the implementation of the present on admission reporting requirement increased reports of certain hospital acquired conditions while the non-payment policy element in the Hospital Acquired Conditions program reduced the incidence of hospital fall and trauma injuries in particular. ^ Conclusion: The implementation of the Hospital Acquired Conditions and Present on Admission Indicator Reporting program has made the state inpatient database a more useful source of data capable of now identifying hospital complications. The reporting and nonpayment program elements in the HACPOA program have also impacted the incidence of hospital acquired conditions. ^
Resumo:
En la Argentina, el año 2002 marca el inicio de una serie de transformaciones productivas con fuerte impacto sobre las dinámicas territoriales, a partir de la llegada de inversiones extranjeras directas. Una importante porción de dichas inversiones se orienta a desarrollar actividades de baja jerarquización, en donde la competitividad se obtiene vía la reducción de los costos laborales y el otorgamiento de ventajas impositivas y subsidios hacia las empresas. La significativa expansión de la actividad de los call centers tercerizadores -que, en los últimos años, se localizan masiva y vertiginosamente en las principales ciudades del interior de nuestro país- es la evidencia empírica de este fenómeno. Analizar sus características, junto con una detallada descripción de las interacciones de los organismos estatales y los sectores políticos, sociales y económicos involucrados en la instalación de los call centers, no solo permite observar las transformaciones territoriales -en tanto se insertan nuevas actividades productivas y de empleo- sino que visibiliza mecanismos de cooperación y/o conflicto mediante los cuales los actores nacionales y foráneos posibilitan y modelan la inserción de lo global en lo local, materializando así novedosas lógicas de organización territorial, que representamos bajo el concepto "nuevas territorialidades". A lo largo de todo el trabajo, intentamos que nuestra mirada de estos procesos pueda dar cuenta de las (a)simetrías de poder entre los agentes económicos y actores estatales y extraestatales, en el marco de espacios locales periféricos en una época de globalización
Resumo:
En la Argentina, el año 2002 marca el inicio de una serie de transformaciones productivas con fuerte impacto sobre las dinámicas territoriales, a partir de la llegada de inversiones extranjeras directas. Una importante porción de dichas inversiones se orienta a desarrollar actividades de baja jerarquización, en donde la competitividad se obtiene vía la reducción de los costos laborales y el otorgamiento de ventajas impositivas y subsidios hacia las empresas. La significativa expansión de la actividad de los call centers tercerizadores -que, en los últimos años, se localizan masiva y vertiginosamente en las principales ciudades del interior de nuestro país- es la evidencia empírica de este fenómeno. Analizar sus características, junto con una detallada descripción de las interacciones de los organismos estatales y los sectores políticos, sociales y económicos involucrados en la instalación de los call centers, no solo permite observar las transformaciones territoriales -en tanto se insertan nuevas actividades productivas y de empleo- sino que visibiliza mecanismos de cooperación y/o conflicto mediante los cuales los actores nacionales y foráneos posibilitan y modelan la inserción de lo global en lo local, materializando así novedosas lógicas de organización territorial, que representamos bajo el concepto "nuevas territorialidades". A lo largo de todo el trabajo, intentamos que nuestra mirada de estos procesos pueda dar cuenta de las (a)simetrías de poder entre los agentes económicos y actores estatales y extraestatales, en el marco de espacios locales periféricos en una época de globalización
Resumo:
En la Argentina, el año 2002 marca el inicio de una serie de transformaciones productivas con fuerte impacto sobre las dinámicas territoriales, a partir de la llegada de inversiones extranjeras directas. Una importante porción de dichas inversiones se orienta a desarrollar actividades de baja jerarquización, en donde la competitividad se obtiene vía la reducción de los costos laborales y el otorgamiento de ventajas impositivas y subsidios hacia las empresas. La significativa expansión de la actividad de los call centers tercerizadores -que, en los últimos años, se localizan masiva y vertiginosamente en las principales ciudades del interior de nuestro país- es la evidencia empírica de este fenómeno. Analizar sus características, junto con una detallada descripción de las interacciones de los organismos estatales y los sectores políticos, sociales y económicos involucrados en la instalación de los call centers, no solo permite observar las transformaciones territoriales -en tanto se insertan nuevas actividades productivas y de empleo- sino que visibiliza mecanismos de cooperación y/o conflicto mediante los cuales los actores nacionales y foráneos posibilitan y modelan la inserción de lo global en lo local, materializando así novedosas lógicas de organización territorial, que representamos bajo el concepto "nuevas territorialidades". A lo largo de todo el trabajo, intentamos que nuestra mirada de estos procesos pueda dar cuenta de las (a)simetrías de poder entre los agentes económicos y actores estatales y extraestatales, en el marco de espacios locales periféricos en una época de globalización
Resumo:
Energy consumption in data centers is nowadays a critical objective because of its dramatic environmental and economic impact. Over the last years, several approaches have been proposed to tackle the energy/cost optimization problem, but most of them have failed on providing an analytical model to target both the static and dynamic optimization domains for complex heterogeneous data centers. This paper proposes and solves an optimization problem for the energy-driven configuration of a heterogeneous data center. It also advances in the proposition of a new mechanism for task allocation and distribution of workload. The combination of both approaches outperforms previous published results in the field of energy minimization in heterogeneous data centers and scopes a promising area of research.
Resumo:
Numerous authors have proposed functions to quantify the degree of similarity between two fuzzy numbers using various descriptive parameters, such as the geometric distance, the distance between the centers of gravity or the perimeter. However, these similarity functions have drawback for specific situations. We propose a new similarity measure for generalized trapezoidal fuzzy numbers aimed at overcoming such drawbacks. This new measure accounts for the distance between the centers of gravity and the geometric distance but also incorporates a new term based on the shared area between the fuzzy numbers. The proposed measure is compared against other measures in the literature.
Resumo:
Starting on June 2011, NGCPV is the first project funded jointly between the European Commission (EC) and the New Energy and Industrial Technology Development Organization (NEDO) of Japan to research on new generation concentration photovoltaics (CPV). The Project, through a collaborative research between seven European and nine Japanese leading research centers in the field of CPV, aims at lowering the cost of the CPVproduced photovoltaic kWh down to 5 ?cents. The main objective of the project is to improve the present concentrator cell, module and system efficiency, as well as developing advanced characterization tools for CPV components and systems. As particular targets, the project aims at achieving a cell efficiency of at least 45% and a CPV module with an efficiency greater than 35%. This paper describes the R&D activities that are being carried out within the NGCPV project and summarizes some of the most relevant results that have already been attained, for instance: the manufacturing of a 44.4% world record efficiency triple junction solar cell (by Sharp Corp.) and the installation of a 50 kWp experimental CPV plant in Spain, which will be used to obtain accurate forecasts of the energy produced at system level.
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Subtraction of Ictal SPECT Co-registered to MRI (SISCOM) is an imaging technique used to localize the epileptogenic focus in patients with intractable partial epilepsy. The aim of this study was to determine the accuracy of registration algorithms involved in SISCOM analysis using FocusDET, a new user-friendly application. To this end, Monte Carlo simulation was employed to generate realistic SPECT studies. Simulated sinograms were reconstructed by using the Filtered BackProjection (FBP) algorithm and an Ordered Subsets Expectation Maximization (OSEM) reconstruction method that included compensation for all degradations. Registration errors in SPECT-SPECT and SPECT-MRI registration were evaluated by comparing the theoretical and actual transforms. Patient studies with well-localized epilepsy were also included in the registration assessment. Global registration errors including SPECT-SPECT and SPECT-MRI registration errors were less than 1.2 mm on average, exceeding the voxel size (3.32 mm) of SPECT studies in no case. Although images reconstructed using OSEM led to lower registration errors than images reconstructed with FBP, differences after using OSEM or FBP in reconstruction were less than 0.2 mm on average. This indicates that correction for degradations does not play a major role in the SISCOM process, thereby facilitating the application of the methodology in centers where OSEM is not implemented with correction of all degradations. These findings together with those obtained by clinicians from patients via MRI, interictal and ictal SPECT and video-EEG, show that FocusDET is a robust application for performing SISCOM analysis in clinical practice.
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Over the last few years, the Data Center market has increased exponentially and this tendency continues today. As a direct consequence of this trend, the industry is pushing the development and implementation of different new technologies that would improve the energy consumption efficiency of data centers. An adaptive dashboard would allow the user to monitor the most important parameters of a data center in real time. For that reason, monitoring companies work with IoT big data filtering tools and cloud computing systems to handle the amounts of data obtained from the sensors placed in a data center.Analyzing the market trends in this field we can affirm that the study of predictive algorithms has become an essential area for competitive IT companies. Complex algorithms are used to forecast risk situations based on historical data and warn the user in case of danger. Considering that several different users will interact with this dashboard from IT experts or maintenance staff to accounting managers, it is vital to personalize it automatically. Following that line of though, the dashboard should only show relevant metrics to the user in different formats like overlapped maps or representative graphs among others. These maps will show all the information needed in a visual and easy-to-evaluate way. To sum up, this dashboard will allow the user to visualize and control a wide range of variables. Monitoring essential factors such as average temperature, gradients or hotspots as well as energy and power consumption and savings by rack or building would allow the client to understand how his equipment is behaving, helping him to optimize the energy consumption and efficiency of the racks. It also would help him to prevent possible damages in the equipment with predictive high-tech algorithms.
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Geophysical data acquired using R/V Polarstern constrain the structure and age of the rifted oceanic margin of West Antarctica. West of the Antipodes Fracture Zone, the 145 km wide continent-ocean transition zone (COTZ) of the Marie Byrd Land sector resembles a typical magma-poor margin. New gravity and seismic reflection data indicates initial continental crust of thickness 24 km, that was stretched 90 km. Farther east, the Bellingshausen sector is broad and complex with abundant evidence for volcanism, the COTZ is ~670 km wide, and the nature of crust within the COTZ is uncertain. Margin extension is estimated to be 106-304 km in this sector. Seafloor magnetic anomalies adjacent to Marie Byrd Land near the Pahemo Fracture Zone indicate full-spreading rate during c33-c31 (80-68 Myr) of 60 mm/yr, increasing to 74 mm/yr at c27 (62 Myr), and then dropping to 22 mm/yr by c22 (50 Myr). Spreading rates were lower to the west. Extrapolation towards the continental margin indicates initial oceanic crust formation at around c34y (84 Myr). Subsequent motion of the Bellingshausen plate relative to Antarctica (84-62 Myr) took place east of the Antipodes Fracture Zone at rates <40 mm/yr, typically 5-20 mm/yr. The high extension rate of 30-60 mm/yr during initial margin formation is consistent with steep and symmetrical margin morphology, but subsequent motion of the Bellingshausen plate was slow and complex, and modified rift morphology through migrating deformation and volcanic centers to create a broad and complex COTZ.