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191.
This article draws on a notion of the hospital as a complex service provider and healthcare system hub in order to examine the question of innovation in hospitals. It puts forward a relatively simple framework for analysing hospital output, in which the medical function is incorporated into a complex system of other constituent services that make use of different types of technologies. This analytical framework is used to reveal the multiple sources of innovation and the main organising principles driving innovation within hospitals. 相似文献
192.
Ayd?n K?z?lkaya 《Journal of The Franklin Institute》2005,342(1):39-67
In this paper, the problem of estimating the parameters of a two-dimensional autoregressive moving-average (2-D ARMA) model driven by an unobservable input noise is addressed. In order to solve this problem, the relation between the parameters of a 2-D ARMA model and their 2-D equivalent autoregressive (EAR) model parameters is investigated. Based on this relation, a new algorithm is proposed for determining the 2-D ARMA model parameters from the coefficients of the 2-D EAR model. This algorithm is a three-step approach. In the first step, the parameters of the 2-D EAR model that is approximately equivalent to the 2-D ARMA model are estimated by applying 2-D modified Yule-Walker (MYW) equation to the process under consideration. Then, the moving-average parameters of the 2-D ARMA model are obtained solving the linear equation set constituted by using the EAR coefficients acquired in the first step. Finally, the autoregressive parameters of the 2-D ARMA model are found by exploiting the values obtained in first and second steps. The performance of the proposed algorithm is compared with other 2-D ARMA parameter and spectral estimation algorithms available in the technical literature by means of three different criteria. As a result of this comparison, it is shown that the parameters and the corresponding power spectrums estimated by using the proposed algorithm are converged to the original parameters and the original power spectrums, respectively. 相似文献
193.
Today all parties within the health-care system demand more information and evidence to take more efficient and pinpointed management decisions. Their goal is a better patient and patient-care management. This paper presents an information visualisation approach to discover knowledge for the management of tele-home care for the elderly using the video-telephone: what type of elderly need what type of video-telephone interventions? This document focuses on the synthesis aspects of data mining with a view to knowledge discovery: the global, holistic, synthesis approach. More specifically, it summarises visually the relationships among the types of video-telephony care, among the segments of elderly, and between the types of interventions and the segments of elderly simultaneously. The graphical display allows delineating areas that group elderly with a similar/dissimilar video-telephony care profile. Information visualisation is a promising approach to provide insight into large multidimensional data sets. It fosters knowledge discovery. 相似文献
194.
Reflexivity is a learning process that, through questioning and critically monitoring objectives and methods in use, promotes a change of habits and routines and, in so doing, fosters organizational performance and innovativeness. This paper looks at the contribution of team reflexivity to enhancing openness to innovation, and the mediating role of individual and team involvement. Specifically we tested whether affective commitment (Study 1, n=156) and a team climate of support for innovation (Study 2, n=152) facilitate reflexivity processes in promoting organizational openness to innovation. Overall, results confirmed that reflexivity enhances innovativeness, and this relationship is mediated by a high degree of involvement that increases the motivation of teammates and their engagement in innovation processes. 相似文献
195.
老子的“一,二,三”和元极图都描绘地宇宙万物生成模式,但两者既有同也有异,前者是后者的基础,后者是前者的升华,从两者的比较中可以看到元极图的创新。 相似文献
196.
The commodification of code demands two preconditions: a belief if the existence of code and a system of ownership for the code. An examination of these preconditions is helpful for resisting the further widening of digital divides. The ontological belief in the relatively independent existence of code is dependent on our understanding of what the “digital” is. Here it is claimed that the digital is not a natural kind, but a concept that is relative to our practices of interpretation. An interpretative system that sees code as something that can or should always be owned implies an increase of social control and threatens vital processes of knowledge creation that are necessary for an open and egalitarian information society. The ontological belief in “digital code” thus provides the backdrop for an ethical view of the information society. Consequently, if we see digital code as an interpretative notion (in the nominalist way), the ethical questions appear in a different light. 相似文献
197.
Teaching and learning with history and philosophy of science (HPS) has been, and continues to be, supported by science educators. While science education standards documents in many countries also stress the importance of teaching and learning with HPS, the approach still suffers from ineffective implementation in school science teaching. In order to better understand this problem, an analysis of the obstacles of implementing HPS into classrooms was undertaken. The obstacles taken into account were structured in four groups: 1. culture of teaching physics, 2. teachers?? skills, epistemological and didactical attitudes and beliefs, 3. institutional framework of science teaching, and 4. textbooks as fundamental didactical support. Implications for more effective implementation of HPS are presented, taking the social nature of educational systems into account. 相似文献
198.
This paper assesses the adequacy, efficiency, and equity of higher education in Lebanon in both the public and private sectors,
while highlighting challenges that are specific to Lebanon. It concludes by discussing various approaches and strategies to
remedy the challenges facing higher education in Lebanon. 相似文献
199.
Assessing college students’ perceptions of a case teacher’s pedagogical content knowledge using a newly developed instrument 总被引:1,自引:0,他引:1
Ongoing professional development for college teachers has been much emphasized. However, previous research on learning environments
has seldom addressed college students’ perceptions of teachers’ PCK. This study aimed to evaluate college students’ perceptions
of a physics teacher’s PCK development using a newly developed instrument and workshop intervention. A mixed method design
was employed incorporating both quantitative and qualitative techniques. The survey “Assessing Students’ Perceptions of College
Teachers’ PCK” was adopted as the instrument of research. This survey was conducted twice in this study; with the pre-test
carried out during the mid-term exam and the post-test given in the last week of the semester. The results indicate that only
SMK and IRS showed significant difference in the four categories of the survey, while IOC and KSU did not. Furthermore, the
organized workshops helped the case teacher to better understand students’ prior conceptions of the subject matter and learning
difficulties, and further facilitated her adjustment of instructional strategies. The limitations of this study are discussed
and suggestions for improvement are also provided. 相似文献
200.