2,415 research outputs found

    El proceso monitorio en el nuevo código general del proceso: un análisis sobre su relación con el interrogatorio de parte para crear la obligación civil.

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    Artículo de reflexiónMediante este trabajo se realiza un análisis comparativo entre el proceso monitorio y el interrogatorio de parte, de acuerdo con lo establecido en el Código General del Proceso (Ley 1564 de 2012). Este análisis incluye la revisión de este concepto, los requisitos de la demanda que debe presentar el acreedor para que el proceso se inicie, su regulación y su campo de aplicación. Se incluye también un título en el que se analizan las obligaciones y su clasificación de acuerdo con diferentes criterios, teniendo en cuenta la relación de éstas con la aplicabilidad del proceso monitorio. El tercer título del trabajo se centra en la comparación entre el proceso monitorio y el interrogatorio de parte, mientras que la relación entre ambos es el objeto del cuarto capítulo. Igualmente se desarrolla un ejercicio de derecho comparado sobre el proceso monitorio en diferentes países, como objeto del quinto capítulo. Las conclusiones de este análisis son el objeto de capítulo final del trabajo.1. LOS PROCESOS MONITORIOS 2. LAS OBLIGACIONES 3. DIFERENCIAS ENTRE PROCESO MONITORIO Y EL INTERROGATORIO DE PARTE PARA PRECONSTITUIR PRUEBA DE LAS OBLIGACIONES 4. RELACIÓN DE LOS PROCESOS MONITORIOS Y EL INTERROGATORIO DE PARTE 5. PROCESO MONITORIO EN EL DERECHO COMPARADO CONCLUSIONES REFERENCIASPregradoAbogad

    An Inside Look at RFID Technology

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    RFID (Radio Frequency Identification) is considered one of the “hottest” technologies due to its particular capabilities to track and trace in real-time objects across the extended supply chain. This article gives an inside look at the RFID world in order to improve the level of understanding of this technology and the EPC Network. An introduction to RFID’s systems, RFID’s potential to improve the efficiency of operations, different areas of application, as well as a roadmap approach to undertake an RFID implementation will be discussed in this article.La Identificación por Rediofrecuencias (RFID) es considerada hoy en día una de las tecnologías “de punta” debido a su capacidad especializada de identificar y trazar objetos a lo largo de una cadena de provisión en tiempo real. El siguiente artículo hace una revisión de RFID en el mundo con el objetivo de entender ésta tecnología y la red EPC. Una introducción a los sistemas de RFID, y el potencial de éste sistema para mejorar la eficiencia de sus operaciones, las diferentes áreas de su aplicación, y una aproximación de un mapa de implementación de RFID es discutida a continuación.RFID (Radio Frequency Identification) is considered one of the “hottest” technologies due to its particular capabilities to track and trace in real-time objects across the extended supply chain. This article gives an inside look at the RFID world in order to improve the level of understanding of this technology and the EPC Network. An introduction to RFID’s systems, RFID’s potential to improve the efficiency of operations, different areas of application, as well as a roadmap approach to undertake an RFID implementation will be discussed in this article

    Bayesian space-time gap filling for inference on extreme hot-spots: an application to Red Sea surface temperatures

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    We develop a method for probabilistic prediction of extreme value hot-spots in a spatio-temporal framework, tailored to big datasets containing important gaps. In this setting, direct calculation of summaries from data, such as the minimum over a space-time domain, is not possible. To obtain predictive distributions for such cluster summaries, we propose a two-step approach. We first model marginal distributions with a focus on accurate modeling of the right tail and then, after transforming the data to a standard Gaussian scale, we estimate a Gaussian space-time dependence model defined locally in the time domain for the space-time subregions where we want to predict. In the first step, we detrend the mean and standard deviation of the data and fit a spatially resolved generalized Pareto distribution to apply a correction of the upper tail. To ensure spatial smoothness of the estimated trends, we either pool data using nearest-neighbor techniques, or apply generalized additive regression modeling. To cope with high space-time resolution of data, the local Gaussian models use a Markov representation of the Mat\'ern correlation function based on the stochastic partial differential equations (SPDE) approach. In the second step, they are fitted in a Bayesian framework through the integrated nested Laplace approximation implemented in R-INLA. Finally, posterior samples are generated to provide statistical inferences through Monte-Carlo estimation. Motivated by the 2019 Extreme Value Analysis data challenge, we illustrate our approach to predict the distribution of local space-time minima in anomalies of Red Sea surface temperatures, using a gridded dataset (11315 days, 16703 pixels) with artificially generated gaps. In particular, we show the improved performance of our two-step approach over a purely Gaussian model without tail transformations

    Study of the conservation properties in two-way coupled dispersed multiphase flows using finite volume methods

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    In order to simulate dispersed multiphase flows, the coupling level must be determined according to the volume fraction in the system. The volume fraction is the ratio of the total volume of the dispersed phases over the total volume of the flow. In dilute flows, with volume fractions smaller than 10 -6 , only the influence of carrier phase over the dispersed phase is considered which is known as one-way coupling. Nonetheless, in dispersed flows with higher volume fractions, the effect of the dispersed phase over the continuous one should be taken into consideration, known as two-way coupling. This effect normally is applied as a source term in the conservation equations of the carrier phase. Depending on the numerical method and the discrete operators employed, these source terms can lead to some issues when aiming to preserve physical properties like mass, momentum or kinetic energy. Moreover, in order to validate the two-way coupling method, a particle-laden turbulent flow benchmark case with a mass loading of 22% is simulated by means of large eddy numerical simulation (LES). The aim of this work is to study the conservation properties of dispersed multiphase flows like momentum and kinetic energy through two-way coupling between dispersed and continuous phases.This research was supported by the Secretariat of Universities and Research of the Generalitat de Catalunya and the European Social Fund (FI AGAUR Grant). This work has also been developed within the EU H2020 Clean Sky 2 Joint Undertaking (JU) research project “A New proTection devIce for FOD – ANTIFOD” (grant agreement Nº 821352).Peer ReviewedPostprint (published version

    Laparoscopic Placement of Peritoneal Dialysis Catheter with Selective Omentopexy and Routine Pelvic Fixation

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    A technique of “double fixation” for placement of peritoneal dialysis (PD) catheters is described. It combines selective omentopexy with routine pelvic fixation of the catheter. We present specific criteria for omentopexy, which was performed in 18% of the 50 patients in our study. Follow-up focused on mechanical failure of the catheters, which occurred in eight patients. In all eight, laparoscopic revision was performed, with successful return of catheter function in four

    Inteligencia emocional pedagógica y estrés durante el tiempo de pandemia por COVID-19 en docentes de una universidad de Ecuador, 2023

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    La investigación titulada “Inteligencia emocional pedagógica y estrés durante el tiempo de pandemia por COVID-19 en docentes de una universidad de Ecuador, 2023”, presentó como objetivo principal determinar la relación entre las variables establecidas. El tipo de estudio seleccionado fue básico, no experimental, enfoque cuantitativo, correlacional e hipotético deductivo, siendo suficiente la aplicación de los instrumentos en una única ocasión; contó con la población de 100 y una muestra de 80 docentes universitarios. Se alcanzaron los resultados mediante la aplicación de dos cuestionarios en escala ordinal, debidamente validados por expertos en la ciencia de estudio y metodología. Fue necesario tabular y procesar los datos en Microsoft Excel y el programa SPSS, se obtuvo una correlación r = 0,694 y un nivel de significancia de 0,000 cifra inferior a 0,05; mediante la prueba Rho de Spearman, demostrándose la existencia de una correlación positiva y moderada entre las variables de estudio, por lo que se aceptó la hipótesis planteada y se rechazó la nula. Finalmente, se concluye que, la Inteligencia emocional pedagógica y estrés durante el tiempo de pandemia por COVID-19 han mantenido una relación moderada

    Technology Acceptance, Acceptabilty and Appropriation in Professionnal Bureaucracies : The Case of RFID for Improving Mobile Assets Management in Hospitals

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    RÉSUMÉ : Les hôpitaux, même ceux de petite taille, peuvent gérer sur une base quotidienne plusieurs milliers d’actifs fixes et mobiles. Les actifs mobiles sont très diversifiés et incluent des pompes à infusion, du matériel chirurgical, des électrocardiogrammes, des machines portables à rayons X, des défibrillateurs, etc. Ces actifs circulent en permanence entre les différents services et les divers départements. Pratiquement tous les patients dépendent d'un ou plusieurs actifs mobiles lors de leur hospitalisation. Ces actifs sont également indispensables à la prestation des soins de santé et le personnel clinique consacre une partie importante de leur temps pour chercher ces actifs lorsque requis. L'incapacité de retrouver ces actifs en cas d’urgence peut mettre la vie des patients en danger. La technologie RFID (Radio Frequency Identification) a le potentiel de retracer et d’effectuer le suivi, et ce, de façon unique et transparente, les actifs mobiles et, par conséquent, d’en améliorer leur gestion dans les hôpitaux. Comparé à d’autres secteurs d’activité, le secteur de la santé adopte RFID à un rythme beaucoup plus lent, ce qui se traduit par un nombre limité d'études empiriques portant sur l’implantation de RFID dans ce secteur. Cette thèse se propose donc de contribuer à ce vide empirique par une analyse en profondeur d’une implantation réelle de RFID. Cette implantation vise à améliorer la gestion d'un type d’actifs mobiles, nommément les pompes à infusion dans un hôpital. Les données empiriques ont été recueillies pendant une période de 25 mois, de la phase de préfaisabilité jusqu’à la phase de post-implantation. Huit organisations (incluant l'hôpital qui est le principal site d'observation) et 35 participants ont été impliqués. Les résultats de la recherche peuvent être résumés comme suit. À la question, pourquoi RFID est implanté? La réduction des inefficacités existantes liées à la gestion des actifs mobiles en est la principale raison. De plus, la familiarité avec les technologies de l’information au sein de l'hôpital, la compatibilité de l’infrastructure existante (l'hôpital est presque 100% Wi-Fi) et l'expérience des partenaires technologiques sont des facteurs positifs reliés à l’implantation RFID. Comment l’implantation RFID est-elle effectuée? Les résultats montrent que le processus d’implantation est fortement itératif : les participants reviennent en effet sur les phases précédentes et modifient les décisions approuvées antérieurement. L'amélioration continue des services de soins est sans aucun doute la préoccupation principale exprimée par tous les participants de l'hôpital. Toutefois, les attentes et les exigences diffèrent entre les différents groupes de participants. Les résultats démontrent un clivage entre les points de vue de l’administration et ceux du côté clinique. Des divergences sont notées entre les infirmières et les médecins, et, entre les techniciens de l'hôpital (responsables des TIC, ingénieurs biomédicaux, et spécialistes de la maintenance) et les administrateurs. Les enjeux les plus importants ne sont pas technologiques, mais sont principalement organisationnels, ce qui semble découler de la présence de points de vue divergents. Est-ce que la RFID améliore la gestion des actifs mobiles? Les résultats suggèrent que les avantages identifiés et évalués lors l’implantation de RFID appartiennent aux catégories suivantes: amélioration de la visibilité des actifs, augmentation de l'efficacité opérationnelle, réduction de certains coûts et émergence de processus intelligents. Ce dernier point apparait comme particulièrement important. Les processus intelligents misent principalement sur les capacités d'auto-identification et de sensibilité au contexte (context-awareness) de RFID, sur le changement automatique de statuts, et sur la mise à jour automatique des applications d’hôpital (par exemple, WMS). Les résultats démontrent également que les processus intelligents améliorent la planification et la prise de décision. Est-ce que les caractéristiques intrinsèques des organisations dans lesquelles la technologie RFID est envisagée posent des contraintes à son implantation? Les hôpitaux, qualifiés de bureaucraties professionnelles, constituent un ensemble unique de contraintes dont on doit tenir compte lors d’une implantation RFID. En particulier, l'inertie, la complexité et la rigidité organisationnelles ne sont pas favorables à des changements à grande échelle dans l’hôpital et affectent la façon dont RFID est implanté. En outre, l'existence d'une structure à double pouvoir et les pièges liés à une culture forte (culture entrapment)ont un impact profond sur l'importance des avantages découlant de RFID. Est-ce que l’acceptation de la technologie, son acceptabilité et son appropriation représentent des concepts clés pour comprendre l’implantation de la RFID? Ces trois concepts ont été explorés lors de cette recherche et ont conduit à deux observations principales. Tout d'abord, on peut affirmer que si la technologie est acceptée, acceptable et appropriée, elle est utilisée, de façon partielle ou plus large. Par extension, l'acceptation, l'acceptabilité et l'appropriation pourraient être importantes non seulement pour expliquer l'ampleur de l'utilisation d'une technologie (utilisation partielle par rapport à la pleine utilisation), mais aussi pour expliquer les raisons pour lesquelles une technologie a été initialement adoptée, puis ensuite rejetée. Deuxièmement, les résultats empiriques ne confirment pas un ordre chronologique entre ces trois concepts. Par exemple, l'appropriation ne suit pas l'acceptation, même au début de l’implantation. Au contraire, l'acceptation, l'acceptabilité et l'appropriation coexistent à tout moment pendant le processus d’implantation. Cependant, l’ordre chronologique joue quand même un rôle puisque les niveaux d'acceptation, l'acceptabilité et l'appropriation varient au fil du temps. En outre, ces trois concepts sont sensibles à la fois à la technologie (dans ce cas, RFID) et au contexte dans lequel cette technologie est utilisée (l'hôpital), qui continuent de leur côté à changer au fil du temps. La thèse se termine en examinant les limites de la recherche, en proposant quelques pistes de recherche. Les contributions de cette thèse peuvent être pertinentes pour les chercheurs, les décideurs du secteur de la santé, les administrateurs d'hôpitaux, et les spécialistes et consultants en TI.----------ABSTRACT : Hospitals, even small ones, handle on a daily basis several thousands of mobile and fixed assets. Mobile assets are very diverse, ranging from infusion pumps, surgical equipment, electrocardiograms, portable x-ray machines, defibrillators to wheelchairs and rotate constantly between different medical wards. Since virtually every patient depends on one or more mobile assets during his or her hospital stay, they are also indispensable in healthcare delivery. Clinical staff spends a significant share of their working time searching for these essential, but commonly misplaced assets. Locating mobile assets is not only a time consuming activity, but the inability to find them when needed is remarkably costly, and possibly life threatening. RFID (Radio Frequency Identification) holds the potential to uniquely and seamlessly track and trace mobile assets and, thus, to improve mobile asset management in hospitals. Compared to other sectors, healthcare organizations adopt RFID at a much slower pace and only a limited number of empirical studies address RFID adoption and implementation in the context of healthcare. This thesis intends to contribute the research arena by analysing a real-life RFID implementation in order improve the management activities of one type of mobile assets, namely infusion pumps in hospital settings. The research focuses on a real-life RFID implementation in one European hospital. Empirical data was collected for a 25 month period from the pre-feasibility stage to post-implementation stage from eight organizations (including the hospital as the main observation site) and from thirty-five participants. Research results can be summarized as follows. To the question why RFID is implemented? The most straightforward answer is to reduce the existing inefficiencies related to mobile assets management. Technological preparedness and readiness drive RFID implementation: This includes familiarity with IT innovations within the hospital, compatibility with existing IT infrastructure (the hospital is almost 100% Wi-Fi enabled), and experience of technological partners with RFID implementation in various sectors. How RFID implementation is carried out? The answer seems to be through a highly iterative five stage process where participants revisited and modified previously agreed steps. The continuous improvement of care services was without a doubt the superseding concern expressed by all participants from the hospital. However, expectations and requirements differ among different groups of participants. The empirical evidence demonstrates not only a cleavage between the administrative and clinical perspectives, but also within the clinical perspective. Divergences run deep within each perspective (for instance, nurses vs. doctors) and between the technologists in the hospital (ICT managers, biomedical engineers, and maintenance specialists) and the administrators. The most significant issues related to such implementation are not technological but are mainly organizational, as they seem to arise from the presence of diverging perspectives. Does RFID really improve mobile assets management? Results suggest that the benefits identified and evaluated during the real life RFID implementation belong to the following broad categories: improving assets visibility, promoting operational efficiency, reducing costs and facilitating the emergence of intelligent processes. Intelligent processes are mainly derived from the RFID capabilities for auto-identification and context-awareness, process automatic status change, and automatic update in hospital’s enterprise applications (i.e. WMS). Results further demonstrate that intelligent processes improve planning and decision-making. Do the intrinsic characteristics of organizations play a role in RFID implementation? The very characteristics of hospitals, qualified as complex professional bureaucracies, constitute a unique set of constraints to be taken into account for RFID implementation. In particular, organizational inertia, complexity and inflexibility are not conductive to hospital-wide changes and affect how RFID is implemented. Moreover, the existence of a dual power structure and a tendency to culture entrapment may have a profound impact on the importance of the benefits derived from RFID. Do technology acceptance, acceptability and appropriation represent key concepts that should be considered to understand the implementation of RFID? These three concepts were explored in the research. This leads to two main observations. First, it could be stated that if technology is accepted, acceptable and appropriated, then it is fully used. By extension, acceptance, acceptability and appropriation could be significant not only in explaining the extent of use of a technology (partial use vs. full use), but also the reasons why a technology was initially adopted and then discarded. Second, empirical results reject the presence of a chronological order between the three concepts. For instance, appropriation does not follow acceptance, even initially. Rather, acceptance, acceptability and appropriation coexist at any time during the implementation process. However, chronology still matters since the levels of acceptance, acceptability and appropriation vary over time. Furthermore, these three concepts are sensitive to both the technology (in this case RFID) and to the context where it is use (the hospital), which are also changing over time. The thesis examines research limitations, proposes some research avenues and outlines contributions that may be relevant for researchers, healthcare policy makers, hospital administrators, IT specialists and IT consultants

    The CARESSES study protocol: testing and evaluating culturally competent socially assistive robots among older adults residing in long term care homes through a controlled experimental trial

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    Background : This article describes the design of an intervention study that focuses on whether and to what degree culturally competent social robots can improve health and well-being related outcomes among older adults residing long-term care homes. The trial forms the final stage of the international, multidisciplinary CARESSES project aimed at designing, developing and evaluating culturally competent robots that can assist older people according to the culture of the individual they are supporting. The importance of cultural competence has been demonstrated in previous nursing literature to be key towards improving health outcomes among patients. Method : This study employed a mixed-method, single-blind, parallel-group controlled before-and-after experimental trial design that took place in England and Japan. It aimed to recruit 45 residents of long-term care homes aged ≥65 years, possess sufficient cognitive and physical health and who self-identify with the English, Indian or Japanese culture (n = 15 each). Participants were allocated to either the experimental group, control group 1 or control group 2 (all n = 15). Those allocated to the experimental group or control group 1 received a Pepper robot programmed with the CARESSES culturally competent artificial intelligence (experimental group) or a limited version of this software (control group 1) for 18 h across 2 weeks. Participants in control group 2 did not receive a robot and continued to receive care as usual. Participants could also nominate their informal carer(s) to participate. Quantitative data collection occurred at baseline, after 1 week of use, and after 2 weeks of use with the latter time-point also including qualitative semi-structured interviews that explored their experience and perceptions further. Quantitative outcomes of interest included perceptions of robotic cultural competence, health-related quality of life, loneliness, user satisfaction, attitudes towards robots and caregiver burden. Discussion : This trial adds to the current preliminary and limited pool of evidence regarding the benefits of socially assistive robots for older adults which to date indicates considerable potential for improving outcomes. It is the first to assess whether and to what extent cultural competence carries importance in generating improvements to well-being

    Incontinencia urinaria de esfuerzo por deficiencia esfinteriana

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    El objetivo de la presente revisión es esclarecer los conocimientos generales de la incontinencia urinaria por deficiencia esfinteriana, su diagnóstico y opciones terapéuticas. La metodología usada para la realización de este trabajo fue revisión de literatura exploratoria y descriptiva. La inconti- nencia urinaria tiene impacto en la calidad de vida de las mujeres en la menopausia, y actualmente se realizan diversas opciones terapéuticas de forma mínimamente invasiva por los nuevos avances tecnológicos. El diagnóstico de la IUE se basa en la realización de manera eficaz y ordenada de un examen ginecológico completo, incluyendo procedimientos técnicos. En el tratamiento, la cirugía de slings es la más usada actualmente, concomitante con las medidas-higiénico dietéticas y las técnicas psicológicas de modificación de conductas; los parámetros de calidad de vida más afectados son la actividad sexual, la urgencia miccional y las infecciones urinarias frecuentes
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