Auditoria de intelig��ncia: um m��todo para o diagnóstico de sistemas de intelig��ncia competitiva e organizacional

CARVALHO, Andr��a Vasconcelos ; ESTEBAN NAVARRO, Miguel ��ngel. . Auditoria de Intelig��ncia: um m��todo para o diagnóstico de sistemas de intelig��ncia competitiva e organizacional. In: XI ENANCIB - Encontro Nacional de Pesquisa em Ci��ncia da Informa����o, 2010, Rio de Janeiro. Anais do XI ENANCIB. Rio de Janeiro: ANCIB, 2010.

Diagnóstico, estadiamento e tratamento cir��rgico do adenocarcinoma de p��ncreas

O adenocarcinoma pancre��tico �� um dos tumores s��lidos de pior progn��stico, sendo o tratamento cir��rgico o ��nico potencialmente curativo. Na grande maioria dos pacientes o tumor �� diagnosticado em fase avan��ada, comumente na presen��a de doen��a metast��tica. A introdu����o de modernos m��todos diagnósticos associados ao aperfei��oamento dos j�� existentes tem gerado controv��rsia quanto �� melhor maneira de se estabelecer o diagnóstico e estadiamento do tumor. Da mesma forma, o papel da cirurgia na palia����o e aspectos t��cnicos da ressec����o de les��es localizadas est��o longe de alcan��arem consenso na pr��tica. M��todo - Revis��o da literatura sobre os aspectos controversos relacionados ao tema e um algoritmo para a abordagem dos pacientes com suspeita de tumor de p��ncreas s��o apresentados. Foram utilizados os descritores: ���adenocarcinoma��� e ���p��ncreas��� para pesquisa no PubMed (www.pubmed.com) e na Bireme (www.bireme.br) e a seguir selecionadas as publica����es pertinentes a cada t��pico escolhido com aten����o especial para metan��lises, estudos cl��nicos controlados, revis��es sitem��ticas e ainda publica����es de grandes centros especializados em doen��as pancre��ticas. Conclus��es - Na suspeita de adenocarcinoma de p��ncreas �� poss��vel realizar estadiamento muito pr��ximo do real sem a necessidade da explora����o cir��rgica sistem��tica em virtude da disponibilidade na pr��tica de exames modernos e eficientes. Isso permite que palia����o menos invasiva seja praticada na maioria dos pacientes com les��es avan��adas e incur��veis. Nos em que a cura �� poss��vel, a opera����o deve ser realizada objetivando-se, essencialmente, a remo����o da les��o com margens livres e com aceit��veis ��ndices de morbi-mortalidade

Diagnóstico de enfermagem risco de quedas em pacientes com angina inst��vel

O risco de quedas pode ser reconhecido como fen��meno ou diagnóstico de enfermagem. Pesquisas relacionam diretamente isquemias mioc��rdicas, como a angina inst��vel e o risco de cair. Objetivou-se analisar o diagnóstico de enfermagem Risco de quedas na ocorr��ncia de angina inst��vel por um estudo transversal realizado em 57 indiv��duos internados em um hospitalescola, mediante exame f��sico e formul��rio. Para o tratamento estat��stico foram utilizados teste qui-quadrado, teste exato de Fisher, Mann-Whitney, teste-t e Coefi ciente Phi (p<0,05). O Risco de quedas foi o diagnóstico de enfermagem mais prevalente (87,71%), sobretudo em homens, mais velhos, com menos anos de estudo e renda inferior. Presen��a da angina inst��vel, hipertens��o arterial, medica����o anti-hipertensiva, doen��a vascular, difi culdades visuais e ins��nia apresentaram associa����o com o diagnóstico de enfermagem Risco de quedas. Conclui-se que �� imprescind��vel o desenvolvimento de par��metros claros e objetivos �� mensura����o mais acurada do risco de quedas no ��mbito hospitalar

Diagnóstico de enfermagem: estrat��gia educativa fundamentada na aprendizagem baseada em problemas

Este estudo teve por objetivo avaliar a efic��cia de uma estrat��gia de ensino sobre diagnósticos de enfermagem, fundamentada na aprendizagem, baseada em problemas no desempenho do racioc��nio cl��nico e julgamento diagnóstico dos discentes de gradua����o. �� estudo experimental, realizado em duas fases: valida����o de conte��do dos problemas e aplica����o da estrat��gia educativa. Os resultados mostraram melhora na capacidade de agrupamento dos dados dos discentes do grupo experimental. Conclui-se que houve influ��ncia positiva da estrat��gia implementada

Qualidade de vida no trabalho da Emater-RN: valida����o de um instrumento s��ntese de pesquisa e diagnóstico

The theoretical recital of the present study it is initiated of the evidence that the work occupies an important space in the man s life in way that the majority of the people works and passes great part of its time inside organizati ons. However, it is verified that the relation between man and work is becoming increasingly disagreement a time that the employees had started to complain work s routines, stress, not use all their potential and inadequate work s conditions. It can be observed by the way of Dejours (1994) studies. Thus, as contribution for the quality of work life s (QWL) studies the research developed here objectified to characterize the public employees quality of work life at EMATER -RN taking as reference an instrumen t of research synthesized from the typical academic literature of the subject. The synthesis of an ampler instrument is a necessity not taken care to the literature that treats on the subject but already perceived by some studies like Moraes et al (1990); Rodrigues (1989); Siqueira & Coleta (1989); Moraes et al (1992); Carvalho & Souza (2003); El -Aouar & Souza (2003) and Mour��o, Kilimnick & Fernandes (2005); Adorno, Marques & Borges (2005) amongst others. These studies point out weak points of the existing models in the QWL s literature, as well as they recommend the elaboration of a model more flexible, that contemplates Brazilian cultural characteristics, and that contemplates the entire variable studied in the main existing models. For reach this objectiv e the adopted methodology was characterized as a case study with collected data in qualitative and quantitative way. Questionnaires and comments had been used as sources of evidences. These evidences had been tabulated through of statistical package SPSS ( Statistical Package for Social Science), in which the main technique of multivariate analysis used were the factorial analysis. As for the gotten results, it was verified the grouping of the quality of work life s indicators in 11 factors which are: Work s execution, Individual accomplishment, Work s equity, Relation individual and organization, Work s organization, Adequacy of the remuneration, Relation between head and subordinate, Effectiveness of the communication and the learning, Relation between work and personal life, Participation and Effectiveness of the work processes. Whatever to the characterization of the EMATER -RN s quality of work life it was clearly that to the measure that the satisfaction s evaluation with the QWL in the organization walks to intrinsic factors for extrinsic factors this level of satisfaction goes diminishing what points to the importance to improve these extrinsic factors in the institution. In summary it is possible to conclude that the organization studied has offered a significant set of referring variable to the quality of work life of the individual

Diagnóstico da cultura organizacional em hospitais da rede privada de Natal/RN

As peculiaridades presentes no ser humano s��o observadas a partir da manifesta����o de sua cultura. Estas manifesta����es podem ser influenciadas pelo contexto social do indiv��duo. A cultura nacional �� uma destas influ��ncias. A brasileira, por exemplo, possui alguns tra��os nacionais peculiares ao seu povo que amenizam a sua complexidade e pluralidade. Estes tra��os podem se tornar influentes na cultura organizacional, atrav��s da manifesta����o das pr��ticas e dos valores utilizados pela organiza����o. Diante disso, o presente trabalho teve como objetivo diagnosticar a cultura organizacional dos hospitais, enfatizando as pr��ticas e os valores organizacionais e a percep����o dos colaboradores sobre a cultura organizacional. A metodologia utilizada na pesquisa foi de car��ter descritivo e explicativo. A pesquisa ocorreu atrav��s da aplica����o do Instrumento Brasileiro para a Avalia����o da Cultura Organizacional IBACO, com 283 sujeitos distribu��dos em tr��s hospitais da rede privada de Natal/RN. As evid��ncias encontradas pelo estudo foram analisadas atrav��s do software estat��stico SPSS, com as t��cnicas multivariadas de an��lise fatorial, an��lise de aglomerados e an��lise discriminante. A partir dessas an��lises, foram obtidos cinco fatores distribu��dos entre pr��ticas e valores apresentados pelo IBACO, que foram: as pr��ticas de recompensa e treinamento; integra����o externa e promo����o do relacionamento interpessoal; e, os valores de satisfa����o, bem-estar e coopera����o dos empregados e profissionalismo competitivo. Os grupos encontrados na an��lise apresentaram diverg��ncias de opini��o quanto ��s pr��ticas e os valores utilizados nos hospitais. Concluiu-se, portanto, que o Hospital A apresentou uma cultura mais proativa e voltada mais para a satisfa����o e bem-estar dos funcion��rios. J�� os outros dois hospitais apresentaram culturas semelhantes, com limita����es quanto �� valoriza����o do bem-estar e da coopera����o entre os colaboradores, por��m com uma boa pr��tica do relacionamento interpessoal

Diagnóstico ecotoxicol��gico dos efluentes lan��ados no complexo estuarino do Jundia��/Potengi, Natal/RN

Untreated effluents that reach surface water affect the aquatic life and humans. This study aimed to evaluate the wastewater s toxicity (municipal, industrial and shrimp pond effluents) released in the Estuarine Complex of Jundia��- Potengi, Natal/RN, through chronic quantitative e qualitative toxicity tests using the test organism Mysidopsis Juniae, CRUSTACEA, MYSIDACEA (Silva, 1979). For this, a new methodology for viewing chronic effects on organisms of M. juniae was used (only renewal), based on another existing methodology to another testorganism very similar to M. Juniae, the M. Bahia (daily renewal).Toxicity tests 7 days duration were used for detecting effects on the survival and fecundity in M. juniae. Lethal Concentration 50% (LC50%) was determined by the Trimmed Spearman-Karber; Inhibition Concentration 50% (IC50%) in fecundity was determined by Linear Interpolation. ANOVA (One Way) tests (p = 0.05) were used to determinate the No Observed Effect Concentration (NOEC) and Low Observed Effect Concentration (LOEC). Effluents flows were measured and the toxic load of the effluents was estimated. Multivariate analysis - Principal Component Analysis (PCA) and Correspondence Analysis (CA) - identified the physic-chemical parameters better explain the patterns of toxicity found in survival and fecundity of M. juniae. We verified the feasibility of applying the only renewal system in chronic tests with M. Juniae. Most efluentes proved toxic on the survival and fecundity of M. Juniae, except for some shrimp pond effluents. The most toxic effluent was ETE Lagoa Aerada (LC50, 6.24%; IC50, 4.82%), ETE Quintas (LC50, 5.85%), Giselda Trigueiro Hospital (LC50, 2.05%), CLAN (LC50, 2.14%) and COTEMINAS (LC50, IC50 and 38.51%, 6.94%). The greatest toxic load was originated from ETE inefficient high flow effluents, textile effluents and CLAN. The organic load was related to the toxic effects of wastewater and hospital effluents in survival of M. Juniae, as well as heavy metals, total residual chlorine and phenols. In industrial effluents was found relationship between toxicity and organic load, phenols, oils and greases and benzene. The effects on fertility were related, in turn, with chlorine and heavy metals. Toxicity tests using other organisms of different trophic levels, as well as analysis of sediment toxicity are recommended to confirm the patterns found with M. Juniae. However, the results indicate the necessity for implementation and improvement of sewage treatment systems affluent to the Potengi s estuary

Diagnóstico das esp��cies ativas do plasma usado em tratamentos termoqu��micos do tit��nio

Plasma diagnostics by Optical Emission Spectroscopy were performed for electrical discharge in three gas mixture respecting the combinations z N2 y Ar x H2, z N2 y Ar x O2 e z N2 y Ar x CH4, in which the indexes z and y systematically vary from 1 to 4 and x varies from 0 to 4, every one has dimension SCCM, resulting in 80 combinations. From the all obtained spectrums, the species CH (387,1 nm), N2+ (391,4 nm), H&#946; (486,1 nm), H&#945; (656,3 nm), Ar (750,4 nm), O (777,4 nm) e O (842,6 nm) were analyzed because of their abundance and importance on the kinetic of reaction from the plasma to surface, besides their high dependences on the gases flows. Particularly interesting z, y and x combinations were chosen in order to study the influence of active species on the surface modification during the thermochemical treatment. From the mixtures N2 Ar O2 e N2 Ar CH4 were chosen three peculiar proportions which presented luminous intensity profile with unexpected maximum or minimum values, denominated as plasma anomaly. Those plasma concentrations were utilized as atmosphere of titanium treatment maintaining constant the control parameters pressure and temperature. It has been verified a relation among luminous intensity associated to N2+ and roughness, nanohardness and O atoms diffusion into the crystalline lattice of treated titanium and it has been seen which those properties becomes more intense precisely in the higher points found in the optical profile associated to the N2+ specie. Those parameters were verified for the mixture which involved O2 gas. For the mixture which involves CH4 gas, the relation was determinate by roughness, number of nitrogen and carbon atoms diffused into the titanium structure which presented direct proportionality with the luminous intensity referent to the N2+ and CH. It has been yet studied the formation of TiCN phases on the surface which presented to be essentially directly proportional to the increasing of the CH specie and inversely proportional to the increasing of the specie N2+

Diagnóstico da poss��vel influ��ncia da atividade petrol��fera em sedimentos de fundo da Bacia Piranhas-A��u, regi��o Baixo A��u/RN

It is located in an area of increasing oil exploration, the region of the Lower A��u is at the mercy of a possible pollution generated by this economic activity, which includes various chemical substances harmful to health, such as metals. This thesis aims to, diagnose the areas of River Piranhas-A��u, a region of the Lower A��u, which are polluted by traces factors and more. In this study, it was determined the concentration of the chemica elements Al, CD, Cr, Cu, Fe, Mn, Ni, P, Pb, V and Zn, through the technique of ICP-OES analysis and the size of sediments and their contents organic matter. Were mapped by GPS, 12 points from collections. The interpretations of the results, together associating that allowed pollution to a possible contamination by oil activity. The results showed tha some regions have low concentrations of cadmium, lead, copper, manganese and zinc unable to promote damage to human health. However, there are places where the concentrations of certain metals chromium, iron and zinc are moderately polluted compared to the results with the reference values of literature and others that are highly polluted by iron. However, due to a greater number of wells in production in those locations, those higher concentrations, it can be suggested a possible influence of oi production in some areas with concentrations of chromium and lead are higher than the rest of the points of monitoring. Moreover, it is observed that the highest levels of metals found in sediment of finer texture and more organic matter content

Tartarugas marinhas da Bacia Potiguar/RN: diagnóstico, biologia alimentar e amea��as

This work aimed to study the diversity and distribution of marine sea turtles stranded in Potiguar Basin, Rio Grande do Norte, as well as aspects related to feeding behavior associated with human impacts. The study was conducted through the analysis of data from stranded animals, recorded in a daily monitoring in an area bounded on the north by the municipality of Aquiraz, in the state of Cear��, and the east by the municipality of Caicara do Norte, in the state of Rio Grande do Norte. Stranded dead animals were necropsied and for the analysis of the diet of animals, esophagus, stomach and intestines were fixed in 10% formalin and after that, the stomach contents were sorted and stored in 70% alcohol. Representative fragments of these organs were removed for making histological slides, with a view to histological characterization of the digestive tract. 2.046 occurrences of turtles were recorded during the period from 01/01/2010 to 31/12/2012. The Chelonia mydas species showed the highest number of records and it was observed in 66.81 % (N = 1,367) of cases; followed by Eretmochelys imbricata with 4.45 % (N = 91) and by Lepidochelys olivacea with 1.22% (N = 25). The Caretta caretta and Dermochelys coriacea species were, respectively, 0.93 % (N = 19) and 0.05 % (N = 1) records of strandings. In 26.54 % of cases, it was not possible to identify the species. Regarding the spatial distribution, the stretch A was the one that had the highest number of strandings and a larger number of records were registered in the warm months of the year. The dietary analysis showed that C. mydas fed preferentially on algae; C. caretta had a diet with a predominance of the item "coral��s fragments" and E. imbricata species showed preference for an animal origin material. Related to this anthropic interaction, 57.14 % (n = 76) of animals that died at the rehabilitation s base, showed cause of death due to complications from ingesting debris. According to the data presented, the Potiguar Basin presents itself as an area with important diversity and distribution of marine sea turtle as well is characterized as a feeding and nidification area for these species

Desenvolvimento de Sistemas Microparticulados Superparamagn��ticos Gastro-resistentes para Diagnóstico e Terap��utica

This work aimed to develop a suitable magnetic system for administration by the oral route. In addition to that, it was intended to review the current uses of magnetic systems and the safety related to magnetic field exposure. Methods: Coprecipitation and emulsification/crosslinking were carried out in order to synthesize magnetite particles and to coat them, respectively. Results: According to literature review, it was found that magnetic particles present several properties such as magnetophoresis in magnetic field gradient, production of a surrounding magnetic field, and heat generation in alternated magnetic field. When the human organism is exposed to magnetic fields, several interaction mechanisms come into play. However, biological tissues present low magnetic susceptibility. As a result, the effects are not so remarkable. Concerning the development of a magnetic system for oral route, uncoated magnetite particles did undergo significant dissolution at gastric pH. On the other hand, such process was inhibited in the xylan-coated particles. Conclusions: Due to their different properties, magnetic systems have been widely used in biosciences. However, the consequent increased human exposure to magnetic fields has been considered relatively safe. Concerning the experimental work, it was developed a polymer-coated magnetic system. It may be very promising for administration by the oral route for therapy and diagnostic applications as dissolution at gastric pH hardly took place

Diagnóstico molecular da talassemia ALFA+ (DELE����O -&#61537;3.7) em indiv��duos com microcitose e/ou hipocromia

Coordena����o de Aperfei��oamento de Pessoal de N��vel Superior

Maternidade e sindrome do down: Um estudo sobre o sentimento vinculado frente ao diagnóstico

Trata-se de um estudo de delineamento transversal de car��ter multidisciplinar, o qual conta com um estat��stico que contribuiu para o delineamento do estudo, realizando o c��lculo amostral e contribuindo efetivamente para an��lise dos dados e alunos de psicologia e pediatrias que contribu��ram para a coleta de dados. A literatura aponta que a transmiss��o inadequada do diagnóstico da S��ndrome de Down pode prejudicar o v��nculo m��e-beb�� e o posterior desenvolvimento da crian��a. Sendo assim, este estudo objetivou analisar os sentimentos maternos frente a este diagnóstico, verificando diferentes formas de transmiss��o e poss��veis facilitadores da aceita����o da S��ndrome. A amostra foi constitu��da por 20 m��es cujos filhos apresentam S��ndrome de Down, na faixa et��ria de 0 �� 03 anos e que recebem atendimento em ambulat��rio de um Hospital Universit��rio de Pediatria. Para coleta dos dados fez-se uso de um question��rio, ap��s a assinatura do Termo de Consentimento Livre e Esclarecido. Os dados foram analisados atrav��s de dois softwares de processamento de dados, o SPSS e o ALCESTE (An��lise Lexical por Contexto de um Conjunto de Segmento de Texto). Os dados indicaram que 90% das m��es receberam o diagnóstico de S��ndrome de Down depois do parto. 75% dos diagnósticos foram comunicados pelo m��dico pediatra e 15% pelas enfermeiras. As m��e referiram que o diagnóstico foi tardio, inadequado e insuficiente no informativo. Observouse que as entrevistadas viveram os mesmos sentimentos observados na literatura como: choque, nega����o, tristeza e ira, adapta����o e reorganiza����o. Tais resultados permitem concluir que o diagnóstico de SD nas m��es investigadas foi em sua maioria tardio, realidade comum no Brasil, principalmente quando se trata de classes econ��micas baixas. As m��es apontam que percebem este diagnóstico como tardio, inadequado e insuficiente no informativo, e gera sentimentos que a literatura j�� cita como comuns frente a esse tipo de diagnóstico. Portanto, observamos que a not��cia pode ser um fator que dificulte ou facilite o estabelecimento do v��nculo m��e-beb��, comprometendo a busca de recursos para o desenvolvimento da crian��a

Constru����o e valida����o de instrumento simplificado para diagnóstico de disfun����o temporomandibular em pacientes adultos

As disfun����es temporomandibulares (DTM) representam a maior causa de dor n��o dent��ria da regi��o orofacial. Dada sua alta preval��ncia na popula����o em geral e a exist��ncia de in��meros instrumentos diagnósticos n��o padronizados, buscou-se elaborar e validar um question��rio simples, de acessibilidade ampla e aplica����o pr��tica, com vistas a contribuir para o diagnóstico e o estudo epidemiol��gico das mesmas. A estrat��gia utilizada na montagem do instrumento foi estabelecida com base na avalia����o criteriosa de question��rios j�� existentes na literatura, valida����o de expertos na ��rea de DTM, valida����o fatorial, de face (na primeira fase do estudo) e, frente ao padr��o ouro (RDC/TMD), na segunda fase do estudo. Na primeira fase, participaram 160 indiv��duos. A consist��ncia interna resultou num Coeficiente Alfa de Cronbach de 0,752 para o question��rio com sete itens; enquanto que para o question��rio com cinco itens, este resultado foi de 0,694, n��o sendo o mesmo, considerado baixo por avaliar apenas cinco quest��es e ainda, em raz��o do tema central da pesquisa ser bastante subjetivo. A an��lise fatorial confirmat��ria apontou para uma vari��ncia total dos fatores extra��dos do question��rio com sete itens, de 58,2 % e do question��rio com cinco itens de 70,04%. Portanto, o question��rio com cinco quest��es, apresentou resultados estat��sticos superiores ao de sete quest��es. Na valida����o frente ao padr��o ouro (RDC/TMD), foram avaliados 99 indiv��duos tendo sido testados os dois question��rios, com sete e com cinco quest��es. Na estrutura com sete quest��es, ao se categorizar as mesmas por totais de pontos obtidos, em quatro condi����es, obteve-se o melhor resultado quando se considerou com DTM a faixa entre 10 e 21 pontos, sendo 85,1% positivos tamb��m no RDC/TMD, com acur��cia de 90,1% e Kappa 0,817. Nesta condi����o, a sensibilidade encontrada foi de 95% (IC 95%, 91 a 99), especificidade de 87% (IC 95%, 81 a 93), VPP 85%, VPN 96%, LR+ 7,3 e LR- 17,4. Quando os dados foram avaliados para o question��rio com cinco quest��es (QST/DTM), pode-se observar que o melhor ponto de corte foi quando se considerou como portadores de DTM, os indiv��duos na faixa entre 7 e 15 pontos, com acur��cia de 85,8% e Kappa 0,817. Nesta condi����o, a sensibilidade foi 88% (IC 95%, 81,6 a 94,4), especificidade 84% (IC 95%, 76,8 a 91,2), VPP 80%, VPN 90,5%, LR+ 5,5 e LR- 7,0. A simplicidade do presente question��rio (QST/DTM) com apenas cinco quest��es, possibilita seu uso como elemento de triagem inicial na ��rea da dor orofacial em disfun����o temporomandibular, com boa compreensibilidade, confiabilidade, reprodutibilidade e possibilidade de aplica����o em pesquisas epidemiol��gicas. Concluiu-se que o question��rio aqui validado, permite sua aplica����o de forma simples tanto por profissionais e pesquisadores da Odontologia como de outras ��reas da sa��de

STRESS: um diagnóstico dos policiais militares da cidade de Natal Brasil

Objectives: The purpose of the current study was to diagnose military police officers in Natal, Brazil as to the level and phase of stress in which they find themselves and the prevalent symptomatology (physical or mental). Methodology: Descriptive, crosscut study that investigated a sample of 264 individuals taken from a population of 3,193 military police officers of the Capital Police Command (CPC) in Natal, Brazil. The data were collected using the Lipp Stress Symptoms for Adults Inventory LSSI, and analyzed by tabulations, percentage calculations, t-test for proportions and Pearson s chi-squared test for associations between stress, symptomatology and military rank. Data collection was between June/2004 and January/2005. Results: It was found that 52.6% of the officers had symptoms of stress and 47.4% symptomatology of stress. This was distributed across all ranks, especially mid and upper-level officers as well as corporals and privates, with predominance in the resistance phase (36%) and a prevalence of psychological symptoms (76%). The only variable investigated that was related to stress was gender (P = 0.0337). Conclusions: It was concluded that there is stress among all ranks of military police officers in Natal, Brazil, especially mid and upper-level officers, corporals and privates, with a prevalence of psychological symptoms, low levels of physical symptoms and predominance in the resistance phase. It seems that stress levels do not differ significantly from those found in Brazilian men and women and do not indicate a situation of chronic fatigue