Information systems assessment in pathologic anatomy service

Information technologies changed the way of how the health organizations work, contributing to their effectiveness, efficiency and sustainability. Hospital Information Systems (HIS) are emerging on all of health institutions, helping health professionals and patients. However, HIS are not always implemented and used in the best way, leading to low levels of benefits and acceptance by users of these systems. In order to mitigate this problem, it is essential to take measures able to ensure if the HIS and their interfaces are designed in a simple and interactive way. With this in mind, a study to measure the user satisfaction and their opinion was made. It was applied the Technology Acceptance Model (TAM) on a HIS implemented on various hospital centers (AIDA), being used the Pathologic Anatomy Service. The study identified weakness and strengths features of AIDA and it pointed some solutions to improve the medical record.

Level of compliance in contact lens wearing medical doctors in Nepal

PURPOSES: To determine the level of compliance and major non-compliant behaviors in contact lens (CL) wearing medical doctors (MDs) and to compare it with age matched CL wearing normal subjects with no medical background (NS). METHODS: Thirty-nine current CL wearing MDs, who were prescribed CLs in Nepal Eye Hospital, Kathmandu, Nepal, between 2007 and 2011, were interviewed on ten modifiable compliant behaviors regarding lens care and maintenance. The level of compliance and the rate of non-compliance for each behavior were determined and compared with NS. RESULTS: Level of compliance was good, average and poor in 35.9%, 48.7% and 15.4% of MDs, respectively. There was no significant difference in compliance between MDs and NS (p=0.209). Level of compliance was not associated with age, gender and duration of lens wear (p>0.05). Compliance rate varied according to different behaviors, achieving a good compliance level of 95% for hand hygiene, avoidance of water contact and not sleeping with lenses. There was poor compliance for topping up solution (53.8%) and lens case replacement (15.4%). CONCLUSION: About one third of MDs had a good level of compliance. Level of compliance and compliance rate of different behaviors were similar in MDs and NS. Periodic lens case replacement was the most neglected behavior in CL wearers for this region.

O autorretrato em literatura: ilustração e ruína

A aplicação ao caso literário do termo e do conceito de retrato, aqui incluindo a espécie mais tardia do autorretrato, não é hoje fluente, apesar da reconhecida permeabilidade do género a inúmeras linguagens artísticas e apesar de uma longa tradição de descrições de figura – particularmente no que toca a representação poético-retórica da beleza feminina – que recua à poesia clássica. Partindo de uma possível distinção entre autorretrato literário e variantes várias de escritas intimistas e autobiográficas com as quais delineia fronteiras nem sempre rigorosamente nítidas, é nosso propósito ilustrar, recorrendo a casos selecionados, modos de concretização verbal de autorretrato que se distanciam progressivamente de um paradigma representativo fundado na perceção e na semelhança, aproximando-se ao contrário de registos de rasura, apagamento, ruína, cegueira que questionam uma noção de identidade estabilizável em imagem (visual ou mental), encaminhando o gesto autorrepresentativo para uma meditação sobre a diferença e sobre o irreconhecimento; no limite, para uma condição fora do visível e porventura, arriscando os seus mais básicos pressupostos, para lá da representação.