Sistemas de custeio na gestão hospitalar

The cost management in any organization provides a number of benefits such as security in the good management of resources, but it is little used in the public hospital sector which is shaped like a paradox, facing the complexity of hospital organization and the underfunding situation of Cheers. The purpose of this book was to develop and submit an application method of a costing system in public hospitals. This proposal was developed in partnership with the Secretariat of the State of Paraná Health, with financial support from PPSUS and Araucaria Foundation. The study was conducted as an action research in two public hospitals in Paraná, but it can be replicated in any hospital from the premises of the developed method. For this, We developed the concepts of administration and public governance, the right to health in Brazil, the costs in the public sector and the detailed presentation of the proposed costing system model. The results constitute an important management tool for hospitals and Ministry of Health, enabling greater security leaders in the face of difficulties and challenges in this segment. Thus, it is expected that the book will contribute to governments for better management of public funds allocated to health; with academia, as a still incipient theme in literature; and society, so that more hospitals were professionalize its cost management and thereby provide a more efficient and effective service.

Adubação de sistemas: antecipação de adubação nitrogenada para a cultura do milho em integração lavoura-pecuária

Traditionally in no-tillage systems, fertilization is done to the catch crop. In general nutrient cycling in crop systems has not been treated as an important tool in the process of nutrient supplying for plants. The type and the condition in which vegetable residuesis decomposed can affect the efficiency of nutrient cycling.This study assessed the effect of anticipated nitrogen fertilization in crop-livestock systems on cultivated cornproduction, rate ofnutrient release from plant residue, and theN-minerallevels of soil. The study was carried out in the city Abelardo Luz (SC) in a Clayey Oxisol. The experimental design was a randomized block design with three replications. The treatments were arranged in a 2 x 2 factorial arrangement. The first factor was N Fertilization Time: in the N-Pasture level, nitrogen (200 kg ha-1 N) and N-Grains level, no nitrogen was applied. The second factor was the Grazing Height, characterized by two sward heights of oat at 15 cm (Low Height Pasture) and at 30 cm (High Height Pasture). Corn hybrid ‘Máximus’ was sowed in 10thOctober, 31 days after the removal of animals. In the twelve resulting plots from the combination of treatments on pasture phase (N Fertilization Time x Grazing Height) rates of N-fertilizer (0, 100, 200 e 300 Kg ha-1 of N) as urea were allocated in the split plot.We conclude that anticipated N fertilization of winter cover crop pasture to provide high-quality forage and carry-over N to the subsequent corn crop and may eventually replace side drees nitrogen fertilization on corn and can improve overall N fertilizer efficiency use in integrated crop-livestock systems.The rate of K release from plant residues is very fast, releasing large quantities in the first days after plant desiccation.Despite of considerably high nitrogen dose used in both the pasture and at the grain crop it was not observed nitrate leaching risks during the study period.

Sistemas de produção de milho sob adubação nitrogenada e plantas de cobertura do solo

The no-tillage system is the predominant model in the agricultural scenario of southern Brazil. Thus, the use of cover crops is significant due to the addition of biomass to protect the soil surface, and contribute to the cycling and/or fixing of nutrients, and in particular nitrogen (N) with liberation for the subsequent culture. Among the cool season species, it was found predominant use of oat to obtain straw to system. Though large quantities input of residue is not the preferred species to precede the corn, cereal with relevant importance in the Paraná Southwest region. It was aimed to evaluate the productivity capacity of corn in no-tillage, in the absence or presence of nitrogen fertilization, on waste of winter cover crops on soil and climatic conditions of the Paraná Southwest region. The installation of no-tillage was held in 2010 in the experimental area belonging to UTFPR, Campus Dois Vizinhos, on a Red Latosol. For the present study, we used data relating to three agricultural years (2012/2013, 2013/2014 and 2014/2015). The experimental design was randomized block design with split plots with three replications. The main plots consisted of systems composed by cover crops (black oat, ryegrass, rye, turnip, vetch, white lupine, aot+vetch consortium and oat+vetch+turnip), preceding corn. In the subplots were used two doses of nitrogen fertilization (0 and 180 kg ha N) coverage in maize.The biggest coverage rates occurred in the consortium with 95% at 62 days after sowing. The residual effect of 180 kg ha cool season plants following year. The residual effect of 180 kg ha systems, reduced in 21% the C/N ratio of poaceae. The common vetch accumulated 32 kg N per ton of MS added. The oat and rye keeps more than 50% waste to the land cover, after 120 days, while the ryegrass and vetch provide low soil protection. Consortium oat+vetch+turnip, vetch and white lupine, released the largest amounts of N, between 52 and 59 kg ha brassica and consortia positively influencing the diameter and length of cobs, number of kernels per row and, total number of grains per ear of corn, in the absence of mineral N. The weight of a thousand grains was increased by 12.4% by the addition of 180 kg ha increase in productivity of grain by the addition of 180 kg ha N, was 2.1 Mg ha 5.6 Mg ha 6.4 Mg ha components when cultivated on vetch. Systems containing fabaceae, brassica and consortium oat+vetch+turnip, predating the corn, in the absence of mineral N, provided similar grain yelds inrelation to the systems with the addition of 180 kg ha Keywords: Cover crops. No-tillage. Grain yield. Zea mays - 1 -1 N, increased 4.8% coverage rate in the of N in corn/cover crops -1 -1 . Fabaceae, -1 N mineral. The average N, in relation to dose 0 kg ha corn kernels on fabaceae, brassica and consortium oat+vetch+turnip, and poaceae the grains in succession. The consortium added amount between 4.0 the DM in the years of study. There was no effect of mineral N rate for corn yield components when cultivated on vetch. Systems containing fabaceae, brassica and consortium oat+vetch+turnip, predating the corn, in the absence of mineral N, provided similar grain yelds inrelation to the systems with the addition of 180 kg ha-1 N.

Nitrogênio mineral em um latossolo em função de sistemas de manejo do solo e de culturas de cobertura de inverno

The increasing advancement of agriculture makes providing adequate conditions for the growth and development of plants is the primary purpose of soil management systems. Much of the success of PD is attributed to cultural remains left by cover crops that do not require high nitrogen inputs and can thus be used to reduce nitrogen input in the agro- ecosystem. The nitrogen is one of the elements applied in agriculture, it is absorbed in higher quantities and limiting the yield of grain crops such as corn. Thus, there has been the influence of the no-till and conventional tillage combined with different crops of winter cover and bare soil when in succession to corn, on mineral nitrogen content. The experimental work was made at the experimental station of the Agronomic Institute of Paraná - Iapar. The implemented design was blocks at random split plot with three replications in factorial 6 x 2 x 3 x 5. The main plots were as treatment, beyond the bare soil, 5 winter species (ryegrass, vetch, vetch + oat, oat and radish), while in the subplots were used two tillage systems (No-till and conventional tillage). Three collections made were (before management, the urea before and after the urea), these being held in 5 depths (0-5, 5-10, 10-20, 20-40 and 40-60 cm). So a layer 0-5 cm and a que presents increased amount to NH4 + ion. The use of associated PD system in the presence of winter cover crops decreased as NO3 - losses in soil profile.

Adubação nitrogenada no milho em sucessão à plantas de cobertura sob sistemas de cultivo do solo

To achieve high yields the corn crop is dependent on nitrogen. Systems of cover crops preceding corn and form of land cultivation are essential for the best use of nitrogen by corn. This study aimed to evaluate the use or not of nitrogen fertilization in corn in succession to cover crops, planted in three cropping systems. The experimental design was randomized blocks with sub-divided portion where the main plots consisted of three cultivation systems (tillage, conventional tillage and minimum tillage), the subplots by four plant cover in monocrop (oat, hairy vetch, field peas and turnip) and sub-subplots by nitrogen fertilization (0 and 160 kg ha-1 N). Evaluations were performed, the cover crops, soil cover rate, dry matter, content and accumulation of nutrients. In corn we evaluated yield components, yield, chlorophyll and nutrient levels in leaves. Among the species coverage studied the oat showed hardiness in the experiment, covering ground faster and showing more dry matter, however vetch hairy showed higher concentrations of N, P and K and higher accumulation of N ha-1. The soil tillage system influenced the K leaf content. The interaction cultivation x coverage showed significance for the total chlorophyll of corn. In the absence of N, N content and chlorophyll were higher where the corn was sown on the pea and hairy vetch. The corn production, despite a higher average in the presence of nitrogen fertilization, did not differ significantly when used the pea and hairy vetch as a cover crop.

Estudo empírico de antecedentes do sucesso de sistemas de informação: análise de um sistema de apoio à decisão em uma universidade pública

Universities are institutions that generate and manipulate large amounts of data as a result of the multiple functions they perform, of the amount of involved professionals and students they attend. Information gathered from these data is used, for example, for operational activities and to support decision-making by managers. To assist managers in accomplishing their tasks, the Information Systems (IS) are presented as tools that offer features aiming to improve the performance of its users, assist with routine tasks and provide support to decision-making. The purpose of this research is to evaluate the influence of the users features and of the task in the success of IS. The study is of a descriptive-exploratory nature, therefore, the constructs used to define the conceptual model of the research are known and previously validated. However, individual features of users and of the task are IS success antecedents. In order to test the influence of these antecedents, it was developed a decision support IS that uses the Multicriteria Decision Aid Constructivist (MCDA-C) methodology with the participation and involvement of users. The sample consisted of managers and former managers of UTFPR Campus Pato Branco who work or have worked in teaching activities, research, extension and management. For data collection an experiment was conducted in the computer lab of the Campus Pato Branco in order to verify the hypotheses of the research. The experiment consisted of performing a distribution task of teaching positions between the academic departments using the IS developed. The task involved decision-making related to management activities. The data that fed the system used were real, from the Campus itself. A questionnaire was answered by the participants of the experiment in order to obtain data to verify the research hypotheses. The results obtained from the data analysis partially confirmed the influence of the individual features in IS success and fully confirmed the influence of task features. The data collected failed to support significant ratio between the individual features and the individual impact. For many of the participants the first contact with the IS was during the experiment, which indicates the lack of experience with the system. Regarding the success of IS, the data revealed that there is no significance in the relationship between Information Quality (IQ) and Individual Impact (II). It is noteworthy that the IS used in the experiment is to support decision-making and the information provided by this system are strictly quantitative, which may have caused some conflict in the analysis of the criteria involved in the decision-making process. This is because the criteria of teaching, research, extension and management are interconnected such that one reflects on another. Thus, the opinion of the managers does not depend exclusively on quantitative data, but also of knowledge and value judgment that each manager has about the problem to be solved.

Adaptação do paradigma orientado a notificações para desenvolvimento de sistemas fuzzy

This work proposes to adjust the Notification Oriented Paradigm (NOP) so that it provides support to fuzzy concepts. NOP is inspired by elements of imperative and declarative paradigms, seeking to solve some of the drawbacks of both. By decomposing an application into a network of smaller computational entities that are executed only when necessary, NOP eliminates the need to perform unnecessary computations and helps to achieve better logical-causal uncoupling, facilitating code reuse and application distribution over multiple processors or machines. In addition, NOP allows to express the logical-causal knowledge at a high level of abstraction, through rules in IF-THEN format. Fuzzy systems, in turn, perform logical inferences on causal knowledge bases (IF-THEN rules) that can deal with problems involving uncertainty. Since PON uses IF-THEN rules in an alternative way, reducing redundant evaluations and providing better decoupling, this research has been carried out to identify, propose and evaluate the necessary changes to be made on NOP allowing to be used in the development of fuzzy systems. After that, two fully usable materializations were created: a C++ framework, and a complete programming language (LingPONFuzzy) that provide support to fuzzy inference systems. From there study cases have been created and several tests cases were conducted, in order to validate the proposed solution. The test results have shown a significant reduction in the number of rules evaluated in comparison to a fuzzy system developed using conventional tools (frameworks), which could represent an improvement in performance of the applications.