34 resultados para supervision
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Forestry in general and logging in particular continue to be among the three most hazardous sectors in European countries. The aim of this article is to characterize health and safety problems and solutions in E.U. forestry operations, and particularly in Portuguese operations. Forest types, production, employment and ownership are used to characterize the forest sector. Forestry accidents and health problems data are mentioned. Typical hazards associated to the nature of logging operations are systematized. Preventive measures, focused on a wide spectrum of measures, making safety considerations an integral feature of all operational activities from planning to organization to execution and supervision of work are emphasized in this article.
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Dissertation submitted for a PhD degree in Electrical Engineering, speciality of Robotics and Integrated Manufacturing from the Universidade Nova de Lisboa, Faculdade de Cincias e Tecnologia
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Resumo - O avano tecnolgico e cientfico no campo da Medicina tem favorecido a aplicao das radiaes ionizantes nas reas da Medicina Nuclear, Radiologia, Radioterapia e noutras especialidades relacionadas com a medicina de interveno, como a Cardiologia. As Organizaes de Sade, com profissionais com risco de exposio a radiaes ionizantes, so responsveis, legislativamente, por assegurar a sua vigilncia. Certificando a observao controlada das doses de exposio, os profissionais so monitorizados com dosmetros individuais e submetidos a vigilncia mdica. As leituras de dosmetria individual destes profissionais, originam por vezes, nos prprios, desconfianas e incertezas quanto aos valores medidos. Objectivo: avaliar o grau de confiana dos profissionais de sade, expostos a radiaes ionizantes, no sistema de monitorizao individual. Metodologia: estudo observacional do tipo analtico- transversal, por questionrio. Amostra de 190 Tcnicos de Diagnstico e Teraputica de Cardiopneumologia, Medicina Nuclear, Radiologia, Radioterapia, expostos a radiaes ionizantes, que exercem a sua actividade profissional em hospitais do concelho de Lisboa. Resultados: 51,1% dos Tcnicos de Diagnstico e Teraputica no confiam nas leituras dos dosmetros, no se determinou uma relao estatisticamente significativa entre essa confiana, o tipo de dosmetro e a empresa que realiza as leituras. A confiana maior nos que exercem em Organizaes de Sade pblicas. 40,2% das Organizaes de Sade apresentam plano de vigilncia mdica, constatando-se uma falta de conformidade entre os Tcnicos de Diagnstico e Teraputica, nalguns hospitais, relativamente existncia desse plano no respectivo hospital. A margem de erro associado ao estudo de 5,09%, com um nvel de confiana de 95%. -----------Abstract - The technological and scientific advances in the field of medicine has encouraged the application of ionizing radiation with a considerable positive contribution in the areas of Nuclear Medicine, Radiology, Radiotherapy and other specialties related to medical intervention like Cardiology. The Health Organizations that arise the risk of occupational exposure to ionizing radiation and is their responsibility to ensure monitoring, according the law. To ensure the monitoring of controlled doses of exposure, the exposed works use an individual dosimeter and undergo medical supervision. The individual dosimetry readings of health-care professionals, is sometimes questionable for themselves, arising distrust and uncertainty about the values measured. Objective: evaluate the degree of confidence of health professionals, exposed to radiation, on the system of individual monitoring. Methods: Observational study of cross-type analysis by questionnaire. Sample of 190 of technologists of Cardiopneumology, Nuclear Medicine, Radiology, Radiotherapy, exposed to ionizing radiation, which work in hospitals on the region of Lisbon. Results: 51.1% of technologists does not rely on the readings of their dosimeters, and wasnt determined a statistically significant relationship between this trust, the type of dosimeter and the company that makes the readings(s) of their(s) dosimeter(s). The confidence in the readings is higher in public Health Organizations. 40.2% of the Health Organizations have medical monitoring plan and there is a disagreement between technologists, in some hospitals, relatively to the existence of this plan in their hospital. It was estimated that the u
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Paper developed for the unit Innovation Economics and Management of the PhD programme in Technology Assessment at the Universidade Nova de Lisboa in 2009-10 under the supervision of Prof. Maria Lusa Ferreira
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RESUMO: A partir da desinstitucionalizao psiquitrica, a nfase nas polticas pblicas de sade mental passou para os servios comunitrios e para perodos mais curtos de hospitalizao. As famlias, ento, tornaram-se as principais provedoras de cuidados cotidianos e de apoio aos pacientes. As dificuldades e o despreparo em assumir este novo papel tm gerado um sentimento de sobrecarga nos familiares, o que pode afetar sua sade fsica e mental. Vrios estudos investigaram as consequncias de se tornar um cuidador de um paciente psiquitrico, mas poucos pesquisaram o impacto na sade mental desses cuidadores. A presente pesquisa investigou a relao entre a sobrecarga e a sade mental dos familiares cuidadores de pacientes psiquitricos. Participaram deste estudo 74 familiares cuidadores de pacientes com diagnstico de esquizofrenia, atendidos no ambulatrio do Servio de Referncia em Sade Mental, da cidade de Divinpolis, MG. Os familiares participaram de uma entrevista estruturada. Nela foram aplicadas a Escala de Avaliao da Sobrecarga dos Familiares de Pacientes Psiquitricos (FBIS-BR) e, para avaliar a sade mental dos cuidadores, a Escala de Depresso de Beck (BDI). Foram realizadas anlises estatsticas descritivas, univariadas e multivariadas. Os resultados mostraram que a maioria dos cuidadores era do sexo feminino (78,40%), pais (62,20%) e com idade mdia de 59,14 anos. Os cuidadores apresentaram uma mdia de sobrecarga global objetiva de 2,05 (DP 0,54), em uma escala de 1 a 5 pontos, e uma mdia de sobrecarga global subjetiva de 2,44 (DP 0,71), em uma escala de 1 a 4 pontos. Os resultados da escala BDI mostraram que 42 cuidadores poderiam ser classificados com depresso mnima (56,80%), 17 com depresso leve (23,00%), 7 com depresso moderada (9,50%) e 8 com depresso grave (10,80%). Foram encontradas correlaes positivas significativas entre o grau de sobrecarga global e das subescalas e o nvel de depresso. As anlises multivariadas mostraram que o principal preditor de depresso dos cuidadores foi a sobrecarga global subjetiva. Outros preditores foram a obrecarga objetiva das rotinas dirias e da superviso dos comportamentos problemticos dos pacientes e a sobrecarga subjetiva das preocupaes com o paciente. As informaes levantadas mostraram o impacto do papel de cuidador na sade mental dos familiares e apontaram para a necessidade de uma maior ateno, por parte dos gestores e profissionais da rea, aos cuidadores de pacientes psiquitricos.----------ABSTRACT: The emphasis in public policy on mental health was transferred to community services and for shorter periods of hospitalization from the psychiatric deinstitutionalization. Then the families become the first provider of daily care and support to patients. The difficulties and unprepared to assume this new role has generated a sense of overload in the relatives, which can affect your physical and mental health. Several studies have investigated the consequences of becoming a caregiver of a psychiatric patient, but few scholars have researched the impact on the mental health of caregivers. The present study has investigated the relationship between overload and mental health of family caregivers of psychiatric patients. The study included 74 family caregivers of patients with schizophrenia and outpatient clinic of the Department of Mental Health Reference, in Divinpolis, Minas Gerais, Brazil. The Rating Scale Burden of Relatives of Psychiatric Patients and the scale of Beck Depression Inventory (BDI) to assess the mental health of caregivers were applied in the interview. Descriptive statistics and univariate and multivariate analysis have performed. The results showed that the majority of caregivers were female (78.40%), parents (62.20%) and mean age of 59.14 years. The caregivers had an average burden overall objective of 2.05 ( 0.54) on a scale of 1 to 5 points, and a subjective global average burden of 2.44 ( 0.71) in a scale of 1 to 4 points. The results of the BDI showed that 42 caregivers could be classified with minimal depression (56.80%), 17 with mild depression (23.00%), 7 with moderate depression (9.50%) and 8 with severe depression (10 80%). Significant positive correlations were found between the degree of overloading and global subscales and depression levels. Multivariate analysis showed that the main predictor of caregivers' depression was the global subjective burden. Other predictors were the objective burden of daily routines and supervision of problem behaviors of patients and subjective burden of the concerns about patient. The resulting information showed the impact of caregiver role in the mental health of relatives and pointed to the need for higher attention of managers and professionals to caregivers of psychiatric patients.
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Paper presented at the 1st Winter School of PhD Programme on Technology Assessment on the December 6th and 7th, 2010, at the Universidade Nova de Lisboa campus of Caparica (Portugal). A final version was developed for the unit Project III of the same PhD programme on Technology Assessment at the Universidade Nova de Lisboa in 2010-11 under the supervision of Prof. Antnio Brando Moniz
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Paper based in the report for the unit Social Factors of Innovation of the Master degree on Computer Sciences at Faculty of Sciences and Technology, Universidade Nova de Lisboa, under the supervision of Antnio Brando Moniz
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Based on the report for Project IV unit of the PhD programme on Technology Assessment. This thesis research has the supervision of Antnio Moniz (FCT-UNL and ITAS-KIT) and Manuel Laranja (ISEG-UTL). Other members of the thesis committee are Stefan Kuhlmann (Twente University), Leonhard Hennen (Karlsruhe Institute of Technology-ITAS), Tiago Santos Pereira (Universidade de Coimbra/CES) and Cristina Sousa (FCT-UNL).
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Based on the report for Project IV unit of the PhD programme on Technology Assessment (Doctoral Conference) at Universidade Nova de Lisboa (December 2011). This thesis research has the supervision of Antnio Moniz (FCT-UNL and ITAS-KIT) and Michael Decker (Karlsruhe Institute of Technology-ITAS). Other members of the thesis committee are Carlos Alberto da Silva (University of vora), Jos Maria de Albuquerque (Institute of Welding and Quality), Lotte Steuten (University of Twente), Mrio Forjaz Secca (FCT-UNL) and Nelson Chibeles Martins (FCT-UNL).
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The present article is based on the report for the Doctoral Conference of the PhD programme in Technology Assessment, held at FCT-UNL Campus, Monte de Caparica, June 9th, 2011. The PhD thesis has the supervision of Prof. Antnio Moniz (FCT-UNL and ITAS-KIT), and co-supervision of Prof. Manuel Seabra Pereira and Prof. Rosrio Macrio (both from IST-UTL).
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Based on the report for the Project III unit of the PhD programme on Technology Assessment under the supervision of Prof. Antnio B. Moniz. This report was discussed also at the 2nd Winter School on Technology Assessment held at Universidade Nova de Lisboa, Caparica Campus, Portugal on December 2011.
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A Work Project, presented as part of the requirements for the Award of a Masters Degree in Management from the NOVA School of Business and Economics
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The present article is based on the report for the Doctoral Conference of the PhD programme in Technology Assessment, held at FCT-UNL Campus, Monte de Caparica, July 9th, 2012. The PhD thesis has the supervision of Prof. Cristina Sousa (ISCTE-IUL), and co-supervision of Prof. Jos Cardoso e Cunha (FCT-UNL).
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ABSTRACT - The Patient Protection and Affordable Care Act shook the foundations of the US health system, offering all Americans access to health care by changing the way the health insurance industry works. As President Obama signed the Act on 23 March 2010, he said that it stood for the core principle that everybody should have some basic security when it comes to their health care. Unlike the U.S., the Article 64 of the Portuguese Constitution provides, since 1976, the right to universal access to health care. However, facing a severe economic crisis, Portugal has, under the supervision of the Troika, a tight schedule to implement measures to improve the efficiency of the National Health Service. Both countries are therefore despite their different situation, in a conjuncture of reform and the use of new health management measures. The present work, using a qualitative research methodology examines the Affordable Care Act in order to describe its principles and enforcement mechanisms. In order to describe the reality in Portugal, the Portuguese health system and the measures imposed by Troika are also analyzed. The intention of this entire analysis is not only to disclose the innovative U.S. law, but to find some innovative measures that could serve health management in Portugal. Essentially we identified the Exchanges and Wellness Programs, described throughout this work, leaving also the idea of the possibility of using them in the Portuguese national health system.
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A Work Project, presented as part of the requirements for the Award of a Masters Degree in Management from the NOVA School of Business and Economics
