20 resultados para change management


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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Many dog owners see homemade diets as a way of increasing the bond with their pets, even though they may not have the convenience of commercial diets. Modifications of ingredients, quality and proportion might change the nutritional composition of the diet, generating nutritional imbalances. The present study evaluated how dog owners use and adhere to homemade diets prescribed by veterinary nutritionists over an extended period of time. Forty-six owners of dogs fed a homemade diet for at least 6 months were selected for the present study. Owners were invited to answer questions by first reading all possible answers and then selecting the one that best indicated their opinion. The results were evaluated through descriptive statistics. Thirty-five owners (76·1 %) found that the diets are easy to prepare. Fourteen owners (30·4 %) admitted to modifying the diets, 40 % did not adequately control the amount of provided ingredients, 73·9 % did not use the recommended amounts of soyabean oil and salt, and 34·8 % did not correctly use the vitamin, mineral or amino acid supplements. Twenty-six owners (56·5 %) reported that their dogs refused to eat at least one food item. All of these alterations make the nutritional composition of the diets unpredictable and likely nutritionally imbalanced. Although homemade diets could be a useful tool for the nutritional management of dogs with certain diseases, not all owners are able to appropriately use this type of diet and adhere to it for an extended period of time and this limitation needs to be considered when recommending the use of homemade diets.

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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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In the context of medical school instruction, the segmented approach of a focus on specialties and excessive use of technology seem to hamper the development of the professional-patient relationship and an understanding of the ethics of this relationship. The real world presents complexities that require multiple approaches. Engagement in the community where health competence is developed allows extending the usefulness of what is learned. Health services are spaces where the relationship between theory and practice in health care are real and where the social role of the university can be revealed. Yet some competencies are still lacking and may require an explicit agenda to enact. Ten topics are presented for focus here: environmental awareness, involvement of students in medical school, social networks, interprofessional learning, new technologies for the management of care, virtual reality, working with errors, training in management for results, concept of leadership, and internationalization of schools. Potential barriers to this agenda are an underinvestment in ambulatory care infrastructure and community-based health care facilities, as well as in information technology offered at these facilities; an inflexible departmental culture; and an environment centered on a discipline-based medical curriculum.

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Lianas can change forest dynamics, slowing down forest regeneration after a perturbation. In these cases, it may be necessary to manage these woody climbers. Our aim was to simulate two management strategies: (1) focusing on abundant liana species and (2) focusing on the largest lianas, and contrast them with the random removal of lianas. We applied mathematical simulations for liana removal in three different vegetation types in southeastern Brazil: a Rainforest, a Seasonal Tropical Forest, and a Woodland Savanna. Using these samples, we performed simulations based on two liana removal procedures and compared them with random removal. We also used regression analysis with quasi-Poisson distribution to test whether larger lianas were aggressive, i.e., if they climbed into many trees. The procedure of cutting larger lianas was as effective as cutting them randomly and proved not to be a good method for liana management. Moreover, most of the lianas climbed into one or two trees, i.e., were not aggressive. Cutting the most abundant lianas proved to be a more effective method than cutting lianas randomly. This method could maintain liana richness and presumably should accelerate forest regeneration.