Bebidas lácteas fermentadas: evolução da microbiota durante a fabricação, identificação de fungos leveduriformes e ação de culturas probióticas sobre os leveduriformes

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

O sistema de proteção escolar da SEESP e o professor mediador nesse contexto: análise de uma política pública de prevenção de violência nas escolas

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Produzindo para disponibilidade: uma aplicação da Teoria das Restrições em ambientes de produção para estoque

The objective of this paper is to present how the Theory of Constraints has recently been dealing with make to stock environments. This new format introduces interesting innovations in terms of the use of simplified Drum-Buffer-Rope method as well as ways to pull production in environments that produce in advance of demand. It also innovates by creating conditions for providing market opportunities based on the explicit assurance of product availability, hence its name: make to availability (MTA). Although it provides important contributions to production planning and control, articles that have directly addressed this issue have not been identified to date in both national and international journals.

Avaliação das condições de uso de um equipamento de tomografia computadorizada e otimização de protocolos de crânio empregados na rotina do HCFMB-UNESP

Almost forty years computed tomography (CT) has been one of the most powerful tools in diagnostic imaging. However, this modality delivers relatively high doses to their patients. It is known that the inappropriate use and unnecessary radiation may be associated with a significant risk of cancer, especially in pediatric patients. Moreover, the quality assurance in CT, provided and required by Portaria 453/98 and the guide of the RE 1016/05, ensures that the images generated by computer tomography provide reliable diagnostic information with doses as low as reasonably achievable. This research aimed to make the quality control (QC) of CT equipment; establish a better relationship between dose and noise on the image to protocols of skull CT according to the study of optimization proposed in 2005 by Daros; and assess the dose distribution in different cranial organs for protocols of adult and pediatric use in the routine of the Department of Diagnostic Imaging of HCFMB-UNESP. The equipment used for testing QC, optimization and dosimetry was a third generation tomograph GE Sytec 3000i

Aplicação do desdobramento da função qualidade (QFD) para melhoria da qualidade em um restaurante self-service

Currently, with the competitiveness that is seen in the market, it is crucial to the success of the business, develop new strategies to keep and win new customer preference. To ensure the success of a particular service or product, the secret is to continually meet the wishes and demands of the customers, which are the key parts of the business, through innovation, variety and quality assurance. To achieve this goal managers should be aware of all types of process that exist in the company, as they are primarily responsible and interested by quality service, customer satisfaction and consequently, generating favorable financial results. A tool used to ensure good results to business is the Quality Function Deployment (QFD) that seeks to hear and interpret customers requirements and turn them into essential features for a project

Estudo da dose efetiva, razão sinal-ruído e razão contraste-ruído em tomografia computadorizada de múltiplos detetores

Since discovery, computed tomography is a widely used diagnostic modality. However, this modality imparts relatively high doses to the patients and with fast technological advancement, it is necessary optimize the doses used and ensure the quality of the images through a quality assurance program. This work intended to compare Computed Tomography Dose Index (CTDIW) and effective dose with components of image quality: the Contrast-to-Noise Ratio (CNR) and Signal-to-Noise Ratio (SNR), and a quality factor (Q) deduced by the Rose model for two groups of computed tomography units. The first group was composed by equipments with 10 up to 16 slices and the second one presented 40 up to 320 slices detectors, for the protocols of head and abdomen. It was realized a comparison between different selectable parameters in the protocol of a Philips Brilliance 16, too. The results of the first group to CTDIW, effective dose, SNR and CNR showed variations of 28%, 33%, 37% and 32% respectively for head protocol, and 21%, 27%, 43% and 37% respectively for abdomen protocol. The results of the group 2 to CTDIW, effective dose, SNR and CNR showed variations of 15%, 26%, 36% and 34% respectively for the head protocol, and 8%, 13%, 50% and 60% respectively for abdomen protocol. The comparison between both groups demonstrated similar levels of doses impartation to patients though having so many different configurations, if the uncertainties associated with this measurement were considered. The results of the comparison between different parameters in the Philips Brilliance 16 scanner were in agreement with expected

Controle de qualidade em equipamentos de tomografia computadorizada

The computed tomography, devised by Godfrey Hounsfield and Allan Cormack, is in its fourth decade of the clinical use and has presented to be a very useful tool in the diagnosis of several pathologies. For this reason, its use is increasing each day, due to technological progress since its creation. Due to be more and more utilized, the equipment must be in good operating conditions, because it is subject to variance and wearing, damage the quality of diagnosis. To evaluate whether the performance of the scanner remains constant along the time and the dose received by the patient is within the desired limits, periodic tests of quality control must be performed. For this subject, the regulation 453 (June 01, 1998) was created, which determines the need of the implementation of a program for quality assurance (PGQ), where, in addition to the tests of quality control, are established the necessary measurements for the proper functioning of the equipment, generating a trustworthy diagnosis, reducing the dose for the patient and the costs. In this document, are presented tests of quality control carried out in hospitals of the city of Sao Paulo carried out together with the Technical Section of Applications by Imaging Diagnostic (STADI) of the Institute of Electrotechnics and Energy of the University of São Paulo (IEE/USP)

Atualização do conceito de qualidade na construção civil

The quality control is of great importance for the development of any organization, mainly for providing an assurance of delivering high quality services and goods for the consumers. Quality can be defined by the word „change‟, for the company which intends to implement a quality control system must be open to changes. This can be noticed from the JURAN concept (1992 In SILVEIRA ET AL., 2002): “Quality is to fit for usage”, i.e., depending on the goal, the situation and the consumer, quality is seen in different ways, since each one has different wishes and opinions. Taking in to account the availability of means such as norms, theories and tools, that contribute for an efficient quality management system, this discrepancy of opinions and the lack of objectivity of this concept can be solved, since through the analyzes of these means one can set quality standards, i.e., market references which fulfill both consumers and builders demands. Thus, the quality concept ceases to be something so abstract, non-measurable, to become a more objective concept. Finally, the goal of this work is to analyze the quality concept through bibliographic studies and possible consumers‟ enquires, aiming at the building industry, and show how the quality, often taken as something abstract, can be a measurable and objective concept, that benefits both the consumer as well as the enterprise of this branch

Dosimetria Física e Controle de Qualidade em Radioterapia

Radiotherapy is a multidisciplinary speciality which uses complex equipment and radiation sources for delivery of treatment, using high-energy ionizing radiation to treat cancer at several stages of complexity. Since radiation therapy is a technique which involves a precalculated radiation dose, it shall be established quality assurance programs that provide an efficient and safety treatment. The International Commission on Radiation Units and Measurements (ICRU) report No. 50 has recommended dose uniformity between 5% of the prescribed dose throughout the region of interest. This is one of the most primordial points that justify the importance of a suitable attendance of the equipments quality and performance. For quality control, the medical physicist will be involved with establishing and running a Quality Control Program (QCP). He must adapt or develop the procedures of equipment acceptance and commissioning, besides verifying the use of principles and accepted protocols of national and international reports to assure the correct quality, quantity, and placement of radiation during the performance of a radiological procedure, establishing adequate protocols to ensure accurate patient dosimetry. This present work consists of a description of the activities carried through the Sectors of Radiation Therapy of the Hospital of Clinics of the Campinas State University (Unicamp), particularly in the implementation of the Quality Control Program

Controle de qualidade em radioterapia: dosimetria de fótons em acelerador linear – Mevatron MXT

The treatment of a tumor with ionizing radiation is an ongoing process with well differentiated stages. These ones include the tumor diagnosis and location, the decision on the treatment strategy, the absorbed dose planning and calculation, the treatment administration, the absorbed dose verification and the evaluation of results in short and long terms. The quality of a radiotherapy procedure is closely linked to factors that may be classified as clinical, such as the diagnosis, the tumor location, the treatment strategy chosen and the continuous treatment reassessment; dosimetric or physical, such as the uncertainty in the dose calculation, its optimization and verification, the suitability of the equipment to provide a radiation beam consistent with the treatment planning; finally, others which are related to the practical application of radiotherapy treatment and the handling of the patient. In order to analyze the radiotherapy quality, one should realize that the three aspects (medical, physical or dosimetric and practical application) should be considered in a combined way. This means that numerous actions of the radiotherapists, medical physicists and technicians in radiotherapy should be held jointly and their knowledge level will significantly affect the treatment quality. In this study, the main physical parameters used in dosimetry are defined as well as determined experimentally for a linear accelerator Mevatron - MXT. With this, it is intended to provide recommendations for the physical aspects of Quality Assurance (QA) in the radiotherapy treatments, and these will usually be applied by professionals in Medical Physics. In addition to these instructions, it is recommended that additional texts are prepared to address in detail the clinical aspects of the treatments QA

Comparação entre metodologias de controle de qualidade em mamografia digital

The best way to detect breast cancer is by screening mammography. The mammography equipments are dedicated and require a rigorous quality control in order to have a good quality image and to early detect this disease. The digital equipment is relatively new in the market and there isn’t a national rule for quality control for several types of digital detectors. This study has proposed to compare two different tests manuals for quality control provided by the manufacturers of digital mammography equipments, and also compare them to the “European guidelines for quality assurance in breast cancer screening and diagnosis “(2006). The studied equipments were: Senographe 2000D from General Electric (GE) and the Hologic Selenia Lorad. Both were digital mammography equipments, the GE unit presents an indirect digital system and the other presents a direct digital system. Physical parameters of the image have been studied, such as spatial resolution, contrast resolution, noise, signal-tonoise ratio, contrast-to-noise ratio and modulation transfer function. After that, a study of the importance of quality control and the requirement to implement a Quality Assurance Program has been done. One data collection was done to compare those manual, it was done by checking which tests are indicated and the minimum frequency which they should be conducted in accordance with each manufacturer. The tests were performed by different methodologies and the results were compared. The examined tests were: the breast entrance skin dose, mean glandular dose, contrast-to-noise ratio, signal-to-noise ratio, automatic exposure control and automatic control of density, modulation transfer function, equipment resolution, homogeneity and ghost

Processamento e qualidade higiênico-sanitária do pescado: se tiver subtitulo

The fishery products are sources of protein of high biological value and an important component in a balanced diet. However, they are highly subject to deterioration, which represents a serious risk to public health. Thus, rigorous methods are needed for quality assurance of fish in all stages of the production chain. Traditionally, the Brazilian population does not have the habit of eating fish, although the country presents a great potential for aquaculture, which is underexploited. The consumption of fish is limited by socio-economic factors. Currently, the search for food security is a global trend. Thus, it is necessary to change the profile of the consumer, by offering a competitive and safe food. In this paper, we address issues related to quality, hygiene and health of fish

Estudo para determinação da kVp em equipamentos de raios X convencional

The quality assurance control program (QACP) in clinical radiology is very important to acquire, image quality, patient dose reduction and cost for the institution. The verification of the real tension on the x ray tube, it is one of many parameters that may be determined on a QACP. This act on image quality as absorbed dose in patient. Once proved the importance of this fact, this study come up with the determination of tension to any X ray tube used on medical routine, on quick, safe and low cost manner. To reach the aim of this study, the methodology consisted on measuring expose rates (ER) using different thicknesses of copper (Cu) plates like filters and relating these results with Half Layer Value (HLV). Afterwards, the HLV was associated to real tension that was acquired with kilo voltage of peak (kVp) measurers used on clinical routine. So walking in this path, when performed the ER, on any X ray tube, it’s possible acquire the HLV and consequently the real kVp, considering measures obtained before, on the methodology of kVp estimative development

Implantação da ISO 9001:2008: estudo de caso em empresado setor de construção civil

In Brazil , the construction industry is on an upward trend, mainly by the housing shortage , and yet there are few builders that take a Quality Management System ( QMS ) to improve the quality of its services and processes . The ISO 9001 standards are guidelines for an effective QMS and this certificate is recognized worldwide as a seal of quality standard. This paper will describe and analyze the implementation of a QMS in a small construction company of Guaratinguetá - SP, identifying best practices and major difficulties , besides proposing preparatory recommendations for other companies that seek the ISO 9000 certification. Access to company’s data made the nonconformities and the customer satisfaction research analysis possible, and a questionnaire and unstructured interviews allowed a deeper understanding of the situation. Despite this ISO 9000 QMS not being fully implemented, the company has already conquered some improvements in document control, project planning, process traceability and established focus on customer

Controle de qualidade e levantamento radiométrico em aparelho de Raios-X médico convencional

Along with the advance of technology, in terms of the expansion of medical exams that uses the ionizing radiation for diagnosis, there is also the concern about quality control for maintaining quality in radiographic imaging and for delivering low dose to the patient. Based on the Federal Order 453 of the Secretariat of Health Surveillance, which takes account of the practical and justification of individual medical exposures, the optimization of radiological protection, limitation of individual dose, and the prevention of accidents, were done through this paper radiodiagnostic tests on medical equipment in order to accept it or not, according to SVS-453. Along with the help and support of P&R Consulting and Medical Physics Marilia, SP, were made Quality Control and Radiometric Control in equipment from various cities across the state of São Paulo. The equipment discussed in this work is classified as conventional X-ray. According to the Federal Order SVS-453, the quality control in the program of quality assurance should include the following minimum set of constancy tests, with following minimum frequency: biennial tests for representative values of dose given to the patients of radiography and CT performed in the service; annual tests for accuracy of the indicator tube voltage (kVp), accuracy of exposure time, half-value layer, aligning the central axis of the beam of x-ray tube, performance (mGy / mA.min.m²), linearity of the rate of kerma on air with the mAs, reproducibility of the kerma on air rates, reproducibility of the automatic exposure, focal spot size, integrity of accessories and clothing for individual protection; semiannually for collimation system accuracy; weekly for temperature processing system and sensitometry processing system. For the room Radiometric Survey it was done a sketch...(Complete abstract click electronic access below)