54 resultados para Level of service
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Patients with chronic kidney disease (CKD) have a lower exercise tolerance and poor functional capacity, carry on a sedentary lifestyle. Another important change found in patients with CKD is cognitive dysfunction. Physical inactivity has been associated with cognitive dysfunction in the general population, but few studies have evaluated this association in CKD. To assess the association between physical activity and cognitive function in patients with CKD on hemodialysis (HD). We evaluated 102 patients undergoing HD. The participants completed the International Physical Activity Questionnaire, which assesses the level of physical activity and the Mini Mental State Examination, used for cognitive screening. Patients were divided into three groups according to their level of physical activity (GI: active/GII: irregularly active/GIII: sedentary). It was applied logistic regression analysis and adopted as outcome variable the presence of cognitive impairment and preserving as independent variables those with a probability of statistical difference between groups of less than 0.1. It was considered statistically significant when p less than 0.05. The groups were similar in age, duration of HD, and smoking. Statistically significant difference regarding race, body mass index, diabetes mellitus, underlying disease and degree of cognitive impairment. Regarding laboratory data, the groups differed in terms of creatinine, glucose, hemoglobin and hematocrit. There was significant association with better physical activity and cognitive function, even adjusting for confounding variables. the highest level of physical activity was associated with better cognitive function in CKD patients undergoing HD.
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Facing the competitive current market, increases the growing managerial commitment to minimize the frequent occurrence of service failures that characterized the past. Given the fact that the supply of a product in the correct location and on time, undamaged and correctly billed market requirement becomes framed the present work. Based on a case study, supported in parallel bibliographical references in the literature in a company of sugar and alcohol sector, the survey aims to measure and evaluate the real-time delivery from suppliers in order to ensure the best level of service to the company in question by suppliers, by reducing idle time of delivery, since the control system does not supply the pre-established and / or observed above, thus obtaining a better management and supply of replacement material. To assist the work, developed a project in the company in question in order to analyze and identify applications of concepts of lead time along the supply chain through an exploratory study in order to provide a beneficial outcome to the company through monitoring and performance of its suppliers, which will enable an aid to future decision-making
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Due to the high level of service required by customers and the constant need to reduce costs, the logistics can be considered as a strategic area for a company. In particular, the order picking is responsible for most of the operating costs in a warehouse. Therefore it’s necessary to plan the materials storage in order to maximize the space available and minimize the total distance traveled to meet customer orders. For these reasons, this study aims to examine and propose a way to organize the electrical materials storage in distribution centers through a study on an electronics company in Cajamar
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This work deals with the creation of an inventory policy, with the main objective of increasing the company's level of service offered to its customers, avoiding plant stops by the lack of raw materials and / or bad inventory management. Calculating safety stock and reorder point of the main raw materials of chemical industry by collecting historical data, statistical analysis and future projections of the company's consumption, and a proposed solution. At the end of the work, have a review of the results
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Pós-graduação em Engenharia de Produção - FEB
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There are several researches on evaluation of urban public space, but not all establish a relationship between the configuration of spaces with the thermal environment, ergonomics and environmental behavior of users. To understand this relationship, the aim of this paper is to present the model DEPAN (Design for Permanence and Attractiveness in niches open spaces of conviviality), based on graphical meshes, which were designed to evaluate the influence of design and ergonomics of open public spaces in the human thermal comfort and the ways in which users appropriate the space. Its applicability is demonstrated through a case study conducted in a park in the city of Bauru-SP. To perform this evaluation public space niches were chosen. They were formed by morphological elements and street furniture and defined by their spatial arrangements. The collected data were incorporated into a Geographic Information System (GIS), which allowed the overlay of meshes. The results indicate that the DEPAN model allows the verification of the spatial characteristics, thermal quality and ergonomic design generated by spaces, as well as the evaluation of the influence of these aspects in the way of using the spaces. The model allows the generation of a classification for every niche and set a value for the level of service offered.
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Service provisioning is a challenging research area for the design and implementation of autonomic service-oriented software systems. It includes automated QoS management for such systems and their applications. Monitoring, Diagnosis and Repair are three key features of QoS management. This work presents a self-healing Web service-based framework that manages QoS degradation at runtime. Our approach is based on proxies. Proxies act on meta-level communications and extend the HTTP envelope of the exchanged messages with QoS-related parameter values. QoS Data are filtered over time and analysed using statistical functions and the Hidden Markov Model. Detected QoS degradations are handled with proxies. We experienced our framework using an orchestrated electronic shop application (FoodShop).
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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
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Background: Since establishing universal free access to antiretroviral therapy in 1996, the Brazilian Health System has increased the number of centers providing HIV/AIDS outpatient care from 33 to 540. There had been no formal monitoring of the quality of these services until a survey of 336 AIDS health centers across 7 Brazilian states was undertaken in 2002. Managers of the services were asked to assess their clinics according to parameters of service inputs and service delivery processes. This report analyzes the survey results and identifies predictors of the overall quality of service delivery.Methods: The survey involved completion of a multiple-choice questionnaire comprising 107 parameters of service inputs and processes of delivering care, with responses assessed according to their likely impact on service quality using a 3-point scale. K-means clustering was used to group these services according to their scored responses. Logistic regression analysis was performed to identify predictors of high service quality.Results: The questionnaire was completed by 95.8% (322) of the managers of the sites surveyed. Most sites scored about 50% of the benchmark expectation. K-means clustering analysis identified four quality levels within which services could be grouped: 76 services (24%) were classed as level 1 (best), 53 (16%) as level 2 (medium), 113 (35%) as level 3 (poor), and 80 (25%) as level 4 (very poor). Parameters of service delivery processes were more important than those relating to service inputs for determining the quality classification. Predictors of quality services included larger care sites, specialization for HIV/AIDS, and location within large municipalities.Conclusion: The survey demonstrated highly variable levels of HIV/AIDS service quality across the sites. Many sites were found to have deficiencies in the processes of service delivery processes that could benefit from quality improvement initiatives. These findings could have implications for how HIV/AIDS services are planned in Brazil to achieve quality standards, such as for where service sites should be located, their size and staffing requirements. A set of service delivery indicators has been identified that could be used for routine monitoring of HIV/AIDS service delivery for HIV/AIDS in Brazil (and potentially in other similar settings).
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
Analytical and Monte Carlo approaches to evaluate probability distributions of interruption duration
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Regulatory authorities in many countries, in order to maintain an acceptable balance between appropriate customer service qualities and costs, are introducing a performance-based regulation. These regulations impose penalties-and, in some cases, rewards-that introduce a component of financial risk to an electric power utility due to the uncertainty associated with preserving a specific level of system reliability. In Brazil, for instance, one of the reliability indices receiving special attention by the utilities is the maximum continuous interruption duration (MCID) per customer.This parameter is responsible for the majority of penalties in many electric distribution utilities. This paper describes analytical and Monte Carlo simulation approaches to evaluate probability distributions of interruption duration indices. More emphasis will be given to the development of an analytical method to assess the probability distribution associated with the parameter MCID and the correspond ng penalties. Case studies on a simple distribution network and on a real Brazilian distribution system are presented and discussed.
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Regulatory authorities in many countries, in order to maintain an acceptable balance between appropriate customer service qualities and costs, are introducing a performance-based regulation. These regulations impose penalties, and in some cases rewards, which introduce a component of financial risk to an electric power utility due to the uncertainty associated with preserving a specific level of system reliability. In Brazil, for instance, one of the reliability indices receiving special attention by the utilities is the Maximum Continuous Interruption Duration per customer (MCID). This paper describes a chronological Monte Carlo simulation approach to evaluate probability distributions of reliability indices, including the MCID, and the corresponding penalties. In order to get the desired efficiency, modern computational techniques are used for modeling (UML -Unified Modeling Language) as well as for programming (Object- Oriented Programming). Case studies on a simple distribution network and on real Brazilian distribution systems are presented and discussed. © Copyright KTH 2006.