The meaning of evidence-based management to brazilian senior nurse leaders

Purpose: The study objective was to understand the meaning of evidence-based management for senior nurse leaders in accredited, public hospitals in the State of Sao Paulo, Brazil. Design and Method: A phenomenological approach was used to analyze interviews conducted with 10 senior nurse leaders between August 2011 and March 2012. The analytic method was developed by the Brazilian phenomenologist, Martins. Findings: Senior nurse leaders described how they critically appraise many sources of evidence when making managerial decisions. They emphasized the importance of working with their teams to locally adapt and evaluate best evidence associated with managerial decision making and organizational innovations. Their statements also demonstrated how they use evidence-based management to support the adoption of evidence-based practices. They did not, however, provide specific strategies for seeking out and obtaining evidence. Notable challenges were traditional cultures and rigid bureaucracies, while major facilitators included accreditation, teamwork, and shared decision making. Conclusions: Evidence-based management necessitates a continuous process of locating, implementing, and evaluating evidence. In this study leaders provided multiple, concrete examples of all these processes except seeking out and locating evidence. They also gave examples of other leadership skills associated with successful adoption of evidence-based practice and management, particularly interdisciplinary teamwork and shared decision making. Clinical Relevance: This study demonstrates senior nurse leaders' awareness and utilization of evidence-based management. The study also suggests what aspects of evidence-based management need further development, such as more active identification of potential, new organizational innovations. © 2013 Sigma Theta Tau International.

Cryoprotective effect of different glycerol concentrations on domestic cat spermatozoa

Cryopreservation of spermatozoa is a pivotal tool in assisted reproduction, and studies aiming to establish optimal freezing/thawing protocols are essential to enhance sperm survival. The objectives of the present study were to (1) compare the cryoprotective efficiency of three different glycerol concentrations (3%, 5%, and 7%) on the basis of post-thaw sperm quality and (2) investigate whether the incidence of morphologically abnormal sperm in fresh samples is related to cryodamage sensitivity. Semen was collected from six tomcats using an artificial vagina (total 18 ejaculates). Each ejaculate was diluted using Tris-egg yolk-based extender (TEY), evaluated, equally divided into three aliquots, and rediluted using TEY with and without glycerol to achieve final concentrations of 3%, 5%, and 7%. Samples were loaded into 0.25 mL straws, equilibrated for 60 minutes at 5 °C, frozen, and then thawed at 46 °C for 12 seconds. Fresh and frozen-thawed samples were evaluated for sperm motion parameters (computer-assisted sperm analysis), plasma membrane integrity (PMI; propidium iodide and carboxyfluorescein diacetate), and DNA integrity (acridine orange). Plasma and acrosomal membrane integrity were assessed by flow cytometry (propidium iodide and fluorescein isothiocyanate-conjugated pea (Pisum sativum) agglutinin) immediately after thawing. Sperm motion parameters were also evaluated at 30 and 60 minutes of postincubation. For all treatment groups, cryopreservation significantly impaired the PMI and sperm motion parameters, except for straightness and amplitude of lateral head displacement. DNA integrity showed a slight reduction (P < 0.05) when 3% glycerol was used. The percentage of total motility, progressive motility, and rapid spermatozoa were significantly lower immediately after thawing and up to 60 minutes of incubation for the 3% glycerol group when compared with 5% and 7%. No difference (P > 0.05) was found for PMI, acrosome integrity, and DNA integrity among post-thaw groups. However, higher (P < 0.05) incidence of viable cells with reacted acrosome and dead cells with intact acrosome were observed with 7% and 3% glycerol, respectively. Percentage of morphologically abnormal spermatozoa in fresh sample was positively correlated with PMI only in the 3% glycerol group and negatively correlated with sperm motility in the 5% and 7% groups. In conclusion, the final concentration of 5% glycerol offered better cryoprotective effect for ejaculated cat sperm, and the relationship found between prefreezing sperm morphology and post-thaw sperm quality showed to be dependent on final glycerol concentration. © 2013 Elsevier Inc.

Análise comparativa do processo de gramaticalização das perífrases conjuncionais agora que e já que

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Avaliação da manobra fisioterapêutica de vibração torácica

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Clonagem e expressão do gene da nucleoproteína do vírus da bronquite infecciosa em sistemas hospedeiros eucarioto (Pichia pastoris) e procarioto (Escherichia coli)

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

Estudo experimental de chamas difusivas livres turbulentas de gás natural submetidas a oscilações acústicas

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Significados e sentidos da deficiência adquirida em policiais militares

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

Economic efficiency of two baling systems for sugarcane straw

In recent years, harvesting process of sugarcane is changing itself, passing through semi-mechanized for mechanized system, who, currently predominate in Sao Paulo state, Brazil. Mechanized harvesting consists in a sequence of operations which includes cutting the pointer and chopping the stalk. The straw is a harvesting residue, and it stays in the ground, piling up above soil, with a possible prejudice for crop yield. An economic way to retract this straw is using mechanized processing for bailing it, involving hay balers, which are imported to Brazil and their use require regularly field conditions of work. Those balers could produce square or round bales, which can be sold to energy generation. This study aims to estimate economic efficiency indicators of round and square systems for sugarcane straw, establishing a relationship between baling costs and the incoming generated from those bales. Based on data set, round baling system was 26% more efficient than square baling system, and that round baler has a lower purchase price and a higher compress ratio of biomass, allowing a greater potential for power generation, turning it a more advantageous in a possible marketing for bales produced. (C) 2014 Elsevier B.V. All rights reserved.

Análise energética do novo sistema de produção de maracujá amarelo na região de Marília-SP

The study aimed to evaluate energy indicators of a new production system of yellow passion fruit in Marilia-SP. Analyzed the inputs of the biological energy, fossil and industrial and output energy in the form of fruits produced per unit area as well as five energy indicators. The input energy amounted 155,810.13MJ ha(-1). Chemical fertilizers and pesticides accounted for 71% and 24% of indirect energy industry, respectively. The activity generated per cycle / ha, 587.700.00MJ, and cultural productivity 0.19MJ kg(-1). The efficiency culture was 3.77. The cultural energy net totaled 431,889.87MJ ha(-1). The energy efficiency (4.17) and energy balance (550,312.91MJ ha(-1)) was favorable. It was concluded that the direct energy consumption from fossil fuels, even though significant, yet permits the production of the fruit of an environmentally sustainable manner. Chemical fertilizers and pesticides were the most representative of indirect energy industry due to the intensification of fertilization as a means of disease prevention.

Human neutrophils produce IL-12, IL-10, PGE2 and LTB4 in response to Paracoccidioides brasiliensis. Involvement of TLR2, mannose receptor and dectin-1

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Previous infection with Staphylococcus aureus strains attenuated experimental encephalomyelitis

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

Downmodulation of peripheral MUG-specific immunity by pVAXhspe65 treatment during EAE does not reach the CNS

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

Interferon-gamma production by human neutrophils upon stimulation by IL-12, IL-15 and IL-18 and challenge with Paracoccidioides brasiliensis

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

Productivity and costs of Beller-Buncher and forest processor in stands of eucalypts in first cut

The rationalization of forest harvesting and minimization costs is a constant search by the managers involved in this process, making them decide practices which are economically viable to optimize that operation. This study aimed to evaluate technically and economically the performance of feller-buncher and the forest processor in stands of eucalypts in first cut. The technique analysis included time and movements, productivity, efficiency operational and mechanical availability. The economic analysis included the parameters operational cost, harvesting cost and energy consumption. Aiming the optimization the cost of forest harvesting, the system composed by feller-buncher and processor forest presented itself as a technically and economically viable alternative to harvesting eucalypt in first cut or stands that do not have bifurcated trees.

Butoh e a educação: o corpo como mídia mínima e a metáfora da resistência : entre o peso da gravidade e o da sociedade há sempre um buraco por onde a vida escapa

Com base numa experiência pessoal com a dança e leituras sobre butoh, o trabalho traça um paralelo entre o corpo na dança butoh e o corpo na educação, pensando como o corpo do educando é cerceado a ponto de não conseguir criar possibilidades de liberdade e resultando por isso numa indisciplina como grito de socorro. O primeiro meio de comunicação é o corpo, é nossa mídia mínima e é o primeiro a ser domesticado na escola e na sociedade. O trabalho busca caminhos pelo labirinto procurando como esse corpo poderia encontrar manifestações expressivas no meio da pressão e prisão em que é inserido na sociedade e, consequentemente, na escola, mostrando como exemplo os caminhos que o butoh criou como forma de resistência. Com apoio de Christine Greiner e Maura Baiocchi, procura decifrar como os dançarinos de butoh se manifestam contra esse meio opressor que impôs ao Japão uma cultura ocidental indo contra, rotulando e desrespeitando as nuances da cultura japonesa. Exercitando um butoh com as palavras, Clarice Lispector serve de inspiração à pesquisa, dando pinceladas que mostram quão profundo pode ser um movimento artístico quando se tem o corpo intenso e inteiro na criação, como ela tem. No trabalho, a autora revela o sonho de uma educação onde o corpo vivesse toda a experiência intensamente, recebendo suas marcas como um presente e não como uma cicatriz que dói. Com a ajuda do butoh, sonha uma escola que deixaria marcas a servirem como pistas para a criança encontrar seu próprio corpo