Subsídios para o gerenciamento de resíduos de serviços de saúde em municípios de médio porte: estudo de caso de Araraquara - SP

The Health Care Wastes (HCW) present serious risks to health and to the environment, if incorrectly managed, because in addition to the presence of pathogenic agents, the may pollute the soil and the water. Thus, a study was performed aiming at diagnosing the HCW management in Araraquara (SP), identifying the difficulties of the agents (municipal gestors and managers of institutions which generate this wastes) in implanting the HCW management Plan (HCWMP) proposed by ANVISA, in order to subside the HCWMP implantation. The methodology was based on question applications in health centers selected to be the samples, and on quantitative data related to the phases of Treatment and Final Disposal, provided by DAAE. As a result, it was observed that a great part of the interviewed centers managed these wastes according to norm RDC no 306/ 2004 of ANVISA. However, only 24% of the interviewed centers knew about this norm, and only 22% of them had the HCWMP. The difficulties in managing the HCW concentrated in the correct segregation of theses wastes in the generation source. The large number of people involved in this phase suggests the causes of the difficulties.

Diagnóstico dos resíduos de serviços de saúde do grupo B gerados no município de Uberaba (MG)

The present work aimed to quantify the generation of group B health care`s residuals in places such as drugstores and pharmacies, in the municipality of Uberaba, MG, Brazil, as well as to identify their final destination in those places during the months of July and September, 2010. In order to also verify the medicaments generated by the whole community, some delivery campaigns were arranged to capture out-of-date medicaments at 3 drugstores. In this sense, all people who effectively looked for a pharmacy/drugstore to deposit the medicaments were invited to respond some questions, containing information about the name of the medicament, the pharmaceutical composition, the color applicable to the medicament and the expiration date. At the end of the period of research, 76 interviews were performed and 90 medicaments were observed (1.18 products per interview, in average). Results obtained suggested that pharmacies/drugstores located downtown tend to generate more medicaments than others located in the districts and periphery zones. Moreover, manipulation drugstores tend to generate more products than their conventional counterparts. Regarding the therapeutic classes, the anti-hypertensive medicaments represented the most substantial percentage of the medicaments delivered, accounting for 21,11%. However, the worst scenario tends to show that people usually do not know exactly how to discard this sort of product – about 65% of the people consulted discard chemical pharmaceutical residuals in the same place the domestic trash is thrown away – what may represent a serious risk in terms of contamination of the environment, so that a strong campaign towards the proper usage and discharge of medicaments should be strongly encouraged

Análise de desempenho por meio de indicadores econômico-financeiros em uma empresa prestadora de serviços

The performance analysis based on indicators is an important tool when you want to check the economic and financial situation of a company. From the information provided by the ratios and their analysis, we have a better base for a decision making In this context , this study aims to analyse the financial and economic performance of a service providing company in the cleaning area, in the period between 2011 and 2012 , based on selected financial indicators, and basically calculated from the financial statements (Balance Sheet and Income Statement) , beyond effectuated the vertical and horizontal analysis of them. For the methodological procedures it was used a descriptive case of study and combined (quantitative and qualitative). The results revealed that the economic and financial situation of the company is healthy , once the results are considered satisfactory

Selo PROCEL edifica - edifícios comerciais, de serviços e públicos

This paper presents a study on the labeling Procel Build, an action plan for energy efficiency in buildings which aims to build the foundations necessary to rationalize energy consumption in buildings in Brazil (PROCEL, 2009a, p. 5), ie Procel builds aims to ensure the construction of the building that has a low energy expenditure, but still provide a comfortable environment. In this research, it is also shown how the labels are obtained, which may be general or partial. The reader will find further explanation of the three aspects of a building, and they Envelopment, Lighting system and Air Conditioning System Finally, we present the advantages and challenges of system builds procel, showing the need for greater investment and disclosure of elements that contribute to the implementation of sustainable buildings in Brazil

Efeito da atividade física no uso de serviços de saúde na atenção primária no município de Rio Claro, SP

Introduction: Physical inactivity is identified as the fourth greatest risk factor of mortality worldwide. Little is known about how physical inactivity alters the demand for use of primary health care services, and it is a subject which demands further investigation. Objective: This study aims to determine the influence that physical activity has on the demand for use of primary health care services. Methods: This is a retrospective and cross-sectional study. The Rio Claro Active Health Program (SARC), studied in this research, is a partnership between the Municipal Health Foundation and Universidade Estadual Paulista Julio de Mesquita Filho (UNESP), represented by the Nucleus of Physical Activity, Sport and Health (NAFES) department of Physical Education and coordinated by Prof. Dr. Eduardo Kokubun. The study was carried out on residents of Rio Claro of both sexes seen at SARC. To assess the influence that physical activity had on the demand of the use of health services a questionnaire was given to participants who had attended the program since 2009. This questionnaire contains questions concerning the level of physical activity, health service use, number of both blood pressure and glucose measurement takings, number of spontaneous and scheduled medical visits, number of medications taken, number of illnesses and hospitalizations, comparing the data found in the previous year and the year after the program began. An informed term of consent was used for research participants. Descriptive analysis was carried out, using frequency, mean, maximum and minimum standard deviation. Results: Active participation in The Rio Claro Active Health program has positively influenced the following variables: perception of health, uncontrolled blood pressure, did not modify the number of diseases, number of medications in general, ...(Complete abstract click electronic access below)

Uso do ATP para simulações de descargas atmosféricas em para-raios de 15 kV dos serviços auxiliares de subestações de energia elétrica

This paper addresses the topics required for the selection of surge arresters used, the output of autotransformers, which protect the system Auxiliary Services (SE) of an electrical substation. Surge arresters used are part of the Protection System Lightning (SPDA). Transmission lines mostly run through regions with orographic well diversified and have constant weather changes, which lead to many undesirable interactions with electromagnetic phenomena, such as giving rise to blackout on 10 November 2009, which left nine states without power, which led to unplanned shutdowns in the system that left millions of people without electricity. This work of completion is to determine whether the method used in the selection of surge arresters meet the protection needs faced by a substation auxiliary services, through the use of software use ATPDraw

Personal trainer: (profissional, prestador de serviços, professor, valorização das diferenças e competências), um novo conceito de profissional

Baseado nas evidencias atuais de crescimento e expansão da atuação profissional do educador físico, em particular a sua atuação como prestador de serviços, ou seja, o personal trainer; que vende seus serviços, ou produtos relacionados à aptidão física e a relação promissora desta atuação, é que nos motivou a desenvolver este trabalho que segue por uma pesquisa bibliográfica de evidencias do histórico e perfil do personal trainer quanto aos conceitos culturais, sociais e psicológicos deste profissional, em seguida levantamos questões relacionadas à formação acadêmica do personal trainer e os pontos diferenciais deste profissional. Tais como a necessidade de conhecimentos que vão alem do âmbito acadêmico, pois se trata de um profissional prestador de serviços o que foge da regularidade da formação convencional. Portanto neste trabalho procuramos evidenciar estas e outras questões (como ética e profissionalismo), que podem levar este profissional a uma carreira de sucesso ou fracasso. Para isso existe uma necessidade fundamental de que se entenda que o personal trainer como prestador de serviços esta surgindo dentro de uma profissão já consolidada (Educador Físico), porem esta assumindo características próprias, como a necessidade de conhecimentos específicos da profissão. Concluímos, portanto que esta promissora atuação do educador físico necessita de atenções especiais e de um processo de formação diferenciado e que não podemos deixar que a nossa profissão se vulgarize e se venda por migalhas, pois esta é a grande chance do profissional se impor e conquistar o desejado respeito diante as profissões da área da saúde

Melhoria de processos de serviços prestados em assistência técnica

Currently the service sectors have an increasingly important role in the productive sector because they can represent a great advantage to the consumer. In this graduate work a study was conducted with the objective of process improveme nt services in the sector of technical assistance in a factory machinery and equipment. Through process mapping, through the technical blueprint, and time study were able to identify opportunities for improvement for reducing the time customer service, as well as the proposed performance indicators for the service

A inserção da Família nos serviços de Saúde Mental: uma revisão sistemática da Literatura

It is a systematic literature review, wich aimed to analyze documents, as is the inclusion of the family in Mental Health Services. To do so was based on a literature in the database of the Latin American and Caribbean Health Sciences (LILACS). And the documents were selected from the question which funded the research to evaluate the contribution of scientific research published in journals in the period 2000 to 2011. Data analysis reveals that the government's efforts in having the family as an ally, not a recent phenomenon. But this is a process that depends not only on government, also depends on the professionals involved and of their own families, and other factors. It is concluded that much remains to be done, both in terms of research for the topic, the actions in the reality of such a process

Gerenciamento dos resíduos de serviços de saúde do pronto socorro de um hospital escola na cidade de Botucatu

Health Care Waste (HCW) represents 1%, and it has presently gained a lot of importance. Adequate management is one of the great challenges to be faced by health care centers. It has gained distinction and been widely discussed by members of the sectors involved with sanitation, public health and environmental issues due to waste physical, chemical biological characteristics, which pose potential risk to the environment and public health. The present study aims at evaluating HCW internal management by following all its phases, determining indicators, classifying and quantifying, establishing production rates (kg /patient/day) for the sector and designing materials to disseminate appropriate HCW disposal in the Emergency Room of the UNESP University Hospital in the city of Botucatu according to the guidelines presently in force. : From June to October 2011, the waste flow was observed from its production to final disposal. Four weight measurements were performed on four consecutive days in the month of August by using a properly calibrated (in grams) digital scale at the times scheduled for collection of the produced waste. Hence, the daily and monthly amounts were estimated according to their classification. All the waste packaged in the bags in garbage cans in the Emergency Room for a 24-hour period was considered to be a sample. Separation was not adequately performed in that sector, and waste from Group A was mixed with that from Group D. The amount of infectious waste produced in the sector corresponded to 87.80 %, common waste to 10.93 % and recyclable waste to 1.27%. The mean daily HCW production was of 123.300 kg/day, and the total monthly production was of 3,822 kg/month, which was distributed as follows: Group A 3,355,750 kg/month; Group D 417,570 kg/month and recyclables 48,670 kg/month. The production rate corresponded to 0.47 kg/patient/day, thus showing... (Complete abstract click electronic access below)

A importância dos serviços para as indústrias do distrito industrial de Rio Claro (SP)

The Services Sector stands out increasingly as an important element of support to various sectors of the economy. The interactions between the Industrial Sector and Services Sector show a process of decentralization of certain functions of the industries at the expense of the specialization of strategic and critical sectors to the production of goods in specialized industries. Thus, this paper aims to address what is the importance of industrial services for industries in the industrial district of Rio Claro (SP), verifying the characteristics of services, demand and supply of these services and the industries they serve

Análise de dez anos de utilização de serviços de saúde por uma coorte de pacientes diagnosticados com hipertensão arterial, no CSE - Botucatu, em 1995

The arterial hypertension is a chronic disease, which can be controlled by changing the way of life, as well as by drug treatment, which demand specific Health Care sequence. The lack of adherence to sequence/treatment is one of the main obstacles the disease control. Characterize and analyze the profile of Health Care usage by a 192 patient cohort diagnosed with arterial hypertension in 1995, between the period of 2001 – 2005 and 2006 – 2010. It is a longitudinal study, retrospective and descriptive developed on School Health Center(SHC) which belongs to School of Medicine Botucatu –UNESP, in continuity of the previous research which has analyzed the sequence of the referred sample between the period of 1995 – 1999. The database was obtained from the patients records by using structured adapted forms appointed in the previous study phase. In the case there were transfers to other Health Care facilities, the database was obtained by the records either, while the patients attended the CSE. The database was analyzed by means of descriptive statistics. Predominated the patients in the age from 50 – 69 (47,9%), whites (93,2%), female (56,7%) with low level of education (72,7%). In the period of 2001 - 2005, 76 (39,5%) of the patients remained under sequence, and that 44 (22,9%) belonged to adherence group (GAD), 17 belonged to abandonment/adherent group (GAB/GAD) and 15 to the abandonment group (GAB), groups which were already identified by the study which has analyzed the period of 1995 – 1999. At the end of the third period of the sample sequence (2006 – 2010), 60 (31,2%) of the patients kept under medical sequence. The cohort’s mortality rate in the period reached 15,1% and 21,9% were transferred to other Municipal Health Care facilities. We conclude that the Health Care service usage by the 192 sample’s integrants kept the same model already identified in the previous analysis... (Complete abstract click electronic access below)

A aplicação da teoria do lean seis sigma na prestação de serviços no setor agrícola

This thesis aims to analyze the applicability of Lean Six Sigma and DMAIC to improve processes focused on agriculture. We discuss the origins of each system separately, Lean Manufacturing, the Toyota plants in Japan, and Six Sigma, by Motorola in the U.S., and then appears to merge them and can meet their complementarities and synergy between their tools. Finally, we describe a case study focused on the harvesting department, applicable to all types of manuals crops, covering the production of fruits, vegetables and greens. This study shows the ability to reduce costs, increase productivity and elimination of defects that the methodology developed with the fusion of Lean Manufacturing with Six Sigma allows

Pagamento por serviços ecossistêmicos: possibilidades para a Amazônia brasileira

Os serviços ecossistêmicos prestados pelas florestas são responsáveis por diversos benefícios ao bem estar humano e à manutenção da vida, incluindo a manutenção da biodiversidade, ciclagem da água, estoques e sumidouros de carbono, os quais ficam seriamente prejudicados pelas ações antropogênicas. Este estudo inicia com uma breve apresentação do problema do desmatamento na Amazônia brasileira, suas causas e consequências para estes serviços. Posteriormente apresenta um mecanismo que visa à remuneração destes serviços como forma de manter a floresta em pé e garantir seus benefícios. Este mecanismo, batizado de REDD – Redução de Emissões por Desmatamento e Degradação, provem do conceito de Pagamento por Serviços Ecossistêmicos, o qual possui uma certa variedade de propostas e muitas controvérsias sobre sua aplicação e possíveis efeitos

Relações públicas e serviços virtuais: a comunicação entre as corporações da internet e o cibernauta

The objective of this study is to adress the action possibilities of the Public Relations professional in management of communication between the virtual services companies and their customers – the cybernauts. For this purpose, a bibliographical research was made about the cyberspace, Internet environment, as well as the cyberculture and the on-line consumer public. It was also studied the possible areas of Public Relations's action, their work tools and means of communication with the customer, in order to verify the specificities of communication mediated by new technologies. Based on these concepts, it was possible to propose an action of this professional in the organizations called dotcom, in order to contribute to the management of the communication flow between companies and this “invisible” public, which relates virtually to the organization, establishing different modes of interaction in relation to tradicional customers, requiring different strategies of relashionsip