The variability and predictors of quality of AIDS care services in Brazil

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).

Computational support for the process of software requirement specification

The software industry has become more and more concerned with the appropriate application of activities that composes requirement engineering as a way to improve the quality of its products. In order to support these activities, several computational tools have been available in the market, although it is still possible to find a lack of resources related to some activities. In this context, this paper proposes the inclusion of a module to aid in the requirements specification to a tool called Requirements Elicitation Support Tool. This module allows to specify requirements in accordance with IEEE 830 standard, thus contributing to the documentation of the requirements established for a software system, besides supporting the learning of concepts related to the requirements specification, which improves the skills of users of the tool. © 2012 IEEE.

Avaliação do grau de importância dos atributos da qualidade de software definidos pela norma ISO 9126 sob a ótica do produtor rural

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Geostatistics and remote sensing methods in the classification of images of areas cultivated with citrus

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Gestão de recursos humanos em projetos de software: proposta integrada ao processo pessoal

The software quality represents a more and more important attribute for the survival and growth of software industries. In order to ensure the quality of products manufactured, various practices have been incorporated into the development process. In this context, some successful software organizations have invested in an approach to human resource management, which consists in integrating the management activities with a personal process called Personal Software Process - PSP, which has led to the maintenance of greater discipline and control over all development phases. Given this, this work presents a proposal for integration of techniques set out in the PSP with a web system previously developed, which is called System to Aid Project Management - SAPM.

Economic analysis of cucumber and lettuce intercropping under greenhouse in the winter-spring

A análise econômica complementa a avaliação da eficiência dos cultivos consorciados, considerando além da produção física das culturas, o preço dos produtos segundo sua classificação qualitativa e época do ano. Avaliou-se economicamente consórcios de alface crespa e pepino, em duas populações de plantas, no inverno-primavera, em casa de vegetação, em Jaboticabal, SP, Brasil. Foram calculados o custo operacional total (COT), a receita bruta (RB) e o lucro operacional (LO) das culturas do pepino e alface em monocultura e em consórcio. A mão-de-obra foi a componente com maior participação no COT das culturas em consórcio e monocultura. Maiores RB e LO foram observadas nos cultivos consorciados estabelecidos com o transplante da alface e do pepino no mesmo dia, independente da densidade populacional. Considerando-se o lucro operacional e o índice de uso eficiente da área, recomenda-se o cultivo consorciado com transplante da alface até 10 dias após o transplante (DAT) do pepino, com duas linhas, e ao 0 DAT do pepino cultivado com uma linha no canteiro

Efeito do nitrogênio sobre a qualidade fisiológica, produtividade e caracterísiticas de sementes de feijão

Os resultados da adubação com N sobre a produtividade de feijão são controvertidos. A maioria dos trabalhos não estuda o efeito do N sobre a qualidade fisiológica e o tamanho das sementes. Um experimento foi realizado no município de São Manuel (SP), no ano agrícola de 1993/94, em Latossolo Vermelho-Amarelo, utilizando-se a cv. IAC-Carioca, visando estudar a influência da combinação de doses de N (0,0; 12,5 e 25,0 kg ha-1) na semeadura e em cobertura sobre a qualidade fisiológica, produtividade e tamanho das sementes. O delineamento experimental foi de blocos casualisados em esquema fatorial 3x3, com 4 repetições. Foram avaliados os componentes da produção (n° de sementes/planta e massa de 100 sementes), a produtividade, a germinação e o vigor (1ª. contagem, índice de velocidade de germinação e condutividade elétrica), e o tamanho das sementes. Não houve efeito de interação entre doses de N na semeadura com as de cobertura nas variáveis analisadas. As doses de N não mostraram efeito favorável sobre a germinação e o vigor das sementes. O fornecimento de 25,0 kg ha-1 de N na semeadura proporcionou o aumento dos componentes da produção, mas sem elevar a produtividade. A disponibilidade de N, pela adubação de cobertura, aumentou o tamanho das sementes.

AVALIAÇÃO DE DUAS METODOLOGIAS DE EXPANSÃO AO FORNO do POLVILHO AZEDO

Duas metodologias de expansão ao forno foram comparadas em 52 amostras de polvilho azedo de três Estados: Santa Catarina, Paraná e Minas Gerais. Os resultados obtidos permitiram visualizar uma proposta de classificação em nível nacional da expansão ao forno do polvilho azedo. No método instrumental foi usado o Farinógrafo Brabender para estabelecer uma massa de consistência padrão de 60UF e no método prático, a consistência semelhante da massa foi determinada de forma empírica. Com a metodologia instrumental obteve-se biscoitos com expansão superior à metodologia prática, mas maior coeficiente de variação, o que pode ser devido a maior sensibilidade do método. Ambas as metodologias poderão ter aplicação, dependendo da finalidade. A metodologia instrumental, pelo custo do equipamento, é mais adequada para laboratórios, desde que se utilize maior número de repetições, para reduzir o coeficiente de variação. Ambas as metodologias ensaiadas permitiram classificar as amostras com o mesmo perfil de desempenho. As amostras provenientes do Estado do Paraná apresentaram as maiores expansões ao forno quando comparados com os outros Estados. Pela metodologia prática a expansão média das amostras do Estado do Paraná foi de 14,1mL/g. As amostras do Estado de Minas Gerais apresentaram as menores expansões ao forno, em média de 13,3mL/g. Foi proposta neste artigo uma classificação para avaliar a qualidade do polvilho azedo, complementando a legislação brasileira que não estabelece este índice para o produto. Quanto à propriedade de expansão ao forno, as amostras avaliadas podem ser divididas em 3 tipos A, B e C. No tipo A (10%) amostras de polvilhos azedo são classificadas como qualidade extra, no tipo B (80%) os polvilhos são de média qualidade e o tipo C (10%) de qualidade inferior. Os resultados obtidos pela metodologia prática permitiram estabelecer como tipo A o polvilho azedo que apresenta um índice de expansão ao forno superior a 16,0mL/g, o tipo B o polvilho com índice de expansão entre 12,0mL/g a 16,0mL/g e o tipo C o polvilho com índice de expansão menor que 12,0mL/g.

Support Tool to the Validation Process of Functional Requirements

The activity of validating identified requirements for an information system helps to improve the quality of a requirements specification document and, consequently, the success of a project. Although various different support tools to requirements engineering exist in the market, there is still a lack of automated support for validation activity. In this context, the purpose of this paper is to make up for that deficiency, with the use of an automated tool, to provide the resources for the execution of an adequate validation activity. The contribution of this study is to enable an agile and effective follow-up of the scope established for the requirements, so as to lead the development to a solution which would satisfy the real necessities of the users, as well as to supply project managers with relevant information about the maturity of the analysts involved in requirements specification.

Web system to aid project management

This work describes a new web system to aid project management that was created to correct the principal deficiencies identified in systems having a common purpose which are at present available, as well as to follow the guidelines that are proposed in the Project Management Body of Knowledge (PMBoK) and the quality characteristics described in the ISO/IEC 9126 norm. As from the adopted methodology, the system was structured to attend the real necessities of project managers and also to contribute towards obtaining quality results from the projects. The validation of the proposed solution was done with the collaboration of professionals that used the functions available in it for a period of 15 days. Results attested to the quality and adequacy of the developed system.

Metodologia para aplicação de reuso e reengenharia nos softwares de aquisição e redução de dados de um túnel de vento

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Simulação de modelagem qualitativa para avaliação preliminar da qualidade da água na Bacia do Ribeirão das Perdizes em Campos do Jordão/SP, como subsídio ao enquadramento

The purpose of this research was to present the principles for the implementation of a future water body classification program at the UGRHI-1 (Management Unit of Water Resources-1/São Paulo, Brazil) using qualitative and quantitative water modeling. Our study area was in Campos do Jordão, a city in the state of São Paulo, specifically in the Perdizes river watershed, which is included in the UGRHI-1. The water quality assessment used a modeling mehtodology that can support a future study for the classification of water bodies in the region. The behavior of DO and BOD parameters was assessed in the water quality scenarios, considering the variations of flows, loads, reductions in withdrawals and different efficiencies in sewage treatment. The model used was QUAL2E developed by USEPA (United States Environmental Protection Agency) that received a new graphic interface named QUAL2R model. The reference flows Q7,10, Q95% and Qm used were obtained through the DAEE (Department of Water and Electric Energy) hydrologic regionalization method. It was noted that of the 9 proposed scenarios, only scenario 6 that was predicted in the flow regime Qm with the existence of a treatment system capable of removing 93% of the BOD, in the Perdizes River remained 67.5% of the time in class 2. Scenario 8 predicted a 50% reduction in In scenario 8 a reduction of 50% in the flow captured in CA-04, associated with the efficiency of 93% of BOD removal keeping the river in class 2. In scenario 9 the minimum required efficiency in sewage treatment in the flow regime Q95% for keeping the river in class 2 was also calculated and the value of 94.7% was obtained.

Detection and classification of voltage disturbances using a Fuzzy-ARTMAP-wavelet network

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

Portable Hardness tester for timber classification

Hardness is a property largely used in material specifications, mechanical and metallurgical research and quality control of several materials. Specifically for timber, Janka hardness is a simple, quick and easy test, with good correlations with the compression parallel to grain strength, a strong reference in structural classification for this material. More recently, international studies have reported the use of Brinell hardness for timber assessment which resumes the advantages previously mentioned for Janka hardness and make it easier to be performed in the field, especially because of the lower magnitude of the involved loads. A first generation of an equipment for field evaluation of hardness in wood - Portable Hardness tester for wood - based on Brinell hardness has already been developed by the Research Group on Forest Products from FCA/UNESP, Brazil, with very good correlations between the evaluated hardness and several other mechanical properties of the material when performing tests with different species of native and reforested wood (traditionally used as ties - sleepers - in railways). This paper presents results obtained in the experimental program with the first generation of this equipment and preliminary tests with its second generation, which uses accelerometers to substitute the indentation measurements in wood. For the first generation of the equipment functional and calibration tests were carried out using 16 native and reforestation timber lots, among there E. citriodora, E. tereticornis, E. saligna, E. urophylla, E. grandis, Goupia glabra and Bagassa guianenses, with different origins and ages. The results obtained confirm its potential in the classification of specimens, with inclusion errors varying from 4.5% to 16.6%.

Identification and feature selection of non-technical losses for industrial consumers using the software WEKA

This work has as objectives the implementation of a intelligent computational tool to identify the non-technical losses and to select its most relevant features, considering information from the database with industrial consumers profiles of a power company. The solution to this problem is not trivial and not of regional character, the minimization of non-technical loss represents the guarantee of investments in product quality and maintenance of power systems, introduced by a competitive environment after the period of privatization in the national scene. This work presents using the WEKA software to the proposed objective, comparing various classification techniques and optimization through intelligent algorithms, this way, can be possible to automate applications on Smart Grids. © 2012 IEEE.