Construção de um software para avaliação do risco de úlcera por pressão em Unidade Terapia Intensiva

Pós-graduação em Enfermagem (mestrado profissional) - FMB

Os desafios dos/as profissionais da Psicologia diante do imperativo da quebra de sigilo nos casos de violência sexual intrafamiliar vivenciada por crianças

Pós-graduação em Psicologia - FCLAS

Boas práticas de fabricação (bpf), análise de tomate e água em restaurantes da cidade de Botucatu-SP

Pós-graduação em Agronomia (Energia na Agricultura) - FCA

Análise do sistema de gestão da qualidade em laboratórios de ensaio e calibração: o caso do centro de tecnologia da Eletronorte

A presente dissertação trata sobre o Sistema de Gestão implantado no Centro de Tecnologia da Eletrobras - Eletronorte – OCT, face à norma ABNT NBR ISO/IEC17025. Objetiva analisar o Sistema de Gestão da Qualidade em laboratório de ensaio. Expõe o crescimento do uso de sistemas de gestão, para dizer que em geral tem aumentado à necessidade de assegurar que laboratórios que fazem parte de organizações maiores ou que oferecem outros serviços possam operar de acordo com um sistema de gestão que esteja em conformidade com a norma ABNT NBR ISO 9001. Para conduzir e operar com sucesso uma organização é necessário dirigila e controlá-la de maneira transparente e sistemática. Verifica-se que seu sucesso pode resultar da implementação e manutenção de um sistema de gestão concebido para melhorar continuamente seu desempenho, levando em consideração, ao mesmo tempo, as necessidades de todas as partes interessadas. Os laboratórios acreditados garantem aspectos referentes à confiabilidade, a confidencialidade dos resultados propostos, além da rastreabilidade dos padrões utilizados nos ensaios e calibrações.

Humanização na atenção básica de saúde na percepção de idosos

O objetivo deste estudo foi analisar a percepção do idoso quanto ao cuidado humanizado na atenção básica de saúde, com enfoque sobre os aspectos do atendimento ambulatorial que interferem na qualidade do atendimento. Para isso, realizou-se um estudo do tipo transversal, abrangendo todas as unidades básicas de saúde de um município do interior do Estado de São Paulo, por meio de entrevistas dirigidas aos idosos que frequentavam essas unidades. O instrumento utilizado foi desenvolvido pela Organização Mundial da Saúde (OMS), que, em busca de maior objetividade para a avaliação da qualidade do cuidado à saúde, propôs o conceito de responsividade, para referir-se aos elementos não diretamente ligados ao estado de saúde, e sim aos envolvidos no atendimento acolhedor e resolutivo com responsabilidade e vínculo. Dessa forma, os domínios de responsividade avaliados foram: pronta atenção, dignidade, comunicação, autonomia, escolha dos profissionais, confidencialidade e estrutura física e conforto. Os resultados foram analisados através do software Epi Info 3.5.2. Verificou-se que alguns domínios da atenção em saúde, altamente valorizados pelos idosos, tiveram desempenho bem inferior, como: Autonomia, em que apenas 54,4% tiveram liberdade para tomar decisões sobre sua saúde ou tratamento; e Comunicação, em que 67,6% não obtiveram informações sobre outros tipos de tratamentos ou exames e 79,2% não tiveram oportunidade para esclarecimentos quanto às dúvidas sobre o tratamento. Sugere-se, portanto, mudanças nos serviços de atenção básica à saúde prestados, principalmente quando se trata de idosos, uma população especial que necessita receber uma assistência diferenciada.

Oral health associated with quality of life of people living with HIV/AIDS in Brazil

Background: The epidemic of HIV/AIDS enters into its fourth decade and is still considered an important public health problem in developed and developing countries. The purpose is verify the oral health and other factors that influence the quality of life of people living with HIV/AIDS attending a public service reference in Brazil.Methods: The participants answered the questionnaire on socio-demographic conditions, issues related to HIV and daily habits. The quality of life was analyzed by the HIV/AIDS Targeted Quality of Life (HAT-QoL) instrument with 42 items divided into nine domains: General Activity, Sexual Activity, Confidentiality concerns, Health Concerns, Financial Concern, HIV Awareness, Satisfaction with Life Issues related to medication and Trust in the physician. The oral health data were collected by means of the DMFT index, use and need of dentures and the Community Periodontal Index, according to the criteria proposed by the World Health Organization, by a calibrated researcher. Bivariate and multiple linear regressions were performed.Results: Of the participants, 53.1% were women and had a mean age of 42 years, 53.1% had eight years or less of schooling and 20.3% were not employed. In analyzing the quality of life domain of the HAT-QoL, with a lower average there was: Financial concern (39.4), followed by Confidentiality concern (43.2), Sexual activities (55.2) and Health concerns (62. 88). There was an association between the variables: do not have link to employment (p < 0.001), is brown or black (p = 0.045), alcohol consumption (p = 0.041), did not make use of antiretroviral therapy (p = 0.006), high levels of viral load (p = 0.035) and need for dentures (p = 0.025), with the worse quality of life scores.Conclusion: Socioeconomic and inadequate health conditions had a negative impact on the quality of life of people with HIV/AIDS.

Projeto CHRONOS - desenvolvimento e aplicação de um sistema de freios automotivo

The automobilist Market is more competitive each day, with new products developed by great technological innovations, daily challenging new concepts of Engineering. This monograph aims to explain the development of a brake system project completely, with emphasis on preliminary calculations made from a worksheet in Excel, for a better understanding of the components, which can be improved further in order to achieve the goals of company. It is through the preliminary calculations that we can have a reasonable first system estimate. The whole set is then analyzed for performance, cost and mass by competitors benchmarking. In terms of confidentiality, all data is fictional, but viable. The motivation for this study is approach an extracurricular topic, which essence is designing, base of engineering. The results obtained in software and field tests prove the validity of the study and assist in the continuous improvement of product development

Planejamento de reativos em sistemas elétricos de potência multi-área através de modelos estocásticos

Pós-graduação em Engenharia Elétrica - FEIS

Quality of life of people living with HIV/AIDS treated by the specialized service in Vitória-ES, Brazil

The aim of this study is to establish the factors that influence the quality of life of people living with HIV/AIDS being treated at a specialized public service. The participants answered the questionnaire on sociodemographic conditions, issues related to HIV and daily habits. The quality of life was analyzed using the HIV/AIDS-targeted quality of life (HAT-QoL) instrument with 42 items divided into 9 fields: General Activity, Sexual Activity, Confidentiality Concerns, Health Concerns, Financial Concerns, HIV Awareness, Satisfaction with Life, Issues related to Medication and Trust in the Physician. Bivariate and multiple linear regressions were performed. Of the participants, 53.1% were women and had a mean age of 42 years. In analyzing the quality of life, the HAT-QoL domain with the lowest average was Financial Concerns (39.4), followed by Confidentiality Concerns (43.2), Sexual Activity (55.2) and Health Concerns (62. 88). There was an association between the variables: not being gainfully employed (p < 0.001), being mulatto or black (p = 0.045) and alcohol consumption (p = 0.041) with the worst quality of life scores. Inadequate socioeconomic and health conditions had a negative impact on the quality of life of people with HIV/AIDS.

O conhecimento dos auxiliares odontológicos do sistema público de saúde dos municípios do noroeste paulista sobre os aspectos bioéticos na prática profissional

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

A experiência materna com seu recém-nascido em fototerapia

Pós-graduação em Enfermagem - FMB

Factors associated with failure of clinical screening among blood donors who have altered serological results in the Centro Regional de Hemoterapia de Ribeirão Preto

OBJECTIVE: This study aimed to investigate the frequency of positive results for hepatitis B and C, HIV and syphilis in blood donations at the Centro Regional de Hemoterapia de Ribeirão Preto, to describe donors with positive results according to some demographic and socioeconomic variables, to identify risk factors associated to these donors and the reasons that they were not detected during clinical screening. METHODS: A descriptive study was performed between July 1st 2005 and July 31st 2006 by interviewing 106 donors after medical consultations where they were informed of positive results for hepatitis B, hepatitis C, HIV or syphilis. RESULTS: There was a predominance of first-time donors, males, under 50-year olds, married individuals, from Ribeirão Preto, with elementary education, low economic status and of people who donated at the request of friends or relatives. Hepatitis C was the most frequently detected infection (56.6%), followed by hepatitis B (20.7%), HIV (12.3%) and syphilis(10.4%). About 40% of donors had omitted risk factors for different reasons: because they trusted the results of serological tests, did not feel comfortable about talking of risk factors or did not consider them relevant. Other justifications were the duration of the interview, the interviewer was unskilled, embarrassment and doubts about confidentiality. CONCLUSION: The results indicate the need for changes in the approach to clinical screening and a review of methods to attract and guide potential donors.

Il conflitto fra trasparenza sui mercati finanziari ed esigenza di riservatezza della società

The thesis main topic is the conflict between disclosure in financial markets and the need for confidentiality of the firm. After a recognition of the major dynamics of information production and dissemination in the stock market, the analysis moves to the interactions between the information that a firm is tipically interested in keeping confidential, such as trade secrets or the data usually covered by patent protection, and the countervailing demand for disclosure arising from finacial markets. The analysis demonstrates that despite the seeming divergence between informational contents tipically disclosed to investors and information usually covered by intellectual property protection, the overlapping areas are nonetheless wide and the conflict between transparency in financial markets and the firm’s need for confidentiality arises frequently and sistematically. Indeed, the company’s disclosure policy is based on a continuous trade-off between the costs and the benefits related to the public dissemination of information. Such costs are mainly represented by the competitive harm caused by competitors’ access to sensitive data, while the benefits mainly refer to the lower cost of capital that the firm obtains as a consequence of more disclosure. Secrecy shields the value of costly produced information against third parties’ free riding and constitutes therefore a means to protect the firm’s incentives toward the production of new information and especially toward technological and business innovation. Excessively demanding standards of transparency in financial markets might hinder such set of incentives and thus jeopardize the dynamics of innovation production. Within Italian securities regulation, there are two sets of rules mostly relevant with respect to such an issue: the first one is the rule that mandates issuers to promptly disclose all price-sensitive information to the market on an ongoing basis; the second one is the duty to disclose in the prospectus all the information “necessary to enable investors to make an informed assessment” of the issuers’ financial and economic perspectives. Both rules impose high disclosure standards and have potentially unlimited scope. Yet, they have safe harbours aimed at protecting the issuer need for confidentiality. Despite the structural incompatibility between public dissemination of information and the firm’s need to keep certain data confidential, there are certain ways to convey information to the market while preserving at the same time the firm’s need for confidentality. Such means are insider trading and selective disclosure: both are based on mechanics whereby the process of price reaction to the new information takes place without any corresponding activity of public release of data. Therefore, they offer a solution to the conflict between disclosure and the need for confidentiality that enhances market efficiency and preserves at the same time the private set of incentives toward innovation.

Discretionary medical reporting of potentially unfit drivers: a questionnaire-based survey in Southeast Switzerland

In Switzerland, every physician has the right to report a patient that is potentially unfit to drive to the licensing authority without violating medical confidentiality. Verified information regarding physicians' attitudes concerning this discretionary reporting and the frequency of such reports are not available. In order to answer these questions, 635 resident physicians were sent a questionnaire. The response rate was 52%. On average, the responding physicians--for all specialties--reported 0.31 patients (SD 0.64, 95% CI 0.24-0.38) in the year before the survey and 1.00 patient (SD 1.74, 95% CI 0.81-1.20) in the past 5 years. Seventy-nine percent of the responding physicians indicated knowing the current legal requirements for driving in Switzerland. In applied logistic regression analysis, only two factors correlate significantly with reporting: male sex (odds ratio 5.4) and the specialty "general medicine" (odds ratio 3.4). Ninety-seven percent of the physicians were against abolishing medical discretionary reporting and 29% were in favor of introducing mandatory reporting. The great majority of the questioned physicians supported the discretionary reporting of drivers that are potentially unfit to drive as currently practiced in Switzerland. The importance and the necessity of a regular traffic medicine-related continuing education for medical professionals are shown by the low number of reports per physician.

Baptist Hospital and the State of North Carolina: Alleged Malfeasance and Whistleblowing Aftermath

Do you know what choices you would make if faced with an ethical dilemma? This fact-based case includes situations and issues that a real citizen considered when faced with the knowledge that his employer may have been overbilling the state of North Carolina for health care. Professionals, especially those in accounting and finance positions, are likely to face serious dilemmas in the course of their careers. These situations may require them to choose between honoring a confidentiality clause in an employment contract and acting according to ethical and professional values. This case provides facts gathered from an actual case in which an individual faced this particular challenge. By working through the case, students should develop an appreciation of the pressures and personal ethical challenges they are likely to face in the workplace. By engaging in discussion and role play, students will be more likely to recognize these issues when they occur, and will have already developed critical thinking skills to help them develop a plan of action.