952 resultados para Client
Resumo:
Community has taken on a new significance in Australian social policy discourse. Seemingly sound and morally justifiable, in the context Of neo-liberalism the language of community positions non-profit delivery of services as superior to state-provided services. As a consequence, non-profit community services are being centrally positioned to mediate the relationship between the state and citizen subjects. In the first part of this paper we trace some of the key historical developments in Australia's welfare state and patterns of governance that are propelling the non-profit sector firm the margins to the centre. The second section examines the relationship between Australia's shifting political landscape and the emerging welfare regime. One key feature of this new regime is the attempt to relocate citizenship away from the domain of the state and into that of civil society. The article concludes by sketching out some research themes, focusing, for example, on the impact of devolution of governance in terms of client rights and public accountability.
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Stress and burnout for health care professionals have received increasing attention in the literature. Significant administrative, societal and political changes have impacted on the role of workers and the responsibilities they are expected to assume. Most writers suggest that social work is a highly stressful occupation, with stress deriving in particular from role conflict between client advocacy and meeting agency needs. This article reviewed the social work literature with two questions in mind: Are social workers subject to greater stress than other health professionals? What factors contribute to stress and burnout among social workers? We found that most of the literature was either anecdotal or compared social worker stress with general population norms rather than with stress levels of workers in comparable professions. Such empirical research as is available suggests that social workers may experience higher levels of stress and resulting burnout than comparable occupational groups. Factors identified as contributing to stress and burnout included the nature of social work practice, especially tension between philosophy and work demands and the organization of the work environment. There was some evidence that supervision and team support are protective factors.
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Objective To evaluate cardiac electrical function in dogs with tick toxicity. Design A prospective clinical investigation of 39 client-owned dogs treated for naturally occurring tick toxicity. Procedure An ECG was performed on each dog on several occasions; at admission to hospital with tick toxicity, 24 h later, at discharge from hospital when clinically normal and approximately 12 months later. Results The mean QT interval corrected for heart rate (QTc) was prolonged at admission, 24 h and at discharge compared to the QTc measured 12 months later. T wave morphology was altered in dogs at admission. All other parameters were within normal limits. Conclusions The prolonged QTc interval and altered T wave morphology of dogs with tick toxicity reflects delayed cardiac repolarisation and is comparable with long QT syndrome (LQTS) in people who are predisposed to polymorphic ventricular tachycardia and sudden death. Resolution of ECG changes lagged behind clinical recovery.
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Tennis elbow or lateral epicondylalgia (LE) is a challenging musculoskeletal condition to treat. This is largely due to the lack of research-based evidence of the clinical efficacy of the myriad of treatment approaches espoused in the literature. In view of this, successful rehabilitation of LE is based on choosing treatments that address the physical impairments found during clinical examination. The primary physical impairment in LE is a deficit in grip strength predominately due to pain and its consequences on motor function. Hence the mainstay of successful management of this condition is therapeutic exercise, providing it is not pain provocative. Adjunctive procedures such as manipulative therapy and sports taping techniques have recently been shown to provide substantial initial pain relief. Early relief of pain in the rehabilitation program helps accelerate recovery and most importantly motivates the client to persist with the therapeutic exercise program. The manipulative therapy and taping treatments presented in this masterclass warrant consideration in the clinical best practice management of LE, and serve as a model for other similar musculoskeletal conditions. (C) 2003 Elsevier Science Ltd. All rights reserved.
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Children of parents with mental illness have an increased risk of psychological problems. The aim of this study was to identify the demographic characteristics of dependent children of adults presenting at mental health clinics in Western Australia. A survey of clients who attended the clinics indicated that half reported having had children. Of these, 21% had a primary diagnosis of schizophrenia. Although schizophrenia was the most common illness, there were almost seven times more children living with a parent with a primary diagnosis of depression than schizophrenia. Recommendations include that children of clients with mental illness be included as part of a wider client focus.
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O texto apresenta as oito experi??ncias vencedoras do 1o Pr??mio Excel??ncia em Gest??o P??blica do Estado de Minas Gerais, realizado em 2006, procurando destacar suas diferen??as e semelhan??as. Tem como par??metro de refer??ncia os principais temas do movimento internacional te??rico e pr??tico de renova????o da administra????o p??blica conhecido como Gest??o P??blica: descentraliza????o e horizontaliza????o de estruturas, foco no usu??rio-cidad??o, maior participa????o e responsabiliza????o de agentes p??blicos, formas de controle n??o-hier??rquico, uso adequado dos recursos p??blicos. Para concluir, comenta o potencial de concursos que valorizam a excel??ncia no setor p??blico para permitir a inova????o, promover a a????o e n??o o imobilismo, desenvolver o campo de conhecimento da administra????o p??blica, valorizar os servidores p??blicos e colocar o tema da melhoria da gest??o p??blica na agenda de mudan??as da sociedade e dos governos.
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The European Union considers it appropriate to further discuss how to strengthen the independence of the auditors to address conflicts of interest inherent in the current scenario, characterized by factors such as the appointment of auditors for the audited company, low turnover or different service delivery to the audit. This paper aims to realize the expectations of the factors that affect, both positively and negatively, the auditor maintains its independence from the client.
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When companies opt for information systems (IS) outsourcing, within the set of contracted services, they can contract their entire service needs to onshore suppliers or to offshore companies, or part of these services can be contracted to onshore suppliers and the other part to offshore suppliers. The offshore outsourcing reveals itself nowadays as an important strategic option to IS management optimization. This paper presents and discusses the main results of a survey that was carried out in Portugal to determine several aspects of offshore practice in large companies. It allowed the identification of the services more frequently contracted, the most common motivations for choosing offshore suppliers and the main risks perceived by companies. This research contributes to a better understanding of the IS offshore market, enabling client companies and vendors to improve their strategic business action.
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A chamada Lei do Branqueamento de Capitais - Lei 25/2008, de 5/6 e alterações -, considera que estão sujeitas a especiais obrigações os “Notários, conservadores de registos, advogados, solicitadores e outros profissionais independentes, constituídos em sociedade ou em prática individual, que intervenham ou assistam, por conta de um cliente ou noutras circunstâncias, em operações: § vi) De alienação e aquisição de direitos sobre praticantes de actividades desportivas profissionais;”. Estamos a pensar, como é óbvio, nas transferências de jogadores de futebol, nomeadamente na Europa, as quais atingem somas astronómicas e muitas vezes ocultas. São por demais evidentes as notícias da comunicação social que dão conta que, em muitos dos casos, os verdadeiros valores envolvidos não são os declarados. Quer para fugir aos impostos, quer para esconder o pagamento de avultadas comissões extraordinárias; Abstract: The Call of the Money Laundering Law - Law 25/2008, of 5/6 and change - considers that are subject to the special obligations "notaries, registrars, lawyers, solicitors and other independent professionals, made in society or in practice individual, that participating or assisting, on behalf of a client or other circumstances in operations: § vi) sale and acquisition of rights to practitioners of professional sports activities; ". We are thinking, of course, transfers of football players, particularly in Europe, which reach astronomical sums and often hidden. Are all too apparent the news media that realize that in many cases the true values involved are not declared. Want to evade taxes or to hide the payment of large exceptional fees.
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Several studies suggest that computer-mediated communication can lead to decreases in group effectiveness and reduce satisfaction levels in terms of trust and comfort of its users. Supported by an experiment, where the emotional or affective aspects of communication were tested with the experimentation of two architectures, Direct Communication Architecture (DCA) and the Virtual Communication Architecture (VCA) this paper validates the thesis that, from the users’ perspective, there is no opposition to the acceptance of virtual environments and interfaces for communication, and that these environments are able to cope with the reconfiguration dynamics requirements of virtual teams or client-server relations in a virtual enterprise operation.
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Portugal has the largest LPG (Liquefied Petroleum Gas) share of primary energy demand in the EU (about 5%). Due to the increasing international cost of LPG in the last years and the high price sensitivity of the consumers the preference for substitute energy sources in new and existing consumers has been increasing. To select the kind of energy, some consumer estimate and compare the total costs while others follow agents (equipment sellers) recommendations. It takes time to build agents perception about the most advantageous source of energy, which is seen as an important resource that drives client resource accumulation and retention. Marketing strategies have to take into consideration some market dynamic effects derived from the accumulation and depletion of these resources. A simple system dynamics model was built, combined with Economic Value Added framework, to evaluate some pricing strategies under different scenarios of LPG international cost.
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Portugal has the largest LPG (Liquefied Petroleum Gas) share of primary energy demand in the EU (about 5%). Due to the increasing international cost of LPG in the last years and the high price sensitivity of the consumers the preference for substitute energy sources in new and existing consumers has been increasing. To select the kind of energy, some consumer estimate and compare the total costs while others follow agents (equipment sellers) recommendations. It takes time to build agents perception about the most advantageous source of energy, which is seen as an important resource that drives client resource accumulation and retention. Marketing strategies have to take into consideration some market dynamic effects derived from the accumulation and depletion of these resources. A simple system dynamics model was built, combined with Economic Value Added framework, to evaluate some pricing strategies under different scenarios of LPG international cost.
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RESUMO: Neste estudo investigou-se a influência dos meios audiovisuais na tomada de decisão pelos utentes em cirurgias oftalmológicas, especialmente nas cirurgias refractivas. A metodologia escolhida integrou métodos quantitativos e qualitativos, com o objectivo de abranger a máxima amplitude da descrição, explicação e compreensão do objecto a ser investigado. Procura-se evidenciar e analisar sentimentos, motivações e atitudes individuais, como escolhas e tomada de decisão, bem como, perceber a relação entre o processo de comunicação médico / paciente e a tomada de decisão. Foram usados: um questionário, material digital e vídeos com as principais cirurgias refractivas apresentadas aos utentes, com uma amostra de n= 150 participantes do Serviço de Oftalmologia da HOSPOR e SAMS Centro de 01 de Julho 2008 a 28 de Fevereiro de 2009, com a faixa etária de 20 a 80 anos, com diagnóstico escolhido. Os dados recolhidos foram analisados pelo SPSS 18. A fundamentação teórica está baseada no estudo da captação e disfunções no trajecto da imagem, observando-se os componentes da aquisição do conhecimento: sensação, percepção, pensamento, consciência, memória, imaginação, linguagem, informação, bem como bioética, comunicação médica e a tomada de decisão, na qual se valoriza a educação do Utente para decidir. O resultado desta investigação aponta para novos paradigmas nos processos de informação / decisão consciente, indicando a necessidade de se investir na educação e na informação médica humanizada aos utentes para haver maior conhecimento, participação, satisfação e eficácia na terapêutica a ser escolhida. ABSTRACT: This paper analyzes how information and communication technologies, in particular the media of some ophthalmologic surgery, can help better decisions meaning new ways of information and new relationship between doctor and patient. This study investigates how doctors take hold of technological resources and discuss the client`s decision. We used the quantitative and qualitative structured interview of client who are visually impaired, especially myopia / hyperopia / astigmatism, presbyopia and cataract. We used a questionnaire, material and digital videos with the leading refractive surgery presented to the clients, with a sample of n = 150 participants of the Department of Ophthalmology, and SAMS HOSPOR Center from 01 July 2008 to 28 February 2009, with range 20 to 80 years, diagnosed chosen. The data collected were analyzed by SPSS. The theoretical study is based on the capture and routing of image and perception, observing neuro-psycho-social components: sensation, perception, visual perception, consciousness, knowledge, memory, imagination, language, information, bioethics and decision-making, in which values education of user to decide. The result of this research points to new paradigms in information processing / conscious decision, indicating the necessity of investing in education and humane medical information to the Users in order to archive a greater awareness,participation, satisfaction and effectiveness in the treatment to choose.
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RESUMO: O presente trabalho tem por objective o estudo da problemática das alterações induzidas pela internet na gestão comercial das unidade hoteleiras portuguesas. O estudo desenvolveu-se em duas fases. Na primeira, através de pesquisa e revisão bibliográfica, procedeu-se aà teorização dos conceitos e técnicas abordadas. A segunda assentou num trabalho de investigação realizado em duas vertentes: a primeira, onde se procurou conhecer a situação vivida através da recolha de dados sobre os sítios das unidades hoteleiras da amostra considerada; a segunda, onde se procurou, através da técnica Delphi, avaliar as perspectivas da evolução dessa mesma realidade. O trabalho realizado evidenciou que a internet, enquanto canal de comunicação e de comercialização, induziu alterações significativas, ainda que em diferentes graus, na forma de realizar a gestão comercial das unidades hoteleiras portuguesas. Alterações que se traduziram, no essencial, na: crescente importância da gestão da relação com os clientes; maior complexidade das políticas de produto e de preços; forte aceleração da acção comercial. Ou seja, a internet induziu não só a necessidade de redefinição do posicionamento das unidades hoteleiras portuguesas, bem como da forma destas realizarem o trabalho comercial. ABSTRACT: This work aims to study the issues around the changes introduced by the internet in the management of marketing of the portuguese hotel units. The study was done in two phases. First by researching and consulting the literature, setting the concepts theory and approach techniques. The second phase was based on a research work following two aspects: in the first instance trying to understand the existing situation through the collection of data regarding the location of the hotel units in the sample used; and secondly we tried, through the Delphi technique, to assess the evolution perspectives of that same reality. This study proved that the internet, as a communication and marketing channel brought about significant changes, although in various degrees, on how marketing management of the Portuguese hotel units is done. These changes were essentially reflect, the increasing importance of client relationship management; the greater complexity of the product and price policies; strong increase in the marketing action. That is, internet has not only introduced the need to redefine the standpoint of the Portuguese hotel units but also how they carry out their marketing activity.
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Climate change which until recently seemed a luxury for the microfinance sector, now appears to be crucial for the future of the sector. Due to their low adaptive capacity, the millions of MF clients worldwide happen to be the most vulnerable to a changing climate. Adapting previous analysis conducted in Nepal and Bangladesh by Agrawala and Maëlis (2010) to the Brazilian context, in this inductive qualitative study we aim to assess potential synergies between MF and CC actions and what strategies can be harnessed to better respond to CC vulnerabilities at client/MF level. To do so, we investigated the case of the second largest rural microcredit programme in Brazil, Sistema Cresol de Cooperativas de Crédito Rural com Interação Solidária. Albeit important overlaps between Cresol's product envelope and CC strategies exist, there is still room to realise synergies to both mitigate a new potential source of risk to Cresol's portfolio and to increase clients' adaptive capacity.