Erillisjärjestelmän liittäminen sairaalan kertakirjautumisratkaisun ja kontekstinhallinnan piiriin

Terveydenhuollon toimialalla käyttäjät joutuvat käyttämään työpäivän aikana useita eri tietojärjestelmiä. Näiden käyttöä on pyritty helpottamaan kehittämällä työpöytäintegraatiomalli. Sen keskeisiä osia ovat kertakirjautuminen ja kontekstinhallinta. Kontekstinhallinnan hyödyntämisestä terveydenhuollon järjestelmissä aiemmin tehtyjä tutkimuksia ja niissä havaittuja ongelmia käytetään tämän työn teoriakehyksenä. Työssä tutkitaan kuinka SerAPI – hankkeessa tehtyä Minimikontekstinhallinnan määrittely versio 3.0:aa voidaan hyödyntää tilanteessa, jossa kontekstiin liitettävää järjestelmää ei voida määritellä luotetuksi järjestelmäksi. Työn lopputuloksena syntyy toimintamalli ja väliohjelma, joiden avulla luotetuksi määrittelemätön järjestelmä voidaan liittää kontekstinhallintaan. Väliohjelma on suunniteltu ja toteutettu työssä case tapauksena käytetyn asiakkaan tarpeiden mukaisesti.

Osuuskauppojen fuusion toteutus

Tämän tutkimuksen tarkoituksena oli tarkastella osuuskauppafuusioiden käytännön toteutusta kulttuurimuutoksen ja organisaatiomuutoksen näkökulmasta, sekä kuvata myös fuusion herättämiä tuntemuksia. Tutkimukseen osallistui kaksi case-osuuskauppaa, Osuuskauppa Varuboden-Osla Handelslag sekä Suur-Seudun Osuuskauppa. Tutkimuksen näkökulma keskittyy osuuskaupan johdon sekä yksiköiden esimiesten näkemyksiin fuusion kulusta. Tutkimus on laadullinen, ja sen aineistonhankinta toteutettiin teemahaastattelun ja kyselyn avulla. Tutkimusta varten haastateltiin molempien case-osuuskauppojen fuusion aikaista johtoa, yhteensä 12 henkilöä, sekä fuusiossa mukana toiminutta konsulttia. Fuusion aikaan yksikön esimiehinä työskennelleille henkilöille puolestaan toteutettiin lomakekysely verkkokyselynä. Vastauksia verkkokyselyyn saatiin yhteensä 21 henkilöltä vastausprosentin ollessa 23,9. Tutkimustulokset osoittavat, että kulttuurimuutos jää fuusiossa helposti organisaatiomuutoksen jalkoihin. Kun kulttuurin olemassaoloa ei nähdä, keskitytään liittämään kaksi osuuskauppaa organisatorisesti ja toimintatavoiltaan yhteen. Toisessa case-osuuskaupassa saatiin hyviä tuloksia aloittamalla organisaatiomuutoksen rinnalla kulttuurimuutoshanke jo fuusion suunnitteluvaiheessa. Organisaatiomuutoksessa oleellista on tasapuolisuus kombinaatiofuusion toteuttavien osuuskauppojen kesken sekä johdon ja esimiesten osallistaminen muutosprosessiin. Kulttuurin lisäksi erityisesti johto-organisaation tapa organisoitua sekä viestinnän onnistuminen vaikuttavat paljon fuusion aikaisten positiivisten tuntemuksien määrään.

Educaci??n art??stica : revisiones necesarias en la formaci??n inicial del maestro/a

Resumen tomado de la publicaci??n

Effect of TAG composition on performance of low saturate shortenings in puff pastry

Four blends formulated with low saturated fatty acid content, with the saturated component rich in stearic acid, were prepared from shea stearin, interesterified shea stearin, fully hardened soybean oil and high oleic sunflower oil in order to study their performance as shortenings in puff pastry products. The blends had a low saturated fatty acid content (30.1 ± 1.1%) compared to butter (65.9%). Saturates in the four blends examined came mainly from SSS, SOS, SSO and SOO. Puff pastry prepared from the blend that contained SOS as the main source of saturates had better properties than the other blends. It was similar to butter in compressibility of the baked product. The β-polymorphic form was present in all blends, although blends containing the highest levels of SSS also showed some β′ crystals.

Studie av subsynkron interaktion (SSTI) mellan ett HVDC system med spänningsstyva strömriktare och en närliggande generator

Syftet med examensarbetet är att studera den subsynkrona interaktionen (subsynchronous torsional interaktion, SSTI) mellan ett HVDC system med spänningsstyva strömriktare och en närliggande generator. Studien utförs med hjälp av datorsimuleringar och fokuserar på att studera dämpkaraktäristiken för SSTI. Studien ska visa hur faktorer såsom den överförda effektens storlek och riktning, vald driftmod och kraftsystemets kortslutningseffekt påverkar dämpkaraktäristiken. Rapporten beskriver subsynkron oscillation (SSO) och tillvägagångssättet vid en SSTI undersökning. En kort introduktion till HVDC Light ges. Studien visar att HVDC Light ökar dämpningen för det frekvensområde som är intressant. Resultaten presenteras som diagram med beräknad dämpkaraktäristik.

Development of a quality index method (QIM) sensory scheme and study of shelf-life of ice-stored blackspot seabream (Pagellus bogaraveo)

The aim of this work was to develop a quality index method (QIM) scheme for whole ice-boxed refrigerated blackspot seabream and to perform shelf-life evaluations, using sensory analysis, GR Torrymeter measurements and bacterial counts of specific spoilage organisms (SSO) during chilled storage. A QIM scheme based on a total of 30 demerit points was developed. Sensory, physical and microbiological data were integrated and used to determine the rejection point. Results indicated that the shelf-life of blackspot seabream is around 12-13 days. (C) 2011 Elsevier Ltd. All rights reserved.

Estudo dos genes do complexo do antígeno leucocitário humano (hla) associados à susceptibilidade ao diabetes mellitus tipo 1

Of all of the genes associated with the development of Diabetes mellitus type 1 (T1D), the largest contribution comes from the genes in the Human Leukocyte Antigen (HLA) region, mostly the class II DR e DQ genes. Specific combinations of alleles DRB1, DQA1 and DQB1 constituting haplotypes, and further, a combination of more than one haplotype, providing multilocus genotypes are associated with susceptibility, protection and neutrality to DM1. Thus, the aim of present study was to verified the association of polymorphisms of HLA genes class II with susceptibility to type 1 diabetes mellitus (T1D). Ninety-two patients with T1D and 100 individuals normoglycemics (NG) aged between 6 and 20 years were studied. Genomic DNA was obtained from peripheral whole blood, collected in EDTA tube, using the extraction kit Illustra Triple Prep®, GE Healthcare. For HLA typing was used DNA LABType system by One Lambda kit applying Luminex® technology to the method of PCRSSO typing reverse. The alleles DRB1*03:01, *04:05, *04:01, *04:02, DQA1*03:01g, *05:01g, DQB1*02:01g, *03:02, the haplotypes DRB1*03:01-DQA1*05:01-DQB1*02:01, DRB1*04:05-DQA1*03:01g-DQB1*03:02, DRB1*04:02-DQA1*03:01g-DQB1*03:02, DRB1*04:01-DQA1*03:01g-DQB1*03:02 and DR3-DQ2/DR4-DQ8 genotype were significantly associated with the chance of developing T1D. The alleles DRB1*11:01, *15:03, *15:01, *13:01, DQA1*01:02, *04:01g, *01:03, DQB1*06:02, *03:01g, *06:03, *04:02, the haplotypes DRB1*11:01-DQA1*05:01-DQB1*03:01, DRB1*13:01-DQA1*01:03-DQB1*06:03 and DRX-DQX/DRX-DQX genotype, formed by other than the DR3-DQ2 or DR4-DQ8 haplotypes, were significantly associated with T1D protection Despite the major racial Brazilian, even at the regional level, these results are similar to the majority of alleles, genotypes and haplotypes of HLA class II-related susceptibility or resistance to T1D, extensively described in the literature for Caucasian population. Children with age at diagnosis less than 5 years of age had significantly higher frequency of the heterozygous genotype DR3-DQ2/DR4-DQ8 compared to children with age at diagnosis than 5 years old. These results also demonstrate strong association of the genetic profile of the class II HLA for this age group, possibly associated with the severity and rapid progression to the onset of T1D. The knowledge of HLA class II genes may be useful in genetic screens that allow the prediction of T1D

Which kind of miniplate to use in mandibular sagittal split osteotomy? An in vitro study

This study verified the resistance to displacement of six miniplate fixation methods after sagittal split osteotomy (SSO). SSO was performed in 30 polyurethane synthetic mandible replicas. The distal segments were advanced (4 mm) and specimens were grouped according to the fixation method: four-hole standard miniplate; four-hole locking miniplate; six-hole standard miniplate; six-hole locking miniplate; six-hole standard sagittal miniplate; six-hole locking sagittal miniplate. Biomechanical evaluation was performed by applying compression loads to three points on the second molar region, using an Instron universal testing machine until a 3 mm displacement of the segments occurred. Compression loads able to produce 3 mm displacement were recorded in kN and subjected to analysis of variance (P < 0.01) and Tukey's tests for comparison between groups (P < 0.05). The locking sagittal miniplate showed higher resistance to displacement than the regular four- and six-hole locking and standard miniplates. No significant differences were observed between the locking sagittal miniplate and the regular sagittal or the four-hole locking miniplates. Two of the three groups with the best results had locking plate fixation methods. Fixation of SSO with a single miniplate is better accomplished using six-hole locking sagittal miniplates, six-hole standard sagittal miniplates, or four-hole locking miniplates; these methods are more resistant to displacement.

Protective Effect of HLA-DRB1*11 and Predisposition of HLA-C*04 in the Development of Severe Liver Damage in Brazilian Patients with Chronic Hepatitis C Virus Infection

The objective of this study was to investigate human leucocyte antigen (HLA) genes in patients chronically infected with hepatitis C virus (HCV) and to analyse the possible role of these genes in the progression of chronic hepatitis C. One hundred and forty-five (145) Brazilian patients infected only with HCV genotype 1 were evaluated. HLA class I (A*, B*, C*) and class II (DRB1*, DQA1*, DQB1*) typing were carried out by PCR-SSO, through Luminex technology. Associations were found with protection against development of liver damage by both DRB1*11 (5.0% versus 18.2%, P = 0.0016, OR = 0.23, CI 95% = 0.090.58; Pc=0.0208) and DRB1*11-DQA1*05-DQB1*03 haplotype (4.2% versus 15.3%, P = 0.0032; OR = 0.24, CI 95% = 0.08-0.64). Liver damage was associated with HLA-C*04 in patients with <20 years of infection (38.4% versus 9.1%, P = 0.002, OR = 6.25, CI 95% = 1.9719.7; Pc=0.0238). It is concluded that HLA alleles can influence the development of liver damage in HCV type-1 chronically infected Brazilian patients.

Influence of HLA alleles in response to treatment with pegylated interferon-alpha and ribavirin in patients with chronic hepatitis C

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Pressões inspiratórias como preditores de sucesso na extubação em prematuros de muito peso

Pós-graduação em Pediatria - FMB

Graduate and undergraduate studies: neighbors without affinity?

O texto apresenta dois conjuntos de informações de interesse histórico para a Psicologia: sobre o contexto no qual foi regulamentada a profi ssão de psicólogo e sobre a formação em nível de pós-graduação. Tais informações são utilizadas para discutir a dificuldade de promover articulação de fato entre a formação em nível de graduação e a pós-graduação. Trata-se de dificuldade especialmente curiosa, pois desde a fase inicial da organização da pós-graduação brasileira, a necessidade de considerar sua integração com a formação em nível de graduação foi sempre ressaltada. Ainda assim, persistem dificuldades relativas à essa integração. Algumas proposições de atividades que podem ensejar articulações entre os diferentes níveis de formação são apresentadas para o debate, tanto na esfera do ensino e da orientação como no âmbito da pesquisa, havendo menção, também, a atividades correlatas que podem servir ao mesmo objetivo.

Politicas públicas em oncologia: refletindo sobre a atuação da Terapia Ocupacional

A Política Nacional de Atenção Oncológica almeja o acesso e atendimento integral além de uma maior efetividade e efi ciência no controle do câncer. Assim, diversas ações, serviços e profi ssionais são exigidos para dar a assistência necessária. A respeito da atuação da Terapia Ocupacional, nota-se que a profi ssão não é especifi cada, e não tem a atuação regulamentada. Sendo assim, o objetivo principal do presente estudo foi identifi car a inserção, atuação e ampliação do campo de trabalho da Terapia Ocupacional no Estado de São Paulo para a área oncológica em contexto hospitalar, tomando por base as Políticas Públicas de Atenção Oncológica. Visou também identifi car os Centros de Assistência de Alta Complexidade em Oncologia do Estado de São Paulo que possuem o terapeuta ocupacional como parte da equipe. Para tanto, foi realizada: identifi cação dos Centros de Alta Complexidade em Oncologia do Estado de São Paulo cadastrados no Cadastro Nacional de Estabelecimentos de Saúde, por meio de dados fornecidos pelo INCA e do site ofi cial do Ministério da Saúde; mapeamento da inserção do terapeuta ocupacional nesses locais e aplicação de questionário aos profi ssionais, para caracterizar os serviços e ações desenvolvidas pela Terapia Ocupacional em oncologia. O estudo do tipo qualitativo descritivo constatou a existência de diferentes possibilidades assistenciais em oncologia, tendo em vista as demandas e organização dos hospitais. Quanto à inserção e ampliação do campo de trabalho, verifi cou-se que nem todos os CACONs contam com os serviços e ações da Terapia Ocupacional, o que sugere que ainda não há efetivamente a incorporação desse profi ssional nas equipes multiprofi ssionais desses centros.

Seleção de características utilizando algoritmos evolucionistas e suas aplicações em reconhecimento de padrões

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Social-spider optimization-based artificial neural networks training and its applications for Parkinson's disease identification

Evolutionary algorithms have been widely used for Artificial Neural Networks (ANN) training, being the idea to update the neurons' weights using social dynamics of living organisms in order to decrease the classification error. In this paper, we have introduced Social-Spider Optimization to improve the training phase of ANN with Multilayer perceptrons, and we validated the proposed approach in the context of Parkinson's Disease recognition. The experimental section has been carried out against with five other well-known meta-heuristics techniques, and it has shown SSO can be a suitable approach for ANN-MLP training step.