1000 resultados para Equipamentos hospitalares Teses


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The growing demand for quality at competitive prices and fast production process put to the test function in the industrial Maintenance. The need for equipment with high availability to fit this fierce competitiveness makes maintenance becomes essentially reliable. Despite this current context, many companies still have an old view of maintenance, focused only on corrective services, and proposals for change are often neglected due to the sense of urgency day to day. Thus, this study aims to demonstrate through theoretical applicability of simple tool, but of great value in increasing reliability within the maintenance sector of an industry, applying the concepts of Reliability Centered Maintenance â RCM and Analysis tool Failure Modes and Effects â FMEA in equipment of a chemical company directly involved in the manufacturing process of the brake fluid, which this product is used in vehicles around the country. That way, you can identify the types, occurrence and criticality of each failure and evaluate assertively decision making for each device, avoiding unnecessary downtime and potential failures of the same

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The continuous advance of the Brazilian economy and increased competition in the heavy equipment market, increasingly point to the need for accurate sales forecasting processes, which allow an optimized strategic planning and therefore better overall results. In this manner, we found that the sales forecasting process deserves to be studied and understood, since it has a key role in corporate strategic planning. Accurate forecasting methods enable direction of companies to circumvent the management difficulties and the variations of finished goods inventory, which make companies more competitive. By analyzing the stages of the sales forecasting it was possible to observe that this process is methodical, bureaucratic and demands a lot of training for their managers and professionals. In this paper we applied the modeling method and the selecting process which has been done for Armstrong to select the most appropriate technique for two products of a heavy equipment industry and it has been through this method that the triple exponential smoothing technique has been chosen for both products. The results obtained by prediction with the triple exponential smoothing technique were better than forecasts prepared by the industry experts

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O uso de radiações ionizantes (R.I.), nas mais variadas atividades tem aumentado nas últimas décadas. Com o avanço tecnológico, novos e sofisticados equipamentos emissores de R.I. tem surgido no cenário nacional, o que torna imperativo a difusão do conhecimento sobre os conceitos de proteção radiológica junto à comunidade em geral, e neste sentido, o curso de física médica desenvolve um importante papel, quer seja no aspecto informativo quanto formativo de cidadãos e profissionais críticos e politicamente corretos, que possam contribuir com as Políticas Públicos dos órgãos normatizadores e fiscalizadores das atividades de vigilância sanitária. Conforme a legislação atual (Resolução SS-625 de 14/12/1994, da Secretaria de Estado da Saúde, e Portaria 453 de 01/06/1998 da Vigilância Sanitária do Ministério da Saúde), todos os serviços que utilizam radiações ionizantes devem realizar testes de avaliação dos parâmetros radiométricos dos equipamentos emissores de R.I., sendo exigidos as medidas de Levantamento Radiométrico das instalações, o Teste de Radiação de Fuga do cabeçote emissor e a implementação de Programa de Garantia de Qualidade dos equipamentos e dos procedimentos radiológicos. Este procedimento tem como objetivo principal a obtenção de imagens radiográficas com qualidade e a segurança de pacientes e profissionais, evitando a exposição desnecessária à radiação de pacientes e profissionais. A correta realização de procedimentos radiológicos além de reduzir a dose nos pacientes também promove significativa diminuição nos custos, por não haver necessidade da repetição dos exames. No Brasil, conforme dados da Secretaria de Atenção à Saúde SAS/MS, atualmente existem instalados 4.469 mamógrafos, 25.930 aparelhos de raios-x médicos, 39.438 aparelhos de raios-x odontológicos e...(Resumo completo, clicar acesso eletrônico abaixo)

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Customer focus , high competitiveness and striving for excellence in quality of service are some of the main features of the current market . Planned and make decisions with greater certainty is no longer an option a few years . The current managers are seeking ways to eliminate waste and increase financial and productive profitability of your company in order to achieve higher performance at a lower cost . The AHP is one of the main concepts of this goal by providing an analysis on multiple criteria , enhancing decision-making and enhancing the gains , with a technique that is designed to take into account all the key criteria for choosing an alternative , according to the perspective of the designer as both suppliers and customers . Emerging as a new way to minimize errors , and make an informed and consistent decision. The use of this method in construction projects is a recent phenomenon , which has much to be explored , an intense analysis of the processes is required to enable it to consider the concepts and present a consistent and grounded proposal

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The quality assurance control program (QACP) in clinical radiology is very important to acquire, image quality, patient dose reduction and cost for the institution. The verification of the real tension on the x ray tube, it is one of many parameters that may be determined on a QACP. This act on image quality as absorbed dose in patient. Once proved the importance of this fact, this study come up with the determination of tension to any X ray tube used on medical routine, on quick, safe and low cost manner. To reach the aim of this study, the methodology consisted on measuring expose rates (ER) using different thicknesses of copper (Cu) plates like filters and relating these results with Half Layer Value (HLV). Afterwards, the HLV was associated to real tension that was acquired with kilo voltage of peak (kVp) measurers used on clinical routine. So walking in this path, when performed the ER, on any X ray tube, itâs possible acquire the HLV and consequently the real kVp, considering measures obtained before, on the methodology of kVp estimative development

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The constant search for improvements and the survival of organizations makes the strategic guidelines are deployed and executed at the operational levels. This work is the approach to critical analysis of the equipment of a chemical industry through a case study based on the classification of each equipment manufactures through qualitative and quantitative analysis on the pillars of maintenance costs, loss of production, MTBF, contribution margin, Health Safety and Environment (SHE). From this study and future data collection, along with the flow diagram show the main equipment that should be special attention. To this can be prepared an action plan with deadlines and responsible. With the results one can measure the maintenance costs, loss of production and technical availability of the plant, with future gains

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Radiography is currently an important method of diagnosis, both medical, dental and veterinary. The image in this type of survey is obtained using an X-ray beam, where the radiologist can possibly view structures of interest. It isn't always possible to get the desired images due to various factors, such as equipment limitations. The Administrative Law 453/98, the State Resolution SS 625/94, and other standards require testing and quality control acceptance limits that guarantee a good performance of the equipment for the security and quality of care, giving service users greater effectiveness in exams. This study were performed in the accompaniment of testing procedures for quality control established by Administrative Law 453/98 in several X-ray equipment to make a comparison and optimization in the descriptions of the procedures used by the Institute for Electrical Energy and the University of São Paulo (IEE / USP / SP).The optimization of the procedures were performed with the aid of a current literature, the Resolution 453/98, State Resolution SS 625/94 and other international standards. On this basis it was possible to observe the importance of regular monitoring of tests for an update, following the technological development of instruments used in the service

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This is study proposes to evaluate the ergonomic aspects of dental equipments. Based on the characteristics proposed by ISO/FDI, on the existing literature and related researches an evaluating system was devised. Thirty nine dental clinics were examined using the 165 pointssystem proposed, distributed in 12 criteria. None of the dental clinics examined showed a bad ergonomics level, 41% were good and 59% reached excellent levels. The point-supported evaluation system proposed is effective in the analysis of the ergonomic conditions of dental equipments, allowing a quantification of their characteristics. Using this system, the dentist can also know the level of ergonomic satisfaction existing in his equipment, and identify the conditions to be improved. It was concluded that the equipment belonging to dental workplaces evaluated had excellent level of compliance, however corrective measures are needed since even the presence of a few non-conforming items is a sufficient condition to cause injury to users, decreased efficiency and comfort and loss quality of service

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Computed Radiography (CR) is a term used to describe the system that electronically records a radiographic image. CR systems use receivers or IP (imaging plate) to capture the analog signals and then allow the readers to do the image processing and converted into digital information. With the increasing expansion of the CR for medical diagnostics it is necessary that these systems receive the same type of monitoring related to Quality Control and Acceptance to the conventional processing systems. The current legislation fails to specify the parameters and procedures to be tested, allowing that somehow, some equipment is not fully able to use in clinical routine. In this project we used the standard AAPM Report Number 93, which is already fully established outside the country and displays all test parameters in CR. From there were chosen three types of tests that were performed in a satisfactory sampling of IP´s. With this procedure it was possible to establish which of those IP's should be out of use, which reveals the important purpose of the study, demonstrating the need for Quality Control Testing and Acceptance in Computerized Radiography as soon as possible are included in the legislation regulator in the country

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The study analyzed contours of the thoracic region of patients undergoing radiotherapy of breast tumors in Hospital Manuel de Abreu of Bauru (institution 1) and the Hospital da Faculdade de Medicina of Botucatu (Institution 2). Were prepared isodose curves corresponding to the contours of the patient, which were presented for radiotherapists doctors both hospital services that enabled the choice of the curve isodose that provides the best distribution of radiation dose in the irradiated volume. Some boundaries were digitized in one institution and sent for preparation of isodose lines in the institution 2, both curves plotted in each of the institutions and for the same contour, were compared, showing that the methodology of Curves of distance is feasible and reliable, while optimizing the routine procedures regarding the handling of isodose plans provided by different radiation equipment. It compares the calculation of the exposure time determined using the isodose curve selected by calculating the value obtained considering the PDP at the point of the middle line of separation between the internal and external fields, the difference between the two methods for determining exposure time was around 2.4%. A study on the angle of the radiation beam at the input field (region breast-air) was conducted showing that, once known a tangent angle of the input beam, one can estimate the angle of the wedge filter used in some procedures for uniformity of dose within the irradiated volume compensation and the lack of tissue in the treatment volume. A comparative study between the isodose curves produced manually with the curves obtained in a two-dimensional computer system, the computer system showed that provides further information regarding the dose gradient within the irradiated volume, in addition to reducing the time spent in preparing the curves isodose

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Um dos problemas enfrentados pelas cidades brasileiras, e que atinge inclusive as de pequeno porte, refere-se à questão hospitalar. A falta de adequação de espaços e equipamentos tem causado grandes problemas à qualidade de vida da população. A melhoria das condições hospitalares nas cidades tem como consequência o aumento na qualidade de vida urbana; e esta, por sua vez está relacionada à adoção de medidas específicas a adequação hospitalar ás normas técnicas vigentes. O objetivo desse trabalho é realizar uma proposta projetual de requalificação espacial do Hospital Municipal de Ribeirão Branco (SP), incorporando uma visão sobre todos os aspectos necessários para o desenvolvimento correto de um programa hospitalar. Este trabalho de conclusão de curso visa dar condições confortáveis e autônomas de acesso a todos os usuários dessa unidade de saúde, além de melhor suas condições funcionais, em termos de programa hospitalar. Além disso, a proposta buscará inserir o Hospital num contexto tecnológico mais recente, para atualizar e potencializar a eficiência dos tratamentos

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This graduation work presents the implementation of the key concepts of lean thinking in a maintenance workshop of rotating equipment, analyzing all the administrative and workshop processes. The pursuit of quality and client satisfaction at lower costs has generated a lot of competition between organizations, which use the practices of lean manufacturing as tools for processes improvement, aiming to eliminate wastes, being this, the work objective. And, unlike a manufacturing system, where the product goes through certain stages until its conclusion, the workshop does not have a default sequence that is repeated routinely on all machines. Thus, it demonstrates a possibility of application of lean tools in a different way of the common used in the lean manufacturing