Company size, organisational culture and human resource management in small to medium sized professional services firms: a case study

Cultura organizacional e gestão de recursos humanos (GRH) são componentes fundamentais para a estratégia corporativa raramente estudada no contexto das pequenas e médias empresas (PME) no setor de serviços profissionais, um ambiente no qual o capital humano das empresas companhias é particularmente importante. Um estudo de caso de uma empresa de gestão de investimentos inglesa foi realizado. A PME quase triplicou o seu quadro de funcionários, de menos de 50 a mais de 140, nos últimos seis anos. Cultura e GRH foram pesquisadas tanto historicamente quanto no momento atual por meio de uma combinação de entrevistas individuais, observação direta durante as visitas ao local e análise documental. Foi verificado que a G RH (junto com um número de outras estruturas e processos internos) tornou-se mais formal, apesar do fato de que a empresa começou com políticas de RH relativamente desenvolvidas, em comparação com outras pequenas empresas. Uma possível explicação para esta estruturação das práticas de RH é que empresas do setor de serviços profissionais tendem a dar uma importância especial à qualidade da sua força de trabalho. Esta relativa estabilidade cultural pode ser explicada pelo fato da cultura ser forte e é mantida tanto inconscientemente quanto conscientemente, por meio de mecanismos como o planejamento de pessoal, recrutamento e remuneração. As conclusões, por conseguinte, demonstram que as atitudes e percepções nem sempre mudam tão rápido quanto sistemas organizacionais, e que a relação entre cultura e gestão de recursos humanos pode ser complexa; a formalização da GRH pode reforçar a mudança cultural em certos aspectos, ao mesmo tempo abrandá-lo em outros.

O trabalho e a gestão do cuidado em saúde: a construção de uma política nacional em saúde do trabalhador no Brasil: uma análise documental

O desenvolvimento dos modelos de produção acarretou diversas transformações na concepção da relação homem/trabalho. Com isso, o trabalho tornou-se um dos aspectos centrais na vida do homem moderno. Na relação com o trabalho, emergem diversos processos de subjetivação baseados nas práticas presentes nos contextos em que ele se realiza, bem como nos processos de saúde e doença. No Brasil, esse processo vem sendo delineado por questões políticas e sociais que levaram à emergência da chamada Política Nacional de Segurança e Saúde do Trabalhador, em 2004. Entretanto, esse tema e seus desdobramentos ainda são fortemente debatidos, uma vez que tal política não se encontra em intenso vigor, demonstrando um percurso em constante construção e ainda permeável à diferentes influências. Este trabalho busca problematizar as práticas que produzem processos de subjetivação do “sujeitotrabalhador” pautados em dispositivos biopolíticos, a partir da análise da gestão do cuidado em saúde do trabalhador no Brasil. Partindo dessa perspectiva, buscou-se analisar a construção das Políticas de Saúde do Trabalhador no país, focando a formulação da PNSST e sua perspectiva atual. Para isso, foram analisadas as estratégias de cuidado presentes nesta Política, bem como a forma como essas estratégias estão articuladas com a perspectiva da integralidade, uma vez que a integralidade é um novo olhar sobre a gestão do cuidado em saúde, criando novas possibilidades de um trabalho em saúde. Centra-se no fluxo do usuário, com mudanças na produção do cuidado em todos os níveis da rede pública de saúde. Primeiro, foram abordados os processos de construção e desenvolvimento da chamada “Saúde do Trabalhador” e, posteriormente, foi analisada a Política Nacional de Segurança e Saúde do Trabalhador – PNSST (2004) enquanto dispositivo de regulação das práticas de saúde, a partir do método genealógico de Michel Foucault, com foco na análise documental. O processo de construção da PNSST iniciou a partir da 1ª Conferência Nacional em Saúde do Trabalhador, o qual se delineou nas demais conferências realizadas de 2001 e 2005. Neste processo, podemos observar o conflito entre o trabalho como risco (trabalho-risco) e o trabalho como produção de subjetividade (trabalho-subjetividade), que levam a construção das noções entre saúdecontrole versus saúde-integralidade. A análise documental da PNSST de 2004 denota que ainda há uma prevalência do olhar da Saúde Ocupacional, pelo viés do trabalho-risco/saúdecontrole, uma vez que as estratégias de cuidado apresentam discursos de risco/agravo no trabalho, na patologização do sujeito e na monetarização da saúde. Além disso, de 2005 até meados de 2011, não houve a concretização e implantação da Política, sendo criados diferentes sentidos e, inclusive, convergindo as ações de Saúde do Trabalhador para o campo da Vigilância em Saúde, onde se encontra tal área no Ministério da Saúde hoje. Com isso, observamos que ao pensarmos na proposta de articular o campo da integralidade com a Saúde do Trabalhador, encontramos, na verdade, a construção de discursos pautados em estratégias biopolíticas de transformar a atividade laboral em risco que deve ser vigiado e medicalizado. Além disso, não há interface para absorção das demandas referentes à saúde do trabalhador no SUS. A criação de linhas de cuidado em Saúde do Trabalhador em Unidades Básicas de Saúde ou mesmo a criação de Unidade de Referência Especializada em Saúde do Trabalhador nos permite inserir este tema cada vez mais no campo da saúde pública no Brasil e diminuir a dispersão dos casos de sofrimento dos trabalhadores que ficam no nível do não dito.

A gestão do patrimônio documental arquivístico em instituições públicas: considerações sobre uma eficaz fiscalização

The purpose of this study revolves around understanding the mechanisms of control over the management of documentary heritage. Was used as a methodological procedure the theoretical research. hus, from the analysis of documentary heritage as a category of cultural heritage, was used as theoretical and methodological substantiations Federal Constitution of 1988, the Law of Archives, the Fiscal Responsibility Law, as well as texts of authors that study about the concept and management of cultural heritage in order to obtain a theoretical study on the subject treated. It was found, with the analysis of legal and scientiic texts, the absence of preventive inspection by the public administrators in relation to the documentary heritage. hus, it was realized the need for efective supervision of acts performed towards preservation and management of public documents. Based on the assumption that the “Tribunal de Contas” is the public agency responsible for enforcement of accounting standards, iscal, budgetary and environmental, it is concluded that to it also would attribute the power to enforce compliance with rules concerning the protection and management of heritage archival documents.

Estresse psicológico e desempenho de atletas juniores: uma análise documental

Soccer is one of the most practiced sports in the world, and for many years, some areas of physical education has been doing studies related to the improvement of their income from these areas if this sport psychology. The psychological aspects are very influential and involved in the daily life of an athlete, especially for basic categories of athletes who see in soccer a dream to come true or only a source of income for his family, where such aspects act beneficially or evil for the athlete. Stress, in particular, can appear in various situations and in various ways, and different influences and reactions athlete to athlete, also resulting in physiological changes and variations in performance. Stress, and especially stressful situations, like any psychological aspect should be identified in order to train your athlete to know how to deal with stressful situations. Know what are the stressors, which carries the stress load for the athlete, how to handle the stressful situations, using psychological training in the preseason, know how to use stress management techniques, and be able to manage it all so your athlete reaches an optimal level of income is described in the present work, in order to provide a theoretical and updated reference for professionals of Physical Education, so that they stay up to date on sports psychology and also understand a little more on this subject, which is still little discussed within soccer and often overlooked by many professionals who are already in the context of competitive soccer

PROPOSTA DE MODELO DE MEDIÇÕES PARA CONTRATAÇÃO DO GERENCIAMENTO DE PROCESSO DE NEGÓCIO (BUSINESS PROCESS MANAGEMENT- BPM)

O Gerenciamento de Processo de Negócio (Business Process Management- BPM) tem sido uma prática adotada pelas organizações públicas e privadas. O BPM possibilita a identificação eficaz das necessidades e das informações necessárias para suportar a operacionalização ou a automatização do processo de negócio. Considerando que as organizações têm necessitado terceirizar esse serviço, o objetivo desse trabalho foi propor um modelo de medição para contratação dos serviços de BPM. Para atender a esse objetivo, o modelo conceitual construído partiu da premissa que a gestão da contratação de um BPM deve fornecer critérios para mensurar a demanda, ou serviço, avaliar a qualidade dos serviços prestados e a qualidade do produto recebido. O estudo adotou como instrumentos de coleta de dados a pesquisa documental e a revisão sistemática. Com base nos objetivos e questões de pesquisa foram identificados os strings para busca, definidas as fontes de busca, critérios de inclusão e exclusão dos resultados. Todos os trabalhos selecionados foram lidos e analisados e foi utilizado um mapa mental para consolidação dos resultados. Foi utilizado o GQM (Goal, Questions, Metrics) para a elaboração das medições e adotado o estudo de caso. Parte das medições propostas foram aplicadas em 13 modelos de processo de negócio do mundo real com o objetivo de verificar sua coerência e comparar os resultados. Foi realizada entrevista com especialista em modelagem de processos de negócios para avaliar os resultados obtidos e, na percepção deste especialista a maior parte das métricas propostas pela pesquisa é adequada à realidade de mercado, considerando o contexto de terceirização desse serviço.

O Lean Management e os desafios da gestão de recursos humanos na FAP

O estudo que se apresenta teve como objetivo analisar a implementação do modelo de Serviços Partilhados, com recurso à metodologia lean, nos serviços de apoio de pessoal do Complexo de Alfragide que decorreu no contexto da sua implementação na Força Aérea Portuguesa, determinada pelo Despacho do CEMFA n.º 59/2015, de 31 de julho. Para desenvolver este trabalho foi utilizada uma estratégia de investigação mista (quantitativa e qualitativa), seguindo o raciocínio hipotético-dedutivo. O desenho de pesquisa utilizado foi o estudo de caso, recorrendo a entrevistas, à análise documental e a um questionário para recolha de dados. Os resultados apurados através das entrevistas e do inquérito permitem concluir que a implementação do novo modelo alcançou alguns dos objetivos a que se propunha, nomeadamente, a melhoria dos serviços de apoio de pessoal prestados aos militares e civis. Apesar de se antever um elevado potencial ao nível da racionalização de Recursos Humanos, de momento, esse objetivo ainda não foi inteiramente alcançado. Conclui-se a presente investigação sugerindo a reavaliação numa fase mais adiantada da implementação do modelo de Serviços Partilhados no Complexo de Alfragide e o alargamento a outras Unidades de modo a obter uma visão mais abrangente da realidade na Força Aérea. Abstract: The study aimed to analyze the implementation of the Shared Services model, using the lean methodology, in the personnel support services in Complexo de Alfragide. This process took place in the context of implementation of this model in the Portuguese Air Force, determined by CEMFA Order No. 59/2015 of 31 July. To develop this work was used a mixed research strategy (quantitative and qualitative), following the hypothetical-deductive reasoning. The research design used was the case study, interviews, document analysis and a questionnaire. By the results obtained through the views expressed in the interviews and in the investigation, it can be concluded that the implementation of the Shared Services model has achieved some of the goals that it proposed like the improvement in personnel support services. Although foreseen great potential in terms of gains of Human Resources rationalization and due to several factors, has not yet been possible to achieve this goal. This research is concluded suggesting a reevaluation at a later stage of the implementation of the Shared Services model in the Complexo de Alfragide and extension to other Units for a more comprehensive view of reality in the Air Force.

3D Surveying and Data Management towards the Realization of a Knowledge System for Cultural Heritage

The research activities involved the application of the Geomatic techniques in the Cultural Heritage field, following the development of two themes: Firstly, the application of high precision surveying techniques for the restoration and interpretation of relevant monuments and archaeological finds. The main case regards the activities for the generation of a high-fidelity 3D model of the Fountain of Neptune in Bologna. In this work, aimed to the restoration of the manufacture, both the geometrical and radiometrical aspects were crucial. The final product was the base of a 3D information system representing a shared tool where the different figures involved in the restoration activities shared their contribution in a multidisciplinary approach. Secondly, the arrangement of 3D databases for a Building Information Modeling (BIM) approach, in a process which involves the generation and management of digital representations of physical and functional characteristics of historical buildings, towards a so-called Historical Building Information Model (HBIM). A first application was conducted for the San Michele in Acerboli’s church in Santarcangelo di Romagna. The survey was performed by the integration of the classical and modern Geomatic techniques and the point cloud representing the church was used for the development of a HBIM model, where the relevant information connected to the building could be stored and georeferenced. A second application regards the domus of Obellio Firmo in Pompeii, surveyed by the integration of the classical and modern Geomatic techniques. An historical analysis permitted the definitions of phases and the organization of a database of materials and constructive elements. The goal is the obtaining of a federate model able to manage the different aspects: documental, analytic and reconstructive ones.

A Decade Of Malaria During Pregnancy In Brazil: What Has Been Done Concerning Prevention And Management.

In Brazil, malaria remains a disease of major epidemiological importance because of the high number of cases in the Amazonian Region. Plasmodium spp infections during pregnancy are a significant public health problem with substantial risks for the pregnant woman, the foetus and the newborn child. In Brazil, the control of malaria during pregnancy is primarily achieved by prompt and effective treatment of the acute episodes. Thus, to assure rapid diagnosis and treatment for pregnant women with malaria, one of the recommended strategy for low transmission areas by World Health Organization and as part of a strategy by the Ministry of Health, the National Malaria Control Program has focused on integrative measures with woman and reproductive health. Here, we discuss the approach for the prevention and management of malaria during pregnancy in Brazil over the last 10 years (2003-2012) using morbidity data from Malaria Health Information System. Improving the efficiency and quality of healthcare and education and the consolidation of prevention programmes will be challenges in the control of malaria during pregnancy in the next decade.

Management Of Severe Thoracic Impalement Trauma Against Two-wheeled Horse Carriage: A Case Report And Literature Review.

Thoracic injuries in general are of great importance due to their high incidence and high mortality. Thoracic impalement injuries are rare but severe due to the combination of cause, effect and result. This study's primary objective is to report the case of a young man who was impaled by a two-wheeled horse carriage shaft while crashing his motorcycle in a rural zone. An EMT-B ferry was called at the crash scene and a conscious patient was found, sustaining a severe impalement injury to the left hemithorax, suspended over the floor by the axial skeleton with the carriage shaft coming across his left chest. As a secondary objective, a literature review of thoracic impalement injuries is performed. Cases of thoracic impalement injury require unique and individualized care based on injury severity and affected organs. Reported protocols for managing impalement injuries are entirely anecdotal, with no uniformity on impaled patient's approach and management. In penetrating trauma, it is essential not to remove the impaled object, so that possible vascular lesions remain buffered by the object, avoiding major bleeding and exsanguination haemorrhage. Severed impaled thoracic patients should be transferred to a specialist centre for trauma care, as these lesions typically require complex multidisciplinary treatment. High-energy thoracic impalement injuries are rare and hold a high mortality rate, due to the complexity of trauma and associated injuries such as thoracic wall and lung lesions. Modern medicine still seems limited in cases of such seriousness, not always with satisfactory results.

Key Issues In Inhibitor Management In Patients With Haemophilia.

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[consensus Of The Brazilian Society Of Rheumatology For The Diagnosis, Management And Treatment Of Lupus Nephritis].

To develop recommendations for the diagnosis, management and treatment of lupus nephritis in Brazil. Extensive literature review with a selection of papers based on the strength of scientific evidence and opinion of the Commission on Systemic Lupus Erythematosus members, Brazilian Society of Rheumatology. 1) Renal biopsy should be performed whenever possible and if this procedure is indicated; and, when the procedure is not possible, the treatment should be guided with the inference of histologic class. 2) Ideally, measures and precautions should be implemented before starting treatment, with emphasis on attention to the risk of infection. 3) Risks and benefits of treatment should be shared with the patient and his/her family. 4) The use of hydroxychloroquine (preferably) or chloroquine diphosphate is recommended for all patients (unless contraindicated) during induction and maintenance phases. 5) The evaluation of the effectiveness of treatment should be made with objective criteria of response (complete remission/partial remission/refractoriness). 6) ACE inhibitors and/or ARBs are recommended as antiproteinuric agents for all patients (unless contraindicated). 7) The identification of clinical and/or laboratory signs suggestive of proliferative or membranous glomerulonephritis should indicate an immediate implementation of specific therapy, including steroids and an immunosuppressive agent, even though histological confirmation is not possible. 8) Immunosuppressives must be used during at least 36 months, but these medications can be kept for longer periods. Its discontinuation should only be done when the patient achieve and maintain a sustained and complete remission. 9) Lupus nephritis should be considered as refractory when a full or partial remission is not achieved after 12 months of an appropriate treatment, when a new renal biopsy should be considered to assist in identifying the cause of refractoriness and in the therapeutic decision.

Conservative Management For Lingual Thyroid Ectopic.

Lingual thyroid gland is a rare clinical entity. The presence of an ectopic thyroid gland located at the base of the tongue may be presented with symptoms like dysphagia, dysphonia, and upper airway obstruction. We are introducing a case of an 8-year-old girl who had lingual thyroid that presented dysphagia and foreign body sensation in the throat. The diagnostic was reached with clinical examination, thyroid scintigraphy with Tc(99m) and ultrasound. A laryngoscopy was performed which confirmed a spherical mass at base of tongue. Investigation should include thyroid function tests. In this case we observed subclinical hypothyroidism. There are different types of surgical approaches for the treatment of this condition; however, the treatment with Levothyroxine Sodium allowed the stabilization of TSH levels and clinical improvement of symptoms in a follow-up of 2 years.

Dysphagia Progression And Swallowing Management In Parkinson's Disease: An Observational Study.

Dysphagia is relatively common in individuals with neurological disorders. To describe the swallowing management and investigate associated factors with swallowing in a case series of patients with Parkinson's disease. It is a long-term study with 24 patients. The patients were observed in a five-year period (2006-2011). They underwent Fiberoptic Endoscopic Evaluation of Swallowing, Functional Oral Intake Scale and therapeutic intervention every three months. In the therapeutic intervention they received orientation about exercises to improve swallowing. The Chi-square, Kruskal-Wallis and Fisher's tests were used. The period of time for improvement or worsening of swallowing was described by Kaplan-Meier analysis. During the follow-up, ten patients improved, five stayed the same and nine worsened their swallowing functionality. The median time for improvement was ten months. Prior to the worsening there was a median time of 33 months of follow-up. There was no associated factor with improvement or worsening of swallowing. The maneuvers frequently indicated in therapeutic intervention were: chin-tuck, bolus consistency, bolus effect, strengthening-tongue, multiple swallows and vocal exercises. The swallowing management was characterized by swallowing assessment every three months with indication of compensatory and rehabilitation maneuvers, aiming to maintain the oral feeding without risks. There was no associated factor with swallowing functionality in this case series.

Comparative analysis of adverse events between infliximab and adalimumab in Crohn's disease management: a Brazilian single-centre experience

INTRODUCTION: Data is scarce regarding adverse events (AE) of biological therapy used in the management of Crohn's Disease (CD) among Brazilian patients. OBJECTIVES: To analyse AE prevalence and profile in patients with CD treated with Infliximab (IFX) or Adalimumab (ADA) and to verify whether there are differences between the two drugs. METHOD: Retrospective observational single-centre study of CD patients on biological therapy. Variables analysed: Demographic data, Montreal classification, biological agent administered, treatment duration, presence and type of AE and the need for treatment interruption. RESULTS: Forty-nine patients were analysed, 25 treated with ADA and 24 with IFX. The groups were homogeneous in relation to the variables studied. The average follow-up period for the group treated with ADA was 19.3 months and 21.8 months for the IFX group (p = 0.585). Overall, 40% (n = 10) of patients taking ADA had AE compared with 50% (n = 12) of IFX users (p = 0.571). There was a tendency towards higher incidence of cutaneous and infusion reactions in the IFX group and higher incidence of infections in the ADA treated group, although without significant difference. CONCLUSIONS: No difference was found in the AE prevalence and profile between ADA and IFX CD patients in the population studied.

Comparative analysis of the new guidelines and consensuses for the management of hypothyroidism, thyroid nodules, and differentiated thyroid cancer

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