O sistema de referência e contra-referência no atendimento ao adolescente infrator: percepção dos profissionais de saúde da Fundação CASA

Pós-graduação em Enfermagem (mestrado profissional) - FMB

Road safety and public health: the cost of treating and rehabilitating the injured in Chile, Colombia and Peru

This issue of the FAL Bulletin examines the implications of road safety for the health-care system. It focuses on the economic cost of treating and rehabilitating road traffic injury victims and, for the sake of better public policy, proposes policy changes aimed at improving data collection as well as coordination among government agencies.

Municipalização das ações de vigilância sanitária em Marília - SP

Pós-graduação em Saúde Coletiva - FMB

Proposta de método para avaliação do sistema de gestão da qualidade, meio ambiente, segurança e saúde ocupacional integrados

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

As ouvidorias de saúde pública no Estado do Pará: uma relação dialógica entre governo, medicina e sociedade?

Esta Dissertação tematiza sobre as ouvidorias de saúde pública como um espaço de participação cidadã na gestão administrativa, indagando se acontece uma relação dialógica entre governo, medicina e sociedade, na perspectiva de aproximação da gestão e serviços prestados pela saúde pública, de acordo com a Política de Humanização do SUS. A hipótese norteadora do estudo é a de que com a participação popular, através das ouvidorias, são produzidas transformações nas práticas desempenhadas pelos diferentes atores na configuração das práticas no cuidado em saúde, em aproximação com os princípios e estratégias de Humanização do Sistema Único de Saúde, com capacidade de tensionar os papéis constituídos no contexto biomédico que se constituiu como predominante, a partir dos fins do século XVII. Objetiva identificar as contribuições efetivas da atuação das ouvidorias de saúde pública, na construção e execução de novas práticas da saúde, de acordo com a PNH. Foi desenvolvida em quatro capítulos, que tratam da participação social e da história das ouvidorias de saúde pública, no Brasil, do SUS e da Política de Humanização na Saúde,da pesquisa propriamente dita e as considerações finais. A investigação, com desenho qualitativo e exploratório, visa a conhecer, descrever e compreender a realidade da política de humanização nas instituições de saúde pública no estado do Pará, por intermédio das demandas das ouvidorias em um processo de ampliação de mecanismos democráticos de controle social das políticas públicas de saúde. Entre os resultados alcançados nesta pesquisa, cita-se que as Ouvidorias de Saúde Pública têm o claro compromisso de se tornarem instituições de excelência e cumprirem o seu papel na promoção do diálogo entre o estado, a medicina e a sociedade. Quanto a esse processo colaborar na construção de novas práticas em saúde, não se identificam grandes efetividades, porém, serve como valor simbólico de representatividade de acessibilidade de comunicação e diálogo sem burocracia entre sociedade e gestão pública é significativa. Observa-se a necessidade da gestão da saúde pública, no sentido de se organizar em suas várias instâncias.

Um estudo sobre a certificação ISO 9001 no Brasil: mapeamento de motivações, benefícios e dificuldades

This work aims to identify the main motivations and difficulties faced by Brazilian companies to obtain ISO 9001 certification. The key quality management practices that provide support to this certification and the relationship with other types of systems, such as ISO 14001 (Environmental Management) and OHSAS 18001 (Occupational Health and Safety Management System), were also investigated. A survey research was conducted with 191 companies. The main motivations for implementing ISO 9001 are the following: internal organization improvement, production efficiency increase, and brand reliability improvement. Employee resistance was the greatest challenge found during the implementation process. On the other hand, the main benefits identified were: quality processes improvement and increased employee awareness of quality. The results reveal that the most common quality programs and tools used are: 5S, brainstorming, and Ishikawa diagram, while the least common are SERVQUAL and QFD.

First report of Myxobolus sp infection in the skeletal muscle of Neotropical freshwater fish Piaractus mesopotamicus

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

Soil physical and microbiological attributes cultivated with the common bean under two management systems

Agricultural management systems can alter the physical and biological soil quality, interfering with crop development. The objective of this study was to evaluate the physical and microbiological attributes of a Red Latosol, and its relationship to the biometric parameters of the common bean (Phaseolus vulgaris), irrigated and grown under two management systems (conventional tillage and direct seeding), in Campinas in the state of Sao Paulo, Brazil. The experimental design was of randomised blocks, with a split-plot arrangement for the management system and soil depth, analysed during the 2006/7 and 2007/8 harvest seasons, with 4 replications. The soil physical and microbiological attributes were evaluated at depths of 0.00-0.05, 0.05-0.10, 0.10-0.20 and 0.20-0.40 m. The following were determined for the crop: density, number of pods per plant, number of beans per pod, thousand seed weight, total weight of the shoots and harvest index. Direct seeding resulted in a lower soil physical quality at a depth of 0.00-0.05 m compared to conventional tillage, while the opposite occurred at a depth of 0.05-0.10 m. The direct seeding showed higher soil biological quality, mainly indicated by the microbial biomass nitrogen, basal respiration and metabolic quotient. The biometric parameters in the bean were higher under the direct seeding compared to conventional tillage.

Avaliação de serviços de atenção básica: atualização e validação do instrumento QualiAB

Pós-graduação em Saúde Coletiva - FMB

Implantação de gestão da qualidade no serviço de hemoterapia em um hospital público do Estado de São Paulo

Pós-graduação em Pesquisa e Desenvolvimento (Biotecnologia Médica) - FMB

Plano Munucipal de saúde: análise do instrumento de gestão

Among planning instruments used by manager instances of Brazilian Health System it pointed the Health Municipal Plan (PMS) that should be built collectively showing political intentions, directresses, priorities, objectives, goals framework, estimative of resources and need costs to get the goals of the health sector. The aim of this work was to analyze the plans in relation to attendance of legal requirements which manage the Brazilian Health System, its constitution and showing of essential items. The study included three municipalities form São Paulo State. It was used the documental analysis as research technique. Near all plans showed an analysis of situation with detailed descriptions of general situation of municipality, and only one of them realized critical analysis of their epidemiological data; the financial income applied on health was decrypted by only one municipality. About programming, all municipalities described the main problems and its solutions. Although they had goals framework, the question about cost estimative to get the goals was not approached. Any municipality showed an annual review, being one of them delayed over than two years. It was observed no participation of Municipal Health Council on elaboration and review of plans. It was concluded that there was a deficiency in the plans analyzed. It’s necessary to execute continuing education with managers in relation to importance of systematic elaboration of plans and to incentive the promotion of active participation of Municipal Health Council promotion of aiming to became true the social control of health actions.

Plano de carreira, cargos e salários: ferramenta favorável à valorização dos recursos humanos em saúde pública

Human recourses on Brazilian Health System (SUS) are important social points because on this form the State can guarantee the health like a right of Brazilian population, based on National Constitution Dictates. The Plan of Offices, Careers and Salaries (PCCS) is an administrative tool that should be elaborated to attendance objectives of organization. It maintain the satisfaction level of workers, with a politic of Human Recourses that allows its development and so, can get higher productivity, efficiency and objectivity of services rendered at community. The aim of this study is to contextualize the PCCS like an instrument of People Management to guide and incentive one of forms to turn no precarious the work force of Public System Dental Professionals in SUS. For them, it was realized a literature review, and official documents of Health Ministry were consulted, like governmental decrees, laws, health conference written report. It was possible to verify that, although there is legal basement on the use of PCCS-SUS by Brazilian cities like a tool to attract and maintain dental surgeon developing his profession on SUS, is often the absence of valorization of this professional, and this situation no allows his exclusive dedication at health public services. Precarious work in Dentistry is still observed on many regions of Brazil.

Improving logistics services through the technology used in fleet management

Outsourcing logistics has established itself in the area of the LSP (Logistics Service Provider), which offers a range of services to its customers. In this line, transportation is characterized as one of the most important services, and therefore efficient fleet management is essential for establishing a high level of customer service. With advances in technology and vehicle tracking systems, this approach of management has gained new possibilities for the improvement of logistics services. By studying the specific case of an LSP, this paper investigates the use of these technologies in the management of their business and services. The results indicate that the LSP seeks to increase its services and to streamline information in order to respond to customer needs in real time. It is also evident in this case under study that the combination of the technology available together with the fleet management system has become a distinguishing feature for this LSP, one which increases their skills and important information for both customers and business.

Life cycle assessment applied to municipal solid waste management: a case study

This study analyzes the environmental performance of the Municipal Solid Waste Management System (MSWMS) of Piedade, São Paulo, from a systemic perspective. A life cycle assessment (LCA) technique was applied according to an attributional approach to evaluate both the current operational situation and different prospective scenarios, which were devised based on the application of targets for recycling dry and wet waste suggested by the pre-draft version of the Brazilian Plan for Solid Waste. The life cycle impact assessment method EcoIndicator 99, in association with normalization and weighting procedures, was used to conduct the analysis. It was observed that the adoption of goals of 30%, 50% and 70% for recovering of the recyclable dry waste, resulted in improvement of the environmental performance of the waste management system under analysis, respectively of 10%, 15% and 20%. It was also possible to detect an evolution in the order of 54% in reducing impacts resulting from the adoption of targets for composting. LCA proved to be effective for the evaluation of the environmental performance of MSWMS-Piedade. However, for future evaluations, the attributional approach should be replaced by the methodological practice of substitution to enable the avoided burdens to be considered in estimations of the environmental performance municipal solid waste management systems.

Qualidade da água no município de Lençóis Paulista-SP e Comparação entre métodos de purificação de água

The purpose of a water treatment plant (WTP) is to provide quality water to the population in the municipality where it is operate, being directly linked to the health of the community. The efficiency of a water treatment is directly related to the quality and reliability of the methods used. The analytical results of any laboratory test or calibration is a critical process for any company today. A tool used to assist in a quality management system process is ISO/IEC 17025:2005. Given the above, the objective of this study was to evaluate the performance of an ETA located in Lençóis Paulista-SP, using the analytical results obtained by physical, chemical and microbiological determinations in the period 1-30 October 2015. Such determinations are grounded in compliance with current Ordinance 2914 the Ministry of Health and the Quality Management System, which is required for all laboratories carrying out laboratory tests for control and surveillance of water quality for human consumption