800 resultados para Indicators and Reagents.


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Bibliography: [8] p. at end.

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"Issued October 1981."

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O tema central deste estudo é descrever e analisar a metodologia de avaliação adotada pela Secretaria de Estado da Saúde de São Paulo para avaliar os hospitais administrados por Organizações Sociais de Saúde (OSS), localizados na região metropolitana de São Paulo. O objetivo é descrever e analisar as dimensões selecionadas pela CGCSS – Coordenadoria de Gestão de Contratos de Serviços de Saúde e identificar os indicadores e as informaçoes geradas pelas OSS e encaminhadas rotineiramente para a CGCSS, além das ações tomadas em relação ao resultado dos indicadores e metas. Trata-se de uma pesquisa qualitativa, exploratória e descritiva, sendo analisados documentos técnicos e realizadas entrevistas semiestruturadas com técnicos da Secretaria de Estado da Saúde de São Paulo e com integrantes da Comissão de Avaliação da Execução dos Contratos de Gestão das Organizações Sociais. Conclui-se que a metodologia de avaliação de desempenho da OSS atende ao disposto na legislação estadual constante na lei nº 846/98, por meio do controle dos indicadores acordados previamente. Porém, a metodologia carece de indicadores capazes de avaliar a qualidade do serviço e o uso dos recursos financeiros. Um dos fatores relevantes em relação à pesquisa foi a falta de acesso aos dados, o que constitui a falta de publicização dos dados, por parte da SES/SP. Porém com a ajuda de alguns membros da comissão foi possível o acesso tardio, por entenderem ser informações públicas.

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Background: Migraine is a distressing disorder that is often triggered by stress and poor sleep. Only one randomized controlled trial (RCT) has assessed the effects of massage therapy on migraine experiences, which yielded some promising findings. Purpose: An RCT was designed to replicate and extend the earlier findings using a larger sample, additional stress-related indicators, and assessments past the final session to identify longer-term effects of massage therapy on stress and migraine, experiences. Methods: Migraine sufferers (N = 47) who were randomly assigned to massage or control conditions completed daily assessments of migraine experiences and sleep patterns for 13 weeks. Massage participants attended weekly massage sessions during Weeks 5 to 10. State anxiety, heart rates, and salivary cortisol were assessed before and after the sessions. Perceived stress and coping efficacy were assessed at Weeks 4, 10, and 13. Results: Compared to control participants, massage participants exhibited greater improvements in migraine frequency and sleep quality during the intervention weeks and the 3 follow-up weeks. Trends for beneficial effects of massage therapy on perceived stress and coping efficacy were observed. During sessions, massage induced decreases in state anxiety, heart rate, and cortisol. Conclusions: The findings provide preliminary support for the utility of massage therapy as a nonpharmacologic treatment for individuals suffering from migraines.

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O uso de recursos tecnológicos como facilitadores do processo ensino-aprendizado em todos os níveis de ensino tem sido objeto de polêmica entre os pesquisadores do tema. Por um lado aqueles responsáveis pelo ensino os professores resistem às mudanças que a cada dia ocorrem no mundo moderno; por outro os estudantes solicitam um ambiente de aprendizagem que utilize as tecnologias as quais estão acostumados e dominam. Por fim, os gestores das instituições de ensino, que possuem um grande desafio de proporcionar os recursos no interior das instituições, sem permitir, contudo, que comprometam a saúde financeira da instituição. Não obstante, no Brasil a concorrência entre as instituições de ensino tem sido acirrada, principalmente nas instituições de ensino superior privadas. Assim, as instituições procuram um diferencial para atrair seus clientes, objetivando manter a sua sustentabilidade financeira. Esta pesquisa se dispõe a aproximar os temas de gestão do ensino superior com a implantação do uso da tecnologia representada pelo equipamento tablet, demonstrando os resultados para a gestão da instituição de ensino superior antes e depois de sua implantação. A metodologia do estudo de caso - na instituição onde foi analisada mostrou que a implantação da tecnologia proporcionou vantagens competitivas para a gestão - por meio da análise dos indicadores financeiros e a evolução da base de alunos. A tecnologia por si só não prova as vantagens desejadas, porém, com um projeto correlacionado ao modelo de ensino utilizado e material didático que contemple o uso da tecnologia, os custos logísticos foram reduzidos e aumentou a atração de novos alunos, promovendo as vantagens competitivas da Instituição de Ensino.

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Purpose – The purpose of this paper is to analyze the way in which the knowledge competitiveness of regions is measured and further introduces the World Knowledge Competitiveness Index (WKCI) benchmarking tool. Design/methodology/approach – The methodology consists of an econometric analysis of key indicators relating to the concept of knowledge competitiveness for 125 regions from across the globe consisting of 55 representatives from North America, 45 from Europe and 25 from Asia and Oceania. Findings – The key to winning the super competitive race in the knowledge-based economy is investment in the future: research and development, and education and training. It is found that the majority of the high-performing regional economies in the USA have a knowledge competitive edge over their counterparts in Europe and Asia. Research limitations/implications – To an extent, the research is limited by the availability of comparable indicators and metrics at the regional level that extend across the globe. Whilst comparative data are often accessible at the national level, regional data sources remain underdeveloped. Practical implications – The WKCI has become internationally recognized as an important instrument for economic development policymakers and regional investment promotion agents as they create and refine their strategies and targets. In particular, it has provided a benchmark that allows regions to compare their knowledge competitiveness with other regions for around the world and not only their own nation or continent. Originality/value – The WKCI is the first composite and relative measure of the knowledge competitiveness of the globe's best performing regions.

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Nascent entrepreneurship and new business ownership are subsequent stages in the entrepreneurial process. We illustrate how information from the largest internationally harmonized database on entrepreneurship, the Global Entrepreneurship Monitor project, can be used to approximate the entrepreneurial process. We make a methodological contribution by computing the ratio of new business ownership to nascent entrepreneurship in a way that reflects the transition from nascent to new business ownership and provides cross-nationally comparable information on the efficiency of the entrepreneurial process for 48 countries. We report evidence for the validity of the transition ratio by benchmarking it against transition rates obtained from longitudinal studies and by correlating it with commonly used entrepreneurship indicators and macro-level economic indices. The transition ratio enables future cross-national research on the entrepreneurial process by providing a reliable and valid indicator for one key transition in this process. © 2012 Springer Science+Business Media New York.

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Cikkünkben a magyar monetáris politikát vizsgáljuk olyan szempontból, hogy kamatdöntései meghozatalakor figyelembe vette-e az országkockázatot, és ha igen, hogyan. A kérdés megválaszolásához a monetáris politika elemzésének leggyakoribb eszközét használjuk: az ország monetáris politikáját leíró Taylor-szabályokat becslünk. A becslést több kockázati mérőszámmal is elvégeztük több, különféle Taylor-szabályt használva. Az érzékenységvizsgálatban az inflációhoz és a kibocsátási réshez is alkalmaztunk más, az alapspecifikációban szereplőtől eltérő mérőszámokat. Eredményeink szerint a Magyar Nemzeti Bank kamatdöntései jól leírhatók egy rugalmas, inflációs célkövető rezsimmel: a Taylor-szabályban szignifikáns szerepe van az inflációs céltól való eltérésének és - a szabályok egy része esetén - a kibocsátási résnek. Emellett a döntéshozók figyelembe vették az országkockázatot is, annak növekedésére a kamat emelésével válaszoltak. Az országkockázat Taylor-szabályba történő beillesztése a megfelelő kockázati mérőszám kiválasztása esetén jelentős mértékben képes javítani a Taylor-szabály illeszkedését. _____ The paper investigates the degree to which Hungarian monetary policy has considered country risk in its decisions and if so, how. The answer was sought through the commonest method of analysing a countrys monetary policy: Taylor rules for describing it. The estimation of the rule was prepared using several risk indicators and applying various types of Taylor rules. As a sensitivity analysis, other indicators of inflation and output gap were employed than in the base rule. This showed that the interest-rate decisions of the National Bank of Hungary can be well described by a flexible inflation targeting regime: in the Taylor rules, deviation of inflation from its target has a significant role and the output gap is also significant in one part of the rules. The decision-makers also considered country risk and responded to an increase in it by raising interest rates. Insertion of country risk into the Taylor rule could improve the models fit to an important degree when choosing an appropriate risk measure.

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Using ecological data compiled from scientific literature on pest, pathogen and weed species characteristic in maize cultures in Hungary, we defined monthly climate profile indicators and applied them to complete a comparative analysis of the historical and modelled climate change scenario meteorological data of the city of Debrecen. Our results call attention to a drastic decline of the competitive ability of maize as compared to several C4 and especially C3 plants. According to the stricter scenarios, the frequency of potential pest and pathogen damage emergency situations will grow significantly by the end of the century.

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This report summarizes the existing data from the FIU Coastal Water Quality Monitoring Network for calendar year January 1 – December 31, 2007. This includes water quality data collected from 28 stations in Florida Bay, 22 stations in Whitewater Bay, 25 stations in Ten Thousand Islands, 25 stations in Biscayne Bay, 49 stations on the Southwest Florida Shelf (Shelf), and 28 stations in the Cape Romano-Pine Island Sound area. Each of the stations in Florida Bay were monitored on a monthly basis with monitoring beginning in March 1991; Whitewater Bay monitoring began in September 1992; Biscayne Bay monthly monitoring began September 1993; the SW Florida Shelf was sampled quarterly beginning in spring 1995; and monthly sampling in the Cape Romano-Pine Island Sound area started January 1999.

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Drug and alcohol abuse in the hospitality industry is an ongoing problem, reflective of business as a whole. A series of surveys were conducted at national drug rehabilitation centers seeking information from patients currently or formerly employed in the hotel and restaurant industry. The author identifies a number of problem indicators and makes recommendations relevant to resolutions.

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This cross-sectional survey-designed study investigated the presence and influence of psychosocial barriers to diabetes self-management practices among Hispanic women with type 2 diabetes mellitus. Women (n = 128) who were diagnosed and being treated for type 2 diabetes were recruited from the Miami-Dade area in South Florida. A Beck Depression Inventory-II, Diabetes Care Profile, Diabetes Knowledge Test, Diabetes Empowerment, Multidimensional Health Locus of Control, and Perceived Stress Scales were administered, along with assessment of diet through a 24-hour recall and anthropometric evaluation by body composition analysis and body mass index computation. ^ Mean (± SD) age for subjects was 50.15 ± 15.93 and age at diagnosis was 42.46 ± 14.69. Mean glycosylated hemoglobin (A 1C) was 8.55 ± 1.39. Diabetes education had not been received by 46.9% of subjects. Psychosocial status had previously been evaluated in only 4 participants. Forty percent of participants were assessed as depressed and 17% moderately to severely so. Depression correlated significantly (p < 0.01) with A1C (r = 0.242), perceived stress (r = 0.566), and self-rated health (r = −0.523). Perceived stress correlated significantly (p < 0.01) with A1C (r = 0.388), understanding of diabetes (r = 0.282), self-rated health (r = −0.372) and diabetes empowerment (r = −0.366). For Cuban women, perceived stress (β = 0.418, p = 0.033) was the only significant predictor of A1C, while among non-Cuban Hispanic women, self-reported health (β = −0.418, p = 0.003) and empowerment (β = 0.432, p = 0.004) were better predictors. The most desirable DM status among the women surveyed (high diet adherence, low exercise barriers, and A1C ≤ 7) was associated with superior self-rated health, more support from family and friends, and greater empowerment. ^ This study revealed the error in considering Hispanics a homogenous entity in treating disease, as their cultural backgrounds and concentration in a community can greatly influence management of a chronic disease like diabetes. The strong correlations found between diabetes-related health indicators and psychosocial factors such as depression and perceived stress suggest that psychosocial assessment of patients must be more strongly advocated in diabetes care. Psychosocial assessment of ethnically diverse diabetic populations is especially vital if greater knowledge is to be gained about their barriers to self-care so that diabetes treatment and thus outcomes are enhanced. ^