813 resultados para Administração hospitalar : Controle : Gestao : Custo : Sistema ABC : Custeio baseado em atividades : Avaliacao


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Pós-graduação em Engenharia Elétrica - FEB

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This work has as objective to show the vibrational analysis as a method of predictive maintenance as an auxiliar procedure in the fail detection in equipments, most specifically in the rotative ones, and with that help the maintenance team to have conditions to foresee the right time to do the swap of the components of the systems, what would lead to failures. Knowing the exact moment the resources of people and money can be focused in the critic operations to the plant. This technic has been already studied for more then 30 years and was widely used in this work, not only as an equipment condition verification method, but also, after the equipment replacement, was used to prove that the new fan was operating under the best work conditions and with that maintenance could return to contol the vibration level of the equipment, not being necessary any kind of intervention

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The burn is among the leading causes of morbidity and mortality in our society. It shows a great complexity and is hard to treat. Beyond the physical suffering, the burned patient is affected by psychological distress, requiring a high level of knowledge for assistance planning. The Professional Practice Law No. 7498 establishes the nurse as in charge of the client, as leader of the nursing team and as responsable for the management of physical and human resources. The nurse has autonomy to design the quantitative and qualitative picture of the nursing staff and should use the methodologies for their suitability to the real levels of assistance needed. Material resources represent 15 to 25% of total expenditures at health organizations. Therefore, to maintain the care level, nurses must determine the needs, considering the quantitative, qualitative and financial aspects. The study aimed the survey of the human and material resources necessary for nursing care to patients in a Burns Treatment Unit and identify its epidemiological profile and its nursing diagnoses. We collected the data from medical records of hospitalized between July and August, and the nursing diagnoses were classified through the Taxonomy II proposed by the North American Nursing Diagnosis Association (NANDA). The design of the picture of nurses followed the parameters of COFEN Resolution nº 293/2004. We apply the Fugulin's Patients Classification System to establish levels of the required care. The institution's Cost Center provided a spreadsheet with the purchased items, subsequently classified into ABC. Most hospitalized patients were men, aged between 20 and 50. There was a predominance of patiences with minor burned and the most common type of burn was due to fire. The average residence time was 28.71 days, and 88% of the patients were discharged... (Complete abstract click electronic access below)

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The Hypertension Arterial Gestationis is a of largest complications to the pregnant women, a time that is associated with to high risk of morbimortalidade fetal and maternal ;the term If referred the levels pressure equal or above of 140mmhg to the pressure systolic and of 90mmhg to the pressure diastolic (1).Hypertension in pregnancy can be classified into gestational hypertension, chronic hypertension, preeclampsia and eclampsia(3). This study aimed to calculate and analyze the cost of care of newborns of hypertensive mothers hospitalized in rooming, nursery and the neonatal intensive care unit (Neonatal UTI). It’s a study of exploratory, descriptive and quantitative data analysis, in newborns of mothers with hypertension, who underwent prenatal care in HCFMB, from January 1 to 31 in December 2010. The data analysis showed that the cost of care for newborn in rooming was R$ 38.62 for the control group and groups of hypertensive mothers were R$ 19.93 to R$ 37.38. The costs of care to the newborn in the nursery were R$ 1,781.81 for the control group and groups of hypertensive mothers were R$ 680.03 to 7544.10. The costs for the newborn who Neonatal UTI were R$ 7,468.60 for the control group and groups of hypertensive mothers were R$ 5,228.02 to R $ 18,372.75. The total costs of care for newborn in rooming, nursery and Neonatal UTI were R$ 916.15 for the control group, R$ 1,385.98 for the HAC group, R$ 327.23 for the group HAS, R$ 3,896.57 for the group of preeclampsia and R$ 6,326.54 for the group of eclampsia. Considerations It can be concluded that the costs of mothers with preeclampsia and eclampsia were higher, being conditions with increased risk of maternal-fetal morbidity / mortality, requiring care in intensive care unit and longer stay in hospital

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Qualidade na coleta de dados do feixe de radiação, modelagem por meio do sistema de planejamento de tratamento (SPT) e controle da qualidade do processo envolvido são cruciais à fidedignidade do serviço de radioterapia de forma a contribuir à eficácia do tratamento e segurança do principal ente envolvido no final de toda essa sistemática, o paciente. Para isso foi proposto nesse presente trabalho a coleta de dados do feixe de raios-x de 6MV seguido da introdução desses dados ao SPT para processo de modelagem computacional que teve agregado, a todo esses processos, o controle da qualidade segundo critérios de aceitação

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The automobilist Market is more competitive each day, with new products developed by great technological innovations, daily challenging new concepts of Engineering. This monograph aims to explain the development of a brake system project completely, with emphasis on preliminary calculations made from a worksheet in Excel, for a better understanding of the components, which can be improved further in order to achieve the goals of company. It is through the preliminary calculations that we can have a reasonable first system estimate. The whole set is then analyzed for performance, cost and mass by competitors benchmarking. In terms of confidentiality, all data is fictional, but viable. The motivation for this study is approach an extracurricular topic, which essence is designing, base of engineering. The results obtained in software and field tests prove the validity of the study and assist in the continuous improvement of product development

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The proposed of scanning of an electrical industrial substation HV is associated with a segment of the Electrotechnical area and aims the study and preliminary application of digital technologies in the protection, control, measurement and automation maneuvers aimed at a Industrial Electrical System typical High Voltage. Well intended to supervision, protection and control of major electrical and thermal quantities involved in a substation, such as voltage levels, current, temperature, power factor, loads of transformers and circuit feeders, status of interlocking devices, switching equipment maneuvers, etc

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A leptina é um hormônio protéico produzido por adipócitos que atua no sistema nervoso central (SNC) modulando as respostas metabólicas e cardiorrespiratórias. Estudos prévios demonstraram que a leptina ativa receptores do sistema melanocortina (MC3/4R) para modular a ingestão de alimentos e a atividade simpática, no entanto a função dos MC3/4R no controle ventilatório ainda não foi completamente elucidada. Dessa forma, o objetivo do estudo foi de avaliar a função do sistema melanocortina e da leptina sobre as respostas cardiovasculares, metabólicas e ventilatórias. Foram utilizados ratos Holtzman (n=6/grupo) implantados com cânula guia no ventrículo lateral (VL) para a administração de leptina (5 μg/3 μl/dia), de SHU9119, antagonista MC3/4R (0,6 nmol/3 μl/dia) ou do tratamento combinado (SHU+LEP) durante sete dias consecutivos. Após o sexta dia de tratamento, foram analisadas a resposta ventilatória (VE) durante a ativação do quimiorreflexo por hipercapnia (7% CO2) pelo método de pletismografia e o índice metalóbico pela análise do consumo de O2 e da produção de CO2 pelo método de calorimetria indireta. A pressão arterial media (PAM) e a frequência cardíaca (FC) foram avaliadas no sétimo dia de tratamento por meio de catéter intravenoso. A leptina injetada no VL reduziu a ingestão alimentar (~70%) e o peso corporal (~17%), promoveu um aumento no volume corrente (12±0.4 ml.kg-1, ...

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Bluetooth technology found in smartphones and tablets can add an interesting feature focused on home automation. Through the implementation of a wireless network communication between a mobile device and receiver modules located in different points, or even on a single centralized point in residence, you can manage many household items with just a few taps on smartphones. With such applicability, allow the user greater integration with your home, comfort, safety and economy. In this context, this work presents a system design of low cost Bluetooth communication between a smartphone and a receiver module with microcontroller interface development control from the Android platform

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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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With the increasing demand for electricity, the retraining of transmission lines is necessary despite environmental restrictions and crossings in densely populated areas to build new transmission and distribution lines. Solution is reuse the existent cables, replacing the old conductor cables for new cables with higher capacity power transmission, and control of sag installed. The increasing demand for electrical power has increased the electric current on the wires and therefore, it must bear out temperatures of 150°C or more, without the risk of the increasing sag beyond the established limits. In the case of long crossings or densely populated areas, sag is due to high weight of the cable on clearance. The cable type determines the weight, sag, height and the towers dimensions, which are the items that most influence the investment of the transmission line. Hence, to reduce both cost of investment and maintenance of the line, the use of a lighter cable can reduce both number and the height of the towers, with financial return on short and long term. Therefore, in order to increase the amount of transmitted energy and reduce the number of built towers and sag, is recommended in the current work substitute the current core material (steel or aluminium) for alternatives alloys or new materials, in this case a composite, which has low density, elevated stiffness (elasticity module), thus apply the pultruded carbon fiber with epoxy resin as matrix systems and perform the study of the kinetics of degradation by thermogravimetric analysis (TGA), dynamic mechanical analysis (DMA) and differential scanning calorimetry (DSC), according to their respective standards

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The minimization and mitigation of environmental impacts caused by the activities of organizations is increasingly becoming a key concern due to factors such as market demand, including suppliers and consumer markets, quality standards and even marketing strategies. The implementation of an EMS - Environmental Management System - allows the organization to achieve the level of environmental performance for its determined and promotes continuous improvement over time. This system consists of a schedule of activities, so as to eliminate or minimize impacts to the environment through preventive actions. It also provides a structured approach to set and achieve goals and objectives, and to establish procedures, work instructions and control, ensuring that the implementation of the policy can become reality. The objective of this work consists in planning a system using environmental management based on the ISO 14001 - standard internationally more widespread and accepted in the requirements to establish and operate an EMS - the Central Library, UNESP, Rio Claro / SP to stimulate the quest for continuous improvement and sustainability in the educational institution. For making the diagnosis of this planning was used the PDCA methodology, suggested by the standard, as well as all requirements for compliance. The results show that the benefits that the organization will receive involve reducing expenses and cost of energy and water, and improve the organization's reputation before the whole university and other educational institutions, reaching about three thousand people on university

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This work is an action research conducted in an industry of consumer goods, presenting a new model of inventory management in the company's processors. This replacement of the inventory management of the company stemmed from the need to reduce the large number of deviations in the product write off in stock, thereby generating a low accuracy and reliability of data on inventories of processors shown by the company's ERP system. Spending on inventory adjustments could thus be reduced with the implementation of the new model, thus generating a cost savings for the company and thus increasing their competitive potential in the market. In the old system adopted by the company, write off raw material inventory was done automatically by the system for customized transactions by the company. However, since the implementation of ERP in the company, the automatic write off based on historical consumption of each product were made in many cases at random, generating a lot of mistakes. The new management system has replaced the automatic system by manual at the time of the return of the processed product in the company, thus creating a control which lots and quantities were consumed in the processing and making the stock shown by the ERP reliable and accurate

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This paper proposes a mechanical device to adapt a simple model of hospital bed used in the Emergency Department at Santa Casa of Guaratinguetá, allowing the bed’s height adjustment with electromechanical drive. This adaptation aims to introduce improvements in the routine work of nurses and reduce ergonomic problems stemming from repetitive strain during the transfer of patients to stretchers and wheelchairs, as well as providing more comfort to the bedridden patient. The device is mainly composed of: an electric induction motor used to drive the engine, a steel spindle with square thread, which allows axial displacement of the bed, a transmission system with pulleys and belt, which transmits power supplied by the motor to the spindle. The mechanism allows the height of the bed is regulated between 400 and 800 mm. The estimated implementation cost of this proposal is lower than the acquisition cost of a commercial hospital bed with the same features, which confirms the feasibility of the proposed solution

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Befor the vast economical growth and wild scientific and technological development, the companies are demanding, more and more qualification and acting of the services rendered by their employees. Like this, tasks are restricted the they be done with excellence, because the companies are always controlling the worker's development. They are several the tools used by the companies, as acting indexes to control the course of the worker's activities or certain section, integrations for new employees with the objective to present the line of work of the company so that the new employee is framed in these patterns, trainings offered for the employees to carry out their services with quality and compromising, evaluations of year end in order to test the worker's knowledge and to demand better results, finally, the companies hope the employee integrates normativamente into the reality of the company, in way to contribute for the atingimento of the organizational strategies, always collecting for this to obtain the best results and contribute to the growth of the company. This way, that research will present a tool of control of the total quality applied in a company in Rio Clearing's city and that it is managed by an educador. They will be verified the objectives that the company has in relationship a this control, the worker's subjectivity as participant subject of the tool of control of the System of Administration of the Quality and the worker's different glances before these aspects throught an interview.