Dimensionamento informatizado de profissionais de enfermagem: inovação tecnológica

Esse estudo, de produção tecnológica, teve como objetivo desenvolver um programa aplicativo para dimensionar o quadro de profissionais de enfermagem em unidades de internação hospitalar. O método seguiu as fases de concepção, detalhamento e construção e prototipagem do sistema de forma iterativa e cíclica. O programa computacional, denominado de Dimensionamento de Profissionais de Enfermagem - DIPE, é uma ferramenta que operacionaliza o dimensionamento, fundamentado na carga de trabalho da unidade, para a adequada relação profissionais/pacientes, segundo os tipos de cuidado; no Índice de Segurança Técnica (IST) para cobertura das ausências previstas (folgas e férias) e não previstas (faltas e licenças) e no tempo despendido na jornada de trabalho para as pausas dos profissionais. O sistema está disponível no site da Escola de Enfermagem da USP: http://www.ee.usp.br/dipe. A incorporação desse avanço tecnológico constitui importante estratégia gerencial para a melhoria da qualidade da atenção à saúde.

Aproximación al análisis textual informatizado

Este articulo pretende acercar al lector conocedor del análisis textual clásico, como el análisis de contenido, a alguna de las técnicas mas recientes de análisis textual mediante programas informáticos. Para cada una de ellas se facilitan unas minimas bases teóricas, información sobre el tipo de material verbal adecuado para ser analizado, el tipo de cuantificación del texto utilizado por el programa, los indices calculados y finalmente la utilidad y aplicación de dichos indices. En todos los casos, y para facilitar la comprensión, se ofrecen datos sobre investigaciones en las que se ha aplicado dicha técnica. Se hace referencia a la lexicometria, la lexicometria cronológica, al análisis factorial de correspondencias de Benzecri (1974), al análisis de correspondencias de protocolos verbales, y al sistema.

Una propuesta para el desarrollo de material instructivo informatizado a partir de un paquete de uso general.

Investigación teórica, no desarrollada en la práctica en la actual investigación. La propuesta, planteada en 1992, sería semejante a trabajar con enciclopedias digitales del tipo de la Encarta, de Microsoft, en sus diferentes versiones

Diseño de un plan estadístico sobre educación y un plan de actuación para la implantación de un sistema integrado de gestión.

Análisis comparado de los distintos cuestionarios utilizados por los distintos estamentos e instituciones educativas, y elaborar el diseño de una gama de cuestionarios encaminados a captar informaciones básicas para mejorar la gestión de la enseñanza, así como la elaboracion de los instrumentos y la planificación del proceso de recogida de la información. Todos los elementos que integran la realidad educativa: alumnado, personal y centro docente. Se realiza un trabajo de campo recogiendo información de los centros docentes por medio del análisis de los cuestionarios existentes, para, posteriormente, depurarlos y codificarlos con el fin de informatizarlos. Cuestionarios. Análisis comparativo de los distintos cuestionarios de los diferentes estamentos e instituciones educativas. Se han obtenido los siguientes resultados: A/ Análisis comparado de los distintos cuestionarios utilizados por diferentes estamentos o instituciones educativas. B/ Cuestionarios a utilizar por la Consejería de Cultura, Educación y Turismo hasta que se implante un sistema integrado de gestión. C/ Plan de grabación. D/ Plan de explotación estadística. E/ Plan de trabajos previos a la toma de datos. F/ Líneas de actuación a medio plazo. La implantación de un sistema de gestión informatizado con teleproceso exige, por un lado, poner en marcha un plan de informatización de los ficheros existentes a la vez que se crean otros nuevos. Por otro lado, iniciar las tareas necesarias para la implantación de dicho sistema de gestión. Fecha finalización tomada del código del documento.

RECOF – Regime Aduaneiro de Entreposto Industrial sob Controle Informatizado: percepção dos usuários sobre dificuldades e benefícios em sua implantação

RUIZ, Paulo Sergio Lopes. RECOF – Regime Aduaneiro de Entreposto Industrial sob Controle Informatizado: Percepção dos usuários sobre dificuldades e benefícios em sua implantação. 2011. 114f. Dissertação (Mestrado em Administração) - Universidade Municipal de São Caetano do Sul, São Caetano do Sul, 2011.

Aplicativo informatizado com o nursing activities score: instrumento para gerenciamento da assistência em unidade de terapia intensiva

A gravidade do paciente ou o número de intervenções nem sempre serão proporcionais à carga de trabalho de enfermagem. Este estudo descritivo teve como objetivo demonstrar a trajetória da construção de um aplicativo (software) com o conteúdo do Nursing Activities Score e suas características operacionais. Foi realizado um teste piloto com 12 pacientes seguindo-se a coleta de dados por 90 dias consecutivos em 123 pacientes. Houve compatibilidade na transmissão de dados do Personal Digital Assistent para o computador de mesa, via wireless. A construção do aplicativo resultou em um sistema com coleta e administração de dados e permitiu realizar a interface gráfica. A utilização do aplicativo possibilita o uso de um sistema tecnológico para aplicação diária, com alimentação de um banco de dados sobre as características dos cuidados requeridos. Conhecendo a evolução destas variáveis durante a internação, o enfermeiro poderá planejar, intervir e avaliar a qualidade do cuidado.

Caramelos con sabor a nota: desarrollo de un sistema de recompensas para el seguimiento de la participación y la evaluación de trabajos en grupo

Hoy en día la tecnología no tiene nada que ver con la de hace unos años. En estos tiempos todo está informatizado, desde fábricas enteras, hasta tu propia casa, pero resulta curioso que algo tan sencillo como es un sistema de gestión de notas de evaluación continua nunca cuente con la atención total del alumno. Los alumnos consultan su nota de evaluación continua cuando ya ha acabado el curso y ven la nota final de la asignatura, pero la gran mayoría no hace un seguimiento con ninguna herramienta para ver su nota de participación en clase día a día. Por otra parte, desde el punto de vista del profesor, en clases grandes como ocurre en las universidades, es mucha carga de trabajo para el profesor llevar a cabo tareas diarias para tantos alumnos y gestionar sus notas día a día. En este proyecto se ha desarrollado una aplicación para la gestión de los positivos de una asignatura. El profesor, que previamente se ha tenido que dar de alta en una asignatura en la web, imprime códigos de registro en formato PDF que contiene un código QR con una cadena de números que pertenece a la asignatura para que los alumnos puedan escanear dicho código y darse de alta en la asignatura. Luego, el alumno debe escanear el código QR para darse de alta en dicha asignatura, para que más tarde pueda escanear los positivos conseguidos en clase. La aplicación se divide en dos partes: una web y una aplicación móvil. La web es desde dónde el profesor puede gestionar todas sus asignaturas y puede imprimir todos los códigos que desee repartir. La propia web se encarga de realizar las estadísticas, que es un apartado que pueden ver tanto alumnos (sólo viendo su nombre frente al resto) como profesores (viendo los positivos generales con todos los nombres). Dichas estadísticas sirven para llevar el seguimiento a lo largo del curso de la asignatura según los alumnos vayan escaneando positivos. También se pueden dar de alta grupos que auto gestionan los alumnos. La aplicación móvil, es donde el alumno gestiona sus positivos frente a otros alumnos de manera privada viendo un ranking y su posición frente al resto de alumnos. Puede también escanear códigos para sumar más positivos y tener la mayor nota. También pueden puntuar desde la propia aplicación a sus compañeros del mismo grupo quitándole trabajo al profesor. Se concluye por tanto que la aplicación creada en este TFG es una herramienta tan útil para profesores como para alumnos, ya que los profesores no tienen tanta carga de trabajo y pueden hacer un fácil seguimiento al alumno que asiste a sus clases, mientras que el alumno que use la aplicación podrá ver su participación en clase y podrá ver si lleva una buena nota de evaluación continua o por el contrario no está participando tanto como el resto.

Avaliação dos impactos do uso do sistema de gestão hospitalar no Hospital Universitário Onofre Lopes

The object of this study was motivated by the need to know the possible causes of differences in results achieved in the implementation of a Computerised Management System (CMS) in a Federal University Hospital, located in northeastern Brazil, to understand the factors that influenced the results in different groups when was used the same systems implementation methodologies. Considering the implication of managers, health professionals, other professionals involved and the existing organizational structure in the period when implantation occurred, aimed to know the perception of these people about the development of CMS in the deployment process in your group or sector and also in the organization.The methodology used in this study was the content analysis which provides a rich set of methodological tools for evaluating speeches,enabling us to discourse from the unknown analysis and subjectivity, but with scientific rigor, allowing, at the end, to understand the disparity in results in the implementation of CMS.It was used as a research tool, a semi-structured interview, which exploits a qualitative approach, as suggested by the authors. It was used the approach of the episodic interview, to be more narrative about the experiences of the interview participants in their practical experience along the CMS deployment process in the hospital.Were interviewed three groups of professional and a group of managers, all with higher education in their professions and who participated in the entire implementation process from the beginning.It followed the Bardin's methodology (2009) in all the phases of treatment and interpretation of data, where emerged three categories: the "Thought and Knowledge"; the "Practices and Changes"; the "Obtained Results". From the category "Thought and Knowledge"emerged three subcategories: the "Administrative", the "Institutional" and the "IT Knowledge". From the category "Practices and Changes" emerged three subcategories: "Reality Prior to CMS"; "The IT Project and the implementation of CMS" and "Impacts of the CMS Implementation". From the category "Results Obtained" emerged three subcategories: "Benefits Promoted by CMS", "Dissatisfaction Observed" and "Level of Use and Understanding CMS ". It was observed that the lack of integration of the sectors was a determinant problem in the implementation of CMS. The CMS implementation project was not well dimensioned and divulged in the institution. Different models of leaderships and of objectives of the sectors influenced in the course of the CMS implementation process. We can mention that an CMS should be a consolidation of organizational practices tool already institutionalized and of integration amongthe sectors and not supporting to isolated practices and personalistsfrom sectors of the institution.

Variabilidade espacial e sazonal da concentração de elementos-traço em sedimentos do sistema estuarino de Santos-Cubatão (SP)

Multi-element analyses of sediment samples from the Santos-Cubatão Estuarine System were carried out to investigate the spatial and seasonal variability of trace-element concentrations. The study area contains a rich mangrove ecosystem that is a habitat for tens of thousands of resident and migratory birds, some of them endangered globally. Enrichments of metals in fine-grained surface sediments are, in decreasing order, Hg, Mn, La, Ca, Sr, Cd, Zn, Pb, Ba, Cu, Cr, Fe, Nb, Y, Ni and Ga, relative to pre-industrial background levels. The maximum enrichment ranged from 49 (Hg) to 3.1 (Ga). Mercury concentrations were greater in the Cubatão river than in other sites, while the other elements showed greater concentrations in the Morrão river. Concentrations of Mn were significantly greater in winter and autumn than in summer and spring. However, other elements (e.g. Cd and Pb) showed the opposite, with greater concentrations in summer and spring. This study suggests that seasonal changes in physical and chemical conditions may affect the degree of sediment enrichment and therefore make the assessment of contamination difficult. Consequently, these processes need to be considered when assessing water quality and the potential contamination of biota.

Sistema limpo em linha para extração em fase sólida de contaminantes emergentes em águas naturais

A solid-phase in-line extraction system for water samples containing low levels of emerging contaminants is described. The system was specially developed for large volume samples (up to 4 L) using commercial solid-phase extraction (SPE) cartridges. Four sets containing PTFE-made connectors, brass adapters and ball valves were used to fit SPE cartridges and sample bottles to a 4-port manifold attached to a 20 L carboy. A lab-made vacuum device was connected to the manifold cap. The apparatus is robust and less expensive than the typical available system. Its also provides less experimental handling, avoiding cross contamination and sample losses.

Análise do investimento em climatização para bovinos de leite em sistema de alojamento free-stall

The difficulty in adapting European dairy cows breeds in Brazil affect considerably the milk production sector. Brazilian climatic conditions are not totally favorable and the development of new tecnologies is needed for the animals express their genetic potential, as well as their best feed conversion. An economical analysis of the applied investment in the free-stall climatization equipment in dairy housing, for estimating studies related to profit, possibility of return investment as well as time for this return is necessary. The objective of this research was to evaluate the influence of climatization investment in the milk production process and analyze the economical aspect of this investment. There were used 470 high productive dairy cows with genetic and morphologic homogeneous characteristics, and analyzed in two similar periods. Investment calculations were done using Excell®. The results were satisfactory and the invested capital was proved to return to the producer in a short term, 57 days.

Sistema de monitoramento de perdas visíveis de cana-de-açúcar em colhedora de cana picada

In the last few years the sugar-cane mechanical harvested area has increased, especially in regions with appropriated slop. The use of this technology brings some inconveniences, such as, the increase in the percentage of extraneous matter, which causes the reduction of technological quality of the raw material, and losses in the field. Extraneous matter (trash) is composed of tops and leaves in major percentage, plus soil and roots, and eventually some metal parts. In the green cane harvest system the percentage of extraneous matter has a tendency to increase due to the great amount of vegetal matter to be processed. The increase in the blower fan speed to reduce the amount of extraneous matter can lead to an unacceptable economic level of raw material losses. The main objective of this work was, using a cane loss monitor, to evaluate and quantify the amount of visible losses of sugar cane through the primary extractor at two different fan speeds. Afterwards these losses were related to the harvester cleaning efficiency. The piezoelectric transducer shows a reasonable sensibility. The results show that the cleaning efficiency in the primary extractor (85% mean), the cane losses (between 5.68% and 2.15%) and fan speed are interrelated. The total losses and specially splinters (between 3.19% and 0.91%), showed a significant difference among the treatments.

Sistema de sincronismo entre a colhedora de cana-de-açúcar e o veículo de transbordo

One of the problems found in mechanical harvest of sugar cane is the lack of synchronism between the harvest machine and the infield wagon, causing crop losses as well as operational capacity. The objective of the present research was to design a system capable of helping to synchronize the sugar cane harvest machine with the wagon. The communication between tractor and harvest machine is wireless. Two ultrasound sensors coupled to the elevator and a microprocessor manage such information, generating a correct synchronization among the machines. The system was tested in laboratory and on field performing its function adequately, maintaining the two machines in synchronization, indicating and alerting the operators their relative positions. The developed system reduced the sugar cane lost in 60 kg ha-1 comparing to the harvest with the system turned off.

Sistema MINUS® - técnica minimamente invasiva para o tratamento das fraturas transtrocanterianas do fêmur

The MINUS system was developed as a minimally invasive procedure that uses a diaphyseal cephalic extramedullary implant for the treatment of transtrochanteral fractures of the femur in elderly patients. The implant consists of a sliding screw coupled to a plate adapted to the minimally invasive technique. The surgical access is approximately three centimeters in length located on the lateral surface of the hip, below the projection of the small trochanter. A perfectly adapted instrument was used for the procedure, which also requires the use of an image intensifier, reducing surgery time and rate of bleeding. The objective of this study is to present a new instrument and implant, developed specifically for treatment with the minimally invasive technique, reducing the length of the conventional surgical access from 10 to three centimetres. This new implant was given the commercial name of MINUS System.

Sistema Fonológico do Português: Rediscutindo o Consenso

Problems identified in the study and analysis of the phonology of Brazilian Indian languages belonging to the Macro-Jê branch such as Kaingang, Maxakali, and Mebengokre led the author to confirm the accuracy of some intuitions on the part of Piggott (1992) and Rice (1993) on dealing with relations between nasality and sonorancy (D'Angelis 1998). The applicability of the approach to the distinct processes of nasality and nasalization in Portuguese was verified with surprising results that recover some intuitions of Trubetzkoy (1939) and contribute to reconfirm the Mattoso Câmara's (1953; 1970) considerations, but at the same time go beyond them. This article presents the result of this investigation and its conclusions that suggest the validity and the necessity of reexamining even the phonemic inventory of the Portuguese language, an issue not at all questioned in the teaching of phonology, to take into account the linguistic changes in the phonological system of that language in the last fifty years.