Mapeamento do processo de originação de etanol em uma empresa do setor de distribuição de combustíveis

The market segment of fuel distribution composes an important role in the development of Brazil’s industry and economy. However, it is a sector with intense competitiveness, especially in relation to ethanol. The search for competitive advantage and greater strength to the business are, therefore, of high relevance in this context, in which the concepts of Business Process Management has become more visible. Process Mapping, one of these concepts, has proven “TO BE”a strategic tool for companies which believe in flattening the structure and in the potential benefits that the improvement of its processes can provide. Thus, this work aims to map the process of Ethanol Origination of a company engaged in the distribution of this and other fuel products, and other niche markets. It was understood and designed the macro-process aforementioned and identified failures in subprocess related to it. After applying the method to select priority problems, using risk assessment criteria, five subprocess were identified to receive special action, which consisted in seeking improvements with those involved in the process, in representing its current and ideal models and in defining each department’s responsibilities for the activities in the subprocess proposed form. Thus, it is expected to mitigate mainly two negative effects found in the business: employee’s work overload and company's financial exposure

Capacitação de agente comunitário de saúde em anemia falciforme

Introduction: This study is about the training of community health agents (CHA) in the municipality of Araraquara SP about the topic of sickle cell disease which this purpose is improving the knowledge and care provided by these professionals. Method: Educational intervention with CHA for training in sickle cell disease and using as indicator qualitative and quantitative, a questionnaire to assessment before and after the intervention process. Results: The process of training increased significantly the knowledge of CHA in sickle cell disease. In the questionnaire before, 30% of participants scored above 40 points, while after 97% achieved grades above 40 points. Moreover, it was possible to assessment the development of skills through the solution of a simulated case. Processes interventionist educational are great validity in the process of Pharmaceutical Care Conclusion: The Health Education for CHA may contribute to the improvement of care and treatment of patients with sickle cell disease through humanized health care

Humanização da assistência ao paciente crítico: revisão integrativa da literatura

This study aimed at analyzing the scientific production on health care humanization in intensive-care and emergency units based on publications in national journals. Therefore, this is an integrative review of the national literature. The online database Literatura Latino-Americana do Caribe em Ciências da Saúde - Literature in the Health Sciences in Latin America and the Caribbean (LILACS) based on the Health Virtual Library (BVS) platform was used to select articles. The final sample in this review consisted of 21 articles. The presentation of results and data discussion was descriptively performed and divided into three themes: communication with relatives and the team, caregiver humanization and, finally, the difficulties faced to implement humanization. As regards communication, it is seen by the authors as a fundamental strategy to ensure quality in intensive care, and it is placed as a central axis in the humanization policy. Concerning caregiver humanization, the physical and mental overload resulting from the work process in these units are factors that interfere with personal relations between team members as well as with that between team members and patients. Among the difficulties faced for implementing humanized care for critical patients are the units’s physical and organizational structures, technology and health care professionals’ education, which is centered on the biomedical model. It was concluded that communication is considered to be fundamental for humanization of the care provided to critical patients, since it allows for the development of a network of meanings between patients, the team, families and the establishment. In order to implement care with humanized actions in urgency and emergency sectors, particularly in ICUs, it is necessary to change organizational culture and value health care professionals

Consultas de enfermagem com pacientes em tratamento para hepatite C

Infection with hepatitis C virus (HCV) is a worldwide problem of public health and who estimates 2.5% to 4.9% of infection by this virus among the population. This means that there are 3.9 to 7.6 million people at risk of developing cirrhosis or liver cancer. In Brazil, 20% to 58% of patients with chronic liver disease have antibodies to HCV (anti-HCV). To characterize the profile of patients undergoing treatment for hepatitis C in the Ambulatory General HC-FMB/UNESP, identify aspects of the disease and the phases of nursing process addressed during consultation. Transverse and descriptive study involving 38 patients undergoing treatment for Hepatitis C in Ambulatory General Area (Viral Hepatitis) in the period from July to September 2010. The population consisted of 38 patients, most of the males with completed higher education level, Catholic, married and aged predominantly between 41 and 60 years. Among the drugs used, we find the use of antihypertensive, antidepressant / anxiolytic and antidiabetic / hypoglycemic. With respect to specific medications used to treat hepatitis C, we found the use mainly of alfapeguinterferona 2b + ribavirin. The drugs used were complementary erythropoietin and filgastrim. There was a predominance of fibrosis 2 (F2) and genotype 1 (G1). Regarding the means of contamination, it was stressed blood transfusion and injection drug use. The most frequent drug reactions were decreased appetite, weight loss and discouragement. : The Nursing Process is considered a valuable tool in caring for patients with hepatitis C, because it works as identifying aspects of lifestyle, needs and potential of these patients and allows the deployment of humanized care strategies aimed at reduction of health hazards and improving the quality of life of these patients

Compreendendo o acolhimento em uma unidade de saúde da família na perspectiva dos usuários

The present study aimed at understanding humanized reception at a Family Health Unit in a city in São Paulo state according to users’ perspectives. It is a qualitative investigation with a Case Study as its methodological framework and the Theory of Complexity (TC) as its theoretical basis. Data were collected from March to July, 2011 by means of non-directive interviews and participant observation, and the Flowchart that analyzes the care provision model in health care services was used. The discourses were analyzed according to Bardin’s thematic approach, from which two themes emerged: humanized reception as an act that precedes medical consultation and humanized reception as a solution to demands stemming from medical action. The study provided visibility to the forms how humanized reception is understood, that is, the moment that precedes medical consultation, being configured as a pre-consultation instance when punctual actions are performed, such as measuring vital signs, and when users are sure that they will be seen by a doctor, in addition to the perception that humanized reception is not part of the process to solve their need, since such result is achieved by means of medication dispensation permeated by the polite treatment given by professionals. These results show how the fragmented, reductionist and linear approach to caregiving is still present in the words, thoughts and culture of health service users as well as in those of health care team members. TC seems to shed light on these issues, and it may result in important improvement in the understanding of interactional relationships between team members and users concerning the work process in the Family Health model as the main strategy in Primary Care

Aspectos do nicho de regeneração em duas espécies de Gochnatia (Asteraceae) em comunidade de cerrado

Pós-graduação em Biociências - FCLAS

Efeitos da diversidade funcional de detritos sobre a estrutura de comunidades e o funcionamento de ecossistemas de fitotelmatas

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

Chitosan-collagen scaffolds can regulate the biological activities of adipose mesenchymal stem cells for tissue engineering

Scaffolds of chitosan and collagen can offer a biological niche for the growth of adipose derived stem cells (ADSC). The objective of this work was to characterize the physico-chemical properties of the scaffolds and the ADSC, as well as their interactions to direct influences of the scaffolds on the behavior of ADSC. The methodology included an enzymatic treatment of fat obtained by liposuction by collagenase, ASDC immunophenotyping, cell growth kinetics, biocompatibility studies of the scaffolds analyzed by the activity of alkaline phosphatase (AP), nitric oxide (NO) determination by the Griess-Saltzman reaction, and images of both optical and scanning electron microscopy of the matrices. The extent of the crosslinking of genipin and glutaraldehyde was evaluated by ninhydrin assays, solubility tests and degradation of the matrices. The results showed that the matrices are biocompatible, exhibit physical and chemical properties needed to house cells in vivo and are strong stimulators of signaling proteins (AP) and other molecules (NO) which are important in tissue healing. Therefore, the matrices provide a biological niche for ADSC adhesion, proliferation and cells activities.

Avaliação dos aspectos da dieta alimentar de Pimelodus maculatus em dois importantes tributários do reservatório de Jurumirim, Alto Rio Paranapanema-SP

The species Pimelodus maculatus is one of the most abundant fish in many artificial reservoirs. Shows feeding plasticity and exploits all trophic levels in aquatic ecosystems. This study aimed to analyze and compare aspects of the diet of P. maculatus in two important tributaries (Taquari and Veados rivers) in the upper Paranapanema River system, and also investigate possible differences in the condition factor using its feeding habit as reference. Samplings were carried out every three months during 2011 and 2012 in two tributaries of Jurumirim's dam. After biometric analysis, fish were dissected to remove the stomachs that were fixed in formaldehyde 10% and conserved in alcohol 70%. The stomach content was analyzed under stereomicroscope and the food items were identified until the least possible taxonomic level. The diet was characterized based on the Alimentary Index (IAi). Feeding strategy and aspects of species autoecology were evaluated by the relation between abundance of prey-specific (Pi) and occurrence frequency (Fo) of the prey, and also was calculated the niche width of Levin (B). The condition factor was also established and values obtained in samples of both rivers were compared, correlating them with diet of the species

A indústria de defesa brasileira: o setor de carros de combate e a engesa

This paper analyzes the small and medium armored combat vehicle industry, in order to understand its modus operandi. We investigate the former largest Brazilian producer of small and medium armored combat vehicles, Engesa, and concluded that its world success was a result both of its privileged perception to occupy a market niche and of the special relationship among its CEO and the Brazilian Army. A combination of negative factors conduced the firm to its bankruptcy, in the beginning of the 1990s, but we also identified a huge business potential, which could be either occupied by Engesa, if it had not disappeared, or by a follower in this market.

Análise dos troncos radiculares, abertura da raízes e projeções cervicais de esmalte de furcas de molares superiores e inferiores: Estudo in vitro

Periodontal treatment of teeth with furcation lesions often have unpredictable results due to several factors that may hinder therapy or influence the progress of periodontal disease. Of these, the length of the root trunk may contribute to the early injury of the furcations or even cause complications for the application of the treatment; the opening of the roots can guide the type of treatment to be instituted and cervical enamel projections may hinder the instrumentation of the region or even act as a retention plate niche. Thus, the purpose of this study was measured using a digital caliper, root logs database 400 molar both the 1st and the 2nd and both upper and lower as well as analyze using appropriate index type projection cervical enamel and through appropriate classification the opening of the roots in order to guide the diagnosis and treatment plan. We conclude that there is variation in measures of root trunk between the faces of the teeth examined and that greater cervical enamel projection (ECP) correlates with a decrease in the length of the root trunk in the sample evaluated as the first molars have higher occurrence of roots with a degree of opening larger than the second molars.

Planejamento e prototipagem de uma rede social de gastronomia convergente com programas de TV e mídias sociais

Pós-graduação em Televisão Digital: Informação e Conhecimento - FAAC

O papel dos fatores ambientais e espaciais sobre a fauna de Ephemeroptera (insecta) em riachos de mata atlântica

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Matrizes de quitosina-colágeno podem regular as atividades biológicas de células tronco mensenquimais adiposas para a engenharia de tecidos

Pós-graduação em Biofísica Molecular - IBILCE

Métodos preventivos em primeiro molar permanente de crianças com experiência de cárie dentária: estudo clínico comparativo

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)