Gestão de stocks aplicada a uma instituição de saúde privada

A gestão de stocks tem-se tornado uma ferramenta fundamental na racionalização de custos das empresas permitindo uma maior eficiência operacional. Os modelos de gestão de stocks procuram ajudar a determinar as quantidades a encomendar e quando encomendar, com um custo total de aprovisionamento mínimo. Este trabalho visa o estudo da gestão de stocks, dos modelos existentes e a aplicação de um deles num prestador de saúde, em particular, na área da imagiologia. Neste estudo optou-se por efectuar a classificação ABC dos produtos e posteriormente procurou-se definir o modelo de gestão de stocks que melhor se adeqúe à realidade empresarial em estudo de modo a manter o nível de stock correcto associado a um menor custo. Optou-se pelo modelo de revisão periódica de stocks que permite efectuar a encomenda sempre com o mesmo intervalo de tempo e efectuar ajustes nas quantidades necessárias. Com base nos dados fornecido efectuou-se uma previsão da procura e assim definiram-se as quantidades a encomendar, bem como o stock de segurança necessário. Implementaram-se as quantidades e o stock de segurança e efectuou-se uma avaliação dos resultados obtidos e analisou-se o impacto da gestão de stocks no prestador de saúde.

Non-preemptive and SRP-based fullypreemptive scheduling of real-time Software Transactional Memory

Recent embedded processor architectures containing multiple heterogeneous cores and non-coherent caches renewed attention to the use of Software Transactional Memory (STM) as a building block for developing parallel applications. STM promises to ease concurrent and parallel software development, but relies on the possibility of abort conflicting transactions to maintain data consistency, which in turns affects the execution time of tasks carrying transactions. Because of this fact the timing behaviour of the task set may not be predictable, thus it is crucial to limit the execution time overheads resulting from aborts. In this paper we formalise a FIFO-based algorithm to order the sequence of commits of concurrent transactions. Then, we propose and evaluate two non-preemptive and one SRP-based fully-preemptive scheduling strategies, in order to avoid transaction starvation.

Reengenharia do sistema de armazenamento duma empresa do setor da metalomecânica

Dissertação de mestrado em Engenharia Industrial

Impacte visual aeri a Argentona

Treball de recerca realitzat per un alumne d'ensenyament secundari i guardonat amb un Premi CIRIT per fomentar l'esperit cientí­fic del Jovent l'any 2009. Aquest treball té com a finalitat millorar l'entorn aeri d'Argentona, un poble situat a la comarca del Maresme. Els elements que creen més impacte visual aeri són les antenes en desús i el cablejat no soterrat. S'han buscat propostes per canviar aquesta situació: la retirada de les antenes, aprofitant l'arribada de la TDT, i el soterrament del cablejat aeri. Donat que ambdues accions afectarien al municipi i a la seva població, s'ha considerat necessari incloure una enquesta, per a conèixer l'opinió dels argentonins, i dues entrevistes, a l'alcalde i a l'enginyer municipal, per conèixer la postura oficial.

Projecte de usabilitat : Menú gestió acadèmica telemàtica de la Universitat Oberta de Catalunya

La finalitat general d'aquest projecte és dissenyar i avaluar la facilitat d'ús del menú de l'aplicació GAT. Els objectius principals són ordenar, agrupar i classificar les opcions del menú, agrupar-les per processos i subprocessos de la UOC, disminuir l'adaptació a l'aplicació, facilitar-ne l'aprenentatge i distingir amb claredat si és una opció de tipus formulari o de tipus web.

Your life and your choices: plan ahead booklet

This booklet explains how you can plan ahead for your future care in Northern Ireland. It discusses creating a Lasting Power of Attorney, writing down how you'd like to be cared for using a Preferred Priorities for Care document and writing Advance Decisions to Refuse Treatment. It also has information about making a will, organ and tissue donation, and funeral planning.Please note: This booklet only covers Northern Ireland. If you live in England, Scotland and Wales you should ask a healthcare or legal professional to give you information that's relevant to that country.If you'd like to order more than 25 copies, please email marketing@macmillan.org.ukTo view the booklet please click�here.

Improving anemia management with less frequently dosed erythropoiesis stimulating agents

Introduction and Aims: The process of delivering erythropoiesis stimulating agents (ESAs) to hemodialysis patients (HD) is complex. Many European countries are requiring centers to document this process. To date, there has not been any comprehensive description of the operational aspects of ESA delivery in Europe. The objective of the Mercurius study was to describe the entire process of ESA delivery in dialysis centers. In addition, we explored the benefits of less frequent dosing. Methods: A conceptual model was developed to classify the sub-processes in the pharmacy, dialysis unit, waste unit, and back office. Within each dialysis unit activities associated with dose determination, ordering procedures, receipt and storage of ESAs, and ESA administration were measured. Within the pharmacy, ordering from supplier, receiving and storing, and delivering ESA to the dialysis unit were measured. The amount of time and materials associated with waste disposal and back office activities were also observed. We also evaluated the impact of less frequent dosing on the resources required to perform anemia management for HD patients. Structured interviews with staff were used to develop a comprehensive list of processes, sub-processes, and activities that are routinely followed to order, register, administer, and dispose of waste associated with ESAs. Each activity was evaluated to determine if less frequent dosing influenced the amount of resources required. A model was developed to estimate the change in resources consumed using less frequent dosing regimens. Results: Eight centers from 5 European countries (Belgium, France, Italy, Sweden, and Switzerland) participated in the study. The number of HD patients in each center ranged from 42 to 707 (mean=175). Across all of the centers, patients received a variety of dosing regimens (eg, TIW, BIW, QW and Q2W). The mean (±SD) time spent for the pharmacy to order an ESA from the supplier was 6.1 (±8.7) minutes; time spent in the dialysis unit and pharmacy for receiving and storing ESPs was 5.3 (±5.3) and 10.0 (±10.9) minutes, respectively; and time spent administering each injection was 6.4 (±6.5) minutes. Switching from current dosing practices to Q2W could decrease the mean number of syringes used from 12,420 to 5,085 per year. We estimate a reduction in the number of disinfective tissues and liquids of 58% and 71%, respectively by switching from current practice to dosing ESAs Q2W. Conclusions: There was significant variation in the time that it takes to perform routine ESA activities. We estimate that a reduction in resources required to manage anemia can be obtained by reducing the frequency of administration from the current mix of ESAs. These resources could be redeployed for patient care.

Possibles materials amb destinació a obres portuàries a la Costa Brava (Girona)

The metodology used in the research of materials destinated to port constructions in the Costa Brava is described. This metodology follows a set of work steps. The first three allow to do a selection of the stone quarries that exist in the zone. The other steps consists in studing the materials and the characteristics of the chosen quarries and the zones closed to them, as to order them according to their utility in port constmctions. Finally, the main results obtained are explained

DNA-DNA interactions in bacteriophage capsids are responsible for the observed DNA knotting.

Recent experiments showed that the linear double-stranded DNA in bacteriophage capsids is both highly knotted and neatly structured. What is the physical basis of this organization? Here we show evidence from stochastic simulation techniques that suggests that a key element is the tendency of contacting DNA strands to order, as in cholesteric liquid crystals. This interaction favors their preferential juxtaposition at a small twist angle, thus promoting an approximately nematic (and apolar) local order. The ordering effect dramatically impacts the geometry and topology of DNA inside phages. Accounting for this local potential allows us to reproduce the main experimental data on DNA organization in phages, including the cryo-EM observations and detailed features of the spectrum of DNA knots formed inside viral capsids. The DNA knots we observe are strongly delocalized and, intriguingly, this is shown not to interfere with genome ejection out of the phage.

Interaccion among systems of finite size in predictive relativistic mechanics -II. Electromagnetic and gravitational interactions

We explicitly construct a closed system of differential equations describing the electromagnetic and gravitational interactions among bodies to first order in the coupling constants, retaining terms up to order c-2. The Breit and Barker and O'Connell Hamiltonians are recovered by means of a coordinate transformation. The method used throws light on the meaning of these coordinates.

Pieces of Iowa’s Past, May 11, 2011

Pieces of Iowa’s Past, published by the Iowa State Capitol Tour Guides weekly during the legislative session, features historical facts about Iowa, the Capitol, and the early workings of state government. All historical publications are reproduced here with the actual spelling, punctuation, and grammar retained. May 11, 2011 THIS WEEK: Governor Kirkwood :” . . . what my state could do for you.” BACKGROUND The Fourth reunion of the Pioneer Lawmakers Association assembled in the auditorium of the Young Men’s Christian Association Building at Des Moines, on the 14th day of February, 1894, at 9 a.m., and were called to order by Hon. George G. Wright, President

Pieces of Iowa’s Past, February 8, 2012

Pieces of Iowa’s Past, published by the Iowa State Capitol Tour Guides weekly during the legislative session, features historical facts about Iowa, the Capitol, and the early workings of state government. All historical publications are reproduced here with the actual spelling, punctuation, and grammar retained. February 8, 2012 THIS WEEK: The Resolution Granting a Festival for the Citizens of Des Moines BACKGROUND: The following comes from a journal entry in the Pioneer Lawmakers’ Association of Iowa, Volumes 1-14, 1896-1913. The journal entry is from the Third Annual Meeting of the Pioneer Lawmakers— Reunion of 1892. The president, Charles Aldrich, called the meeting to order February 10, 1892, in the assembly rooms of the Young Men’s Christian Association. Governor Cyrus Carpenter gave the address. Cyrus Carpenter was born November 24, 1829, and died May 29, 1898. He served in the Seventh General Assembly in 1858. This was the first general assembly to meet in Des Moines in the newly constructed Brick Capitol. Carpenter was Iowa’s eighth governor since becoming a state in 1846. He was inaugurated in 1872 at the age of 42. Carpenter also served in the Iowa Senate during the 20th General Assembly in 1884

On an asymptotic formula for the maximum voltage drop in a on-chip power distribution network

We present a new asymptotic formula for the maximum static voltage in a simplified model for on-chip power distribution networks of array bonded integrated circuits. In this model the voltage is the solution of a Poisson equation in an infinite planar domain whose boundary is an array of circular pads of radius ", and we deal with the singular limit Ɛ → 0 case. In comparison with approximations that appear in the electronic engineering literature, our formula is more complete since we have obtained terms up to order Ɛ15. A procedure will be presented to compute all the successive terms, which can be interpreted as using multipole solutions of equations involving spatial derivatives of functions. To deduce the formula we use the method of matched asymptotic expansions. Our results are completely analytical and we make an extensive use of special functions and of the Gauss constant G

Competencias profesionales del ingeniero en informática (CIO)

En este trabajo se estudiarán las competencias transversales que debe poseer un ingeniero en informática para poder desarrollar con éxito las tareas del puesto de CIO (chief information officer/jefe del servicio de informática) en una organización.

Kysyntävaihteluihin varautuminen metalliteollisuuden alihankintayrityksessä

Raportissa esitetään keinoja kysynnän vaihteluiden ehkäisemiseksi sekä vaihteluihin varautumiseksi metalliteollisuudessa alihankintayrityksessä. Keinot on jaoteltu sisäisiin ja ulkoisiin toimenpiteisiin. Sisäiset toimenpiteet on toteutettu yrityksen omassa tuotannossa ja niiden tarkoitus on kehittää valmistusprosesseja kokonaisuutena. Ulkoiset toimenpiteet on suunniteltu kehittämään kohdeyrityksen ja sen suurimman asiakkaan välistä yhteistyötä. Ratkaisukeinoja kehitettäessä raportissa tutustutaan prosessien merkitykseen toiminnan kuvaamisessa sekä ajan rooliin tilausohjautuvassa toiminnassa. Myös tilauksen kytkentäpisteen merkitystä toiminnan kehittämisessä pohditaan. Kysyntävaihteluiden perimmäisiä syitä analysoidaan ja esitellään toimintavaihtoehtoja kysyntävaihteluiden vähentämiseksi tai poistamiseksi. Kehitetyt toimenpiteet muodostavat kaksitasoisen ja kahdeksan pykäläisen ratkaisumallin. Ratkaisuista ulkoisia ovat toimintavastuiden uudelleenmäärittely, tilauskäytäntöjen kehittäminen, tiedon jakaminen sekä siirtyminen keskitettyihin toimitusratkaisuihin. Sisäiset ratkaisut ovat tuotantomuotojen uudelleenorganisointi, läpäisyajan parantaminen, resurssien tehokkaampi hyödyntäminen sekä prosessipohjaiset tuotannonohjausmenetelmät. Toimenpiteiden myötä kohdeyritys on tulevaisuudessa paremmin varautunut kohtaamaan vaihteluita kysynnässä. Yritys on sisäisesti joustavampi ja tehokkaampi ja omaa myös tehokkaita ulkoisia valmiuksia kysyntävaihteluiden varalle.