Estudo de caso de dois acidentes do trabalho investigados com o método de árvore de causas

São apresentados dois acidentes do trabalho típicos, ocorridos em empresa de grande porte, investigados com o Método de Árvore de Causas ­ ADC, método que permite identificar o papel desempenhado por fatores gerenciais e de organização do trabalho no desencadeamento desses fenômenos. Os casos apresentados revelam a participação, na gênese dos acidentes, de fatores como designação temporária e improvisada de trabalhadores para funções e postos de trabalho, execução de tarefas deixadas à iniciativa e ao arbítrio dos trabalhadores, falta de ferramentas e de materiais apropriados à execução de tarefas e falhas na circulação de informações, entre outros. São também analisadas as indicações para o uso do método, suas potencialidades em termos de prevenção, bem como as implicações decorrentes de dificuldades de aplicação, de necessidades de treinamento e reciclagens e do dispêndio elevado de tempo para investigação de cada acidente.

Modelo sistêmico de ocorrência de ações coletivas: um estudo multicaso na comercialização de frutas, legumes e verduras

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

Utilização de redes neurais artificiais para a determinação do número de refeições diárias de um restaurante universitário

OBJETIVO: Construir uma rede neural artificial para auxiliar os gestores de restaurantes universitários na previsão de refeições diárias. MÉTODOS: O estudo foi desenvolvido a partir do levantamento de oito variáveis que influenciam o número de refeições diárias servidas no restaurante universitário. Utiliza-se o algoritmo de treinamento Backpropagation. Os resultados por meio da rede são comparados com os da série estudada e com resultados da estimação por média aritmética simples. RESULTADOS: A rede proposta acompanha as inúmeras alterações que ocorrem no número de refeições diárias do restaurante universitário. em 73% dos dias analisados, o método das redes neurais artificiais apresenta uma taxa de acerto maior do que o método da média aritmética simples. CONCLUSÃO: A rede neural artificial mostrou-se mais adequada para a previsão do número de refeições do que a metodologia de média simples ou quando a decisão do número de refeições é feita de forma subjetiva, sem critérios científicos.

On data-centric misbehavior detection in VANETs

Detecting misbehavior (such as transmissions of false information) in vehicular ad hoc networks (VANETs) is a very important problem with wide range of implications, including safety related and congestion avoidance applications. We discuss several limitations of existing misbehavior detection schemes (MDS) designed for VANETs. Most MDS are concerned with detection of malicious nodes. In most situations, vehicles would send wrong information because of selfish reasons of their owners, e.g. for gaining access to a particular lane. It is therefore more important to detect false information than to identify misbehaving nodes. We introduce the concept of data-centric misbehavior detection and propose algorithms which detect false alert messages and misbehaving nodes by observing their actions after sending out the alert messages. With the data-centric MDS, each node can decide whether an information received is correct or false. The decision is based on the consistency of recent messages and new alerts with reported and estimated vehicle positions. No voting or majority decisions is needed, making our MDS resilient to Sybil attacks. After misbehavior is detected, we do not revoke all the secret credentials of misbehaving nodes, as done in most schemes. Instead, we impose fines on misbehaving nodes (administered by the certification authority), discouraging them to act selfishly. This reduces the computation and communication costs involved in revoking all the secret credentials of misbehaving nodes. © 2011 IEEE.

O agravo de petição como provimento recursal adequado para impugnar sentenças, decisões interlocutórias e despachos-decisórios na execução trabalhista

A idéia central nasceu em função da atividade profissional. Assistindo no dia-a-dia a dificuldade daqueles que, inconformados com um ato praticado na fase de execução de um processo do trabalho, não encontram, com a segurança desejada, um provimento judicial adequado para submeter a apreciação de tal ato a uma decisão colegiada. Cabe agravo de petição, no prazo de 8 (oito) dias, das decisões do Juiz ou Presidente, nas execuções. Isso é o que consta da legislação específica. Problema dos mais sérios na interpretação desse comando é saber o que são “decisões” proferidas na execução trabalhista, que podem ser impugnadas por meio do recurso de agravo de petição. Essa problemática encontra-se inserida dentro de um contexto processual, daí porque tivemos que seguir um roteiro iniciando com noções básicas de processo, como instrumento utilizado pelo Estado para o exercício de sua função jurisdicional. Saindo do geral para o particular, chegamos no processo do trabalho e suas fases, nos atendo mais na de execução, como ela inicia e termina. O cerne da questão é a reação à execução, os meios reagentes, em especial o recurso, como uma decorrência do princípio do duplo grau de jurisdição, sendo ou não uma garantia constitucional. De acordo com a previsão legal, esse recurso é o agravo de petição. Tratamos dele e dos atos que o juiz pode praticar na execução trabalhista, dizendo da natureza de cada um deles. Cuidamos das decisões interlocutórias, registrando nossa preocupação quanto à dificuldade que temos para sua identificação, mormente na fase de execução. Abordamos, na parte final do trabalho, a matéria relacionada com a possibilidade ou não de recurso contra uma decisão interlocutória, ilustrando esse estudo com alguns exemplos baseados em casos concretos e a solução que foi dada a cada um deles.

Extensor indicis brevis Muscle: an Unusual Muscular Variant

Knowledge of anatomical variations of the musculoskeletal system is important for interpreting unusual clinical presentations. We observed the presence of an abnormal extensor indicis muscle in the left hand of an adult male cadaver. In this case, the muscle comes from the ligament and over the scaphoideum and trapezoideum bones and continues after the short muscle belly; it is attached to the dorsal aponeurosis of the indicis. This muscular disposition was described in other studies which demonstrated approximately 1.0% of incidence. Clinically, this anatomical variation may be associated with pain and swelling at the back of the hand. In these cases symptoms tend to increase due to mechanical stress and can be confused with the presence of a dorsal synovial cyst. This report will help clinicians, surgeons, occupational and physical therapists formulate better clinical or surgical decisions when presented with a rare anatomical variation.

Living Invisible: HTLV-1-Infected Persons and the Lack of Care in Public Health

Introduction: Human T-cell lymphotropic virus type 1 (HTLV-1) infection is intractable and endemic in many countries. Although a few individuals have severe symptoms, most patients remain asymptomatic throughout their lives and their infections may be unknown to many health professionals. HTLV-1 can be considered a neglected public health problem and there are not many studies specifically on patients' needs and emotional experiences. Objective: To better understand how women and men living with HTLV-1 experience the disease and what issues exist in their healthcare processes. Methods: A qualitative study using participant observation and life story interview methods was conducted with 13 symptomatic and asymptomatic patients, at the outpatient clinic of the Emilio Ribas Infectious Diseases Institute, in Sao Paulo, Brazil. Results and Discussion: The interviewees stated that HTLV-1 is a largely unknown infection to society and health professionals. Counseling is rare, but when it occurs, focuses on the low probability of developing HTLV-1 related diseases without adequately addressing the risk of infection transmission or reproductive decisions. The diagnosis of HTLV-1 can remain a stigmatized secret as patients deny their situations. As a consequence, the disease remains invisible and there are potentially negative implications for patient self-care and the identification of infected relatives. This perception seems to be shared by some health professionals who do not appear to understand the importance of preventing new infections. Conclusions: Patients and medical staff referred that the main focus was the illness risk, but not the identification of infected relatives to prevent new infections. This biomedical model of care makes prevention difficult, contributes to the lack of care in public health for HTLV-1, and further perpetuates the infection among populations. Thus, HTLV-1 patients experience an "invisibility" of their complex demands and feel that their rights as citizens are ignored.

Sustainable regional development: Reconciling global and local dynamics and stakes in the Swiss Alps

This article explores how global and local dynamics and stakes can be brought together when trying to combine conservation and regional development. For this purpose we analyse a series of studies carried out in the area of the Swiss Alps Jungfrau-Aletsch World Heritage Site (WHS). The approaches used in these studies to analyse the diversity and development of the region included data collection and evaluation of indicators such as population development, number of working places, occupation rates in various economic sectors and commuter balance, as well as interviews with key informants and assessment of existing planning tools. The major challenge of the newly declared World Heritage Region is that it is neither a political or administrative nor a cultural unit but constitutes a completely new type of space that breaks up and crosses traditional boundaries. The studies revealed an economic tertiarisation process and migration of the population from remote areas to regional centres. Tourism was identified as the key economic sector in the region. Regarding regional sustainability, the studies identified a need for quality dialogue and negotiation of interests and stakes. It was shown that in dealing with sustainability at the local level, many key issues cannot be resolved on the ground, as they depend on regional or national decisions, e.g. the conditions for tourism promotion in the region or economic validation of agricultural activity. We conclude from these findings that national or even international factors do not provide a basis for location-specific solutions, as they are often too general, and that the global label does not ensure sustainability in a designated WHS region; this depends entirely on local and regional dynamics.

Decision-Making Incapacity Among Nursing Home Residents: Results From the 1987 NMES Survey.

Recent legislative and regulatory developments have focused attention on older adults' capacity for involvement in health care decision-making. The Omnibus Budget Reconciliation Act of 1987 (OBRA 87) focused attention on the rights of nursing home residents to be involved in health care decision-making to the fullest extent possible. This article uses data from the 1987 National Medical Expenditure Survey (NMES) to examine rates of incapacity for health care decision-making among nursing home residents. Elements of the Oklahoma statute were used to operationalize decision-making incapacity: disability or disorder, difficulty in decision-making or communicating decisions, and functional disability. Fifty-three percent of nursing home residents had a combination of either physical or mental impairment and an impairment in either self-care or money management. The discussion focuses on the policy and practice implications of significant rates of incapacity among nursing home residents.

Is perioperative point-of-care prothrombin time testing accurate compared to the standard laboratory test?

There is no accepted way of measuring prothrombin time without time loss for patients undergoing major surgery who are at risk of intraoperative dilution and consumption coagulopathy due to bleeding and volume replacement with crystalloids or colloids. Decisions to transfuse fresh frozen plasma and procoagulatory drugs have to rely on clinical judgment in these situations. Point-of-care devices are considerably faster than the standard laboratory methods. In this study we assessed the accuracy of a Point-of-care (PoC) device measuring prothrombin time compared to the standard laboratory method. Patients undergoing major surgery and intensive care unit patients were included. PoC prothrombin time was measured by CoaguChek XS Plus (Roche Diagnostics, Switzerland). PoC and reference tests were performed independently and interpreted under blinded conditions. Using a cut-off prothrombin time of 50%, we calculated diagnostic accuracy measures, plotted a receiver operating characteristic (ROC) curve and tested for equivalence between the two methods. PoC sensitivity and specificity were 95% (95% CI 77%, 100%) and 95% (95% CI 91%, 98%) respectively. The negative likelihood ratio was 0.05 (95% CI 0.01, 0.32). The positive likelihood ratio was 19.57 (95% CI 10.62, 36.06). The area under the ROC curve was 0.988. Equivalence between the two methods was confirmed. CoaguChek XS Plus is a rapid and highly accurate test compared with the reference test. These findings suggest that PoC testing will be useful for monitoring intraoperative prothrombin time when coagulopathy is suspected. It could lead to a more rational use of expensive and limited blood bank resources.

Integration versus Outsourcing in Stable Industry Equilibrium with Communication Networks

For the selection of a firm's structure between vertical integration and arm's-length outsourcing, the importance of the thickness of the market had been emphasized in the previous literature. Here we take account of communication networks such as telephone, telex, fax, and the Internet. By doing so, we could illustrate the relationship between communication networks and the make-or-buy decision. With communication network technology differing in each type of firm, both vertically integrated firms and arm's-length outsourcing firms coexist, which was never indicated in the previous literature. However, when common network technology is introduced, such coexistence generically does not occur.

Herramienta para la gestión de diarios de entretenimientos configurables

El Trabajo Fin de Grado ha consistido en el diseño e implementación de una herramienta para la gestión y administración de los entrenamientos de atletas de deportes individuales. Hasta ahora los deportistas debían gestionar sus entrenamientos a través de hojas de cálculo, teniendo que dedicar tiempo al aprendizaje de herramientas como Microsoft Excel u OpenOffice Excel para personalizar las plantillas y guardar los datos, utilizar otras herramientas como Google Calendar para obtener una visión de un calendario con los entrenamientos realizados o bien utilizar programas hechos a medida para un deporte e incluso para un deportista. El objetivo principal consistía en desarrollar una herramienta que unificara todas las tareas para ofrecer al deportista las funciones de configuración de plantillas, registro y generación de gráficas de los datos registrados y visionado del calendario de entrenamientos de una forma ágil, sencilla e intuitiva, adaptándose a las necesidades de cualquier deporte o deportista. Para alcanzar el objetivo principal realizamos encuestas a atletas de una gran diversidad de deportes individuales, detectando las particularidades de cada deporte y analizando los datos que nos ofrecían para alcanzar el objetivo de diseñar una herramienta versátil que permitiera su uso independientemente de los parámetros que se quisiera registrar de cada entrenamiento. La herramienta generada es una herramienta programada en Java, que ofrece portabilidad a cualquier sistema operativo que lo soporte, sin ser necesario realizar una instalación previa. Es una aplicación plug and play en la que solo se necesita del fichero ejecutable para su funcionamiento; de esta forma facilitamos que el deportista guarde toda la información en muy poco espacio, 6 megabytes aproximadamente, y pueda llevarla a cualquier lado en un pen drive o en sistemas de almacenamiento en la nube. Además, los ficheros en los que se registran los datos son ficheros CSV (valores separados por comas) con un formato estandarizado que permite la exportación a otras herramientas. Como conclusión el atleta ahorra tiempo y esfuerzo en tareas ajenas a la práctica del deporte y disfruta de una herramienta que le permite analizar de diferentes maneras cada uno de los parámetros registrados para ver su evolución y ayudarle a mejorar aquellos aspectos que sean deficientes. ---ABSTRACT---The Final Project consists in the design and implementation of a tool for the management and administration of training logs for individual athletes. Until now athletes had to manage their workouts through spreadsheets, having to spend time in learning tools such as Microsoft Excel or OpenOffice in order to save the data, others tools like Google Calendar to check their training plan or buy specifics programs designed for a specific sport or even for an athlete. The main purpose of this project is to develop an intuitive and straightforward tool that unifies all tasks offering setup functions, data recording, graph generation and training schedule to the athletes. Whit this in mind, we have interviewed athletes from a wide range of individual sports, identifying their specifications and analyzing the data provided to design a flexible tool that registers multitude of training parameters. This tool has been coded in Java, providing portability to any operating system that supports it, without installation being required. It is a plug and play application, that only requires the executable file to start working. Accordingly, athletes can keep all the information in a relative reduced space (aprox 6 megabytes) and save it in a pen drive or in the cloud. In addition, the files whit the stored data are CSV (comma separated value) files whit a standardized format that allows exporting to other tools. Consequently athletes will save time and effort on tasks unrelated to the practice of sports. The new tool will enable them to analyze in detail all the existing data and improve in those areas with development opportunities.

Modelización de servicios ecosistémicos en una cuenca hidrológica del área mediterránea = Modeling ecosystem services in a mediterranean area river basin

La modelización es un proceso por el que se obtienen modelos de los procesos del ´mundo real´ mediante la utilización de simplificaciones. Sin embargo, las estimaciones obtenidas con el modelo llevan implícitas incertidumbre que se debe evaluar. Mediante un análisis de sensibilidad se puede mejorar la confianza en los resultados, sin embargo, este paso a veces no se realiza debido básicamente al trabajo que lleva consigo este tipo de análisis. Además, al crear un modelo, hay que mantener un equilibrio entre la obtención de resultados lo más exactos posible mediante un modelo lo más sencillo posible. Por ello, una vez creado un modelo, es imprescindible comprobar si es necesario o no incluir más procesos que en un principio no se habían incluido. Los servicios ecosistémicos son los procesos mediante los cuales los ecosistemas mantienen y satisfacen el bienestar humano. La importancia que los servicios ecosistémicos y sus beneficios asociados tienen, junto con la necesidad de realizar una buena gestión de los mismos, han estimulado la aparición de modelos y herramientas para cuantificarlos. InVEST (Integrated Valuation of Ecosystem Services and Tradoffs) es una de estas herramientas específicas para calcular servicios eco-sistémicos, desarrollada por Natural Capital Project (Universidad de Stanford, EEUU). Como resultado del creciente interés en calcular los servicios eco-sistémicos, se prevé un incremento en la aplicación del InVEST. La investigación desarrollada en esta Tesis pretende ayudar en esas otras importantes fases necesarias después de la creación de un modelo, abarcando los dos siguientes trabajos. El primero es la aplicación de un análisis de sensibilidad al modelo en una cuenca concreta mediante la metodología más adecuada. El segundo es relativo a los procesos dentro de la corriente fluvial que actualmente no se incluyen en el modelo mediante la creación y aplicación de una metodología que estudiara el papel que juegan estos procesos en el modelo InVEST de retención de nutrientes en el área de estudio. Los resultados de esta Tesis contribuirán a comprender la incertidumbre involucrada en el proceso de modelado. También pondrá de manifiesto la necesidad de comprobar el comportamiento de un modelo antes de utilizarlo y en el momento de interpretar los resultados obtenidos. El trabajo en esta Tesis contribuirá a mejorar la plataforma InVEST, que es una herramienta importante en el ámbito de los servicios de los ecosistemas. Dicho trabajo beneficiará a los futuros usuarios de la herramienta, ya sean investigadores (en investigaciones futuras), o técnicos (en futuros trabajos de toma de decisiones o gestión ecosistemas). ABSTRACT Modeling is the process to idealize real-world situations through simplifications in order to obtain a model. However, model estimations lead to uncertainties that have to be evaluated formally. The role of the sensitivity analysis (SA) is to assign model output uncertainty based on the inputs and can increase confidence in model, however, it is often omitted in modelling, usually as a result of the growing effort it involves. In addition, the balance between accuracy and simplicity is not easy to assess. For this reason, when a model is developed, it is necessary to test it in order to understand its behavior and to include, if necessary, more complexity to get a better response. Ecosystem services are the conditions and processes through which natural ecosystems, and their constituent species, sustain and fulfill human life. The relevance of ecosystem services and the need to better manage them and their associated benefits have stimulated the emergence of models and tools to measure them. InVEST, Integrated Valuation of Ecosystem Services and Tradoffs, is one of these ecosystem services-specific tools developed by the Natural Capital Project (Stanford University, USA). As a result of the growing interest in measuring ecosystem services, the use of InVEST is anticipated to grow exponentially in the coming years. However, apart from model development, making a model involves other crucial stages such as its evaluation and application in order to validate estimations. The work developed in this thesis tries to help in this relevant and imperative phase of the modeling process, and does so in two different ways. The first one is to conduct a sensitivity analysis of the model, which consists in choosing and applying a methodology in an area and analyzing the results obtained. The second is related to the in-stream processes that are not modeled in the current model, and consists in creating and applying a methodology for testing the streams role in the InVEST nutrient retention model in a case study, analyzing the results obtained. The results of this Thesis will contribute to the understanding of the uncertainties involved in the modeling process. It will also illustrate the need to check the behavior of every model developed before putting them in production and illustrate the importance of understanding their behavior in terms of correctly interpreting the results obtained in light of uncertainty. The work in this thesis will contribute to improve the InVEST platform, which is an important tool in the field of ecosystem services. Such work will benefit future users, whether they are researchers (in their future research), or technicians (in their future work in ecosystem conservation or management decisions).

Modelización de servicios ecosistémicos en una cuenca hidrológica del área mediterránea = Modeling ecosystem services in a mediterranean area river basin

La modelización es un proceso por el que se obtienen modelos de los procesos del ´mundo real´ mediante la utilización de simplificaciones. Sin embargo, las estimaciones obtenidas con el modelo llevan implícitas incertidumbre que se debe evaluar. Mediante un análisis de sensibilidad se puede mejorar la confianza en los resultados, sin embargo, este paso a veces no se realiza debido básicamente al trabajo que lleva consigo este tipo de análisis. Además, al crear un modelo, hay que mantener un equilibrio entre la obtención de resultados lo más exactos posible mediante un modelo lo más sencillo posible. Por ello, una vez creado un modelo, es imprescindible comprobar si es necesario o no incluir más procesos que en un principio no se habían incluido. Los servicios ecosistémicos son los procesos mediante los cuales los ecosistemas mantienen y satisfacen el bienestar humano. La importancia que los servicios ecosistémicos y sus beneficios asociados tienen, junto con la necesidad de realizar una buena gestión de los mismos, han estimulado la aparición de modelos y herramientas para cuantificarlos. InVEST (Integrated Valuation of Ecosystem Services and Tradoffs) es una de estas herramientas específicas para calcular servicios eco-sistémicos, desarrollada por Natural Capital Project (Universidad de Stanford, EEUU). Como resultado del creciente interés en calcular los servicios eco-sistémicos, se prevé un incremento en la aplicación del InVEST. La investigación desarrollada en esta Tesis pretende ayudar en esas otras importantes fases necesarias después de la creación de un modelo, abarcando los dos siguientes trabajos. El primero es la aplicación de un análisis de sensibilidad al modelo en una cuenca concreta mediante la metodología más adecuada. El segundo es relativo a los procesos dentro de la corriente fluvial que actualmente no se incluyen en el modelo mediante la creación y aplicación de una metodología que estudiara el papel que juegan estos procesos en el modelo InVEST de retención de nutrientes en el área de estudio. Los resultados de esta Tesis contribuirán a comprender la incertidumbre involucrada en el proceso de modelado. También pondrá de manifiesto la necesidad de comprobar el comportamiento de un modelo antes de utilizarlo y en el momento de interpretar los resultados obtenidos. El trabajo en esta Tesis contribuirá a mejorar la plataforma InVEST, que es una herramienta importante en el ámbito de los servicios de los ecosistemas. Dicho trabajo beneficiará a los futuros usuarios de la herramienta, ya sean investigadores (en investigaciones futuras), o técnicos (en futuros trabajos de toma de decisiones o gestión ecosistemas). ABSTRACT Modeling is the process to idealize real-world situations through simplifications in order to obtain a model. However, model estimations lead to uncertainties that have to be evaluated formally. The role of the sensitivity analysis (SA) is to assign model output uncertainty based on the inputs and can increase confidence in model, however, it is often omitted in modelling, usually as a result of the growing effort it involves. In addition, the balance between accuracy and simplicity is not easy to assess. For this reason, when a model is developed, it is necessary to test it in order to understand its behavior and to include, if necessary, more complexity to get a better response. Ecosystem services are the conditions and processes through which natural ecosystems, and their constituent species, sustain and fulfill human life. The relevance of ecosystem services and the need to better manage them and their associated benefits have stimulated the emergence of models and tools to measure them. InVEST, Integrated Valuation of Ecosystem Services and Tradoffs, is one of these ecosystem services-specific tools developed by the Natural Capital Project (Stanford University, USA). As a result of the growing interest in measuring ecosystem services, the use of InVEST is anticipated to grow exponentially in the coming years. However, apart from model development, making a model involves other crucial stages such as its evaluation and application in order to validate estimations. The work developed in this thesis tries to help in this relevant and imperative phase of the modeling process, and does so in two different ways. The first one is to conduct a sensitivity analysis of the model, which consists in choosing and applying a methodology in an area and analyzing the results obtained. The second is related to the in-stream processes that are not modeled in the current model, and consists in creating and applying a methodology for testing the streams role in the InVEST nutrient retention model in a case study, analyzing the results obtained. The results of this Thesis will contribute to the understanding of the uncertainties involved in the modeling process. It will also illustrate the need to check the behavior of every model developed before putting them in production and illustrate the importance of understanding their behavior in terms of correctly interpreting the results obtained in light of uncertainty. The work in this thesis will contribute to improve the InVEST platform, which is an important tool in the field of ecosystem services. Such work will benefit future users, whether they are researchers (in their future research), or technicians (in their future work in ecosystem conservation or management decisions).

The human placental proteome is affected by maternal smoking

Acknowledgements This paper belongs to the studies carried out by Kuopio Birth Cohort consortium (www.KuBiCo.fi). We thank Ms Pirjo Hänninen for expert laboratory assistance at University of Eastern Finland, Ms Margaret Fraser, Dr Panagiotis Filis and the Proteomics Core Facility at the University of Aberdeen for their expert assistance. We also thank the staff of the Department of Obstetrics and Gynaecology in Kuopio University Hospital for skilful collection of these specimens. This work was supported by the Academy of Finland [122859/2007], the Helena Vuorenmies Foundation, the Emil Aaltonen Foundation, the University of Eastern Finland Doctoral Programme in Drug Research and the Medical Research Council, UK [MR/L010011/1]. The funders played no roles in study design, data collection, data analysis, manuscript preparation and/or publication decisions.