Adesão e seguimento terapêutico : utentes e novas tecnologias de informação e comunicação

Introdução: As doenças crónicas são uma das principais causas de mortalidade e morbilidade na Europa, constituindo assim um problema grave de saúde pública. Neste tipo de patologias, a necessidade de tratamentos farmacológicos é permanente e duradoura. Donde, a não-adesão aos medicamentos prescritos, é um problema particularmente importante que importa resolver. Numerosas intervenções e estratégias para reduzir a não-adesão à medicação têm sido desenvolvidas, mas por uma razão ou por outra, com manifesta falta de sucesso. Dado que a utilização da tecnologia na saúde está na ordem do dia, a simbiose entre cuidados de saúde, novas tecnologias de comunicação e informação, pode ser uma solução para resolver o problema da não-adesão à terapêutica. Atualmente, a tecnologia está na palma das nossas mãos (telemóveis, smartphones, etc.), podendo constituir-se um precioso auxiliar dos doentes crónicos, em ambiente doméstico ou mesmo em instituições. Sendo assim, este trabalho tem um duplo objectivo. Primeiro, pretende-se identificar as necessidades dos utentes relativamente à adesão terapêutica ao nível da farmácia comunitária, de modo a avaliar o acompanhamento farmacoterapêutico proporcionado na farmácia. Em segundo lugar, pretende-se avaliar a utilização das novas tecnologias no quotidiano dos utentes, para determinar qual o método mais adequado a nível tecnológico para otimizar a adesão terapêutica. A inovação tecnológica e os meios de comunicação, atualmente existentes, podem potenciar a criação de uma aplicação prática para melhorar a adesão e acompanhamento farmacoterapêutico. Metodologia: Realizou-se um estudo observacional, descritivo e transversal. O período de recolha de dados decorreu entre Dezembro 2013 e Janeiro de 2014. O local do estudo situou-se na região Norte de Portugal – Braga – concretamente nas 19 farmácias comunitárias disponíveis para um universo de 70053 habitantes. A amostra é não probabilística, sendo obtida por conveniência teve uma dimensão amostral de 214 indivíduos, calculada para um nível de confiança de 95% e um erro amostral de 5%. Resultados: A população da nossa amostra apresenta-se preocupada com a sua terapêutica, é instruída e com um nível de aceitação às novas tecnologias bastante interessante. São conhecedoras das valências das farmácias e dos seus colaboradores para ajudar a cumprir o seu regime terapêutico. Há ainda algumas falhas de adesão que podem comprometer o sucesso das terapêuticas. È uma população com um nível tecnológico surpreendente, e com facilidade de acesso a smartphones. Demonstram receptividade aos avanços das tecnologias, desde que sejam em prol de uma otimização dos cuidados diários de saúde. Conclusão: A adesão à terapêutica na população em estudo é bastante boa, porém foram descobertas algumas falhas que podem ser colmatadas e otimizar o processo. O seguimento terapêutico é considerado bom, contudo o sinergismo entre utente e profissional de saúde podem ser melhorados pelas novas tecnologias. Estamos perante uma sociedade evoluída em termos de novas tecnologias e meios de comunicação, em que os smartphones fazem parte do quotidiano das mesmas, podendo assim melhorar todo o processo da terapêutica. A população mostrou-se recetiva às novas tecnologias na adesão e seguimento farmacoterapêutico.

Processo de implantação de um sistema integrado de gestão em uma organização pública à luz da teoria da hospitalidade :um estudo de caso

In the present time, public organizations are employing more and more solutions that uses information technology in order to ofer more transparency and better services for all citizens. Integrated Systems are IT which carry in their kernel features of integration and the use of a unique database. These systems bring several benefits and face some obstacles that make their adoption difficult. The conversion to a integrated system may take years and, thus, the study of the adoption of this IT in public sector organizations become very stimulant due to some peculiarities of this sector and the features of this technology. First of all, information about the particular integrated system in study and about its process of conversion are offered. Then, the researcher designs the configuration of the conversion process aim of this study the agents envolved and the moments and the tools used to support the process in order to elaborate the methodology of the conversion process understood as the set of procedures and tools used during all the conversion process. After this, the researcher points out, together with all the members of the conversion team, the negative and positive factors during the project. Finally, these factors were analysed through the Hospitality Theory lens which, in the researcher opinion, was very useful to understand the elements, events and moments that interfered in the project. The results consolidated empirically the Hospitality Theory presumptions, showing yet a limitation of this theory in the case in study

Do modelo geométrico ao modelo físico: o tridimensional na educação do arquiteto e urbanista

In the teaching practice of architecture and urbanism in Brazil, educational legislation views modeling laboratories and workshops as an indispensable component of the infrastructure required for the good functioning of any architectural course of study. Although the development of information technology at the international level has created new possibilities for digital production of architectural models, research in this field being underway since the early 1990s, it is only from 2007 onwards that such technologies started to be incorporated into the teaching activity of architecture and urbanism in Brazil, through the pioneering experience at LAPAC/FEC/UNICAMP. It is therefore a recent experiment whose challenges can be highlighted through the following examples: (i) The implementation of digital prototyping laboratories in undergraduate courses of architecture and urbanism is still rare in Brazil; (ii) As a new developing field with few references and application to undergraduate programs, it is hard to define methodological procedures suitable for the pedagogical curricula already implemented or which have already been consolidated over the years; (iii) The new digital ways for producing tridimensional models are marked with specificities which make it difficult to fit them within the existing structures of model laboratories and workshops. Considering the above, the present thesis discusses the tridimensional model as a tool which may contribute to the development of students skills in perceiving, understanding and representing tridimensional space. Analysis is made of the relation between different forms of models and the teaching of architectural project, with emphasis on the design process. Starting from the conceptualization of the word model as it is used in architecture and urbanism, an attempt is made to identify types of tridimensional models used in the process of project conception, both through the traditional, manual way of model construction as well as through the digital ones. There is also an explanation on how new technologies for digital production of models through prototyping are being introduced in undergraduate academic programs of architecture and urbanism in Brazil, as well as a review of recent academic publications in this area. Based on the paradigm of reflective practice in teaching as designed by Schön (2000), the experiment applied in the research was undertaken in the integrated workshop courses of architectural project in the undergraduate program of architecture and urbanism at Universidade Federal do Rio Grande do Norte. Along the experiment, physical modeling, geometric modeling and digital prototyping are used in distinct moments of the design process with the purpose of observing the suitability of each model to the project s phases. The procedures used in the experiments are very close to the Action Research methodology in which the main purpose is the production of theoretical knowledge by improving the practice. The process was repeated during three consecutive semesters and reflection on the results which were achieved in each cycle helped enhancing the next one. As a result, a methodological procedure is proposed which consists of the definition of the Tridimensional Model as the integrating element for the contents studied in a specific academic period or semester. The teaching of Architectural Project as it is developed along the fifth academic period of the Architecture and Urbanism undergraduate program of UFRN is taken as a reference

Indústria da moda

Cada vez mais na indústria mundial da moda, as inovações de marca, produtos, serviços, tecnologia, processos e modelos de negócio são encaradas como uma fonte de vantagem competitiva (Barney, 1991) para as empresas que a constituem, uma vez que a constante transformação da moda resulta de facto numa cadeia de valor (Porter, 1995) economicamente muito importante à escala mundial. O objectivo geral desta dissertação é realizar uma análise comparativa sobre os principais factores inovadores que influenciaram a indústria mundial da moda nos últimos 25 anos. Para o efeito foi desenvolvido uma análise comparativa de benchmarking sobre as praticas desenvolvidas em torno da inovação para a indústria mundial da moda através do estudo de casos, nomeadamente sobre a Zara e a H&M.

Muito além da tecnologia : o impacto dos mecanismos não operacionais na efetividade da governança de TI na administração pública

Dissertação (mestrado)—Universidade de Brasília, Faculdade de Economia, Administração e Contabilidade, Programa de Pós-Graduação em Administração, 2016.

Estudo sobre as principais características das viaturas táticas ligeiras blindadas para o Exército português.

O presente Trabalho de Investigação Aplicada tem como estudo identificar as principais características das viaturas táticas ligeiras blindadas, que irão equipar o Exército Português, por forma a garantir a mobilidade tática terrestre. Com esta investigação pretende-se identificar a configuração do ambiente operacional, onde as viaturas das Forças Nacionais Destacadas tem sido empregues. De igual modo identificar as caraterísticas das viaturas táticas ligeiras blindadas disponíveis no mercado da indústria de defesa passíveis de serem adquiridas, descrevendo ainda o tipo de operações em que as forças do Exército Português tem participado, utilizando viaturas táticas ligeiras. Esta investigação tem como principal objetivo identificar as principais caraterísticas das viaturas táticas ligeiras blindadas a adquirir pelo Exército Português, para se adaptarem à realidade atual do ambiente operacional onde Portugal participa com forças, e fazer uma caracterização da mais recente viatura, a Pandur II 8x8, e a viatura com mais presenças em teatros de operações, o High Mobility Multipurpose Wheeled Vehicle. Para alcançar este objetivo principal, foi utilizado o método dedutivo partindo do ambiente operacional dos diversos Teatros de Operações em que Portugal tem empregue forças, para as principais caraterísticas das viaturas. O ambiente operacional que reside hoje em dia, nos teatros de operações, é caraterizado por assimetrias, resultantes de novas ameaças. Estas necessitam de esforços, por parte das forças militares para se adaptarem. As caraterísticas das viaturas táticas ligeiras blindadas têm vindo a sofrer algumas alterações na sua proteção e mobilidade, onde apresentam melhorias técnicas, face às inovações tecnológicas, mas há outras, como o poder de fogo que podem vir a ser colmatadas no futuro.

Estudo paramétrico da segregação gravitacional na injeção contínua de vapor

Steam injection is the most used method of additional recovery for the extraction of heavy oil. In this type procedure is common to happen gravitational segregation and this phenomenon can affect the production of oil and therefore, it shoulds be considered in the projects of continuous steam injection. For many years, the gravitational segregation was not adequately considered in the calculation procedures in Reservoir Engineering. The effect of the gravity causes the segregation of fluids inside the porous media according to their densities. The results of simulation arising from reservoirs could provide the ability to deal with the gravity, and it became apparent that the effects of the gravity could significantly affect the performance of the reservoir. It know that the gravitational segregation can happen in almost every case where there is injection of light fluid, specially the steam, and occurs with greater intensity for viscous oil reservoirs. This work discusses the influence of some parameters of the rock-reservoir in segregation as viscosity, permeability, thickness, cover gas, porosity. From a model that shows the phenomenon with greater intensity, optimized some operational parameters as the rate flow rate steam, distance between the wells injector-producer, and interval of completion which contributed to the reduction in gravity override, thus increasing the oil recovery. It was shown a greater technical-economic viability for the model of distance between the wells 100 m. The analysis was performed using the simulator of CMG (Computer Modeling Group-Stars 2007.11, in which was observed by iterating between studied variables in heavy oil reservoirs with similar characteristics to Brazilian Northeast

Estudo e implementação de algoritmos inteligentes para detecção e classificação de falhas na medição de gás natural

This master dissertation presents the study and implementation of inteligent algorithms to monitor the measurement of sensors involved in natural gas custody transfer processes. To create these algoritmhs Artificial Neural Networks are investigated because they have some particular properties, such as: learning, adaptation, prediction. A neural predictor is developed to reproduce the sensor output dynamic behavior, in such a way that its output is compared to the real sensor output. A recurrent neural network is used for this purpose, because of its ability to deal with dynamic information. The real sensor output and the estimated predictor output work as the basis for the creation of possible sensor fault detection and diagnosis strategies. Two competitive neural network architectures are investigated and their capabilities are used to classify different kinds of faults. The prediction algorithm and the fault detection classification strategies, as well as the obtained results, are presented

Estudo paramétrico da recuperação de petróleo pesado por aquecimento eletromagnético resistivo

Electrical resistive heating (ERH) is a thermal method used to improve oil recovery. It can increase oil rate and oil recovery due to temperature increase caused by electrical current passage through oil zone. ERH has some advantage compared with well-known thermal methods such as continuous steam flood, presenting low-water production. This method can be applied to reservoirs with different characteristics and initial reservoir conditions. Commercial software was used to test several cases using a semi-synthetic homogeneous reservoir with some characteristics as found in northeast Brazilian basins. It was realized a sensitivity analysis of some reservoir parameters, such as: oil zone, aquifer presence, gas cap presence and oil saturation on oil recovery and energy consumption. Then it was tested several cases studying the electrical variables considered more important in the process, such as: voltage, electrical configurations and electrodes positions. Energy optimization by electrodes voltage levels changes and electrical settings modify the intensity and the electrical current distribution in oil zone and, consequently, their influences in reservoir temperature reached at some regions. Results show which reservoir parameters were significant in order to improve oil recovery and energy requirement in for each reservoir. Most significant parameters on oil recovery and electrical energy delivered were oil thickness, presence of aquifer, presence of gas cap, voltage, electrical configuration and electrodes positions. Factors such as: connate water, water salinity and relative permeability to water at irreducible oil saturation had low influence on oil recovery but had some influence in energy requirements. It was possible to optimize energy consumption and oil recovery by electrical variables. Energy requirements can decrease by changing electrodes voltages during the process. This application can be extended to heavy oil reservoirs of high depth, such as offshore fields, where nowadays it is not applicable any conventional thermal process such as steam flooding

Estudo do processo de combustão in-situ em reservatórios maduros de óleos médios e leves (high pressure air injection)

Nearly 3 x 1011 m3 of medium and light oils will remain in reservoirs worldwide after conventional recovery methods have been exhausted and much of this volume would be recovered by Enhanced Oil Recovery (EOR) methods. The in-situ combustion (ISC) is an EOR method in which an oxygen-containing gas is injected into a reservoir where it reacts with the crude oil to create a high-temperature combustion front that is propagated through the reservoir. The High Pressure Air Injection (HPAI) method is a particular denomination of the air injection process applied in light oil reservoirs, for which the combustion reactions are dominant between 150 and 300°C and the generation of flue gas is the main factor to the oil displacement. A simulation model of a homogeneous reservoir was built to study, which was initially undergone to primary production, for 3 years, next by a waterflooding process for 21 more years. At this point, with the mature condition established into the reservoir, three variations of this model were selected, according to the recovery factors (RF) reached, for study the in-situ combustion (HPAI) technique. Next to this, a sensitivity analysis on the RF of characteristic operational parameters of the method was carried out: air injection rate per well, oxygen concentration into the injected gas, patterns of air injection and wells perforations configuration. This analysis, for 10 more years of production time, was performed with assistance of the central composite design. The reservoir behavior and the impacts of chemical reactions parameters and of reservoir particularities on the RF were also evaluated. An economic analysis and a study to maximize the RF of the process were also carried out. The simulation runs were performed in the simulator of thermal processes in reservoirs STARS (Steam, Thermal, and Advanced Processes Reservoir Simulator) from CMG (Computer Modelling Group). The results showed the incremental RF were small and the net present value (NPV) is affected by high initial investments to compress the air. It was noticed that the adoption of high oxygen concentration into the injected gas and of the five spot pattern tends to improve the RF, and the wells perforations configuration has more influence with the increase of the oil thickness. Simulated cases relating to the reservoir particularities showed that smaller residual oil saturations to gas lead to greater RF and the presence of heterogeneities results in important variations on the RF and on the production curves

Programa de inclusão digital dos conselheiros de saúde : o uso das tecnologias de informação e comunicação auxiliam no controle social?

Dissertação (mestrado)—Universidade de Brasília, Faculdade de Ciências da Saúde, Programa de Pós-Graduação em Saúde Coletiva, 2016.

Gestão compartilhada de P&D em petróleo:a interação entre a Petrobrás e a Universidade Federal do Rio Grande do Norte

This work addresses the relationship between University-Firm aims to understand the model of shared management of R&D in petroleum of Petrobras with UFRN. This is a case study which sought to investigate whether the model of cooperation established by the two institutions brings innovation to generate technical-scientific knowledge and contribute to the coordination with other actors in the promotion of technological innovation. In addition to desk research the necessary data for analysis were obtained by sending questionnaires to the coordinators of projects in R&D at the company and university. Also, interviews were conducted with subjects who participated in the study since its inception to the present day. This case study were analysed through the Resource-Based View and Interorganizational Networks theory. The sample data also stands that: searches were aligned to the strategic planning and that 29% of R&D projects have been successful on the scope of the proposed objectives (of which 11% were incorporated into business processes); which was produced technical and scientific knowledge caracterized by hundreds of national and international publications; thesis, dissertations, eleven patents, and radical and incremental innovations; the partnership has also brought benefits to the academic processes induced by the improved infrastructure UFRN and changing the "attitude" of the university (currently with national prominence in research and staff training for the oil sector). As for the model, the technical point of view, although it has some problems, it follows that it is appropriate. From the viewpoint of the management model is criticized for containing an excess of bureaucracy. From the standpoint of strategic allocation of resources from the legal framework needs to be reassessed, because it is focused only on the college level and it is understood that should also reach the high school given the new reality of the oil sector in Brazil. For this it is desirable to add the local government to this partnership. The set of information leads to the conclusion that the model is identified and named as a innovation of organizational arrangement here known as Shared Management of R&D in petroleum of Petrobras with UFRN. It is said that the shared management model it is possible to exist, which is a simple and effective way to manage partnerships between firms and Science and Technology Institutions. It was created by contingencies arising from regulatory stand points and resource dependence. The partnership is the result of a process of Convergence, Construction and Evaluation supported by the tripod Simplicity, Systematization and Continuity, important factors for its consolidation. In practice an organizational arrangement was built to manage innovative university-industry partnership that is defined by a dyadic relationship on two levels (institutional and technical, therefore governance is hybrid), by measuring the quarterly meetings of systematic and standardized financial contribution proportional to the advancement of research. These details have led to the establishment of a point of interaction between the scientific and technological-business dimension, demystifying they are two worlds apart

Avaliação ex-ante dos impactos econômicos, sociais e ambientais do desenvolvimento de colhedora de sementes de amendoim forrageiro.

Este trabalho teve o objetivo de realizar a avaliação ex-ante dos impactos do ?Projeto de Desenvolvimento de uma Colhedora de Sementes de Amendoim Forrageiro? sob as perspectivas da viabilização da produção do equipamento em escala comercial, do aumento da oferta de sementes e dos benefícios econômicos, sociais e ambientais obtidos com a ampliação das áreas de pastagens consorciadas com amendoim forrageiro cv. BRS Mandobi. Para mensurar o potencial de adoção desta tecnologia, foi utilizado o Sistema de Avaliação de Impactos de Inovações Tecnológicas Agropecuárias (Ambitec-Agro). Esse sistema inclui módulos integrados de indicadores de impactos socioeconômicos, ambientais e de desenvolvimento institucional resultantes de inovações tecnológicas agropecuárias. Os resultados indicam impactos potenciais positivos nas dimensões ambiental, social e de desenvolvimento institucional, como consequência do desenvolvimento e adoção da colhedora de sementes de amendoim forrageiro de forma integrada ao longo da cadeia comercial de produção e distribuição de sementes de forrageiras. Isso viabilizaria um aumento da disponibilidade de sementes de amendoim forrageiro no mercado, a preços acessíveis para os produtores. Como consequência, haveria um processo crescente de adoção dessa leguminosa forrageira em pastos consorciados com gramíneas, com impactos positivos da produtividade, rentabilidade e sustentabilidade da cadeia produtiva de pecuária bovina a pasto nas regiões Norte, Centro-Oeste, Sudeste e Sul do Brasil. Esse estudo também comprovou a efetividade no uso do Sistema de Avaliação de Impactos de Inovações Tecnológicas Agropecuárias (Ambitec-Agro) na avaliação ex-ante de impactos, como processo essencial para a priorização e aprovação de projetos de pesquisa e transferência de tecnologias

Avaliação dos impactos de tecnologias geradas pela Embrapa: metodologia de referência.

Avaliação dos impactos econômicos de tecnologias agropecuárias; Avaliação dos impactos sociais de tecnologias agropecuárias; Avaliação dos impactos na geração de empregos de tecnologias agropecuárias; Avaliação do impacto ambiental de inovações tecnológicas agropecuárias; Avaliação de impactos sobre o conhecimento, sobre a capaciatação e de impacto político-institucional da pesquisa da Embrapa; Análise dos impactos econômicos, sociais e ambientais da máquina extratora de água de coco verde: considerações sobre a cadeia reprodutiva.

Princípios e práticas da informação e comunicação de riscos

O módulo 2 da unidade 4 do Curso de Capacitação a Distância em Saúde, Desastres e Desenvolvimento do IESC/UFRJ tem um enfoque teórico-prático, apresentando aspectos conceituais da informação, percepção e comunicação de risco e os princípios, tipos e meios da comunicação de risco. O material também aborda o planejamento da comunicação de riscos e situações de crise, surtos e emergências. A estratégia pedagógica escolhida se baseia na associação de textos teóricos com o estudo de casos.