908 resultados para internal and external efficiency


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In managing an Inpatient unit, nurses face the need to make decisions involving agents in the institution’s internal and external environments, and all these measures are influential, regardless of how beneficial they may be. Hence, ethical issues constitute an important dimension of nursing management. This study aimed at identifying measures and/or interventions adopted by managing nurses at Inpatient Units in the Botucatu School of Medicine University Hospital - UNESP with the purpose to analyze professional ethics. The study involved nurses holding technicalsupervision positions in sectors related to the Nursing Division, comprising a total number of 20. The exploratory method was used by means of taped interviews with a qualitative approach based on the Collective Subject Discourse. Human resources deficit was observed as nurses’ major concern in relation to nursing care provision. The managers seek the nursing staff’s development by means of educational activities in their own unit at the same time that they adopt those offered by the hospital. When ethical violations occur, they resort to measures ranging from individual strategies for violators’ orientation to legal intervention. The resolution of ethical conflicts by nursing managers generally occurs in a gradual fashion by taking into account their compromising level, whether in relation to the patient or to the multiprofessional team. Educational activities are focused on the development of technical skills aiming at preventing physical damage to patients although educational activities targeted at the development of professionals’ ethical awareness were not mentioned

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The study analyzed contours of the thoracic region of patients undergoing radiotherapy of breast tumors in Hospital Manuel de Abreu of Bauru (institution 1) and the Hospital da Faculdade de Medicina of Botucatu (Institution 2). Were prepared isodose curves corresponding to the contours of the patient, which were presented for radiotherapists doctors both hospital services that enabled the choice of the curve isodose that provides the best distribution of radiation dose in the irradiated volume. Some boundaries were digitized in one institution and sent for preparation of isodose lines in the institution 2, both curves plotted in each of the institutions and for the same contour, were compared, showing that the methodology of Curves of distance is feasible and reliable, while optimizing the routine procedures regarding the handling of isodose plans provided by different radiation equipment. It compares the calculation of the exposure time determined using the isodose curve selected by calculating the value obtained considering the PDP at the point of the middle line of separation between the internal and external fields, the difference between the two methods for determining exposure time was around 2.4%. A study on the angle of the radiation beam at the input field (region breast-air) was conducted showing that, once known a tangent angle of the input beam, one can estimate the angle of the wedge filter used in some procedures for uniformity of dose within the irradiated volume compensation and the lack of tissue in the treatment volume. A comparative study between the isodose curves produced manually with the curves obtained in a two-dimensional computer system, the computer system showed that provides further information regarding the dose gradient within the irradiated volume, in addition to reducing the time spent in preparing the curves isodose

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Our twenty-first century society and the rhythm of life and work we have to face in our daily routine compel us to spend most of our lifetime in closed environments, in our houses, educational institutions, hospitals, airports, amongst as many others. The study of the air quality in internal environments (IAQ) is very important for monitoring people’s health effects and their environmental comfort in these locations. One essential parameter to analyze this measure is to evaluate the concentration of dispersed particulates in the air, specially focusing on those thinner particles (below the diameter of 2,5 μm), they can pose serious risks for human being because they can remain in the lungs, penetrate through the pores of our skin, amongst other harmful effects on human’s health. In this work the air quality inside the public library Profª Josina Vasques Ferrari and at Unesp public state library was evaluated, both located in Itapeva, as well as a third one, inside the Communitarian Library of the Federal University in Carlos (UFSCar) from march to may in 2012. In those environments it was analyzed if the concentration of particulates pose any real treat to the users. The equipment used for particle sampling in real time was DataRam 4 (Model DR 4000). The results given for those concentrations of particulates in both internal and external environments revealed figures within the safe standard established by the WHO (World Health Organization), from 25 to μg/m³, the only exception occurred on the fifth floor of the UFSCar library, where the average for concentration stayed at 25,30 of μg/m³

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Bamboo has one of the highest growth rates among plants, however, its lignifications (which confers resistance) takes around a few years and, therefore, certain physical characteristics and mechanical, that depend on this process will only be acquired between the three to six years old. In addition, bamboo also has significant density variations in different parts of the stem, both in the radial direction as the axial. In particular the radial direction, where the density found in the inner and outer (near the bark) of a single stem can range on average from 0.5 to 0.9 g/cm3. Thus, the application of bamboo as a floor, there to examine whether both sides of the bamboo (internal and external), provide resistance properties required for that purpose. In this study sought to characterize and quantify the influence of the concentration of fiber bundles in the inner and outer sides of rules or bamboo strips of bamboo flooring through testing service. Analyses performed were based on ASTM D 2394- 83 for wooden floors and derivatives. This was necessary because of the absence of a specific prohibition of the use and testing of floors made of bamboo and its products. The data were analyzed by ball indentation test shooting, test for resistance to abrasion, indentation test for stress / load treadmill test and by indentation loads applied to small areas - test the jump. The results of the tests were extremely friendly bamboo, even this presents considerable differences between the resistances obtained from assay of the cover of the inner and outer face, being comparable with those of many commonly used to manufacture wood flooring. This comparison was made possible by information from technical trials of several floors made with wood

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For centuries have studied the man in a segmented manner, which today, even with the emergence of new forms of research, holistic, we see that the influence of centuries of construction of scientific knowledge has taken root in such a way that even now with new understandings about matter and its structure pointing to systemic relations, studies are still largely dichotomized by dividing body, mind and environment. This paper is a literature review on several sources of knowledge, seeking an interdisciplinary way in physics, chemistry, biology, psychology and physical education, relate the body, mind and their interactions with the environment, building a more current concept of body. The studies showed that the physical, cognitive, emotional, social and environmental aspects involve an interaction continues between human been with the world, which changes shapes, balances and transactions, and thus human behavior. So when we speak of the body should relate all this that makes us conscious organisms in constant internal and external dynamic with the universe

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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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Taking into account the changes in the market scenario by virtue of globalization, Institutes of Higher Education (IES) as well as other organizations seek their competitive stability. For that reason, it is up to organizations to adopt innovative models of management for their operations aimed at improving results. Company networks consist of a model that is perfect for uniting efforts through cooperation among partners in a given business, which can involve ties of different natures. This paper shows the development and the application of an auxiliary technique to analyze the intensity, nature and importance of internal and external relations in the formation of results for a company network. For such, a multiple case study was conducted at two IES in the State of São Paulo and their networks of partners and employees in order to observe their specificities and organizational strategies. The study demonstrated the existence of specific performance criteria (pillars) for each IES and its network, resulting from its competitive reality. It reveals evidence that the education pillar is strengthened in both cases, and the research pillar is growing, although it is the weakest. The outreach pillar is the most robust in the public IES and the financial sustainability pillar is relevant for the private IES, and it was only detected in this IES.