1000 resultados para Mesure de performance en soins infirmiers
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Recessions are recurring events in which most firms suffer severe impacts while others are less affected or may even prosper. Strategic management has made little progress in understanding such performance differences. In a scenario of decreased demand, intensified competition, and higher uncertainty, most firms try to survive by pro-cyclically cutting costs and investments. But firms could take advantage of undervalued resources in the market to counter-cyclically invest in new business opportunities to overtake competitors. We survey Brazilian firms in various industries about the 2008-2009 recession and analyze data using PLS-SEM. We find that while most firms pro-cyclically reduce costs and investments in recessions, a counter-cyclical strategy of investing in opportunities created by changes in the market enables superior performance. Most successful are firms with a propensity to recognize opportunities, an entrepreneurial orientation to invest, and the flexibility to efficiently implement investments.
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ABSTRACT The enormous interest aroused by corporate social responsibility both in the academic and the business worlds forms the background for this study. Its objective is to analyze the relationship between corporate social responsibility and financial performance in view of the debate in the literature on the subject. The study focuses on a sample of Spanish companies taken from the IBEX 35 stock market index, using panel data methodology, which offers advantages in comparison to methodologies used in other studies. We analyzed the period from 2003 to 2010. Our findings suggest that there is no obvious relationship between corporate social responsibility and financial results, at least in the case of Spain.
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RESUMEN En este trabajo se analiza si los valores según la escala de Schwartz varían entre los directivos responsables de exportación de Pequeñas y Medianas Empresas (PyMEs) entre las empresas con mayor éxito exportador, frente a las que tienen un éxito exportador limitado. El estudio se aplica a una muestra de 196 PyMEs españolas exportadoras. En primer lugar se aplica un clúster de clases latentes para clasificar las empresas en función del performance exportador, para después aplicar test de comparaciones de medias y buscar diferencias significativas en los valores de Schwartz entre directivos de empresas de ambos grupos. Los valores en los que aparecen diferencias significativas son: honestidad, influencia, ambición, lealtad, justicia social, autoridad, vida excitante y orden social.
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Desde sus comienzos en los años 70 al día de hoy, podemos hablar del sector de las microfinanzas como un sector en crecimiento, pero ya consolidado por el gran número de instituciones especializadas en servicios microfinancieros y el resultado de sus prácticas exitosas. En el trabajo que presentamos realizamos un estudio preeliminar sobre los indicadores de performance de las Instituciones de Microfinanzas (IMFs). Nuestro objetivo es detectar las particularidades en los resultados de dichos parámetros y ratios en dichas instituciones. Para ello llevamos a cabo un análisis teórico de los ratios más aceptados por la comunidad financiera implicada en el suministro de información sobre los resultados y la performance de las IMFs. El estudio se completa comparando los datos suministrados por estas instituciones con los equivalentes en entidades financieras tradicionales de nuestro entorno, haciendo especial hincapié en la actividad de estas últimas entidades en Latinoamérica.
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Dissertação apresentada ao Instituto Superior de Contabilidade e Administração do Porto para a obtenção do Grau de Mestre em Assessoria de Administração
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O equilíbrio é fundamental para o desempenho de Actividades de Vida Diária e de Vida Diária Instrumentais que permitem aos indivíduos com Síndrome de Down manter a sua autonomia. O objectivo principal deste estudo foi verificar as características do estado de equilíbrio em indivíduos com e sem Síndrome de Down, em repouso e durante a execução de uma tarefa, de modo a compreender as implicações da alteração do estado de equilíbrio no desempenho de actividades. Neste estudo, foram seleccionadas duas amostras, de forma probabilística por conveniência, com indivíduos de ambos os sexos. A amostra do grupo experimental foi constituída por oito indivíduos com diagnóstico de Síndrome de Down, com idades compreendidas entre os 17 e os 39 anos de idade. A amostra do grupo de controlo foi constituída por doze indivíduos sem patologia, com idades compreendidas entre os 21 e os 37 anos. O equilíbrio foi avaliado com recurso a uma Plataforma de Forças (Bertec Corporation FP4060-10) para medir a deslocação do centro de pressão (CP) dos indivíduos. A avaliação do equilíbrio decorreu em dois momentos, na posição de pé: em repouso e no desempenho da tarefa segurar um saco de compras. Os resultados diferem entre os dois grupos em repouso e durante a execução da tarefa (segurar no saco). Os valores das variáveis área e distância de deslocação do CP e oscilações corporais, antero-posterior e médio-lateralmente apresentam resultados significativos, o que sugere diferenças do estado de equilíbrio entre as amostras.
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OBJECTIVE: To evaluate the discriminative and diagnostic values of neuropsychological tests for identifying schizophrenia patients. METHODS: A cross-sectional study with 36 male schizophrenia outpatients and 72 healthy matched volunteers was carried out. Participants underwent the following neuropsychological tests: Wisconsin Card Sorting test, Verbal Fluency, Stroop test, Mini Mental State Examination, and Spatial Recognition Span. Sensitivity and specificity estimated the diagnostic value of tests with cutoffs obtained using Receiver Operating Characteristic curves. The latent class model (diagnosis of schizophrenia) was used as gold standard. RESULTS: Although patients presented lower scores in most tests, the highest canonical function for the discriminant analysis was 0.57 (Verbal Fluency M). The best sensitivity and specificity were obtained in the Verbal Fluency M test (75 and 65, respectively). CONCLUSIONS: The neuropsychological tests showed moderate diagnostic value for the identification of schizophrenia patients. These findings suggested that the cognitive impairment measured by these tests might not be homogeneous among schizophrenia patients.
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The study was carried out to evaluate the diagnostic performance of the ICT malaria Pf/PvTM test for vivax malaria diagnosis in Belém, Amazon region, Brazil. The results of blood malaria parasites examination using an immunochromatography test were compared with thick blood film (TBF) examination. It was also evaluated the performance of this test storaged at three different temperatures (25°C, 30°C, and 37°C) for 24 hours before use. Overall sensitivity of ICT Pf/PvTM was 61.8% with a specificity of 100%, positive and negative predictive value of 100% and 71.8%, respectively and accuracy of 80.6%. The test sensitivity was independent of the parasite density. This test needs to be further reviewed in order to have better performance for P. vivax malaria diagnosis.
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En este estudio se presenta un modelo de trabajo dentro de una clase de danza, basado en la interacción entre el Acompañante Musical de Danza (AMD), el Bailarín (en su condición de estudiante) y el Profesor de danza. El trabajo tiene un carácter introspectivo y se basa en el análisis crítico de la perspectiva del autor, como sujeto implicado en el proceso de la enseñanza del movimiento, desde la posición de acompañante musical en las clases de técnica de danza. El estudio tiene por marco el trabajo realizado en la Escuela Superior de Danza de Lisboa (ESD). Durante este ensayo nos referiremos al AMD, como aquél que construye, ejecuta y ajusta su performance musical, buscando una correspondencia acentual y de frase, con el movimiento que observa. El problema que abordaremos es el desajuste o ruido en la comunicación que sucede durante las diferentes fases del proceso de aprendizaje y ejecución de la frase de movimiento, entre el AMD, el Bailarín y el Profesor. Será analizada la cuestión de porque los 3 sujetos de este modelo no siempre compatibilizan de manera más adecuada, especulándose que se deba a una serie de problemas o causas en el nivel de la información sensorial y la perspectiva de las interacciones entre ellos. Son propuestas algunas estrategias que (i) optimizan el trabajo del AMD; (ii) hacen posible una mejor comunicación con el alumno; y (iii) permiten ampliar el campo pedagógico al aprendizaje musical del movimiento.
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OBJECTIVE: To examine the effects of the length and timing of nighttime naps on performance and physiological functions, an experimental study was carried out under simulated night shift schedules. METHODS: Six students were recruited for this study that was composed of 5 experiments. Each experiment involved 3 consecutive days with one night shift (22:00-8:00) followed by daytime sleep and night sleep. The experiments had 5 conditions in which the length and timing of naps were manipulated: 0:00-1:00 (E60), 0:00-2:00 (E120), 4:00-5:00 (L60), 4:00-6:00 (L120), and no nap (No-nap). During the night shifts, participants underwent performance tests. A questionnaire on subjective fatigue and a critical flicker fusion frequency test were administered after the performance tests. Heart rate variability and rectal temperature were recorded continuously during the experiments. Polysomnography was also recorded during the nap. RESULTS: Sleep latency was shorter and sleep efficiency was higher in the nap in L60 and L120 than that in E60 and E120. Slow wave sleep in the naps in E120 and L120 was longer than that in E60 and L60. The mean reaction time in L60 became longer after the nap, and faster in E60 and E120. Earlier naps serve to counteract the decrement in performance and physiological functions during night shifts. Performance was somewhat improved by taking a 2-hour nap later in the shift, but deteriorated after a one-hour nap. CONCLUSIONS: Naps in the latter half of the night shift were superior to earlier naps in terms of sleep quality. However performance declined after a 1-hour nap taken later in the night shift due to sleep inertia. This study suggests that appropriate timing of a short nap must be carefully considered, such as a 60-min nap during the night shift.
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Pós-graduação em Psicologia - FCLAS
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OBJECTIVE: To assess the performance of the rubella suspect case definition among patients with rash diseases seen at primary care units. METHODS: From January 1994 to December 2002, patients with acute rash, with or without fever, were seen at two large primary health care units and at a public general hospital in the municipality of Niterói, metropolitan area of Rio de Janeiro, Brazil. Data from clinical and serologic assessment were used to estimate the positive predictive values of the definition of rubella suspect case from the Brazilian Ministry of Health and other combination of signs/symptoms taking serologic status as the reference. Serum samples were tested for anti-rubella virus IgM using commercially available enzyme immunoassays. Positive predictive values and respective 95% confidence intervals were calculated. RESULTS: A total of 1,186 patients with an illness characterized by variable combinations of rash with fever, arthropathy and lymphadenopathy were studied. Patients with rash, regardless of other signs and symptoms, had 8.8% likelihood of being IgM-positive for rubella. The Brazilian suspect case definition (fever and lymphadenopathy in addition to rash) had low predictive value (13.5%). This case definition would correctly identify 42.3% of the IgM-positive cases, and misclassify 26.1% of the IgM-negative cases. CONCLUSIONS: These results support the recommendation to investigate and collect clinical specimens for laboratory diagnosis of all cases of rash, for surveillance purposes. Although this strategy may increase costs, the benefits of interrupting the circulation of rubella virus and preventing the occurrence of congenital rubella syndrome should pay off.
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Esta investigação pretende contribuir para o desenvolvimento da investigação interessada nas questões relativas ao ensino/ aprendizagem do modo escrito nos primeiros anos do primeiro ciclo do ensino básico, particularmente tendo em conta as práticas mais propensas a apoiar a aprendizagem bem-sucedida da leitura e de escrita. Especificamente, esta investigação tem como objetivo descrever as práticas de ensino observadas nas áreas da leitura e da escrita com 22 professores, mas também para relacionar essas práticas observadas com o desempenho em leitura e escrita dos seus alunos do primeiro e do segundo ano. Globalmente, os resultados indicam que as práticas observadas, tanto do ponto de vista dos Dispositivos mobilizados como do conteúdo ensinado, são variadas e contribuem para uma visão complexa da entrada na escrita. As análises de correlação sugerem que determinadas práticas, que geralmente procuram a participação activa das crianças e as interações com os outros, estão relacionados com o progresso dos alunos durante o ano letivo.
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Síndrome do Túnel Carpiano (STC) é uma neuropatia compressiva do nervo mediano ao nível da articulação rádio-cubital inferior. Caracteriza-se fisiologicamente pelo aumento da pressão ao nível do canal carpiano o que desencadeia a diminuição da função do nervo a esse nível. Independentemente da fase de evolução da patologia, o indivíduo apresenta défices motores e sensoriais que interferem com o desempenho dos seus diversos papéis ocupacionais e, concomitantemente, com a sua Qualidade de Vida (QV). Como forma de reduzir esse impacto, existem várias abordagens possíveis, entre as quais se destaca o uso da tala nocturna de repouso. Este trabalho tem como objectivo principal definir quais os benefícios do uso da tala nocturna e o impacto manifesto na QV do indivíduo com STC. Simultaneamente pretende-se definir em que medida a relação benefício/melhoria da dor e normalização sensitiva se relaciona com o uso da tala. Por último, identificar quais as variáveis sociodemográficas que estão relacionadas ao problema em estudo e aos valores obtidos com as escalas SF-36 e PDI, nos indivíduos dos grupos controlo e experimental. Para a realização deste estudo, utilizou-se uma amostra de 46 indivíduos do sexo feminino aos quais aplicouse as escalas referidas anteriormente e os Monofilamentos de Semmes-Weinstein. Os resultados obtidos com o SF-36 revelaram uma maior percepção do estado de saúde no domínio Saúde Geral, no grupo ao qual se aplicou a tala, sugerindo que esta intervenção permite uma melhoria da QV. Simultaneamente, o PDI permitiu inferir que a aplicação da tala nocturna tem um impacto positivo no que concerne à percepção do nível da dor nas diversas actividades da vida diária e, consequentemente, na QV. No que se refere à sensibilidade, os resultados obtidos não permitem afirmar que existem melhoras a este nível. Relativamente às variáveis socio-demográficas, apenas os casos classificados como ligeiros apresentam uma melhor percepção do nível de Saúde Geral o que é sugestivo de que com o evoluir da patologia há perda de QV.
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OBJECTIVE: To analyze the scoring obtained by an instrument, which evaluates the ability to read and understand items in the health care setting, according to education and age. METHODS: The short version of the Test of Functional Health Literacy in Adults was administered to 312 healthy participants of different ages and years of schooling. The study was conducted between 2006 and 2007, in the city of São Paulo, Southeastern Brazil. The test includes actual materials such as pill bottles and appointment slips and measures reading comprehension, assessing the ability to read and correctly pronounce a list of words and understand both prose passages and numerical information. Pearson partial correlations and a multiple regression model were used to verify the association between its scores and education and age. RESULTS: The mean age of the sample was 47.3 years(sd=16.8) and the mean education was 9.7 years(sd=5; range: 1 - 17). A total of 32.4% of the sample showed literacy/numeracy deficits, scoring in the inadequate and marginal functional health literacy ranges. Among the elderly (65 years or older) this rate increased to 51.6%. There was a positive correlation between schooling and scores (r=0.74; p<0.01) and a negative correlation between age and the scores (r=-0.259; p<0.01). The correlation between the scores and age was not significant when the effects of education were held constant (rp=-0.031, p=0.584). A significant association (B=3.877, Beta =0.733; p<0.001) was found between schooling and scores. Age was not a significant predictor in this model (B=-0.035, Beta=-0.22; p=0.584). CONCLUSIONS: The short version of the Test of Functional Health Literacy in Adults was a suitable tool to assess health literacy in the study population. The high number of individuals classified as functional illiterates in this test highlights the importance of special assistance to help them properly understand directions for healthcare.