258 resultados para inadequacy


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o presente trabalho pretende responder à questão da adequação ou não da atual estrutura organizacional do Senado Federal frente às novas exigências decorrentes da promulgação da Constituição de 1988 e da mudança de parâmetros e valores trazida pelo paradigma emergente na Administração Pública a partir de 1990. O estudo se propõe a correlacionar de modo analítico quais são as funções de uma Casa legislativa com o órgão técnico responsável por sua realização, priorizando valores quanto ao atendimento do interesse público e atendendo ao cumprimento dos dispositivos constitucionais previstos nos artigos 48, 49, 50 e 52 da Carta Magna. A análise feita transporta conceitos e ferramentas desenvolvidos pelos teóricos da Administração para a prática da instituição, viabilizando dados e disponibilizando informações atualizadas com o objetivo de chamar a atenção para o problema e ampliar o seu espectro.

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Este trabalhe tem cerne objetivo investigar e universo psicossocial de um grupo de mulheres idosas de classe socioeconômica baixa. Inicialmente, são analisadas as problemáticas da mulher e de idoso a partir de uma revisão crítica da literatura, compreendendo estudes teóricos e pesquisas empíricas realizadas no Brasil. Também são focalizados os conceitos de identidade e de marginalidade, cem frequência referidos no percurso de trabalho. A seguir, é relatada uma pesquisa de campo em que se utiliza e método de história de vida. Foram entrevistadas 20 mulheres cem idade acima de 60 anos, de baixa renda, residentes em uma cidade de médio porte de Estado de Espirite Santo. Apresenta-se uma caracterização prévia da população e posteriormente uma análise das entrevistas. Nesta análise observam-se algumas convergências básicas nas condições objetivas de vida e nas representações construídas pele grupo das entrevistadas acerca de suas vivências, no que se refere especialmente às suas condições de trabalho, às suas inserções nos contextos familiar e público, às imagens das figuras masculina e feminina elaboradas e à situação. vivencial de envelhecimento. Destacam-se entre essas convergências: o exercício de atividades laborais informais não-especializadas; a referência frequente ao contexto familiar; a construção de uma auto imagem fragilizada ou ambígua que não se coaduna com as experiências de sustentáculo familiar relatadas; e uma adequação/inadequação ao modelo vigente de velhice, denotando, frequentemente, uma defasagem entre a idade cronológica e o sentimento subjetivo do envelhecimento. Finalmente, a conclusão procura integrar os aspectos mais significativos observados nos relatos, delineando-se o perfil psicossocial do grupo estudado.

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Os objetivos deste trabalho podem ser sintetizados no estudo de três aspectos da Avaliação Escolar: 1) A competência da escola no Que diz respeito a: a) o conhecimento do desenvolvimento das estruturas cognitivas (construção do conhecimento) e b) a inadequação dos conteúdos 'a este processo cognitivo; sua inutilidade e desatualização. 2) O fim da responsabilidade da escola sobre a aprendizagem: o reducionismo dos processos pedagógicos ao sistema de avaliação ("pedagogia do exame"). 3) A ayaliacão escolar como instrumento de poder na relação professor-aluno (estendendo-se numa teia que subordina a escola, os pais dos alunos e a sociedade como um todo). As bases teóricas deste trabalho foram: a) Jean Piaget (Psicologia Genética), para o estudo do desenvolvimento cognitivo e adequação dos conteúdos escolares. b) Michel Foucault e Lauro de O. Lima, para o estudo das relações de poder. Como síntese das conclusões podemos enumerar: 1- Os professores e a escola desconhecem elementos da psicologia do desenvolvimento e não possuem uma teoria da aprendizagem definida. 2- Por seu ecletismo e suas contradições, a escola demonstra não possuir uma proposta pedagógica organizada (finalidades, meios e tecnologias). 3- Os conteúdos escolares baseiam-se nas tradições curriculares, sem atualização ou adequação aos processos de desenvolvimento e aos interesses das crianças e jovens.4-0s métodos avaliativos são predominantemente quantitativos (mais de 70%) e burocráticos (gramática e cálculo). Mas os professores não dominam a tecnologia de elaboração de provas, mesmo dentro do enfoque quantitativo por eles escolhido. 5- A escola isenta-se da responsabilidade de garantir a aprendizagem e tornar-se transmissora de informações (desatualizadas e, 'as vezes, inúteis). 6- O reducionismo da aprendizagem (processo pedagógico) 'a avaliação transforma-a no principal e mais poderoso instrumento de poder.

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Dadas as limitações e inadequações presentes, tanto no arquétipo do tomador de decisão como um agente racional, adotado nas teorias econômicas e gerenciais, quanto no estereótipo de um ser transcendental, tão presente na vida prosaica, se faz necessário substituí-los por uma nova perspectiva: onde o tomador de decisão é um animal emocional, frágil diante do acaso, e fruto de um processo evolutivo.

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Este artigo estuda a previsão da estrutura a termo da taxa de juros brasileira utilizando de fatores comuns extraídos de uma vasta base de séries macroeconômicas. Os períodos para estimação e previsão compreendem o intervalo de Janeiro de 2000 a Maio de 2012. Foram empregas 171 séries mensais para a construção da base. Primeiramente foi implementado o modelo proposto por Moench (2008), no qual a dinâmica da taxa de juros de curto prazo é modelada através de um FAVAR e a estrutura a termo é derivada utilizando-se de restrições implicadas por não arbitragem. A escolha pela adoção deste modelo se deve aos resultados obtidos no estudo original, nos quais tal modelagem apresentou melhor desempenho preditivo para horizontes intermediários e longos quando comparado com benchmarks usuais. Contudo, tais resultados também apresentaram uma deterioração progressiva à medida que as maturidades aumentam, evidenciando uma possível inadequação do modelo para as partes intermediária e longa da curva. A implementação deste modelo para a estrutura a termo brasileira levou a resultados muito similares ao do estudo original. Visando contornar a deterioração mencionada, foi proposta uma modelagem alternativa na qual a dinâmica de cada taxa é modelada conjuntamente com os fatores macroeconômicos, eliminando-se as restrições implicadas por não arbitragem. Tal modelagem proporcionou resultados de previsão amplamente superiores e através dela foi possível confirmar a inadequação descrita. Por fim, também foi realizada a inserção dos fatores macro na dinâmica dos fatores beta do modelo de Diebold e Li (2006), levando a um grande ganho de capacidade preditiva, principalmente para horizontes maiores de previsão.

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Seguindo a tendência mundial de um melhor gerenciamento de riscos, o regulador do mercado de seguros brasileiro, após a implementação dos demais riscos, está em fase avançada de desenvolvimento de seu modelo para aferir o risco de mercado das seguradoras. Uma vez que as discussões cessem, as empresas serão forçadas a usar um modelo que, hoje, apresenta muitas falhas, gerando uma demanda de capital adicional de seus acionistas que pode levar algumas delas ao estado de insolvência. O principal objetivo deste estudo é analisar a adequação do modelo e subsidiar a discussão a fim de aperfeiçoar o modelo final, com análises comparativas com outros modelos no país e no mundo, estudo de cenários e visões do mercado. De modo geral, as análises feitas revelam problemas sérios no modelo, como necessidade de aporte de capital em empresas extremamente lucrativas e insuficiência de garantia de segurança pelo uso puro dos fatores de choque em detrimento a uma análise estocástica. Finalmente, são sugeridas algumas soluções para minimizar o efeito da inadequação do modelo e ainda algumas sugestões para melhoria do mesmo, de forma que os acionistas não sejam prejudicados, o regulador consiga administrar adequadamente os riscos e a sociedade seja beneficiada pela solidez das companhias em quem confiou seus riscos.

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Nosso problema de pesquisa neste trabalho é a avaliação do funcionamento dos principais mecanismos de controle das organizações sociais de saúde, no caso específico do Município do Rio de Janeiro. As reiteradas denúncias de irregularidades e ilegalidades pelo Tribunal de Contas do Município do Rio de Janeiro e pelo Ministério Público do Estado do Rio de Janeiro levantaram dúvidas acerca da adequação dos processos de monitoramento, fiscalização e controle dessas entidades. Disto decorre nosso objetivo central de pesquisa, que é identificar as fragilidades do novo modelo de gestão por organizações sociais de saúde, no caso da cidade do Rio de Janeiro. Para isso, foram analisados: o arcabouço jurídico-normativo do modelo local, a partir de análise comparativa da legislação municipal que regulamenta seu funcionamento (Lei 5.026/09) e sua contraparte federal (Lei 9.637/98); indicadores de saúde que mensurassem o desempenho das OSS; todas as inspeções realizadas pelo TCM-RJ até o fim de 2015; e o conjunto de recomendações enviado pelo MP-ERJ para a Prefeitura após deflagração da Operação Ilha Fiscal, que acarretou a desqualificação da OS BIOTECH e a prisão de seus dirigentes, acusados de desviar mais de R$48 milhões em recursos públicos. Ao final, constatouse que as fragilidades da legislação municipal e dos decretos executivos que regulamentam a atuação das OSS no MRJ não permitem o exercício efetivo do comando da parceria, em afronta, portanto, ao dispositivo constitucional que determina que a atuação de entidades privadas no âmbito do SUS pode se dar apenas de modo complementar. Ademais, verificou-se total inadequação da estrutura de controle pela Prefeitura, cuja principal consequência foi tornar o modelo de reforma gerencialista em um modelo que incentiva o comportamento patrimonialista no âmbito da saúde pública, uma vez que o controle de meios é absolutamente negligenciado.

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The aim of this study was to determine the effects of the use of rosuvastatin in patients with atherosclerosis, in relation to blood parameters of selenium and selenoproteins, and also observe possible changes in gene expression of selenoproteins in these patients. The sample consisted of 27 adult and elderly patients with a clinical diagnosis of coronary artery disease undergoing angioplasty, treated at Natal Hospital Center hospital, Natal, RN. Patients were treated with rosuvastatin 10 mg/day during four months. Anthropometric variables such as body mass index (BMI) and Waist circumference (WC) were measured before and after treatment, as well as lipid profile, blood glucose and liver enzymes (AST and ALT). The diet of the patients was also analyzed using 24-hour diet recall. We analyzed the concentrations of selenium in plasma and erythrocytes, and also the activity of Glutathione Peroxidase and gene expression by Real Time PCR of selenoproteins GPx1, SelP1 and SelN1. Patients had mean age of 61.0 ± 9.4 years, 59.3% were men and 40.7% were women. After four months of treatment there was significant reduction of CA and, according to BMI, most were overweight. The intake of macronutrients, cholesterol, polyunsaturated fatty acids, monounsaturated and saturated was adequate, but the energy and fiber intake was below the recommendations. Regarding the selenium intake was observed a high prevalence of inadequacy. As expected, after treatment with rosuvastatin, a significant reduction in total cholesterol, LDL and glucose, which was not observed for HDL. Selenium concentrations in plasma and erythrocytes showed no changes, keeping within the established cutoffs. We observed a significant increase in GPx enzyme activity and mRNA expression of GPX1 and SEPN1, but not for gene SEPP1. Thus, it was found that treatment with rosuvastatin did not reduce the expression of selenoproteins. More studies are needed to clarify the effects of rosuvastatin on gene expression of selenoproteins in patients with atherosclerosis

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The study had as objective to evaluate the zinc status by means of dietary intake, zinc in plasma and in erythrocytes and the metallothionein gene expression in patients with atherosclerosis in use of rosuvastatin. The research involved 27 adult and elderly patients of both genders with atherosclerosis that were treated with rosuvastatin (10mg/day) during 4 months. We performed the dosage of lipids, glucose, AST and ALT, ultrasensitive C-reactive protein (hsCRP), plasmatic and erythrocyte zinc and 1 and 2 metallothionein gene expression. The assessment of body mass index (BMI) and abdominal circumference (AC) was performed, besides the analysis of dietary intake of patients. The majority of the evaluated patients presented overweight, before and after the treatment, with no significant difference between the times of the study. It was identified that the AC was significantly reduced in the group (p<0.05) after the intervention. The majority of the patients had intake below the recommendation of calories and fibers and above recommendation of proteins. The mono and polyunsaturated fats were adequate for the majority of the patients, however, the saturated fat and cholesterol were consumed in excess by a great part of the individuals. The intake of zinc was inadequate, being noticed an inadequacy of 100% in the male gender and of 84% in the female. After the treatment with rosuvastatin there was a significant reduction in the total cholesterol (TC) and LDL-c (p<0.01) and no alterations were observed in the HDL-c and triacylglycerols. It was also verified that the reduction of glycemia (p<0.05) and of hsCRP (p<0.01). The analysis did not demonstrate significant differences in the plasmatic and erythrocyte zinc concentration after the treatment. There was, after the treatment, reduction of the MT1F gene (p<0.05) without, however, occurring significant alterations in the MT2A gene. The treatment with rosuvastatin was effective in the reduction of TC and LDL-c, and promoted the reduction of inflammatory marker hsCRP. The zinc in the plasma and erythrocyte was not altered by the use of the medication and there was a reduction in the MT1F gene, possibly due to the reduction of inflammation. The majority of patients presented inadequate intake of zinc and this inadequacy did not have relation with the mineral parameters in plasma and erythrocytes or with the metallothionein gene expression

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This study aims to examine the contemporary viewer and also propose a review of the literature surrounding the spanish researcher Jésus Martín-Barbero. The proposed review, based on Martín-Barbero observations and the Latin American Cultural Studies analysis, observes the individual as part of the processes of communication and research on the concept of cultural mediation, the viewer as component/agent/object of the production of meaning. The study will perceive it as an element of inaccuracy/inadequacy and understand it as a subject of these reactive processes that contain complex and involve communication and culture, in contrast the impressions that resulted from a discussion between a television professional and a communication researcher and of these findings on the same viewer. The work also aims to point the viewer as a component of the possible mapping desired by Martín-Barbero to massive contemporary interpretation of the processes and its concept of night map

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Study descriptive that was designed to assess the quality of care for people with venous ulcers (VUs) tended at the ambulatory of a university hospital in Natal / RN. The target population of the study was composed by 40 users bearers of venous ulcers served in the ambulatory of angiology of a university hospital in the level of tertiary education. The study received assent of the Ethics Committee of the Federal University of Rio Grande do Norte (Protocol No. 169/06). The collect of data was performed using a form of interview and tour with collection of measures biophysiologic, for a team comprised by the researchers and an academic of nursing, in the period of three months. The data were analyzed in SPSS 14.0, using descriptive statistics and presented in the form of charts, tables and graphs. Identified a clientele of holders of VUs predominantly female, married, aged up to 59 years, low level of education and household income, from Natal, retirees or those exercising professions and occupations that require long periods standing or sitting. In relation to the characteristics of health, those surveyed had risk factors for venous disease and had UVs chronic, located in Zone 2, lost tissue in grade II and serous exudates on average quantity. The assistance to holders of UVs has been characterized by a lack of professional nurses and unavailability of products for the realization of the right curative in ambulatory and outside it; by the inadequacy of products used in VUs, for long periods of treatment without resolution, where the compressive therapy is not priority, by the lack of completeness in the levels of assistance; by monitoring the bearer of UVs only by doctors and the nurses, even with the other team of professionals in the health service; by the completion of guidelines by health professionals and the lack the standardization of conducting laboratory and specifics tests. The assistance was assessed as inadequate in aspects: reference and counter-reference (75.0%), number of consultations with angiologists last year (87.5%), documentation of the clinical findings (85.0%), use of compressive therapy in the past 30 days (77.5%), part of the team interdisciplinary (97.5%), completion of laboratory and specifics tests in the last year (100%), availability of products used in achieving the curative in ambulatory (80, 0%), and indication of products used in the conduct of dressing outside the clinic (70.0%) and appropriate in the guidelines made on the use of socks, lifting of the members and prescription of exercises regular (82.5%) and indication products used in achieving the curative in ambulatory (97.5%). We conclude that the assistance provided to holders of UV was inadequate in 80% of cases interviewed, becoming non-resolutive and assistematic

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Prospective descriptive study with quantitative approach, which aimed to analyze the relationship of the knowledge of Nurses and conduct assistance during the process of transfusion, to patients in the ICU of a university hospital in Natal-RN. The sample consisted of 27 professionals from the nursing staff (5 nurses and 22 nursing technicians), climbing in the ICU during the period of data collection. Data collection was through a questionnaire and structured form of observation, in addition to consulting the diary. The results were organized in SPSS 15.0, tabulated, cathegorized and analyzed by descriptive and inferential statistics. The results show a young population, aged between 21 and 32 years (63.0%), female (85.2%). Among those surveyed were the main type of stock, mostly technical, nursing (ρ= 0006), which have little time to experience - up to 2 years (ρ= 0008), did not know the DRC in 153 (ρ= 0019), held greater number of pipelines care in blood (ρ= 0018), the non-participation in training and feel informed about the process of transfusion, showed no significant differences. As for officials, highlighted only the time to experience more than 2 years, carrying out fewer procedures and feel informed about the blood. As for the pipes during the transfusion process, I found that the majority of pipes observed in both the stock and the staff were inadequate, with predominance in the first, both in the pursuit of conduct regarding the shortfall. The averages of inappropriate conduct, predominantly developed by stock, were higher in all stages for appropriate conduct. Analyzing the knowledge about the disease process, the stock market were those who had lower scores of knowledge in three stages. As the relationship between the pipes care and knowledge, we see that at all stages of the process of transfusion inadequate knowledge of the averages were higher, taking a significant difference in the stages pre-transfusion (ρ= 0012). When analyzing the average of pipes behind, we see that in inappropriate conduct were significantly higher (ρ= 0031), who had searched in inadequate knowledge. As for the frequency of total procedures performed, we found a significant predominance (ρ= 0049) of inappropriate conduct (88.9%) of which 81.5% were developed by professionals who had inadequate knowledge, showing moderate correlation (r = 0,516) and odds ratio of 2,750 times the development of inappropriate conduct in trade with inadequate knowledge. We conclude that the professionals surveyed, especially the technicians of nursing stock, showed serious deficiencies with regard to the development of pipelines and knowledge of the transfusion process, showing the inadequacy to develop this therapy. Facing the foregoing, we accept the alternative hypothesis proposed in the study, because we show that the inadequacy of knowledge about the process of transfusion influence in inappropriate conduct implemented by the nursing staff in ICU.

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Descriptive research aimed at evaluating the assistance offered to patients with venous ulcers, on lower limbs, attended by the Family Health Program (FHP) team, from the municipality of Natal/RN. The target population was composed of 74 patients with venous ulcers (VU), attended by the FHP teams in the 31 FHUs. The study was approved by the Ethics Committee of the Federal University of Rio Grande do Norte (protocol n.55/05). The data collection was performed in patients homes and in the FHUs, through structured interviews and physical examinations of patients with VU and non-participant observation during the changing of wound dressings in these Units and in users homes. The data was organized into an Excel electronic table and transported into the SPSS 14.0 program, for descriptive analysis on 2x2 contingency tables and inferential (Qui-Square χ2, Spearman Correlation, Binomial Proportion Test and p-value <0.05). The prevalence of VU (0.36/1000) in the target population (over 20 years of age) was greater than in the population registered in FHP (0.25/1000). We detected a greater prevalence in the age area of over 60 years (2.22/1000), with 2.98/1000 for females and 1.3/1000 for males (p-value=0.008). The sociodemographical and health characteristics of patients with VU revealed predominance of females (74.5%), elders over 60 years of age (67.6%), with fundamental education (74.3%), family earnings of up to 2 minimum wages (68.9%), retired (90.5%), ortostatic position (23.0%), inadequate sleep (59,9%), presence of CVI (100.0%), hypertension (44.6%) and diabetes (25.7%). As for the time of existence of the VU, 64.9% had over 1 year, and 35.1% less than 1 year), with predominance of one wound (67.6%). The changing of wound dressings is performed mostly at home, in and inadequate way, especially with incorrect cleaning techniques, likewise incorrect use of products and substances, and reduced participation of the FHP team on the evaluation and application of the dressing and choosing of products and substances. The compressive therapy is not part of therapeutic conducts for treatment in the FHUs. As for the evaluation of assistance to patients with VU, 90.5% were inadequate and only 9.5% adequate. The main inadequacy factors were the absence of: diagnosis (47.3%), consultation with and angiologist (63.5%), compressive treatment (100.0%), adequate optical therapy (98.62%), adequate dressing kit (70.3%), training for the changing of dressings (67.6%), following by the FHP team (51.4%) and performed exams (55.4%). We ve concluded that patients with VU mostly present now socioeconomical level and associated chronic diseases. Considering that assistance offered by FHP is non-systematic, fragmented, with no diagnosis planning, continual evaluation and evolution, we qualify the assistance as inadequate and with low level of solution, directly interfering on the maintenance of the VUs chronic state

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The changes that have taken place in the organizational environment in recent decades have led to new performance measurement systems being proposed, given the inadequacy of traditional models. The Balanced Scorecard (BSC) emerged as an instrument to translate financial and non-financial assets into real values for all interested parties in the organization, allowing the introduction of strategies to achieve the desired goals. Research shows that most errors committed with the use of this method are related to the implementation process. Thus, the aim of this dissertation is to analyze the process of building and implementing the BSC in an organization. This empirical exploratory study is based on the classic case study method, which enables the researcher to work with a set of evidence, including direct observation, interviews and document analysis. The results show that the use of BSC in the company investigated posed problems during the process of building and implementing the method. These problems were caused mainly by the lack of involvement on the part of upper management and the team s scant knowledge of Balanced Scorecard. One of the gains obtained from adopting the system was the introduction and/or consolidation of a culture of strategic planning and participative management. The continuous implementation phase was highlighted in the monitoring program, created by the organization in an attempt to reverse existing problems, using the BSC as a third generation strategic management system, which led to significant gains, better use of the system and stronger management practices

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Este trabalho aponta algumas críticas feitas ao conhecimento científico moderno no âmbito do movimento ambientalista, com especial destaque às idéias filosóficas cartesianas. Entendendo ser o processo educativo uma etapa fundamental para amenizar ou reverter o quadro de degradações ambientais, analisamos alguns limites dessas críticas como a não contextualização histórico-social de tais idéias. Por fim observamos a inadequação que causa a repetição dessas críticas à ciência moderna para o processo educativo.