Gestão de stocks aplicada a uma instituição de saúde privada

A gestão de stocks tem-se tornado uma ferramenta fundamental na racionalização de custos das empresas permitindo uma maior eficiência operacional. Os modelos de gestão de stocks procuram ajudar a determinar as quantidades a encomendar e quando encomendar, com um custo total de aprovisionamento mínimo. Este trabalho visa o estudo da gestão de stocks, dos modelos existentes e a aplicação de um deles num prestador de saúde, em particular, na área da imagiologia. Neste estudo optou-se por efectuar a classificação ABC dos produtos e posteriormente procurou-se definir o modelo de gestão de stocks que melhor se adeqúe à realidade empresarial em estudo de modo a manter o nível de stock correcto associado a um menor custo. Optou-se pelo modelo de revisão periódica de stocks que permite efectuar a encomenda sempre com o mesmo intervalo de tempo e efectuar ajustes nas quantidades necessárias. Com base nos dados fornecido efectuou-se uma previsão da procura e assim definiram-se as quantidades a encomendar, bem como o stock de segurança necessário. Implementaram-se as quantidades e o stock de segurança e efectuou-se uma avaliação dos resultados obtidos e analisou-se o impacto da gestão de stocks no prestador de saúde.

Otimização da atividade de picking num armazém de peças – um caso de estudo

Mestrado em Engenharia Mecânica – Gestão Industrial

An internal analysis of Amorim Turismo’s operations regarding food and beverage with a focus on operational efficiency and quality of service

A Work Project, presented as part of the requirements for the Award of a Masters Degree in Management from the NOVA – School of Business and Economics

Modern cataract surgery for radiation-induced cataracts in retinoblastoma.

Background Surgery of radiation-induced cataracts in children with retinoblastoma (RB) is a challenge as early intervention is weighted against the need to delay surgery until complete tumour control is obtained. This study analyses the safety and functional results of such surgery. Methods In a retrospective, non-comparative, consecutive case series, we reviewed medical records of RB patients </=14 y of age who underwent either external beam radiotherapy or plaque treatment and were operated for radiation-induced cataract between 1985 and 2008. Results In total, 21 eyes of 20 RB patients were included and 18 out of the 21 eyes had Reese-Ellsworth stage V or ABC classification group D/E RB. Median interval between last treatment for RB and cataract surgery was 21.5 months, range 3-164 months. Phacoaspiration was performed in 13 eyes (61%), extra-capsular cataract extraction in 8 (39%) and intraocular lens implantation in 19 eyes (90%). The majority of cases, 11/21 (52%), underwent posterior capsulorhexis or capsulotomy and 6/21 (28%) an anterior vitrectomy. Postoperative visual acuity was >/=20/200 in 13 eyes and <20/200 in 5 eyes. Intraocular tumour recurrence was noted in three eyes. Mean postoperative follow up was 90 months+/-69 months. Conclusions Modern cataract surgery, including clear cornea approach, lens aspiration with posterior capsulotomy, anterior vitrectomy and IOL implantation is a safe procedure for radiation-induced cataract as long as RB is controlled. The visual prognosis is limited by initial tumour involvement of the macula and by corneal complications of radiotherapy. We recommend a minimal interval of 9 months between completion of treatment of retinoblastoma and cataract surgery.

Operative level purchasing in pharmaceutical wholesale trade

Tämän tutkintotyön tavoitteena on selvittää operatiivista ostotoimintaa, joka sisältää oikea-aikaisen tilausrytmin ja tasapainoisen tilausmäärän määrityksen sekä saapuvan tavaravirran mukauttamisen myyntiin tai kulutukseen kokonaisuutena. Tässä tutkimuksessa tarkastellaan myös varastojen merkitystä ja ostotoiminnan kannalta keskeisimpiä tehokkaaseen varastonohjaukseen liittyviä tunnuslukuja. Tutkimus sisältää lääkkeiden toimitusketjun kuvauksen, koska se poikkeaa merkittävästi muista toimialoista. Tämä tutkintotyö on syntetisoiva kirjallisuustutkimus. Tutkintotyön empiirisessä osassa analysoidaan aluksi case-yrityksen vaihto-omaisuusvaraston ohjausta ostotoiminnan näkökulmasta ABC analyysiin pohjautuen. Tämän jälkeen ostotoimintaa analysoidaan tarkemmin tiettyjen toimittajien osalta. Lopuksi laaditaan optimaalinen tilausrytmi ja tilausmäärät sekä ostobudjetti yhden toimittajan tuotteille. ABC analyysia voidaan hyödyntää työkaluna määriteltäessä miten erilaisten tuotteiden materiaalivirtoja tulisi ostotoiminnan kannalta ohjata. Analyysi perustuu resurssien keskittämiseen sinne missä tuotto on suurin.

Propuesta de mejoramiento del sistema de inventarios para Diageo Colombia en la categoría vinos

La gestión de inventarios es uno de los grandes retos que afrontan las empresas hoy en día, especialmente aquellas que manipulan productos con altas probabilidades de daños y averías, razón por la cual definir políticas o un sistema de gestión de inventarios garantizaría una perdurabilidad y sostenibilidad en el mercado más prolongada. Es por ello que el proyecto planteado a continuación desarrollado en la empresa Diageo, multinacional de consumo masivo del sector licores, está inscrito en la línea de investigación de Gerencia de la Universidad del Rosario. De esta manera, bajo el programa de Áreas funcionales para la dirección que cuenta con un enfoque en perdurabilidad empresarial, la línea de investigación en Gerencia busca generar conocimientos sobre finanzas, mercadeo, operaciones y gestión humana. Por lo anterior, partiendo de la premisa de que una empresa perdurable es aquella que “adecúa su manejo a la intensidad de las condiciones del entorno sectorial y las fuerzas del mercado” (Leal, Guerrero, Rojas, & Rivera, 2011), se hace necesario orientar los recursos y esfuerzos de la empresa hacia una nueva política de inventarios en el portafolio de vinos, de modo que al incrementar el nivel de servicio se afecten positivamente indicadores de rentabilidad y liquidez.

Gestão de estoques: uma proposta de reposição contínua para material médico hospitalar e medicamentos em um hospital universitário federal do estado do Rio Grande do Norte

The inventory management in hospitals is of paramount importance, since the supply materials and drugs interruption can cause irreparable damage to human lives while excess inventories involves immobilization of capital. Hospitals should use techniques of inventory management to perform replenishment in shorter and shorter intervals, in order to reduce inventories and fixed assets and meet citizens requirements properly. The inventory management can be an even bigger problem for public hospitals, which have restrictions on the use of resources and decisionmaking structure more bureaucratized. Currently the University Hospital Onofre Lopes (HUOL) uses a periodic replacement policy for hospital medical supplies and medicines, which involves one moment surplus stock replenishment, the next out of stock items. This study aims to propose a system for continuous replenishment through order point for inventory of medical supplies and medicines to the hospital HUOL. Therefore, a literature review of Federal University Hospitals Management, Logistics, Inventory Management and Replenishment System in Hospitals was performed, emphasizing the demand forecast, classification or ABC curve and order point system. And also, policies of inventory management and the current proposal were described, dealing with profile of the mentioned institution, the current policy of inventory management and simulation for continuous replenishment order point. For the simulation, the sample consisted of 102 and 44 items of medical and hospital drugs, respectively, selected using the ABC classification of inventory, prioritizing items of Class A, which contains the most relevant items in added value, representing 80 % of the financial value in 2012 fiscal year. Considering that it is a public organization, subject to the laws, we performed two simulations: the first, following the signs for inventory management of Instruction No. 205 (IN 205 ), from Secretary of Public Administration of the Presidency ( SEDAP / PR ), and the second, based on the literature specializing in inventory management hospital. The results of two simulations were compared to the current policy of replenishment system. Among these results are: an indication that the system for continuous replenishment reorder point based on IN 205 provides lower levels of safety stock and maximum stock, enables a 17% reduction in the amount spent for the full replenishment of inventories, in other words, decreasing capital assets, as well as reduction in stock quantity, also the simulation made from the literature has indicated parameters that prevent the application of this technique to all items of the sample. Hence, a change in inventory management of HUOL, with the application of the continuous replenishment according to IN 205, provides a significant reduction in acquisition costs of medical and hospital medicine

Classificação multicritério de peças de reposição

Pós-graduação em Engenharia Mecânica - FEG

Effektiv lagerstyrning med AHP och tvådimensionell artikelklassificering : En fallstudie på Permobil AB, Timrå

Costs related to inventory are usually a significant amount of the company’s total assets. Despite this, companies in general don’t pay a lot of interest in it, even if the benefits from effective inventory are obvious when it comes to less tied up capital, increased customer satisfaction and better working environment. Permobil AB, Timrå is in an intense period when it comes to revenue and growth. The production unit is aiming for an increased output of 30 % in the next two years. To make this possible the company has to improve their way to distribute and handle material,The purpose of the study is to provide useful information and concrete proposals for action, so that the company can build a strategy for an effective and sustainable solution when it comes to inventory management. Alternative methods for making forecasts are suggested, in order to reach a more nuanced perception of different articles, and how they should be managed. Analytic Hierarchy Process (AHP) was used in order to give specially selected persons the chance to decide criteria for how the article should be valued. The criteria they agreed about were annual volume value, lead time, frequency rate and purchase price. The other method that was proposed was a two-dimensional model where annual volume value and frequency was the criteria that specified in which class an article should be placed. Both methods resulted in significant changes in comparison to the current solution. For the spare part inventory different forecast methods were tested and compared with the current solution. It turned out that the current forecast method performed worse than both moving average and exponential smoothing with trend. The small sample of ten random articles is not big enough to reject the current solution, but still the result is a reason enough, for the company to control the quality of the forecasts.

Melhoria do processo de armazenagem do armazém de matérias-primas e de embalagem da Nestlé Portugal

O presente relatório de projeto de tese aborda o estudo da temática da gestão de armazéns, bem como o estudo de ferramentas de melhoria contínua. Nele, é apresentado um caso de estudo realizado na Nestlé Portugal – Fábrica de Avanca. Numa fase introdutória e preparatória ao projeto, foi realizado um trabalho de pesquisa e compreensão de conhecimentos base para definir quais os objetivos a alcançar e pontos de melhoria. Esta base serviu de pilar de conhecimento para o desenvolvimento do caso de estudo. O caso de estudo consistiu em analisar o sistema de armazenagem, tendo-se para isso simulado o desempenho atual do armazém de modo a otimizar os espaços de armazenagem. Para além disso, avaliou-se o layout do armazém em função da rotatividade dos materiais com recurso à análise ABC e ao estudo de tempos. As oportunidades de melhoria ao nível dos processos de armazenagem refletem-se no sistema de armazenagem em que o ideal seria uma reestruturação ao nível do sistema de armazenagem (estantes com racks convencionais) e ao nível do layout do armazém (segundo a classificação ABC).

Evolução do sistema de custos baseados em atividades: um estudo exploratório da utilização da metodologia de ABC ao longo do tempo

Muito tem se escrito desde o surgimento da Metodologia de Custeio Baseado em AtividadesABC como técnica alternativa aos modelos contábeis de custeio. A seu respeito diversos autores buscaram exaltar suas vantagens, sugeriram aplicações variadas, inclusive em apoio a outras ferramentas de gestão e revelaram segredos para realizar implantar essa técnica com sucesso. Visto que são passados mais de 10 anos de implantações dessa técnica em diversas empresas no Brasil e considerando-se a existência de uma curva de aprendizagem em relação ao uso e aplicações da metodologia, muito pouco se falou sobre o que aconteceu depois de uma implantação de sucesso. O que houve depois que os primeiros resultados apareceram, depois que as informações de custos se incorporaram no dia-a-dia das empresas, o que se criou a partir do uso da metodologia? A proposta desse trabalho é portanto explorar a realidade das empresas que implementaram o ABC e ver como a técnica evoluiu. Assim busca-se responder a questões como quais aplicações são realmente colocadas em prática e que tipo de lições os usuários com mais de três anos de uso aprenderam no dia-a-dia. As respostas encontradas passaram pela definição e classificação de sete diferentes categorias para as aplicações sugeridas para a metodologia. Posteriormente, através dos dados da pesquisa de campo foi possível a identificação daquelas categorias com maior grau de utilização. Os dados da pesquisa também revelaram as tendências no uso da metodologia e confirmaram a existência de um processo de amadurecimento no uso da metodologia, bem como as variáveis influentes nesse processo.

Classification of polymers insulators hydrophobicity basead on digital image processing

Although the hydrophobicity is usually an arduous parameter to be determined in the field, it has been pointed out as a good option to monitor aging of polymeric outdoor insulators. Concerning this purpose, digital image processing of photos taken from wet insulators has been the main technique nowadays. However, important challenges on this technique still remain to be overcome, such as; images from non-controlled illumination conditions can interfere on analyses and no existence of standard surfaces with different levels of hydrophobicity. In this paper, the photo image samples were digitally filtered to reduce the illumination influence, and hydrophobic surface samples were prepared from wetting silicon surfaces with solution of water-alcohol. Furthermore norevious studies triying to quantify and relate these properties in a mathematical function were found, that could be used in the field by the electrical companies. Based on such considerations, high quality images of countless hydrophobic surfaces were obtained and three different image processing methodologies, the fractal dimension and two Haralick textures descriptors, entropy and homogeneity, associated with several digital filters, were compared. The entropy parameter Haralick's descriptors filtered with the White Top-Hat filter presented the best result to classify the hydrophobicity.

Good is generally more alike than bad in the information ecology: Investigating the case of (the ABC model of) group stereotypes

On most if not all evaluatively relevant dimensions such as the temperature level, taste intensity, and nutritional value of a meal, one range of adequate, positive states is framed by two ranges of inadequate, negative states, namely too much and too little. This distribution of positive and negative states in the information ecology results in a higher similarity of positive objects, people, and events to other positive stimuli as compared to the similarity of negative stimuli to other negative stimuli. In other words, there are fewer ways in which an object, a person, or an event can be positive as compared to negative. Oftentimes, there is only one way in which a stimulus can be positive (e.g., a good meal has to have an adequate temperature level, taste intensity, and nutritional value). In contrast, there are many different ways in which a stimulus can be negative (e.g., a bad meal can be too hot or too cold, too spicy or too bland, or too fat or too lean). This higher similarity of positive as compared to negative stimuli is important, as similarity greatly impacts speed and accuracy on virtually all levels of information processing, including attention, classification, categorization, judgment and decision making, and recognition and recall memory. Thus, if the difference in similarity between positive and negative stimuli is a general phenomenon, it predicts and may explain a variety of valence asymmetries in cognitive processing (e.g., positive as compared to negative stimuli are processed faster but less accurately). In my dissertation, I show that the similarity asymmetry is indeed a general phenomenon that is observed in thousands of words and pictures. Further, I show that the similarity asymmetry applies to social groups. Groups stereotyped as average on the two dimensions agency / socio-economic success (A) and conservative-progressive beliefs (B) are stereotyped as positive or high on communion (C), while groups stereotyped as extreme on A and B (e.g., managers, homeless people, punks, and religious people) are stereotyped as negative or low on C. As average groups are more similar to one another than extreme groups, according to this ABC model of group stereotypes, positive groups are mentally represented as more similar to one another than negative groups. Finally, I discuss implications of the ABC model of group stereotypes, pointing to avenues for future research on how stereotype content shapes social perception, cognition, and behavior.

Phylogenetics, Ancestral State Reconstruction, And A New Infrafamilial Classification Of The Pantropical Ochnaceae (medusagynaceae, Ochnaceae S.str., Quiinaceae) Based On Five Dna Regions.

Ochnaceae s.str. (Malpighiales) are a pantropical family of about 500 species and 27 genera of almost exclusively woody plants. Infrafamilial classification and relationships have been controversial partially due to the lack of a robust phylogenetic framework. Including all genera except Indosinia and Perissocarpa and DNA sequence data for five DNA regions (ITS, matK, ndhF, rbcL, trnL-F), we provide for the first time a nearly complete molecular phylogenetic analysis of Ochnaceae s.l. resolving most of the phylogenetic backbone of the family. Based on this, we present a new classification of Ochnaceae s.l., with Medusagynoideae and Quiinoideae included as subfamilies and the former subfamilies Ochnoideae and Sauvagesioideae recognized at the rank of tribe. Our data support a monophyletic Ochneae, but Sauvagesieae in the traditional circumscription is paraphyletic because Testulea emerges as sister to the rest of Ochnoideae, and the next clade shows Luxemburgia+Philacra as sister group to the remaining Ochnoideae. To avoid paraphyly, we classify Luxemburgieae and Testuleeae as new tribes. The African genus Lophira, which has switched between subfamilies (here tribes) in past classifications, emerges as sister to all other Ochneae. Thus, endosperm-free seeds and ovules with partly to completely united integuments (resulting in an apparently single integument) are characters that unite all members of that tribe. The relationships within its largest clade, Ochnineae (former Ochneae), are poorly resolved, but former Ochninae (Brackenridgea, Ochna) are polyphyletic. Within Sauvagesieae, the genus Sauvagesia in its broad circumscription is polyphyletic as Sauvagesia serrata is sister to a clade of Adenarake, Sauvagesia spp., and three other genera. Within Quiinoideae, in contrast to former phylogenetic hypotheses, Lacunaria and Touroulia form a clade that is sister to Quiina. Bayesian ancestral state reconstructions showed that zygomorphic flowers with adaptations to buzz-pollination (poricidal anthers), a syncarpous gynoecium (a near-apocarpous gynoecium evolved independently in Quiinoideae and Ochninae), numerous ovules, septicidal capsules, and winged seeds with endosperm are the ancestral condition in Ochnoideae. Although in some lineages poricidal anthers were lost secondarily, the evolution of poricidal superstructures secured the maintenance of buzz-pollination in some of these genera, indicating a strong selective pressure on keeping that specialized pollination system.

Advancing Bag-of-visual-words Representations For Lesion Classification In Retinal Images.

Diabetic Retinopathy (DR) is a complication of diabetes that can lead to blindness if not readily discovered. Automated screening algorithms have the potential to improve identification of patients who need further medical attention. However, the identification of lesions must be accurate to be useful for clinical application. The bag-of-visual-words (BoVW) algorithm employs a maximum-margin classifier in a flexible framework that is able to detect the most common DR-related lesions such as microaneurysms, cotton-wool spots and hard exudates. BoVW allows to bypass the need for pre- and post-processing of the retinographic images, as well as the need of specific ad hoc techniques for identification of each type of lesion. An extensive evaluation of the BoVW model, using three large retinograph datasets (DR1, DR2 and Messidor) with different resolution and collected by different healthcare personnel, was performed. The results demonstrate that the BoVW classification approach can identify different lesions within an image without having to utilize different algorithms for each lesion reducing processing time and providing a more flexible diagnostic system. Our BoVW scheme is based on sparse low-level feature detection with a Speeded-Up Robust Features (SURF) local descriptor, and mid-level features based on semi-soft coding with max pooling. The best BoVW representation for retinal image classification was an area under the receiver operating characteristic curve (AUC-ROC) of 97.8% (exudates) and 93.5% (red lesions), applying a cross-dataset validation protocol. To assess the accuracy for detecting cases that require referral within one year, the sparse extraction technique associated with semi-soft coding and max pooling obtained an AUC of 94.2 ± 2.0%, outperforming current methods. Those results indicate that, for retinal image classification tasks in clinical practice, BoVW is equal and, in some instances, surpasses results obtained using dense detection (widely believed to be the best choice in many vision problems) for the low-level descriptors.