Coordenação da entrega de ajuda a vítimas de desastre: uma abordagem multicritério com pensamento focado em valor.

Este trabalho trata da logística envolvida em operações de resposta a desastres, com foco na entrega final de suprimentos destinados a ajudar vítimas. Seu propósito é investigar os objetivos pertinentes ao planejamento do transporte da carga e encontrar uma metodologia para definir estratégia que sirva à tomada de decisão em campo. Para tanto, primeiramente identifica-se os objetivos adotados em modelos de Pesquisa Operacional para a tarefa em questão, através da análise de conteúdo das publicações pertinentes. Então, a abordagem do Pensamento Focado em Valores é utilizada para estruturar o problema. Finalmente, o método Simple Multi-Attribute Rating Technique Exploiting Ranks (SMARTER) é empregado na construção de um modelo de Análise da Decisão Multicritério (ADM), com consulta a um profissional experiente da área humanitária e aproveitando a análise da literatura previamente realizada. Neste processo, são elaboradas e avaliadas seis alternativas para a tomada de decisão condizentes com os valores da comunidade humanitária. Os resultados obtidos mostram que existe incompatibilidade entre os critérios de desempenho identificados nas publicações existentes e os objetivos perseguidos pelo Tomador da Decisão (TD) real. De acordo com o modelo construído, o atendimento de prioridades e a manutenção da sustentabilidade da operação são os objetivos que devem ser levados em conta para planejar a entrega de carga em pós-desastre, sendo que o custo e a equidade da distribuição não devem ser considerados. Conclui-se que o método adotado é útil à definição destes critérios e também ao desenvolvimento de estratégias que resultem em distribuições de ajuda melhores, aos olhos do próprio TD. Desta forma, ressalta-se que este trabalho contribui à área da Logística Humanitária com a investigação dos objetivos, assim como ao campo da ADM pela formalização dos processos de elaboração de alternativas, além da adição de mais uma aplicação possível ao repertório do método SMARTER.

Response of vulval lichen sclerosus and squamous hyperplasia to photodynamic treatment using sustained topical delivery of aminolevulinic acid from a novel bioadhesive patch system

This study evaluated the clinical and histopathological responses of vulval lichen sclerosus (LS) and squamous hyperplasia (SH) to photodynamic therapy (PDT). A novel bioadhesive patch containing aminolevulinic acid (ALA) at a dose of (38 mg/cm(2)) was used to treat 10 patients before irradiation with light of 630 nm. Clinical, histopathological and pathological responses to treatment were assessed at 6 weeks post-treatment. After 17 cycles of PDT, six patients reported significant symptomatic relief and no cutaneous photosensitivity. Histopathological differences were not demonstrated, but statistically significant induction of apoptosis was seen. It can be concluded that ALA-PDT patch-based formulation is pragmatic and primarily offers symptomatic management of vulval LS and SH.

Evaluation of Multidisciplinary Delivery of Surgical Anatomy Teaching

Title Evaluation of Multidisciplinary Delivery of Surgical Anatomy Teaching

Authors Walsh I.K., Taylor S.J., Dorman A, Boohan M.

Objectives To evaluate the efficacy of newly introduced multidisciplinary methods to deliver Surgical Anatomy teaching to undergraduate medical students.

Design and Setting Qualitative and quantitative study using questionnaires and focus groups, employing students of the perioperative and emergency medicine (POEM) module of the phase 4 undergraduate medical curriculum at Queen’s University Belfast.

Outcome Measures To determine:
(1) if multidisciplinary teaching is effective in delivering surgical anatomy teaching,
(2) student’s learning preferences regarding this teaching method.
Results The questionnaire response rate was 89% (216 of 244 students; female: male ratio 1.25) and 42 students participated in 6 focus groups. Mean questionnaire responses indicated a favourable opinion on quality assurance items and multidisciplinary teaching. 81% of students agreed that multidisciplinary teaching enhanced learning and 86% felt that this did not adversely affect interaction. A positive contribution towards POEM learning was reported for Radiology (95% of students), Anatomy (93%) and Surgery (78%). The benefits of multidisciplinary teaching were congruent for Anatomy, Radiology and Surgery with 78% of students indicating a perceived favourable association with learning. Multidisciplinary teaching was not associated with diluted interaction, with 62% of students describing interaction as sufficient. 88% of students positively ranked tutor characteristics of enthusiasm and encouragement as being strongly associated with teacher quality. Positive perception of overall quality was strongly associated with learning preferences as well as more generic quality assurance issues (80% students; alpha coefficient 0.83).
The results were supported by triangulation of the above quantitative data with qualitative data generated by the focus groups. Whilst students frequently misunderstood the meaning of “multidisciplinary teaching”, there was an appreciation of the method’s worth; students recognised and valued the relevance of Anatomy, Radiology and Surgery teaching to POEM learning. The importance of vertically integrating Anatomy into all stages of the undergraduate curriculum was especially recognised.

Reference Aarnio M, Nieminen J, Pyorala E, Lindbolm-Ylanne S. Motivating medical students to learn. 2010 Med Teach;32(4):199-204.

The Court of Justice of the European Union as a fundamental rights tribunal: challenges for the effective delivery of fundamental rights in the area of freedom, security and justice. CEPS Paper in Liberty and Security in Europe No. 49, 29 August 2012

This paper reflects on the challenges facing the effective implementation of the new EU fundamental rights architecture that emerged from the Lisbon Treaty. Particular attention is paid to the role of the Court of Justice of the European Union (CJEU) and its ability to function as a ‘fundamental rights tribunal’. The paper first analyses the praxis of the European Court of Human Rights in Strasbourg and its long-standing experience in overseeing the practical implementation of the European Convention for the Protection of Human Rights and Fundamental Freedoms. Against this analysis, it then examines the readiness of the CJEU to live up to its consolidated and strengthened mandate on fundamental rights as one of the prime guarantors of the effective implementation of the EU Charter of Fundamental Rights. We specifically review the role of ‘third-party interventions’ by non-governmental organisations, international and regional human rights actors as well as ‘interim relief measures’ when ensuring effective judicial protection of vulnerable individuals in cases of alleged violations of fundamental human rights. To flesh out our arguments, we rely on examples within the scope of the relatively new and complex domain of EU legislation, the Area of Freedom, Security and Justice (AFSJ), and its immigration, external border and asylum policies. In view of the fundamental rights-sensitive nature of these domains, which often encounter shifts of accountability and responsibility in their practical application, and the Lisbon Treaty’s expansion of the jurisdiction of the CJEU to interpret and review EU AFSJ legislation, this area can be seen as an excellent test case for the analyses at hand. The final section puts forth a set of policy suggestions that can assist the CJEU in the process of adjusting itself to the new fundamental rights context in a post-Lisbon Treaty setting.

Special studies, delivery of water to Mexico /

"February 1963."

Ethical guidelines for the delivery of health services by DHEW : report and recommendations /

Includes bibliographical references

The use of automated data management in the institutional delivery of student financial aid.

Includes bibliographical references.

Research on competition in the financing and delivery of health services : future research needs : proceedings of a conference held at the Hubert H. Humphrey Building, Washington, D.C., on March 4, 1982 /

"October 1982."

State-of-the-Science Invitational Conference, Nursing Resources and the Delivery of Patient Care : February 18-19, 1988 /

Mode of access: Internet.

The relevance of prepaid group practice to the effective delivery of health services.

Mode of access: Internet.

Remarks on the application of the workhouse system with other modes of relief to the Irish poor /

Mode of access: Internet.

How to attract and hold an audience; a practical treatise on the nature, preparation, and delivery of public discourse,

Mode of access: Internet.

Modern methods of charity; an account of the systems of relief, public and private, in the principal countries having modern methods,

Bibliography: p. 689-702.

The community welfare picture as health and welfare statistics in 29 urban areas, 1938. A summary of expenditures for health and welfare activities and of reports of cases dealt with in the fields of relief and child care. Children's bureau, U.S. Department of labor.

Reproduced from type-written copy.

Introduction to case work and administration of relief.

Mode of access: Internet.