Infornut® Process; improves accessibility to diagnosis and nutritional support for the malnourished hospitalized patient; impact on management indicators; two-year assessment.

Introduction: The high prevalence of disease-related hospital malnutrition justifies the need for screening tools and early detection in patients at risk for malnutrition, followed by an assessment targeted towards diagnosis and treatment. At the same time there is clear undercoding of malnutrition diagnoses and the procedures to correct it Objectives: To describe the INFORNUT program/ process and its development as an information system. To quantify performance in its different phases. To cite other tools used as a coding source. To calculate the coding rates for malnutrition diagnoses and related procedures. To show the relationship to Mean Stay, Mortality Rate and Urgent Readmission; as well as to quantify its impact on the hospital Complexity Index and its effect on the justification of Hospitalization Costs. Material and methods: The INFORNUT® process is based on an automated screening program of systematic detection and early identification of malnourished patients on hospital admission, as well as their assessment, diagnoses, documentation and reporting. Of total readmissions with stays longer than three days incurred in 2008 and 2010, we recorded patients who underwent analytical screening with an alert for a medium or high risk of malnutrition, as well as the subgroup of patients in whom we were able to administer the complete INFORNUT® process, generating a report for each.

An aproach for implementing knowledge management in small and medium companies in Brazil: A case study

The search for competitive advantage in a global environment must consider the use of tacit and explicit knowledge circulating inside companies. Differential factors can be easily replicated nowadays. Due to the great volume of knowledge and information, it is necessary to create a system that allows the management of important knowledge. Existing models for Knowledge Management are based on the reality at large companies. In Brazil, most of the companies are smaller ones. This work presents a simplified model to implement Knowledge Management in Small and Medium Companies in Brazil, based on a unique case study with limited scope. Despite some human and financial restrictions, Knowledge Management can help smaller companies, preserving organizational memory and increasing process efficiency. Observing a unique case prevented any generalization of the model. But the recommendations can be references to other companies, because projects like this must address the specific issues of each organization. The objective of this study is to introduce a simplified model for planning Knowledge Management at small companies in Brazil, considering their restrictions and also seeking to create a competitive advantage. Human aspects are very important in Knowledge Management, but that is not the focus of this study. The model was conceived presuming the participation of all people involved.

Disaster Risk Management Disparity in the Caribbean: Evidence from Barbados, Dominican Republic, Jamaica and Trinidad and Tobago

This study on risk and disaster management capacities of four Caribbean countries: Barbados, the Dominican Republic, Jamaica, and Trinidad and Tobago, examines three main dimensions: 1) the impact of natural disasters from 1900 to 2010 (number of events, number of people killed, total number affected, and damage in US$); 2) institutional assessments of disaster risk management disparity; and 3) the 2010 Inter-American Bank for Development (IADB) Disaster Risk and Risk Management indicators for the countries under study. The results show high consistency among the different sources examined, pointing out the need to extend the IADB measurements to the rest of the Caribbean countries. Indexes and indicators constitute a comparison measure vis-à-vis existing benchmarks in order to anticipate a capacity to deal with adverse events and their consequences; however, the indexes and indicators could only be tested against the occurrence of a real event. Therefore, the need exists to establish a sustainable and comprehensive evaluation system after important disasters to assess a country‘s performance, verify the indicators, and gain feedback on measurement systems and methodologies. There is diversity in emergency and preparedness for disasters in the four countries under study. The nature of the event (hurricanes, earthquakes, floods, and seismic activity), especially its frequency and the intensity of the damage experienced, is related to how each has designed its risk and disaster management policies and programs to face natural disasters. Vulnerabilities to disaster risks have been increasing, among other factors, because of uncontrolled urbanization, demographic density and poverty increase, social and economic marginalization, and lack of building code enforcement. The four countries under study have shown improvements in risk management capabilities, yet they are far from being completed prepared. Barbados‘ risk management performance is superior, in comparison, to the majority of the countries of the region. However, is still far in achieving high performance levels and sustainability in risk management, primarily when it has the highest gap between potential macroeconomic and financial losses and the ability to face them. The Dominican Republic has shown steady risk performance up to 2008, but two remaining areas for improvement are hazard monitoring and early warning systems. Jamaica has made uneven advances between 1990 and 2008, requiring significant improvements to achieve high performance levels and sustainability in risk management, as well as macroeconomic mitigation infrastructure. Trinidad and Tobago has the lowest risk management score of the 15 countries in the Latin American and Caribbean region as assessed by the IADB study in 2010, yet it has experienced an important vulnerability reduction. In sum, the results confirmed the high disaster risk management disparity in the Caribbean region.

Disater Risk Management Disparity in the Caribbean: Evidence from Barbados, Dominican Republic, Jamaica and Trinidad and Tobago

This study on risk and disaster management capacities of four Caribbean countries: Barbados, the Dominican Republic, Jamaica, and Trinidad and Tobago, examines three main dimensions: 1) the impact of natural disasters from 1900 to 2010 (number of events, number of people killed, total number affected, and damage in US$); 2) institutional assessments of disaster risk management disparity; and 3) the 2010 Inter-American Bank for Development (IADB) Disaster Risk and Risk Management indicators for the countries under study. The results show high consistency among the different sources examined, pointing out the need to extend the IADB measurements to the rest of the Caribbean countries. Indexes and indicators constitute a comparison measure vis-à-vis existing benchmarks in order to anticipate a capacity to deal with adverse events and their consequences; however, the indexes and indicators could only be tested against the occurrence of a real event. Therefore, the need exists to establish a sustainable and comprehensive evaluation system after important disasters to assess a country’s performance, verify the indicators, and gain feedback on measurement systems and methodologies. There is diversity in emergency and preparedness for disasters in the four countries under study. The nature of the event (hurricanes, earthquakes, floods, and seismic activity), especially its frequency and the intensity of the damage experienced, is related to how each has designed its risk and disaster management policies and programs to face natural disasters. Vulnerabilities to disaster risks have been increasing, among other factors, because of uncontrolled urbanization, demographic density and poverty increase, social and economic marginalization, and lack of building code enforcement. The four countries under study have shown improvements in risk management capabilities, yet they are far from being completed prepared. Barbados’ risk management performance is superior, in comparison, to the majority of the countries of the region. However, is still far in achieving high performance levels and sustainability in risk management, primarily when it has the highest gap between potential macroeconomic and financial losses and the ability to face them. The Dominican Republic has shown steady risk performance up to 2008, but two remaining areas for improvement are hazard monitoring and early warning systems. Jamaica has made uneven advances between 1990 and 2008, requiring significant improvements to achieve high performance levels and sustainability in risk management, as well as macroeconomic mitigation infrastructure. Trinidad and Tobago has the lowest risk management score of the 15 countries in the Latin American and Caribbean region as assessed by the IADB study in 2010, yet it has experienced an important vulnerability reduction. In sum, the results confirmed the high disaster risk management disparity in the Caribbean region.

Avaliação do desempenho ambiental de obras de recuperação de rodovias

This paper features a tool to carry out environmental performance evaluation in highway rehabilitation works, as a component of environmental supervision activities. The procedure involves (i) evidence gathering by conducting technical inspections and reviewing environmental compliance reports, (ii) ranking nonconformities according to a proposed weighting framework, and (iii) calculation of an environmental conformity index. For the sake of testing and calibration, the procedure was applied to five road segments that were submitted to rehabilitation works in Sao Paulo State and the results were treated qualitatively.

Gestão do risco de crédito e rentabilidade dos bancos: o caso português

Dissertação de Mestrado apresentada ao Instituto de Contabilidade e Administração do Porto para a obtenção do grau de Mestre em Contabilidade e Finanças, sob orientação do Mestre Adalmiro Álvaro Malheiro de Castro Andrade Pereira.

Balanced Scorecard

Mestrado Em Engenharia Mecânica - Ramo Gestão Industrial

Indicadores de la gestión del agua en los canales de Urgell (Lleida)

En este trabajo se presentan los resultados de una serie de indicacores de la gestión del agua en área regada por los canales del Urgell (Lleida), en el ámbito de la cuenca del río Corb de 36350 ha. De la recopilación de 33 evaluaciones de riego al nivel de parcela se observa que en los suelos asentados sobre gravas se da una muy baja eficiencia de aplicación (EA), del 32% de media, mientras que en los suelos sobre lutitas es del 80% de media; pudiéndose dar como cifra promedio de la zona un 43%.

Formulación e implementación estratégica en Proinplast S.A.

La siguiente tesis se realizó con el fin de hacer un diagnóstico estratégico que permita la implementación de un Cuadro de Mando Integral, instrumento muy valioso para el control de gestión y la toma de decisiones en organizaciones orientadas a la estrategia. Tal diagnóstico estratégico fue realizado a una PYME del sector de plásticos en Colombia, PROINPLAST S.A., esta empresa familiar dio la oportunidad al equipo de trabajo de conocer a fondo todo lo relacionado con la empresa, interactuar con los diferentes actores del sector y tuvo la mejor disposición para la realización de este proyecto que será de gran ayuda para la perdurabilidad y competitividad de la empresa en el sector. Se utilizaron diferentes herramientas para lograr el objetivo; entre ellas se encuentran el análisis PEST, la matriz DOFA, las 5 fuerzas de Michael Porter, el Diamante de competitividad y el Balance Score Card. Al final de la tesis se puede encontrar la estrategia propuesta para la empresa y las recomendaciones que permitan un manejo exitoso y la culminación del objetivo, ser una PYME orientada a la estrategia.

Análisis de la inversión social de ECOPETROL en la gestión municipal de Barrancabermeja, 2006-2008

La presente monografía hace un análisis sobre la Gestión Social de ECOPETROL, es decir sobre las acciones voluntarias que desarrolla la Empresa petrolera para generar procesos de desarrollo sostenible y mejorar las condiciones de vida de las comunidades de su área de influencia, en asocio con autoridades locales y en concordancia con los planes de desarrollo municipal: generando un complejo proceso de interacción, que hasta el momento no ha sido medido ni estudiado por ninguna institución del país. En este orden de ideas, el presente estudio enfatiza su esfuerzo en la solución de este problema, realizando un estudio detallado del proceso de interacción entre ECOPETROL y el municipio de Barrancabermeja: identificando los indicadores de gestión pública del municipio y de la gestión social de ECOPETROL, para así determinar el nivel de interdependencia y efectividad del municipio en la prestación de sus servicios frente al esfuerzo voluntario que realiza ECOPETROL.

A restauração nos transportes turísticos : o catering no comboio TGV europeu : projecto de empresa para explorar o catering do TGV em Portugal

Este projecto apresenta-se em três capítulos, antecedida da introdução onde serão apresentadas as questões teóricas, metodológicas e conceptuais. No primeiro capítulo faremos um enquadramento dos conceitos relacionados com o transporte turístico, em particular o ferroviário, onde serão focalizados a estratégia e competitividade, a gastronomia, a restauração, bem como catering. No segundo capítulo faremos a análise do catering do TGV europeu, analisando os serviços de catering de cada TGV, examinaremos a importância das linhas TGV para o futuro do turismo no espaço europeu, bem como esboçaremos um indicador de atractividade potencial do catering a bordo do TGV. No terceiro capítulo concentraremos o foco na concepção de um projecto empresarial para a exploração do catering a bordo do TGV para ligação de Lisboa a Madrid, tendo por base as previsões de passageiros anunciadas pela RAVE, projectando receitas e despesas potenciais para os próximos cinco anos, respeitando os indicadores de gestão para o sector, com base em três cenários (realista, optimista e pessimista). Finalmente, inferiremos se a empresa apresentará potencial para ser viável ou inviável do ponto de vista operacional e financeiro, com base nas opções tomadas ao longo do projecto de dissertação.

A sucessão na empresa familiar: um estudo de caso na empresa Centro Elétrico na cidade de São Luís Estado do Maranhão

This paper deals with the familiar enterprise succession leaving as a goal to identify, describe and analyze the factors which facilitate and make difficult the process of succession of the familiar enterprise. To this it contextualizes the familiar enterprise in the labor market through its contexts, process and characters. Afterward it treats of the familiar enterprise as an system in its complexity of this segment of the enterprise. It considered the need on studying its origin, evolution and characteristics. Also the ethics and familiar administration. It also, considered the cycle of life, the three-dimensional model of development having as a base the propriety, family and enterprise axes as well as the familiar profissionalization, the main focus reposes in the succession process having as a base its planning the field search reveals it self descriptive, that¿s to say a case study through interview with the proprietors, successors, aggregates and succeeded ones. Finally the management indicators which aim, to contribute to the familiar succession.

Longevidade das micro e pequenas empresas prestadoras de serviços: um estudo das dimensões organizacionais e suas implicações

O presente estudo tem como objetivo fornecer subsídios para a discussão sobre a longevidade das micro e pequenas empresas (MPEs) prestadoras de serviços através da relação de parceria com a grande empresa. O enfoque delineia-se no espaço das dimensões organizacionais: estrutura e processos, comportamento, estratégias, tecnologia / inovação e ambiente. Tal escolha deu-se em função de duas razões: a primeira enquanto uma forma de recolocar na agenda de discussões brasileiras a questão da importância da vida longa às MPEs como agente dinamizador da economia; e a segunda, desmistificar a funcionalidade e indicadores de gestão a partir de sua longevidade. O estudo faz uma imersão diante dos desdobramentos das dimensões, com fatores que agregam um arcabouço de variáveis, discutidas à luz do referencial teórico do sistema sócio-técnico, estudos de ciclo de vida, na “lógica” da complexidade e nas evidências epistemológicas das dimensões organizacionais, creditando fatores tangíveis e intangíveis à margem de práticas da gestão das MPEs longevas. A estratégia metodológica sustentou-se em uma pesquisa quali-quantitativa, com investigação descritiva, explicativa e aplicada, com instrumentos de análise de dados primários e secundários e pesquisa de campo com aplicação de entrevistas e questionários. Foram pesquisadas 82 MPEs prestadoras de serviços com longevidade a partir de cinco anos e parceira da grande empresa. Após a análise dos dados evidenciou-se que as dimensões organizacionais alteram de forma sinérgica na vida dessas empresas. Os resultados comprovam ainda, que a parceria com a grande empresa explica significativamente na longevidade das MPEs. Ao final o estudo apresenta-se um quadro de indicadores de gestão das MPEs longevas, por dimensão organizacional.