Journal articles on the topic 'VFM audit'
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ROBERTS, SIMON, and CHRISTOPHER POLLITT. "AUDIT OR EVALUATION? A NATIONAL AUDIT OFFICE VFM STUDY." Public Administration 72, no. 4 (December 1994): 527–49. http://dx.doi.org/10.1111/j.1467-9299.1994.tb00807.x.
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Bowerman, Mary. "THE NATIONAL AUDIT OFFICE AND THE AUDIT COMMISSION: CO-OPERATION IN AREAS WHERE THEIR VFM RESPONSIBILITIES INTERFACE." Financial Accountability and Management 10, no. 1 (February 1994): 47–64. http://dx.doi.org/10.1111/j.1468-0408.1994.tb00004.x.
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Benamraoui, Abdelhafid, Yousef Ali Alwardat, and Yusuf Karbhari. "The UK public sector VfM audit expectations gap: evidence from the informed groups." International Journal of Accounting, Auditing and Performance Evaluation 18, no. 1 (2022): 61. http://dx.doi.org/10.1504/ijaape.2022.10047972.
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Adi, Sana, and Patrice Dutil. "Searching for strategy: Value for Money (VFM) audit choice in the new public management era." Canadian Public Administration 61, no. 1 (March 2018): 91–108. http://dx.doi.org/10.1111/capa.12254.
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Morin, Danielle, and Mouna Hazgui. "We are much more than watchdogs:." Journal of Accounting & Organizational Change 12, no. 4 (November 7, 2016): 568–89. http://dx.doi.org/10.1108/jaoc-08-2015-0063.
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Purpose Three decades ago, the National Audit Office (NAO) in the UK acquired the powers to evaluate the extent that the British Administration was managed with economy, efficiency and effectiveness. The NAO has since adopted a dual mission: to help Parliament hold government to account and to improve public service. This study aims to investigate value-for-money (VFM) auditors’ internalisation of a dual organisational identity: “obstructive” actions as representatives of a Supreme Audit Institution (SAI) and “enabling good practice”, induced by a will stated in the mission that the NAO authorities have adopted. Design/methodology/approach The organisational identity held and promoted by VFM auditors working at the NAO was explored in this research project. The authors specifically examined the understanding of those who claim to be serving both Parliament and organisations audited in their quest for performance improvement. The authors prompted the auditors to explain how they manage to reconcile these seemingly incompatible roles, namely, that of guardians and watchdogs who must publicly report gaps noted and that of assistants in government’s learning process. To this end, the authors conducted a field study at the NAO in September 2012 during which 21 auditors were interviewed individually and as part of two discussion groups. Findings The findings indicate that the auditors interviewed do not perceive a dichotomy in NAO’s double mission, which they believe to be congruent with their audience’s expectations. They draw meaning and usefulness from their role of monitoring the Administration if they believe they have contributed to improve public affairs management. In their view, the singular role of guardian no longer suffices. The authors conclude that VFM auditors’ recently acquired identity of “moderniser” reflects a self-efficacy expectation that prevents them from recognising the apparent paradox within their dual identity and that lets them fantasise about their real influence on the Administration. Research limitations/implications Admittedly, the limited number of auditors interviewed and who took part in discussion groups is not conducive to generalisation of the conclusions to all auditors in the NAO or to other SAIs. However, although modest in number, the auditor respondents have accumulated many years of VFM audit practice and have contributed to the production of many reports. The respondents could therefore rightfully speak of their work as VFM auditors and as representatives of an institution such as the NAO. Practical implications This study contributes to the debates about the place and role of SAIs in the control environment of Administrations. By soliciting testimonials from the actors working within the NAO, the authors could thus question certain a priori assumptions held by stakeholders in the political and administrative world for whom auditors are mere “watchdogs” of Administrations, and nothing more. Originality/value The dual mission that the NAO has adopted (similar to many other SAIs) has been formally and publicly stated. It was therefore worth investigating how experienced auditors such as those interviewed had internalised this mission. The authors argue that this dual mission, perhaps inspired by the managerialist culture that has shaped changes to the British Administration (and many other occidental Administrations) since the early 1980s and that is seemingly encouraged by Government, twists the legislator’s intentions, which are to consider SAIs’ auditors as guardians and watchdogs of Administrations, not as agents of change and improvement.
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Marvis Ndu, Okolo, Irem Earnest Nnaemeka, and Ugwuoke Chinonso. J. "Value for Money (VFM) Audit and Public Sector Performance in Afikpo North Local Government Area of Ebonyi State, Nigeria." International Journal of Public Policy and Administration Research 6, no. 2 (2019): 147–56. http://dx.doi.org/10.18488/journal.74.2019.62.147.156.
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Demirag, Istemi, Cemil Eren Fırtın, and Ebru Tekin Bilbil. "Managing expectations with emotional accountability: making City Hospitals accountable during the COVID-19 pandemic in Turkey." Journal of Public Budgeting, Accounting & Financial Management 32, no. 5 (October 29, 2020): 889–901. http://dx.doi.org/10.1108/jpbafm-07-2020-0097.
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PurposeThis paper explores the role of the COVID-19 pandemic in the financial and parliamentary accountability mechanisms of public-private partnership (PPP) “City Hospitals” in Turkey. Diverse and changing accountability mechanisms are explored regarding budgetary, affordability and emotions during the COVID-19 pandemic.Design/methodology/approachThis is a case study of City Hospitals in Turkey. Empirical data are collected and analyzed qualitatively from publicly available government and related sources, Turkish National Audit reports (Sayistay), strategic healthcare investment plans, relevant laws, decrees and NGO reports and news articles.FindingsExisting accountability mechanisms for arranging and/or delivering value-for-money (VfM) in Turkish PPP hospitals are weak. This provided policy makers with more flexibility to manage expectations of its citizens in dealing with COVID-19 pandemic. Political decision makers, through PPPs, created political capital for themselves by engaging in emotional accountability at the expense of better financial and parliamentary accountability.Originality/valueThis article contributes to the literature by articulating how roles of accountability change in crisis and introduces the concept of emotional accountability during a period of heavy infrastructure investments in City Hospitals in Turkey.
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Geerdink, Thijs H., Dorien A. Salentijn, Kristin A. de Vries, Philou C. W. Noordman, Johanna M. van Dongen, Robert Haverlag, J. Carel Goslings, and Ruben N. van Veen. "Optimizing orthopedic trauma care delivery during the COVID-19 pandemic. A closed-loop audit of implementing a virtual fracture clinic and fast-track pathway in a Dutch level 2 trauma center." Trauma Surgery & Acute Care Open 6, no. 1 (October 2021): e000691. http://dx.doi.org/10.1136/tsaco-2021-000691.
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BackgroundGuidelines concerning outpatient management of patients during the coronavirus pandemic required minimized face-to-face follow-up and increased remote care. In response, we established a virtual fracture clinic (VFC) review for emergency department (ED) patients with musculoskeletal injuries, meaning patients are reviewed ‘virtually’ the next workday by a multidisciplinary team, instead of routine referral for face-to-face fracture clinic review. Patients wait at home and are contacted afterwards to discuss treatment. Based on VFC review, patients with minor injuries are discharged, while for other patients an extensive treatment plan is documented using injury-specific care pathways. Additionally, we established an ED orthopedic trauma fast-track to reduce waiting time. This study aimed to evaluate the extent to which our workflow supported adherence to national coronavirus-related guidelines and effects on ED waiting time.MethodsA closed-loop audit was performed during two 4-week periods using predefined standards: (1) all eligible ED orthopedic trauma patients are referred for VFC review; (2) reached afterwards; and follow-up is (3) patient initiated, or (4) performed remotely, whenever possible. Total ED waiting time, time to review, time for review, and time after review were assessed during both audit periods and compared with previous measurements.ResultsDuring both audits, the majority of eligible ED patients were referred for VFC review (1st: n=162 (88.0%); 2nd: n=302 (98.4%)), and reached afterwards (1st: 98.1%; 2nd: 99.0%). Of all referred patients, 17.9% and 13.6% were discharged ‘virtually’ during first and second audits, respectively, while 45.0% and 41.1% of scheduled follow-up appointments were remote. Median total ED waiting time was reduced (1st: −36 minutes (p<0.001); 2nd: −33 minutes (p<0.001)). During the second audit, median ED time to review was reduced by −13 minutes (p<0.001), as well as time for review: −10 minutes (p=0.019).DiscussionIn line with national guidelines, our VFC review allowed time-effective review and triage of the majority of ED orthopedic trauma patients, supporting patient-initiated and remote follow-up, whenever possible. ED waiting time was reduced after implementing the VFC review and orthopedic trauma fast-track.Level of evidenceIV.
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Martin-Ucar, A. E., G. K. Chetty, R. Vaughan, and D. A. Waller. "A prospective audit evaluating the role of video-assisted cervical mediastinoscopy (VAM) as a training tool☆." European Journal of Cardio-Thoracic Surgery 26, no. 2 (August 2004): 393–95. http://dx.doi.org/10.1016/j.ejcts.2004.03.009.
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Wibowo, Pramono Mukti, Muhamad Haddin, and Arief Marwanto. "Energy saving analysis of air fan motor in power plant boiler controlled by variable frequency drive." International Journal of Power Electronics and Drive Systems (IJPEDS) 12, no. 4 (December 1, 2021): 2059. http://dx.doi.org/10.11591/ijpeds.v12.i4.pp2059-2069.
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A reporting of Energy Audit in 2018 by LEMTEK UI has reported that air fan system currently used in Power Plant of PLTU Tanjung Jati B Jepara is inefficient, energy efficiency in FDF is only 32% and PAF efficiency is 49.01%. Inefficiency of the air fan system is an impacted there are waste of electric energy amount of 13,352,929 KWh (13,35 GWh) a year with a financial loss of IDR 13,352,929,140. To overcome this condition, variable frequency drive (VFD) is installed which adjusted air flow as needed so that energy waste can be reduced. MATLAB simulation is proposed to analyze the VFD method. The result shows that by using VFD, 8,233,573.444 KWh (8.45 GWh) can be saved a year. Total cost benefits are IDR 8,233,573,444 as 32.1% of saving cost. Efficiency of FDF is 72.57 % and PAF is 66.84%.
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Hameed, Hira, Nazir Ahmad Zafar, Eman H. Alkhammash, and Myriam Hadjouni. "Blockchain-Based Formal Model for Food Supply Chain Management System Using VDM-SL." Sustainability 14, no. 21 (October 31, 2022): 14202. http://dx.doi.org/10.3390/su142114202.
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In modern society, the food supply chain management system has become an important research area realized nationally and internationally, which has established a collaborative relationship between producers, manufacturers, processors and retailers. Now, consumers are more interested in food quality, safety and the authentication of the products. Food safety has become an important issue in public health in the food market because people of all types and races around the world are affected due its poor quality. The traditional supply chains are centralized and face different issues such as lack of transparency, accountability and audit ability. The general issues in supply chain management include lack of communication, trust among the stakeholders, and interference of entities and wastage of food. A lot of work has been completed by researchers to address the above issues, but still, there is a need for effective mechanisms for the modeling of supply chain management systems. In this paper, a trusted, self-organized, traceable formal system based on blockchain and Internet of Things (IoT) is developed by using wireless sensors networks and finite automata. In the proposed model, smart contracts are designed to assure the automated payment procedures. The proposed model reduced the need for centralized authority. Unified Modeling Language (UML) is used to realize the requirements, and automata is used to capture behavior of the system. A blockchain-based model is used to provides the privacy and security mechanism for the transitions record. Wireless sensors are used to sense the information, and actors are used for decision making in case of any violation in the contact. A lot of work has been completed by researchers on smart contracts. Different smart contracts are designed to achieve the better traceability among producers, transporter/logistics and consumers. Our system provides the smart contract algorithm to show the interaction of entities in the food supply chain management system. Vienna Development Method-Specification Language (VDM-SL) is used to describe the formal system and the VDM-SL toolbox is used for the validation and analysis of the system.
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McRae, Bonnie, Nicholas Shortt, Natalie Campbell, Christopher Burton, Justin Scott, and Jane Fitzpatrick. "Virtual Fracture Clinic: A pandemic-ready tool for improving the efficiency of fracture clinic." Asia Pacific Journal of Health Management 16, no. 4 (December 13, 2021): 134–45. http://dx.doi.org/10.24083/apjhm.v16i4.1011.
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Background: The traditional model of care of the Orthopaedic Fracture Clinic (OFC) is labour intensive, expensive, has poor satisfaction rates, and often has minimal impact on management and outcomes of patients with minor injuries. Our aim was to implement a Virtual Fracture Clinic (VFC) for the management of minor injuries that is safe, reduces OFC clinic workload and reduces the OFC failure to attend (FTA) rate. Methods: This study was a retrospective longitudinal audit of OFC workload before (January 2012 -February 2017) and after (March 2017 – December 2019) implementation of the VFC. It was performed in an urban district general hospital in South East Queensland, Australia. The primary outcome measures included attendances per timepoint (month). Results: Overall, we observed a significant reduction in total number of patients from 1,055 (IQR 104.5) to 831 (IQR: 103) per month) coming through the OFC following the introduction of the VFC (F = 21.9; df=1; p <0.0001). The failure to attend rate was reduced by 44% from 271 (IQR: 127.3) to 151 (IQR: 72.8) (F=4.0; df=1; p = 0.047). Conclusion: The VFC implementation was successful in improving efficiency and reducing the current OFC workload, as well as reducing FTA rate. Reduction in clinic workload allows more time to be spent with complex patients, prevents clinic backlogs and overbooking, and crowding of waiting rooms. In the midst of a global pandemic that is spread by close contact, virtual clinics seem the way of the future to treat patients whilst minimising risk of COVID-19 spread.
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Ng, Zhan H., Samantha Downie, Navnit S. Makaram, Shivam N. Kolhe, Samuel P. Mackenzie, Nicholas D. Clement, Andrew D. Duckworth, and Timothy O. White. "A multicentre national study of the effectiveness of virtual fracture clinic management of orthopaedic trauma during the COVID-19 pandemic (MAVCOV): a cross-sectional study protocol." Bone & Joint Open 2, no. 3 (March 1, 2021): 211–15. http://dx.doi.org/10.1302/2633-1462.23.bjo-2020-0191.r1.
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Aims Virtual fracture clinics (VFCs) are advocated by recent British Orthopaedic Association Standards for Trauma and Orthopaedics (BOASTs) to efficiently manage injuries during the COVID-19 pandemic. The primary aim of this national study is to assess the impact of these standards on patient satisfaction and clinical outcome amid the pandemic. The secondary aims are to determine the impact of the pandemic on the demographic details of injuries presenting to the VFC, and to compare outcomes and satisfaction when the BOAST guidelines were first introduced with a subsequent period when local practice would be familiar with these guidelines. Methods This is a national cross-sectional cohort study comprising centres with VFC services across the UK. All consecutive adult patients assessed in VFC in a two-week period pre-lockdown (6 May 2019 to 19 May 2019) and in the same two-week period at the peak of the first lockdown (4 May 2020 to 17 May 2020), and a randomly selected sample during the ‘second wave’ (October 2020) will be eligible for the study. Data comprising local VFC practice, patient and injury characteristics, unplanned re-attendances, and complications will be collected by local investigators for all time periods. A telephone questionnaire will be used to determine patient satisfaction and patient-reported outcomes for patients who were discharged following VFC assessment without face-to-face consultation. Ethics and dissemination The study results will identify changes in case-mix and numbers of patients managed through VFCs and whether this is safe and associated with patient satisfaction. These data will provide key information for future expert-led consensus on management of trauma injuries through the VFC. The protocol will be disseminated through conferences and peer-reviewed publication. This protocol has been reviewed by the South East Scotland Research Ethics Service and is classified as a multicentre audit. Cite this article: Bone Jt Open 2021;2(3):211–215.
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Ekong, Pius S., Essam M. Abdelfattah, Emmanuel Okello, Deniece R. Williams, Terry W. Lehenbauer, Betsy M. Karle, Joan D. Rowe, Edith S. Marshall, and Sharif S. Aly. "2018 Survey of antimicrobial drug use and stewardship practices in adult cows on California dairies: post-Senate Bill 27." PeerJ 9 (July 13, 2021): e11515. http://dx.doi.org/10.7717/peerj.11515.
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Background A survey of California (CA) dairies was performed in spring 2018 to characterize antimicrobial stewardship practices, antimicrobial drug (AMD) use, and health management of adult cows on CA dairies since the implementation of the Veterinary Feed Directive (VFD) and the CA Senate Bill 27 (SB 27). Effective January 1, 2017, the U.S. Food and Drug Administration (FDA) implemented regulatory changes requiring veterinary oversight for therapeutic uses of medically-important antimicrobial drugs (MIADs) administered in feed (VFD) and water (veterinary prescription). Similarly, effective January 1, 2018, the CA legislature enacted California Food and Agricultural Code (FAC) 14400–14408, formerly known as Senate Bill 27 (SB 27) requiring veterinary prescriptions for all other dosage forms of MIADs. Methods The questionnaire consisted of 43 questions partitioned into three sections to assess herd information, management practices, and AMD use and perspectives. The questionnaire was mailed to 1,282 grade A licensed dairies in CA and 149 responses (11.6%) were collected from 19 counties across the three defined regions of CA: Northern CA (NCA), Northern San Joaquin Valley (NSJV), and Greater Southern CA (GSCA). Results Most dairies reported treating all dry cows with intramammary AMD and/or teat sealant at the end of a lactation (87.2%). In 92.3% of dairies, producers relied on the veterinarian for information about AMD used to treat cows. Treatment duration for cows treated with AMD was based on the drug manufacturer’s label and veterinarian’s instructions in most dairies (98.6%). Most respondents to the survey confirmed having a valid veterinarian-client-patient-relationship (VCPR) for their dairies (91.7%), participated in animal welfare audit programs (81.8%) and dairy quality assurance programs (52.9%). Approximately 98.6% respondents were aware that all uses of MIADs in livestock required a veterinary feed directive (VFD) or prescription and are no longer sold over-the-counter (OTC) in CA since January 1, 2018. Multiple factor analysis (MFA) was performed and identified seven components composed of 21 variables (questions) that explained 99.7% of the total variance in the data. Hierarchical cluster analysis on the principal coordinates of the MFA based on conventional dairy survey responses identified two clusters characterized as large conventional dairies (median herd size: 1,265 cows) and mid-sized conventional dairies (median herd size: 715 cows) mostly in GSCA and NSJV. The organic dairies grouped into a single cluster of median herd size of 325 cows mostly in NCA. Conclusions The survey results contribute to the knowledge of AMD use and antimicrobial stewardship practices on CA dairies since the implementation of the SB 27 and VFD laws and provide useful information for future evaluation of resistance-related risk in adult cows.
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Orth, Caroline De Oliveira, Anna Tamires Michaelsen, and Arthur Frederico Lerner. "LEI DE NEWCOMB BENFORD E AUDITORIA CONTÁBIL: UMA REVISÃO SISTEMÁTICA DE LITERATURA." Revista Gestão e Desenvolvimento 17, no. 2 (May 1, 2020): 111. http://dx.doi.org/10.25112/rgd.v17i2.2035.
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Lei de Newcomb Benford - LNB, foi concebida pelo astrônomo e matemático Simon Newcomb, em 1881. Seus estudos demonstraram que a ocorrência de um número natural, de modo espontâneo ou aleatório, não se dava na proporção esperada de 1/9, mas segundo uma distribuição logarítmica. Desde então, esta lei vem sendo testada em muitas áreas do conhecimento. Em finanças corporativas, os estudiosos têm testado a lei para investigar fraudes em dados contábeis. Contudo, ainda não há consenso sobre a eficácia da LNB nesse âmbito. Assim, o objetivo deste artigo é identificar os argumentos favoráveis e contrários, bem como os métodos de pesquisa e os principais achados das pesquisas sobre a aplicação da LNB como ferramenta de auditoria. Para tanto, aplicou-se uma Revisão Sistemática de Literatura, seguindo os passos de Levy e Ellis (2006). Deste modo, além de informações sobre autoria, modelos utilizados pelos autores para suportar suas conclusões e seus principais achados, apresentam-se lacunas de pesquisa, e as implicações para o futuro da pesquisa são discutidas.Palavras-chave: Lei de Newcomb Benford. Revisão sistemática. Auditoria contábil.ABSTRACTNewcomb Benford’s Law - LNB, was conceived by the astronomer and mathematician Simon Newcomb, in 1881. His studies showed that the occurrence of a natural number, spontaneously or randomly, did not occur in the expected proportion of 1/9, but according to a logarithmic distribution. Since then, this law has been tested in many areas of knowledge. In corporate finance, scholars have tested the law to investigate fraud in accounting data. However, there is still no consensus on the effectiveness of LNB in this area. Thus, the objective of this article is to identify the arguments for and against, as well as the research methods and the main findings of research on the application of LNB as an audit tool. For that, a Systematic Literature Review was applied, following the steps of Levy and Ellis (2006). Thus, in addition to information on authorship, models used by the authors to support their conclusions and main findings, research gaps are presented, and the implications for the future of research are discussed.Keywords: Newcomb Benford’s law. Systematic review. Accounting audit..
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Aguiar, Carlos Clayton Torres, Anya Pimentel G. Fernandes Vieira, André Ferrer Carvalho, and Renan M. Montenegro-Junior. "Instrumentos de avaliação de qualidade de vida relacionada à saúde no diabetes melito." Arquivos Brasileiros de Endocrinologia & Metabologia 52, no. 6 (August 2008): 931–39. http://dx.doi.org/10.1590/s0004-27302008000600004.
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A avaliação da qualidade de vida (QV) vem se tornando cada vez mais utilizada para medir o impacto geral de doenças na vida dos indivíduos. O diabetes melito (DM) é uma doença crônica associada com morbimortalidade elevada e prejuízo na QV. Em estudos longitudinais, o impacto psicossocial da DM prediz a mortalidade nessa doença. Esta revisão busca descrever e analisar os principais instrumentos de avaliação da QV em pacientes com DM. Foram analisados instrumentos genéricos, como Quality of Well-Being Scale (QWB), The Medical Outcomes Study 36-item Short-Form Health Survey (SF-36) e EuroQol (EQ-5D), e instrumentos específicos, como Diabetes Care Profile (DCP), Diabetes Quality of Life Measure (DQOL), Diabetes Impact Measurement Scales (DIMS), Appraisal of Diabetes Scale (ADS), Audit of Diabetes-Dependent Quality of Life (ADDQoL), Diabetes Health Profile (DHP-1 e DHP-18), Questionnaire on Stress in Patients with Diabetes-Revised (QSD-R), Well-Being Enquiry for Diabetics (WED), Diabetes-Specific Quality-of-life Scale (DSQOLS), Diabetes 39 (D-39) e Problems Areas in Diabetes (PAID). O PAID é o único instrumento traduzido e validado para uso no Brasil. Tanto os instrumentos genéricos quanto os específicos têm vantagens e desvantagens na aferição da QV de pacientes com DM. O uso combinado de instrumentos genéricos (como o SF-36) e específicos (como o PAID) parece ser uma forma consistente de avaliação da QV em pacientes diabéticos no Brasil. O presente artigo revisa os vários instrumentos e enfatiza a necessidade urgente de estudos para validação desses instrumentos em pacientes diabéticos brasileiros.
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Matsumoto, Roberta. "Variações sobre teatro e audiovisual[Roberta Matsumoto]." Repertório, no. 28 (December 5, 2017): 47. http://dx.doi.org/10.9771/r.v0i28.24998.
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<p class="p1">Resumo:<span class="Apple-converted-space"> </span></p><p class="p3">Nos últimos 30 anos, o diálogo entre o teatro e as tecnologias de produção de imagem tem se tornando cada vez mais intenso, sobretudo com o advento do sistema digital que vem possibilitado a miniaturização dos dispositivos e sua disseminação. Neste artigo, apontamos alguns caminhos de diálogo entre o teatro e o audiovisual no que diz respeito à presença de tais tecnologias como elemento de encenação do espetáculo teatral e à sua utilização como ferramentas que auxiliam o processo de criação e a pesquisa em teatro.<span class="Apple-converted-space"> </span></p><p class="p4"><span class="s1">P</span>alavras<span class="s1">-</span>chave<span class="s1">:<span class="Apple-converted-space"> </span></span>Teatro. Audiovisual. Cinema. Encenação teatral. Metodologia de pesquisa em artes cênicas.<span class="Apple-converted-space"> </span></p><p class="p4"><span class="Apple-converted-space"><br /></span></p><p><em>VARIATIONS ON THEATER AND AUDIO-VISUAL MATERIAL</em></p><p class="p4"><em>Abstract:<span class="Apple-converted-space"> </span></em></p><p class="p3"><em>During the last thirty years, the interactions between theater and imaging technologies has become increasingly intense. The advent of digital system technology allowed this process to develop even further due to shrinking and dissemination of such devices. In this paper, we highlight some forms of creating interaction between theater and audio-visual material. We focus on describing the use of such technologies as elements of the staging process and also its use as tools that contribute to the process of creating and researching theater.<span class="Apple-converted-space"> </span></em></p><p class="p4"><span class="s1"><em>K</em></span><em>eywords</em><span class="s1"><em>:<span class="Apple-converted-space"> </span></em></span><em>Theater. Audio-visual. Cinema. Theatrical performance. Methodological approaches to performing arts research.<span class="Apple-converted-space"> </span></em></p>
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Palani, Hari Prasath, Paul D. S. Fink, and Nicholas A. Giudice. "Comparing Map Learning between Touchscreen-Based Visual and Haptic Displays: A Behavioral Evaluation with Blind and Sighted Users." Multimodal Technologies and Interaction 6, no. 1 (December 22, 2021): 1. http://dx.doi.org/10.3390/mti6010001.
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The ubiquity of multimodal smart devices affords new opportunities for eyes-free applications for conveying graphical information to both sighted and visually impaired users. Using previously established haptic design guidelines for generic rendering of graphical content on touchscreen interfaces, the current study evaluates the learning and mental representation of digital maps, representing a key real-world translational eyes-free application. Two experiments involving 12 blind participants and 16 sighted participants compared cognitive map development and test performance on a range of spatio-behavioral tasks across three information-matched learning-mode conditions: (1) our prototype vibro-audio map (VAM), (2) traditional hardcopy-tactile maps, and (3) visual maps. Results demonstrated that when perceptual parameters of the stimuli were matched between modalities during haptic and visual map learning, test performance was highly similar (functionally equivalent) between the learning modes and participant groups. These results suggest equivalent cognitive map formation between both blind and sighted users and between maps learned from different sensory inputs, providing compelling evidence supporting the development of amodal spatial representations in the brain. The practical implications of these results include empirical evidence supporting a growing interest in the efficacy of multisensory interfaces as a primary interaction style for people both with and without vision. Findings challenge the long-held assumption that blind people exhibit deficits on global spatial tasks compared to their sighted peers, with results also providing empirical support for the methodological use of sighted participants in studies pertaining to technologies primarily aimed at supporting blind users.
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Pinho, Clóvis Alberto Bertolini de, and Marcia Carla Pereira Ribeiro. "Corrupção e compliance nas empresas públicas e sociedades de economia mista: racionalidade das disposições da Lei de Empresas Estatais (Lei nº 13.303/2016)." Revista de Direito Administrativo 277, no. 1 (May 11, 2018): 241. http://dx.doi.org/10.12660/rda.v277.2018.74808.
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<p>Corruption and compliance in state-owned companies: rationality of the Brazilian State Owned Companies Law (13.303/2016)</p><p> </p><p>A Lei nº 13.303/2016, Lei das Empresas Estatais, disciplinou diversos pontos lacunosos no direito brasileiro, nomeadamente a disciplina jurídica das sociedades de economia mista e empresas públicas. Um desses pontos é a obrigatoriedade da existência de políticas de compliance e governança corporativa para as empresas estatais, com a vedação expressa da possibilidade de acontecimentos de atos de corrupção (art. 9º, §1º, I, da Lei nº 13.303/2016). A previsão revela a particularidade com que vem sendo tratado o combate à corrupção no Brasil, principalmente no âmbito das empresas estatais. Por outro lado, a Lei nº 13.303/2016 inaugura exigências que até então eram praticadas no mercado privado e no exterior, como a constituição de Comitês de Auditoria Externos, ligados diretamente aos Conselhos de Administração das sociedades de economia mista e empresas públicas (desde que adotem o regime das sociedades anônimas). Adotando o método da análise econômica do direito, o presente artigo aborda como o fenômeno da corrupção pode afetar o funcionamento das empresas estatais brasileiras.</p><p> </p><p>The Brazilian Law Nº 13.303/2016 has disciplined a number of shortcomings about the State-Owned Companies in the Brazilian legal system, namely the legal discipline of mixed-capital companies and public companies. One of these points is the obligation that State-Owned Companies must have compliance and corporate governance policies, with the express prohibition of events involving acts of corruption (article 9, §1º, I, of Law 13303/2016). The Law Nº. 13.303/2016 reveals the particularity with which the fight against corruption in Brazil has been addressed. The Brazilian Law Nº. 13.303/2016 inaugurates requirements that had hitherto been practiced in the private and overseas markets, such as the constitution of External Audit Committees, directly linked to the Boards of Directors of mixed economy companies and public companies. Adopting the method of the economic analysis of law, this article shows how the phenomenon of corruption can affect the functioning of the Brazilian state-owned enterprises.</p>
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Podger, Andrew. "Federalism and Australia’s National Health and Health Insurance System." Asia Pacific Journal of Health Management 11, no. 3 (October 1, 2016): 26–37. http://dx.doi.org/10.24083/apjhm.v11i3.151.
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While health reform in Australia has been marked by piecemeal, incremental changes, the overall trend to increasing Commonwealth involvement has not been accidental or driven by power-hungry centralists: it has been shaped by broader national and international developments including technological change and the maturing of our nation and its place internationally, and by a widespread desire for a national universal health insurance system. In many respects the Australianhealth system performs well, but the emerging challenges demand a more integrated, patient-oriented system. This is likely to require a further shift towards the Commonwealth in terms of financial responsibility, as the national insurer. But it also requires close cooperation with the States, who could play a firmer role in service delivery and in supporting regional planning and coordination. The likelihood of sharing overall responsibility for the health system also suggests thereis a need to involve the States more fully in processes for setting national policies.
This article draws heavily on a lecture presented at the Australian National University in October 2015. It includes an overview of Australia’s evolving federal arrangements and the context within which the current Federalism Review is being conducted. It suggests Australia will not return to ‘coordinate federalism’ with clearly distinct responsibilities, and that greater priority should be given to improving how we manage shared responsibilities.
There is a long history of Commonwealth involvement in health, and future reform should build on that rather than try to reverse direction. While critical of the proposals from the Commission of Audit and in the 2014 Budget, the lecture welcomed the more pragmatic approaches that seemed to be emerging from the Federalism Review discussion papers and contributions from some Premiers which could promote more sensible measures to improve both the effectiveness and the financial sustainability of Australia’s health and health insurance system.
The Commonwealth’s new political leadership in 2015 seemed interested in such measures and in moving away from the Abbott Government’s approach. But the legacy of that approach severely damaged the Turnbull Government in the 2016 federal election as it gave traction to Labor’s ‘Mediscare’ campaign. In addition to resetting the federalism debate as it affects health, the Turnbull Government now needs to articulate the principles of Medicare and to clarify the role of the private sector, including private health insurance, in Australia’s universal health insurance system. Labor also needs to address more honestly the role of the private sector and develop a more coherent policy itself.
Abbreviations: COAG – Council of Australian Governments; NHHRC – National Health and Hospitals Reform Commission; PHI – Private Health Insurance; VFI – Vertical Fiscal Imbalance.
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MOURA, MARIANA BROGLIA DE. "OS GESTOS E OS TRAá‡OS DO SISTEMA DE CONTROLE, REGULAÇÃO E REPRESSáƒO DE DROGAS NO BRASIL ဠLUZ DAS NOÇÕES DE FISCALIZAÇÃO E DE ILEGALISMOS." Outros Tempos: Pesquisa em Foco - História 14, no. 24 (December 21, 2017): 110–36. http://dx.doi.org/10.18817/ot.v14i24.603.
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No artigo busca-se problematizar uma visão que reduz o proibicionismo a uma polática repressiva visando á interdição absoluta das drogas. Propomos, por meio de uma abordagem ”positiva”, restituir as diversas funções de controle, de regulação e de repressão que constituem o sistema proibicionista de drogas, focalizando-nos no caso do Brasil no peráodo de 1930 a 1970. Salientamos, particularmente, a atividade de fiscalização de entorpecentes que descrevemos a partir de suas três dimensões principais: controle estatástico, tributação e regulamentação profissional e regulação dos costumes. Examinamos, enfim, como a formalização de um mercado legátimo de drogas vem acompanhada do desenvolvimento de um conjunto de ilegalismos á s margens do lácito e do ilácito. Palavras-chave: Sistema proibicionista . Fiscalização de entorpecentes. Ilegalismos.WAYS AND TRAITS OF THE CONTROL SYSTEM, REGULATION AND REPRESSION OF DRUGS IN BRAZIL WITH REGARD TO THE AUDIT AND UNLAWFULNESSAbstract: This article seeks to problematize a view that condenses prohibition to a repressive policy aiming at the absolute exclusion of drugs. We propose, through a "positive" approach, to restore the functions of control, regulation and repression that constitute the drugs prohibitionist system, concentrating on Brazil during the period from 1930 to 1970. Reinforcement is given specifically on the supervisory drugs activity, which we define regarding three main dimensions: statistical control, taxation and professional regulations, and customs regulation. Finally, we examined how the formalization of a legimate drugs market is followed by the development of a set of unlawfulness on the edge of lawful or illicit.Keywords: Prohibitionist System. Supervision Of Narcotic Drugs. Illegalities.LOS GESTOS Y LOS TRAZOS DEL SISTEMA DE CONTROL, REGULACIÓN Y REPRESIÓN DE DROGAS EN BRASIL A LA LUZ DE LAS NOCIONES DE FISCALIZACIÓN Y DE ILEGALISMOS Resumen: En el artáculo se busca problematizar una visión que reduce el prohibicionismo a una polática represiva objetivando la prohibición absoluta de las drogas. Proponemos, por medio de un enfoque ”positivo”, restituir las diversas funciones de control, de regulación y de represión que constituyen el sistema prohibicionista de drogas, enfocándonos en el caso de Brasil en el peráodo de 1930 a 1970. En particular, subrayamos la actividad de fiscalización de estupefacientes que describimos a partir de sus tres dimensiones principales: control estadástico, tributación y regulación profesional y regulación de las costumbres. Examinamos, en fin, como la formalización de un mercado legátimo de drogas viene acompañada del desarrollo de un conjunto de ilegalismos al borde del lácito y del ilácito.Palabras clave: Sistema prohibicionista. Fiscalización de estupefacientes. Ilegalismo. LES GESTES ET LES FORMES DU SYSTEME DE CONTROLE, REGULATION ET REPRESSION DE DROGUES AU BRESIL A LA LUMIERE DES NOTIONS DE FISCALIZAÇÃO ET D”™ILLEGALISMESRésumé : Cet article propose de complexifier une analyse qui tend á réduire le prohibitionnisme á une politique répressive visant á l”™interdiction absolue des drogues. Nous nous efforçons, á travers une perspective plus « positive », de rendre compte des diverses fonctions de contrôle, de régulation et de répression qui constituent le systá¨me prohibitionniste des drogues, en nous focalisant sur le cas du Brésil entre 1930 et 1970. Nous nous concentrons tout particuliá¨rement sur l”™activité de « fiscalização » des stupéfiants, dont nous décrivons les trois dimensions principales : contrôle statistique, prélá¨vement et réglementation des professions, et régulation des mÅ“urs. Nous examinons enfin comment la formalisation d”™un marché légitime des drogues est allé de pair avec le développement de tout un ensemble d”™illégalismes, aux marges du licite et de l”™illicite.Mots-clés: Systá¨me Prohibitionniste. Contrôle et Régulation de Stupéfiants. Illégalismes.
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Sangalette, Beatriz Sobrinho, Larissa Vargas Vieira, Thayna da Silva Emídio, Gustavo Lopes Toledo, Fernanda Furtado Piras, Bruna Trazzi Pagani, and Franciny Querobim Ionta. "Sedação consciente com óxido nitroso e sua associação com ansiolíticos: aplicabilidade em Odontopediatria." ARCHIVES OF HEALTH INVESTIGATION 9, no. 5 (April 20, 2020): 493–97. http://dx.doi.org/10.21270/archi.v9i5.4792.
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Introdução: O manejo no atendimento odontológico infantil torna-se fatigante quando não há cooperação por parte da criança e/ou dos responsáveis. A fim de minimizar esses quadros, quando não existe sucesso das técnicas de abordagem comportamental tradicionais, métodos terapêuticos alternativos têm sido amplamente estudados, em especial a sedação consciente com óxido nitroso associada ou não a fármacos sedativos. Objetivo: Dessa forma, objetivou-se realizar uma revisão crítica da literatura norteando o cirurgião-dentista sobre o uso do óxido nitroso e sua associação a fármacos, esclarecendo suas indicações, vantagens e desvantagens. Métodos: Foi realizada uma busca integrativa da literatura nacional e internacional, entre 2004 a 2019, nas bases Bireme e PubMed, utilizando os descritores: sedação consciente, ansiedade no tratamento odontológico e óxido nitroso. Resultados: No total, 43 artigos foram incluídos nesse estudo. O óxido nitroso tem sido bastante utilizado na odontologia, especialmente na odontopediatria. Este atua no sistema nervoso, promovendo uma leve depressão do córtex cerebral e não deprime o centro respiratório, sendo considerado seguro. A técnica pode ser combinada a outros fármacos, como Midazolam e Prometazina, sendo que cada abordagem medicamentosa apresenta suas indicações e vantagens específicas. Conclusão: A sedação consciente mostra-se como um método viável, e quando bem indicada é considerada segura. Seu papel na Odontologia vem sendo consolidado com o tempo, em decorrência dos inúmeros benefícios encontrados. No entanto, ainda existe certa resistência na utilização da mesma, tanto por parte dos responsáveis como também de alguns profissionais.
Descritores: Sedação Consciente; Ansiedade ao Tratamento Odontológico; Óxido Nitroso.
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Benamraoui, Abdelhafid, Eleni Chatzivgeri, Surendranath Rakesh Jory, and Ranjitha Ajay. "VfM audit and the UK public sector: A critical review of the VfM reports." Financial Accountability & Management, June 29, 2022. http://dx.doi.org/10.1111/faam.12338.
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Dahanayake, Sunil J. "Enacting audit legitimacy: internal processes of VFM auditing in Victoria, Australia." Public Money & Management, February 28, 2020, 1–10. http://dx.doi.org/10.1080/09540962.2020.1732620.
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Stimler, B., N. Banhidy, M. Parducci, and G. Panagopoulos. "377 Audit of Barts Health NHS Trust Virtual Fracture Clinic." British Journal of Surgery 109, Supplement_6 (August 19, 2022). http://dx.doi.org/10.1093/bjs/znac269.016.
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Abstract Aim The British Orthopaedic Association recommends that all patients should be seen in a new fracture clinic within 72 hours of injury. The Virtual Fracture Clinic (VFC) at Barts Health NHS Trust was audited to assess compliance with the BOAST 7 Fracture Clinic Services guidelines, and to identify areas requiring improvement. Method All VFC referrals between 10/05/2021 to 28/05/21 were analysed across the Barts Health NHS Trust. Data was collected on discharge rates, type of injuries seen, inappropriate referrals, time to be seen, and time to further imaging. Results A total of 1,039 patients were reviewed in VFC. 54% included upper limb injuries and 46% lower limb injuries. 51% of patients were discharged following initial VFC review by an orthopaedic consultant. Mean time from injury to VFC review was 2.33 days. Mean time VFC to face-to-face review was 15.17 days, and mean time to advanced imaging was 30 days. 9% of injuries did not match pre-existing injury diagnosis codes (including hand injuries and injuries without enough clinical detail provided). Conclusions This audit of the VFC at Barts Health NHS Trust identified several areas requiring improvement. Waiting times for investigations were often unacceptably long. Inappropriate referrals frequently led to delayed, or otherwise avoidable face-to-face appointments. Following these findings, the Orthopaedic department plans to address these identified weaknesses through means of increased funding and staffing; educational support to A&E staff; and updated VFC protocols. A re-audit will subsequently follow to assess the impact of these interventions.
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Beoku-Betts, C., A. Prodromidis, A. Nazar, D. Sharma, and S. Barton. "1295 Virtual Fracture Clinic: An Audit of Referral Quality and Service Effectiveness." British Journal of Surgery 108, Supplement_6 (September 1, 2021). http://dx.doi.org/10.1093/bjs/znab259.1042.
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Abstract Aim Assessment of referral quality to the virtual fracture clinic (VFC) at the Liverpool University Hospital foundation trust compared to the standards set out by the Glasgow virtual fracture clinic pathway. As a secondary aim the effectiveness of the VFC in diverting patients not requiring further clinical management away from face-to-face specialist physical fracture clinics (PFC) was assessed. Method Outcomes of 1st attendances were collected for standard PFC's before the implementation of the VFC at our centre. This data was comparatively analysed to the outcomes of 1st ‘attendances' of VFCs post-service implementation. To assess VFC referral quality fracture type was recorded and compared to the standard set out by the Glasgow virtual fracture pathway which states that a selection of simple stable fractures should be discharged from ED directly with patient advice and telephone support. Results We analysed 529 PFC first attendances and 402 VFC first attendances. We saw a variety of simples stable fractures (21%) in the VCF including: Distal radial, Fifth metatarsal, Minor radial head, Fifth metacarpal, Mallet finger, which could have been managed with direct ED discharge and telephone support. 19.4% of PFC attendance resulted in discharge without a change in management as compared to 22.1% of 1st attendances for the VFC. Conclusions The VFC clinic has shown itself as an effective service in re-directing patients from face-to-face appointments, evidenced by the comparative rates of patient discharge on first attendance. This study has laid the foundation for improving referral quality to the VFC. Collaborative efforts between Orthopaedics and ED could improve VFC clinic efficiency further.
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"Design of a Linear Voltage to Frequency Converter for Digital Audio Applications." International Journal of Innovative Technology and Exploring Engineering 9, no. 1 (November 10, 2019): 4458–64. http://dx.doi.org/10.35940/ijitee.a5321.119119.
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Voltage to frequency converters are used in various types of analog to digital converters in suitable digital audio applications. One of the applications is the Audio Interface which has been considered. The Voltage to frequency converter (VFC) thus plays a major role in the analog to digital conversion. This paper proposes a low power VFC designed in 0.18 µm technology which in turn is used to design a low cost and a high-resolution analog to digital converter (ADC). The analog signal is given to the V-F converter and the VFC output is given to the frequency counter using a suitable link. This counter gives the digital output. The design is implemented in PSoC and the performance is analysed with the previous technologies. Parameters such as sensitivity, output frequency and power consumption are analysed. This V-F converter and ADC are used in the digital audio interface which is used for audio applications. With the proposed VFC and ADC, the interface produced a good SNR compared to the conventional audio interfaces.
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MARTINUCAR, A. "A prospective audit evaluating the role of video-assisted cervical mediastinoscopy (VAM) as a training tool*1." European Journal of Cardio-Thoracic Surgery, May 2004. http://dx.doi.org/10.1016/s1010-7940(04)00204-0.
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Effiom, D. "194 Referral of Paediatric Fractures from The Emergency Department to Virtual Fracture Clinic." British Journal of Surgery 108, Supplement_6 (September 1, 2021). http://dx.doi.org/10.1093/bjs/znab259.016.
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Abstract Introduction Virtual Fracture clinics (VFCs) are an alternative to the traditional fracture clinic. Recent evidence reports them to be safe, cost-effective, and efficient model without significant compromise to patient care. Aim This audit aims to assess VFC referrals from the paediatric emergency department (ED) and ensure the appropriateness of these referrals. Method This was a retrospective audit done at a large district general hospital in the United Kingdom (UK). We included patients under 18 years old presented to the emergency department with suspected or confirmed fractures and referred to virtual fracture clinics within a period of one month. The performance was measured against both local and national guidance (NICE & BOAST 7). Results Thirty patients were eligible. Thirty-three per cent of patients were appropriately referred to the VFC and ’seen’ within 72 hours. Comparing those referred 63.3% were appropriate, with inappropriate referrals mainly due to false-positive fracture diagnosis or fractures safe to be discharged home. Only 67.8% per cent of patients were managed correctly as per suspected or confirmed diagnosis with regards to fixation (i.e., splint). Conclusions The target of 100% compliance has failed. Fractures deemed safe to be discharged home from the ED are being repeated referred, radiographic interpretations often over-diagnose, and management within the department in sub-optimal. Recommendations include improving junior radiographic interpretation skills and awareness of the local and national guidelines, with another audit cycle to assess for improvement.
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Ms. Asavari Jadhav, Ms. Mayuri Pawar, Ms. Shital Shingate, Ms. Komal Devakar, and Dr. B. M. Nayak. "Design and Installation of High Capacity Centralized Coolant Pump for Optimization of Power Consumption using VFD Controller." International Journal of Advanced Research in Science, Communication and Technology, July 21, 2022, 354–59. http://dx.doi.org/10.48175/ijarsct-5832.
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This paper discuss the pumping system study involved detailed discussions with Maintenance Engineers. The flow, pressure and power measurements for the pumps were done with the advanced instruments available with GIN. A total of around 2 Pumps were studied during the audit period. We find that there is a good amount of saving potential available on replacement of the pumps with Energy Efficient pumps call it a variable speed drive, adjustable frequency drive, adjustable speed drive, AC drive, inverter drive or something else, a variable frequency drive (VFD) can reduce the energy usage of an electric motor up to 90%, extend motor life, deliver a payback in as little as 6 months and often qualify for energy-saving financial incentives. Since HVAC consumes the most energy in a building and motors account for the majority of HVAC energy usage, using VFDs on pump and fan motors can result in substantial energy cost reductions.
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Dehghan, Aaron, Henrietta Brain, and Malgorzata Magliano. "An audit of vertebral fracture assessment (VFA) selection criteria: Implications for the service and impact on clinical decision making." Endocrine Abstracts, October 14, 2016. http://dx.doi.org/10.1530/endoabs.44.p56.
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Havenhand, T., L. Hoggett, and A. Bhutta. "688 Rapid Implementation of Virtual Fracture Clinic During COVID 19 Reduces Both Face-To-Face Appointments and Facilitates Rapid Feedback and Education to Be Delivered to The Emergency Department." British Journal of Surgery 108, Supplement_2 (May 1, 2021). http://dx.doi.org/10.1093/bjs/znab135.027.
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Abstract Introduction COVID-19 has dictated a shift towards virtual clinics. Pennine Acute Hospitals NHS Trust serves over a million patients with a significant number of face-to-face fracture clinics. Introduction of a Virtual Fracture Clinic (VFC) reduces hospital return rates and improves patient experience. The referral data can be used to give immediate monthly feedback to the referring department to further improving patient flow. Method Prospective data was collected for all referrals to VFC during March 2020. Data included referral diagnosis, actual diagnosis, referrers grade, and final outcome. Results 630 referrals were made to VFC. 347 (55%) of those referrals were directly discharged without the need for physical consultation. Of these 114 (32%) were injuries which can be discharged by the Emergency Department with an advice leaflet using existing pathways. Of the remaining discharges 102 (29%) were query fractures or sprains; and 135 (39%) were minor fractures; which needed only advice via a letter and no face to face follow up. Conclusions Implementation of VFC leads to a decrease in physical appointments by 55% saving 347 face to face appointments. The new system has also facilitated effective audit of referrals in order to further improve patient flow from the Emergency Department via feedback mechanisms and education.
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Benning, Matthew Singh, James Berwin, Thomas Knapper, Sebastien Crosswell, Charlotte Carpenter, John Kenall, Fergal Monsell, and Simon Thomas. "P18 An audit on the delivery of Bristol Royal Children's Hospital paediatric orthopaedic services in response to BOAST COVID-19 guidance." BJS Open 5, Supplement_1 (April 1, 2021). http://dx.doi.org/10.1093/bjsopen/zrab032.017.
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Abstract Introduction The COVID-19 pandemic raised concerns regarding the spread of infection by asymptomatic children. Guidance from the British Orthopaedic Association Standards for Trauma (BOAST) for the ‘management of patients with urgent orthopaedic conditions and trauma during the coronavirus pandemic’, helped structure our service in response to the pandemic. We assessed our compliance with ‘BOAST COVID-19 standards’ pertaining to children to determine whether it is possible to run a safe and effective paediatric orthopaedic service. Methods Between the 16th March and 30th April 2020, we performed a prospective audit of clinic and theatre data from the paediatric orthopaedic department at the Bristol Royal Children’s Hospital against the ‘BOAST COVID-19 standards’. We also performed a retrospective audit between 16th March and 30th April 2019 for comparison. Results Patients booked into acute fracture clinic (AFC) and fracture clinic follow-up (FFO) reduced by 40% and 48% respectively from 2019 to 2020. A virtual fracture clinic (VFC) was implemented with increasing trend in VFC consultations. From 2019 to 2020, the number of patient initiated follow-up appointments increased in AFC and FFO from 16% to 75% and 12% to 35% respectively. Radiography was reduced; only 17% and 39% of AFC and FFO patients respectively required radiographs. On-call referrals and trauma cases reduced by almost 50% with a similar case mix year-on-year. All elective operating was cancelled in 2020. Conclusion By reducing clinic admissions and theatre throughput, it was possible to run an effective paediatric orthopaedic service in a busy tertiary referral centre. Our aim now is to determine the long-term efficacy.
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Martins, Victor da Mota, Diogo Alves de Araújo, and Roberto Wagner Lopes Góes. "History and evolution of audit in public oral health in Patos de Minas - MG." Revista Acta Científica 6 (2016). http://dx.doi.org/10.21745/ac06-11.
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A Auditoria surgiu como instrumento de trabalho para auxiliar inúmeros profissionais, orientando-os sobre uma forma adequada de funcionamento, certificando-se de que decisões financeiras, administrativas, éticas e humanas pudessem ser tomadas da maneira mais correta possível. A auditoria manifestou-se há muitos anos e aos poucos vem atuando em um mercado muito dinâmico. Chegou ao Brasil através de contadores e entre meio a muitas outras áreas, vindo a fazer parte do dia a dia da Saúde Pública em 1956. Desde então, a odontologia utiliza os serviços de auditoria de diversas formas, e em parceria com o Sistema Único de Saúde, realizaram vários procedimentos, que neste trabalho falando o Histórico e a Evolução da Auditoria em Saúde Bucal em Patos de Minas –MG, podemos perceber que nesta cidade, há auditoria desde 2002 e ainda há um vasto campo de informações precisando ser descoberto dentro da Odontologia.
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Benning, M. S., J. Berwin, F. Monsell, C. Carpenter, J. Kendall, S. Crosswell, S. Thomas, and T. Knapper. "192 An Audit of The Delivery of Paediatric Orthopaedic Services at The Bristol Royal Children’s Hospital in Response to The British Orthopaedic Association Standards for Trauma (BOAST) COVID-19 Guidance." British Journal of Surgery 108, Supplement_2 (May 1, 2021). http://dx.doi.org/10.1093/bjs/znab134.241.
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Abstract Introduction Guidance from the BOAST helped structure our paediatric orthopaedic service n response to COVID-19. We assessed our compliance with 'BOAST COVID-19 standards', whether it is possible to run a safe and effective paediatric orthopaedic service. Method We performed a prospective audit of clinic and theatre data (16th March to 30th April 2020), from the paediatric orthopaedic department at the BRCH against the 'BOAST COVID-19 standards'. We also performed a retrospective audit. Results Patients booked into acute fracture clinic (AFC) and fracture clinic follow-up (FFO) reduced by 40% and 48% respectively from 2019 to 2020. A virtual fracture clinic (VFC) was implemented with an increasing trend seen. The number of patient initiated follow-up appointments increased in AFC and FFO from 16% to 75% and 12% to 35% respectively. Radiography was reduced; only 17% and 39% of AFC and FFO patients respectively required radiographs. On-call referrals and trauma cases dropped by 50% with similar case mix year-on-year. All elective operating was cancelled in 2020. Conclusions By reducing clinic admissions and theatre throughput, it was possible to run an effective paediatric orthopaedic service in a busy tertiary referral centre. Our aim now is to determine the long-term efficacy, cost, and sustainability of our COVID-19 service.
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Tao, Gerard, Clarissa Auvrez, Russell Nightscales, Sarah Barnard, Lara Mccartney, Charles B. Malpas, Piero Perucca, et al. "Association Between Psychiatric Comorbidities and Mortality in Epilepsy." Neurology: Clinical Practice, July 12, 2021, 10.1212/CPJ.0000000000001114. http://dx.doi.org/10.1212/cpj.0000000000001114.
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ABSTRACTObjective:To explore the impact of psychiatric comorbidities on all-cause mortality in adults with epilepsy from a cohort of patients admitted for video-electroencephalogram monitoring (VEM) over two decades.Methods:A retrospective medical records audit was conducted on 2709 adults admitted for VEM and diagnosed with epilepsy at three Victorian comprehensive epilepsy programs from 1995-2015. 1805 patients were identified in whom the record of a clinical evaluation by a neuropsychiatrist was available, excluding 27 patients who died from a malignant brain tumour known at the time of VEM admission. Epilepsy and lifetime psychiatric diagnoses were determined from consensus opinion of epileptologists and neuropsychiatrists involved in the care of each patient. Mortality and cause of death were determined by linkage to the Australian National Death Index and National Coronial Information System.Results:Compared to the general population, mortality was higher in people with epilepsy (PWE) with a psychiatric illness (standardised mortality ratio [SMR] 3.6) and without a psychiatric illness (SMR 2.5). PWE with a psychiatric illness had greater mortality compared to PWE without (hazards ratio 1.41, 95% confidence interval 1.02-1.97) after adjusting for age and sex. No single psychiatric disorder by itself conferred increased mortality in PWE. The distribution of causes of death remained similar between PWE with psychiatric comorbidities and those without.Conclusion:The presence of comorbid psychiatric disorders in adults with epilepsy is associated with increased mortality, highlighting the importance of identifying and treating psychiatric comorbidities in these patients.
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Moreira, Tiago De Almeida. "Geografias audiovisuais: Para além das Geografias de Cinema." GeoTextos 7, no. 2 (January 19, 2012). http://dx.doi.org/10.9771/1984-5537geo.v7i2.5646.
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O artigo faz uma revisão e análise crítica do que vem sendo apresentada como uma nova área da pesquisa geográfica, as Geografias de Cinema. A partir desta revisão o autor propõe uma área de pesquisas geográficas mais abrangente, as Geografias Audiovisuais, que inclui não só as Geografias de Cinema, mas também a análise geográfica de obras televisivas, de propaganda, de animação, os jogos de vídeo-game e outros. Esta nova área proposta pretende abrir a possibilidade de análise geográfica e uso didático da linguagem audiovisual em todas as suas formas.
Abstract
AUDIO VISUAL GEOGRAPHIES: FROM BEYOND THE GEOGRAPHIES OF CINEMA
The paper makes a review and a critical analyzes by a new area of the geographic researches that has been presented as Geographies of Cinema. By this review the author proposes a new and more abridgment area of geographic researches, the Audio Visual Geographies, that includes not only the Geographies of Cinema, but also the geographic analyzes of television productions, of the propaganda, of the animations, of the video games and others. That new area proposed pretend open the possibility of geographic analyzes and didactic use of the audio visual language in all of your forms.
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Hoyle, A., K. Iqbal, J. Henry, L. Hughes, and D. Johnson. "649 COVID BOAST In Practice: Our Experience Implementing BOA Recommendations During the UK Coronavirus Pandemic Peak." British Journal of Surgery 108, Supplement_2 (May 1, 2021). http://dx.doi.org/10.1093/bjs/znab134.073.
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Abstract Background In anticipation of the UK coronavirus pandemic peak, BOA published new pandemic-specific guidance (“COVID BOAST”) in April 2020. We describe our experience implementing this restructured T&O service in a busy DGH setting during the pandemic peak. Method A rapid retrospective audit was conducted of all patients presenting to our T&O service in April 2020, with particular emphasis compliance with COVID BOAST. Results Our service conducted 511 outpatient reviews, and 95 operative procedures. 94% of outpatients were treated non-operatively. We provided telephone appointments to 12.8% of follow-up patients, and 39% of new patients. 82% of patients were treated with removable casts/splints/boots. 23% of patients were discharged direct from VFC or after one face-to-face fracture clinic review. Residual deformity was consciously accepted in 13% of patients. Theatre throughput fell significantly due to pandemic precautions however, femoral neck fracture volumes remained constant. Conclusions We demonstrate broad compliance with COVID BOAST guidance. The majority of patients were treated non-operatively, including conscious acceptance of residual deformity. Our pre-existing VFC allowed us to provide a significant number of telephone consultations, although despite the practice shift towards removable splintage, face-to-face consultations were required for clinical and/or radiological assessment. The impact of increased conservative management on patients’ long-term outcomes needs further evaluation.
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Al-Hadban, Y., K. J. Sreekanth, H. Al-Taqi, and R. Alasseri. "Implementation of Energy Efficiency Strategies in Cooling Towers—A Techno-Economic Analysis." Journal of Energy Resources Technology 140, no. 1 (August 16, 2017). http://dx.doi.org/10.1115/1.4037365.
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This paper depicts the results of a detailed energy audit, analysis, and implementation of energy efficient operations and maintenance strategies in a large commercial mall in Kuwait. Initially, the cooling towers (CTs) operated only at high speed, and on a typical summer day, nearly one-fourth of the make-up water was used for self-cooling of air. The study based on measured data and analysis, for a period of one year, revealed that the use of variable frequency drive (VFD) could reduce the water wastage for self-cooling of air by as much as 75% and overall water consumption by 18.6% while keeping the cooling system performance at the design level. An optimization model was developed, suitable exclusively for arid climatic conditions. Implementation of various energy efficient operation and maintenance strategies (EEO&MS) with ventilation and air-conditioning (VAC), and lighting systems obtained an overall reduction of 9879 MWh/y, equivalent to a percentage reduction of 11.7% in the annual energy consumption and a 345 kW in peak power demand. The study estimated an economical benefit of 19,958 KD/y for the owners and to the Ministry of Electricity and Water, in addition to a considerable environmental benefit of deduction in CO2 emissions by 6990 t/y.
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Manno, Alessandra, Annalisa Pace, Giannicola Iannella, Valeria Rossetti, Roberta Polimeni, Alessandro Milani, Salvatore Cocuzza, Antonino Maniaci, and Giuseppe Magliulo. "Audiological and vestibular evaluations in vitiligo patients." Bosnian Journal of Basic Medical Sciences, August 9, 2021. http://dx.doi.org/10.17305/bjbms.2021.5703.
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The aim of this paper was to investigate audiological abnormalities and potential vestibular injury in a sample of vitiligo subjects. Thirty-five patients with non-segmental vitiligo (NSV) were enrolled in the study. They underwent pure tonal audiometry (PTA), vestibular Fitzgerald-Hallpike caloric test, C-VEM, and O-VEMP testing. The χ2 test and multiple regression analysis were performed. At PTA, 69% of patients presented with bilateral hearing loss, 8% monaural hearing loss, and 23% normal values. Bilateral caloric stimulations were performed and demonstrated that 14% of patients had a monolateral and 9% had a bilateral pathological response. VEMPs analysis showed that 20% of patients had no O-VEMPs response and 3% had no C-VEMPs response. Comparison between the normal values of healthy subjects and NSV patients showed an alteration of VEMPs in 44%. Multiple regression showed no statistical differences. We propose a specific diagnostic protocol employing PTA, bithermal caloric tests, C-VEMP, and O-VEMP testing to evaluate audio-vestibular damage. Our data were concordant with the anatomic-physiological melanocytic distribution and their possible degeneration linked with NSV.
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"TD 2595 - Controle Externo e Policy Making? Uma análise da atuação do TCU na administração pública federal." Texto para Discussão, September 25, 2020. http://dx.doi.org/10.38116/td2595.
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O objetivo principal deste trabalho é analisar a atuação do Tribunal de Contas da União (TCU) no policy making da administração pública federal. Destaca-se que, além das funções clássicas de uma Corte de Contas que fiscaliza atos governamentais, vem ocorrendo um expansionismo de atuação visando avaliar o desempenho e a implementação de programas e políticas públicas. O texto evidencia que há vários fatores que incidem nessa mudança de trajetória, conferindo às auditorias operacionais do TCU um lugar de destaque ao lado daquelas voltadas mais para a análise de conformidades legais e formais. A literatura internacional ressalta que mudanças nos papéis das cortes de contas vêm se aprofundando em vários países. Um segundo grupo de fatores considera as chamadas “boas práticas”: experiências dos países tidos como exemplos (sobretudo Estados Unidos e Inglaterra) e organismos internacionais que disseminam formas de atuação (Organização para a Cooperação e Desenvolvimento Econômico – OCDE, Organização Internacional de Entidades Fiscalizadoras Superiores (International Organization of Supreme Audit Institutions – Intosai), Organização das Nações Unidas – ONU e Banco Mundial). A pesquisa analisa a estrutura organizacional do tribunal, como salários e escolaridade dos servidores, constatando que ambos são mais elevados que a média dos Poderes Executivo, Legislativo e Judiciário. Analisa também como os documentos oficiais do TCU se apropriam do debate internacional, com o respaldo da Constituição Federal, e fundamentam o expansionismo de suas ações. O debate apoia a análise de três evidências empíricas capazes de discutir esse argumento; inicialmente, baseado em um banco de dados de auditorias criado após uma busca no sítio da Corte. Identificaram-se auditorias operacionais que, desde 2005, vêm ampliando a atuação do TCU em diversas políticas públicas. Na sequência, analisam-se os Relatórios de Políticas e Programas de Governo (RePPs) e os Relatórios Sistêmicos de Fiscalização (Fiscs). Para adensar a pesquisa, realizaram-se entrevistas com seis secretarias de controle externo do TCU, com o objetivo de apresentar como essa forma de atuação é institucionalmente justificada. O cotejamento com a literatura, a análise documental que fundamenta essa atuação, o alinhamento com a “comunidade epistêmica” internacional e os traços de sua estrutura organizacional permitem compreender como o controle externo justifica e valida suas atividades no policy making da administração pública. As conclusões resumem esse processo no âmbito da gestão pública e seus efeitos gerenciais e políticos. Sugerem-se agendas de pesquisa visando ampliar esse incipiente campo de estudo nas áreas de administração pública e ciência política no Brasil.
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Kubo, Rumi Regina, Marília Raquel Albornoz Stein, Ana Lucia Liberato Tettamanzy, and Vherá Poty Benites da Silva. "NHEMBO’É MBORAÍ: ensinamentos cosmo-sônicos Guarani na interdisciplina Encontro de Saberes na Universidade Federal do Rio Grande do Sul." movimento-revista de educação 7, no. 13 (August 7, 2020). http://dx.doi.org/10.22409/mov.v7i13.40977.
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A atuação de Vherá Poty na Universidade Federal do Rio Grande do Sul (UFRGS) como intelectual guarani vem ocorrendo há mais de 10 anos, por meio de cursos de extensão da cultura e língua guarani mbyá, projetos de pesquisa colaborativos em educação, antropologia e etnomusicologia, produção de materiais audiovisuais e exposições fotográficas, entre outros. Este artigo objetiva compartilhar efeitos e sentidos provocados pela participação de Vherá Poty em 2017 na interdisciplina Encontro de Saberes, que, desde 2016, na UFRGS, propõe a docência compartilhada entre os professores da universidade e os mestres dos Saberes Tradicionais e Populares. Planejada originalmente na Universidade de Brasília (UnB) em 2010, a Encontro de Saberes marca o enfrentamento do racismo estrutural na constituição histórica da universidade brasileira, através de experiências interepistêmicas que não separam reflexão e intervenção. Na UFRGS, Vherá Poty desenvolveu atividades no módulo sobre Plantas e Espírito, provocando uma reflexão profunda nos estudantes e nos professores sobre emoções, memórias, parentesco, identidade, saúde e música na perspectiva de uma cosmo-sônica mbyá (STEIN; SILVA, 2014). Assim como nas participações dos demais mestres, as experiências partilhadas remetem aos saberes afro-pindorâmicos definidos pelo intelectual quilombola Antônio Bispo dos Santos (2015) a partir da territorialidade.NHEMBO’É MBORAÍ: Guarani cosmosonic teachings in the interdiscipline Encontro de SaberesABSTRACTVherá Poty's work at the Federal University of Rio Grande do Sul (UFRGS) as a Guarani intellectual has been taking place for over 10 years, through university extension courses of Guarani Mbyá culture and language, collaborative research projects in education, anthropology and ethnomusicology, production of audio-visual materials and photographic exhibitions. This article aims at sharing effects and meanings resulted from Vherá Poty’s presence in 2017 in the interdisciplinary Encontro de Saberes, which since 2016 at UFRGS proposes teaching shared between professors from universities and Masters of Traditional and Popular Knowledge belonging to indigenous and black matrices. Originally planned at the University of Brasília (UnB) in 2010, Encontro de Saberes marks the confrontation of structural racism in the historical constitution of the university through inter-epistemic experiences that do not separate reflection and intervention. At UFRGS Vherá Poty developed activities in the module on Plants and Spirit, causing a deep reflection in students and teachers about emotions, memories, kinship, identity, health and music, in the perspective of a Mbyá cosmosonic (STEIN; SILVA, 2014). As in the participation of the other Masters, the shared experiences refer to the Afropindoramic knowledge defined by the quilombola intellectual Antônio Bispo dos Santos (2015) based on territoriality.Keywords: Encontro de Saberes. Federal University of Rio Grande do Sul. Vherá Poty Benites da Silva. Interepistemic experiences. Cosmosonic.