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Kroth, Leonardo Viliano. "Avalia??o dos 35 anos de transplante renal no Hospital S?o Lucas da PUCRS". Pontif?cia Universidade Cat?lica do Rio Grande do Sul, 2015. http://tede2.pucrs.br/tede2/handle/tede/6070.
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This is a retrospective study reporting 35 years of kidney transplantation at Hospital S?o Lucas da Pontif?cia Universidade Cat?lica do Rio Grande do Sul. An historical approach of the origins and development of the Nephrology Unit over the years was performed. Data were separated into different eras, based on the type of immunosuppression, and the patient?s characteristics before, during and after transplantation were assessed. There were significant differences between each era, mainly on the characteristics of the recipients and donors, but also in the rates of complications and technical aspects of surgery. A total of 1231 transplants were performed until 2013, April 30. Of these, 55.8% were male, white (86.9%) and 76.6% from deceased donors. Most recipients aged between 19 and 59 years (77.5%), and 1.9% over 70 years. Significant differences were observed between the characteristics of each era, especially in relation to recipients and donors. Through the eras, an increased number of patients are being transplanted, with grafts from older donors (p<0.001) subjected to longer cold ischemia times (p<0.001) transplanted in an increasing proportion of elderly recipients (p<0.001), maintained in a longer period on the waiting list (p<0.001). Fewer episodes of rejection were observed (p<0.001), lower incidence of some clinical complications such as myocardial infarction (p<0.001), strokes (p=0.02) and post-??transplant diabetes (p<0.001), along of the time. In the present era, survival of patients at 1, 3 and 5 years were 98.3%, 94.6% and 90.5% for living donors and 92.4%, 87.2% and 80.7% for deceased donors, respectively. Survival of grafts were, for living donors, 92.2%, 88.7% and 82.4% and deceased donors 80.4%, 71.1% and 63.7%. Transplants with acute pyelonephritis in the first 30 days after transplantation, had significantly worse graft and patients survivals, compared to patients without pyelonephritis in the first 30 days. In addition, age, use of ureteral stents, thymoglobulin induction and longer hospital stays increased the risk of this infection. Recipients of expanded criteria donors transplants induced with thymoglobulin may be at a 25.75 fold increase in risk for death 24 hours after diagnosis of CRAB septicemia, a severe complication occurring in 10 recipients between January 2000 and April 2013, of 807 transplants patients. In recent years, our study showed a low incidence of cytomegalovirus (CMV) infection, despite the increased use of Thymoglobulin. We found that the use of low thymoglobulin doses reduces the risk of cytomegalovirus and, the use of oral ganciclovir had a protective effect on CMV, in the first year of transplantation. Finally, patients with a positive polyomavirus urinary cytology had worse renal function and graft survival in a seven years follow-??up period, compared with the patients without the presence of decoy cells in urine. The analysis of the 35 years of transplantation at the Renal Unit of Hospital S?o Lucas da PUCRS depicts the evolution and development of a program that is a reference in South Brazil, and the different management and results through the different eras. There were changes in donor and recipient?s characteristics, inclusion selection, compatibility assessment and immunosuppression protocols, among others.
Este trabalho consiste em um estudo retrospectivo que abordou a hist?ria dos 35 anos de transplantes renais no Hospital S?o Lucas da Pontif?cia Universidade Cat?lica do Rio Grande do Sul. Foi realizado um levantamento da hist?ria das origens do servi?o de nefrologia e sua evolu??o ao longo dos anos. Os dados foram separados em diferentes eras, com base no tipo de imunossupress?o, sendo avaliadas as caracter?sticas dos pacientes antes, durante e ap?s o transplante. Encontramos diferen?as significativas entre cada era, principalmente nas caracter?sticas dos receptores e doadores, mas tamb?m na ocorr?ncia de complica??es e nos aspectos cir?rgicos. Foram realizados 1231 transplantes at? 30 de abril de 2013, sendo 55,8% do sexo masculino, ra?a branca (86,9%) e com 76,6% de doadores falecidos. A maioria dos receptores com idade entre 19 e 59 anos (77,5%), sendo 1,9% acima de 70 anos. Diferen?as significativas entre as caracter?sticas de cada era, principalmente em rela??o aos receptores e doadores. Estamos transplantando um n?mero progressivamente maior de pacientes, significativamente mais idosos (p<0,001), com maior tempo em lista de espera (p<0,001), com doadores mais idosos (p<0,001) e tempos mais longos de isquemia (p<0,001). Foram verificados menos epis?dios de rejei??o (p<0,001), menor ocorr?ncia de algumas complica??es cl?nicas, tais como infarto de mioc?rdio (p<0,001), AVE (p=0,02) e diabete p?s transplante (p<0,001), ao longo do tempo. Na era atual, sobrevida de pacientes foram em 1, 3 e 5 anos de 98,3%, 94,6% e 90,5% para doadores vivos e de 92,4%, 87,2% e 80,7% para doadores falecidos, respectivamente. Sobrevida de enxertos foram para doadores vivos de 92,2%, 88,7% e 82,4% e doadores falecidos de 80,4%, 71,1% e 63,7%. Foi encontrado que transplantados que apresentaram pielonefrite aguda nos primeiros 30 dias ap?s o transplante, apresentavam significativamente pior sobrevida de enxertos e pacientes, comparado com os que n?o apresentavam pielonefrite nos primeiros 30 dias. Al?m disto, idade, uso de cateteres de duplo J, indu??o com timoglobulina e tempo maior de hospitaliza??o aumentam o risco desta infec??o. Pacientes que receberam rins com doadores com crit?rios expandidos e induzidos com timoglobulina podem apresentar risco maior para morte ap?s 24 horas do diagn?stico de septicemia por Acinetobacter baumannii resistentes a carbapen?micos, complica??o grave que ocorreu em 10 pacientes transplantados, dentre os 807 transplantados entre janeiro de 2000 e abril de 2013. Ocorreu baixa incid?ncia de citomegalov?rus nos ?ltimos anos, apesar do aumento do uso de timoglobulina. Verificamos que o uso de timoglobulina em doses menores diminui o risco de citomegalov?rus e que o uso de ganciclovir oral tem efeito protetor para o desenvolvimento de citomegalov?rus no primeiro ano do transplante. E por fim, verificamos que pacientes que apresentavam presen?a de citologia urin?ria positiva para poliomav?rus apresentaram pior fun??o renal e pior sobrevida de enxerto, em acompanhamento de 7 anos, comparado com grupo de pacientes que n?o tinha presen?a de c?lulas decoy na urina. A an?lise de 35 anos de transplante do Servi?o de Nefrologia da PUCRS, mostra a evolu??o de um programa de refer?ncia no nosso meio e as diferentes condutas e resultados nas diversas ?pocas. Ocorreram mudan?as nas caracter?sticas dos doadores e receptores, crit?rios de sele??o, avalia??o de compatibilidade e protocolos de imunossupress?o, entre outros.
Higgins, Maddie Joyce. "The Development of a Real-Time Quantitative Polymerase Chain Reaction Method for the Diagnosis of Staphylococcus Aureus in Intravascular Catheter Colonisation". Thesis, Griffith University, 2017. http://hdl.handle.net/10072/367624.
Texto completoThesis (Masters)
Master of Science (MSc)
School of Natural Sciences
Science, Environment, Engineering and Technology
Full Text
Berdichevski, Eduardo Herz. "Preval?ncia de pielonefrite aguda e incid?ncia de cicatriz renal em crian?as menores de dois anos de idade com infec??o do trato urin?rio avaliadas atrav?s da cintilografia renal com 99mTcDMSA : a experi?ncia de hospital universit?rio". Pontif?cia Universidade Cat?lica do Rio Grande do Sul, 2013. http://tede2.pucrs.br/tede2/handle/tede/1418.
Texto completoOBJECTIVE: To calculate the frequencies of acute pyelonephritis and renal scarring in youngers than two years old through scintigraphy with 99mTcDMSA with first episode of UTI in a Brazilian university hospital and comparing with international literature. MATERIALS AND METHODS: We reviewed reports scintigraphy of youngers than two years old who underwent scintigraphy with 99mTcDMSA in a university hospital in Rio Grande do Sul, between 2006 and 2009 to search for APN and renal scarring. It was also revised the presence of vesicoureteral reflux, early use of antibiotics, and comorbidities that were recorded in e lectronic records. The sample size calculation was based on a systematic review study and obtained a minimum of 147 patients. We excluded patients with no electronic record. RESULTS: 157 children met the inclusion criteria, where 48 had APN and 8 of these had renal scars. There was no statistical difference in the association of VUR and APN (p=1.0) as well as among all comorbidities (p=0.470). There was no significance relation to early use of antibiotics and APN (p=0.130) and renal scarring (p=0.720). CONCLUSION: The frequency of renal scarring and APN obtained agree with the results of most studies.
OBJETIVO: Calcular as frequ?ncias de pielonefrite aguda (PNA) e cicatriz renal em pacientes menores de dois anos com cintilografia renal com 99mTcDMSA com primeiro quadro de ITU em hospital universit?rio brasileiro comparando com dados da literatura internacional. MATERIAIS E M?TODOS: Foram revisados laudos cintilogr?ficos de crian?as menores de dois anos de idade que realizaram cintilografia renal com 99mTcDMSA em um hospital universit?rio de no Rio Grande do Sul, entre 2006 e 2009 para pesquisa de PNA/cicatriz renal. Revisouse a presen?a de refluxo v?sicoureteral (RVU), uso precoce de antibi?tico, e presen?a de comorbidades que constassem nos prontu?rios eletr?nicos. Calculouse a amostra baseado num estudo de revis?o sistem?tica e obtevese um m?nimo de 147 pacientes. Excluiu-se pacientes sem registro eletr?nico. RESULTADOS: 157 crian?as preencheram crit?rios de inclus?o do estudo, 48 tiveram PNA e 8 destes apresentaram cicatriz renal. Nem a idade e g?nero dos pacientes apresentaram associa??o significativa com PNA (p=0,405; p=0,124 respectivamente). N?o houve diferen?a estat?stica nas associa??es de RVU e PNA (p=1,0) e outras comorbidades (p=0,470); e em rela??o ao uso precoce de antibi?tico com PNA (p=0,130) e cicatriz renal (p=0,720). CONCLUS?O: As frequ?ncias de PNA e cicatriz renal obtidas concordam com os resultados da maioria dos estudos publicados
Dantas, Etienne Andrade de Medeiros. "A Rela??o entre a sa?de organizacional e a S?ndrome de Burnout". Universidade Federal do Rio Grande do Norte, 2003. http://repositorio.ufrn.br:8080/jspui/handle/123456789/17443.
Texto completoCoordena??o de Aperfei?oamento de Pessoal de N?vel Superior
We studied about the organizational health and the syndrome of burnout in professionals of the education and health field, with the objective of establishing a connection between those two constructs. This research was realized in three public schools and in three hospitals, two publics and one from the military. We obtained 168 valid questionnaires for investigation about the syndrome of burnout, being 83 in the hospitals and 85 in the schools, among the questionnaires given in those two organizations. Worked with accidental sample, although it was decided the professional proportions, with the objective of reproducing the population characteristics. In the schools the sample was planned with the teachers. In the hospitals the sample was planned with doctors, nurses and nurse assistants, nutritionists, psychologists, dentists and social assistants. To assure the syndrome of burnout, it was used the Maslach Burnout Inventory (MBI), followed with social demographic information. We used semi-structured interviews, based in the indicators, with the organizations key persons, directors, coordinators, and people involved in the human resources department, for research about the organizational health. Only among the hospitals were found significant statistics differences between the scores of factors and the incidence of burnout. Besides that, it was observed as well that it is possible to establish a connection between the organizational health and the syndrome of burnout, this research main objective
Estudamos sobre a sa?de organizacional e a s?ndrome de burnout em profissionais de educa??o e sa?de, objetivando estabelecer uma rela??o entre esses dois construtos te?ricos. A pesquisa foi realizada em tr?s escolas p?blicas de ensino m?dio e em tr?s hospitais, dois p?blicos e um hospital militar. Dos question?rios aplicados nos dois tipos de organiza??es, obtivemos 168 question?rios v?lidos para investiga??o da incid?ncia da s?ndrome de burnout, sendo que 83 nos hospitais e 85 nas escolas. Trabalhamos com amostras acidentais, embora tenha sido planejada a propor??o de profissionais, visando reproduzir as caracter?sticas da popula??o. Nas escolas as amostras foram planejadas com professores. Nos hospitais, com m?dicos, enfermeiros, auxiliares de enfermagem, nutricionistas, psic?logos, odont?logos e assistentes sociais. Para aferi??o da s?ndrome de burnout, utilizamos o Invent?rio de Burnout de Maslach (MBI), acrescido de uma ficha sociodemogr?fica. Para an?lise de sa?de organizacional, utilizamos entrevistas semi-estruturadas com pessoas-chave das organiza??es, diretores, coordenadores pedag?gicos e pessoas envolvidas com o setor de recursos humanos, utilizando um roteiro baseado nos indicadores. Somente entre os hospitais encontramos diferen?as estatisticamente significavas em rela??o aos escores dos fatores e a incid?ncia de burnout. Al?m disso, observamos tamb?m que ? vi?vel estabelecer a rela??o entre a sa?de organizacional e a s?ndrome de burnout, principal objetivo da pesquisa
Pippal, René. "Rizika spojená s obchodem s nemovitostmi". Master's thesis, Vysoké učení technické v Brně. Ústav soudního inženýrství, 2013. http://www.nusl.cz/ntk/nusl-232724.
Texto completoHalamíček, Jan. "Real-time počítačová hra s prvky UI". Master's thesis, Vysoké učení technické v Brně. Fakulta informačních technologií, 2009. http://www.nusl.cz/ntk/nusl-236655.
Texto completoMessingher, Lang Gabriel. "Relating hospital acoustics to staff outcomes in real and simulated settings". Thesis, Georgia Institute of Technology, 2013. http://hdl.handle.net/1853/52922.
Texto completoCoronas, Tejada Luis. "El Hospital real de Nuestra Señora de la Misericordia de Loja /". Granada : Universidad de Granada, 1990. http://catalogue.bnf.fr/ark:/12148/cb355354345.
Texto completoKřenek, Tomáš. "Audio a video vysílání s využitím real-time protokolu". Master's thesis, Vysoké učení technické v Brně. Fakulta elektrotechniky a komunikačních technologií, 2009. http://www.nusl.cz/ntk/nusl-218188.
Texto completoOliveira, Maria Helena da Rocha. "A Confraria de S. Crispim e S. Crispiniano e o seu Hospital na Idade Média". Master's thesis, Porto : [Edição do Autor], 2001. http://hdl.handle.net/10216/13041.
Texto completoOliveira, Maria Helena da Rocha. "A Confraria de S. Crispim e S. Crispiniano e o seu Hospital na Idade Média". Dissertação, Porto : [Edição do Autor], 2001. http://aleph.letras.up.pt/F?func=find-b&find_code=SYS&request=000129319.
Texto completoSánchez, Martínez José. "Historia del Santo y Real Hospital de Caridad de Cartagena (1900-1936)". Doctoral thesis, Universidad de Murcia, 1999. http://hdl.handle.net/10803/94516.
Texto completoThe “Hospital de Caridad” in Cartagena was founded in 1693. Objective: to determine its area of influence, health problems, most common diseases and injuries and other aspects. The archive of the Hospital has been the main information source. Between 1900 and 1936 the Hospital experiences a great development. 58% of patients are from the City followed by those from the mining zone (19%). A negative correlation was observed between admissions and average length of inpatient hospital stay. Most frequent diseases: digestive system (21%), respiratory system (15%), cardiovascular system (10%) and genitourinary system (9%). Most frequent infect-contagious diseases: tuberculosis (20%), diphtheria (19%), malaria (17%), syphilis (16%), typhoid fever (4%) and smallpox (3%). The main zone affected by malaria is the wetland area called “El Hondón”. A negative correlation was observed between bread and meat consumption per hospital stay and average length of stay. Most common emergencies are wounds (59%), osteoarticular traumatisms (24.3%), burns (3.3) and foreign bodies (2.6%).
Tanta, de Solano Virginia. "Perfil ocupacional real de la enfermera asistencial del Hospital Nacional Arzobispo Loayza". Master's thesis, Universidad Nacional Mayor de San Marcos, 2007. https://hdl.handle.net/20.500.12672/11065.
Texto completoTesis
Pereira, Daniel Cláudio. "DigiScope Collector - Unobtrosive collection and annotating of auscultations in real hospital environments". Master's thesis, Faculdade de Medicina da Universidade do Porto, 2010. http://hdl.handle.net/10216/62312.
Texto completoGouvêa, Ana Paula Magalhães. "Humanização da saúde em hospital municipal: entre o ideal e o real". reponame:Repositório Institucional da FIOCRUZ, 2009. https://www.arca.fiocruz.br/handle/icict/2464.
Texto completoEste trabalho tem como objetivo analisar as percepções de profissionais de saúde do município de Mesquita acerca da humanização em termos de mudanças em suas práticas de trabalho e de interação entre profissionais e usuários. Empregou-se neste estudo a abordagem qualitativa, com base em entrevistas de 15 profissionais de um hospital, campo eleito pelo fato de se tratar de um espaço historicamente investido de iniciativas que tentam promover a humanização da saúde. Como procedimentos metodológicos, foram utilizadas entrevistas semiestruturadas e observação participante para a coleta de dados e a técnica de análise de conteúdo do material coletado. Dentre os apontamentos deste trabalho estão a constatação de que a maioria dos profissionais de saúde não demonstrou deter grande conhecimento acerca das propostas de humanização. E que, muitas vezes, estas últimas são confundidas com acolhimento. Ficou evidente que a humanização para a grande maioria dos profissionais entrevistados é entendida como algo que depende da atuação do profissional e encontra-se altamente direcionado ao usuário. E ainda, que as ações pontuais e isoladas de outras estratégias assumem um caráter necessário, mas não suficiente à promoção da humanização. Este trabalho mostrou, a partir das percepções dos profissionais de saúde, que o ideal recomendado pelas propostas do Ministério da Saúde não se encontra bem estruturado no real do campo estudado. Evidenciou também que há a necessidade de implementar dispositivos conjuntos para a efetivação da humanização, assim como fortalecimento das iniciativas em vigência, principalmente quanto à continuidade e sustentabilidade, para que estas não percam suas forças e seextenuem. Este trabalho se encerra com a convicção de que o debate destas questões é de grande importância, já que tem repercussões diretas na qualidade do atendimento, das condições de trabalho e da dinâmica relacional em saúde.
This paper aims to examine the perceptions of health professionals in the city of Mesquita on humanization in terms of changes in their working practices and the interaction between professionals and users. Employed in this study a qualitative approach, based on interviews of 15 professionals in a hospital, field elected because this is an area that historically have been investing in initiatives that seek to promote the humanization of health care. As methodological procedures were used semi-structured interviews and participative observation to collect data and the technique of content analysis of material collected. The majority of health professionals have not hold much knowledge about the proposals for humanization. The concept if frequently confused with receptiveness. It was evident that the humanization is, to the vast majority of professionals interviewed, is perceived as something that depends on the performance of the professional and is highly targeted to the user. And also, that the stock off and isolated from other strategies take on a character necessary but not sufficient to promote the humanization. This study showed from the perceptions of health professionals, that the ideal proposed by the Ministry of Health is not well structured in the real field of study. Showed that there is a need to implement combined strategies for the comprehensive achievement of humanization, as well as strengthening the initiatives in place, mainly concerning continuity and sustainability, in order not to lose their power, leaking away. This paper concludes with the conviction that the discussion of these issues is of great importance, as it has direct impact on quality of care, working conditions and the dynamic relational health.
Pereira, Daniel Cláudio. "DigiScope Collector - Unobtrosive collection and annotating of auscultations in real hospital environments". Dissertação, Faculdade de Medicina da Universidade do Porto, 2010. http://hdl.handle.net/10216/62312.
Texto completoMelnikova, Yulia. "Spanish Real Estate Market Analysis". Master's thesis, Česká zemědělská univerzita v Praze, 2016. http://www.nusl.cz/ntk/nusl-259902.
Texto completoUjčíková, Simona. "Analýza trhu s nemovitostmi ve vybraných regionech ČR". Master's thesis, Vysoké učení technické v Brně. Ústav soudního inženýrství, 2015. http://www.nusl.cz/ntk/nusl-234447.
Texto completoCosta, Diogo Manuel Ferreira Dias da. ""Joãozinho", Hospital de S. João do Porto: a proposal for a brand identity for the new pediatric hospital". Master's thesis, NSBE - UNL, 2012. http://hdl.handle.net/10362/9520.
Texto completoThe purpose of this research is to recommend a brand identity for Joãozinho brand. This one is linked with the new pediatric hospital of Hospital de São João do Porto and with the fundraising project named “Um Lugar para o Joãozinho”. For this, a 360º market research, with the most important stakeholders, was conducted. The aim was to comprehend how children perceived the brand’s mascot (Joãozinho), what characteristics of a pediatric service parents look for, what makes companies help this project (either through sponsorship agreements or other means of financial aid) and what do brand builders want for the brand.
Age, Mônica de Paula Pereira da Silva. "O Hospital Real Militar: saúde e enfermidade em Villa Boa de Goyaz (1746-1827)". Universidade Federal de Goiás, 2014. http://repositorio.bc.ufg.br/tede/handle/tede/3382.
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES
This study aimed at reconst ruct ing the history of the Hospi tal Real Mi l i ta r de Vi l la Boa de Goyaz from 1746 to 1827. It is a new theme in the historiography produced in Goiás and as such i t wi l l certainly be frui t ful to the comprehension of the history of Medicine in this state. I star t f rom the principle that inst i tut ions, which are not and have never been stat ic real i t ies, have thei r histories and roles properly establ ished, and this is one of the reasons that make them subject to analys is. Based on this research object , i t is possible to reveal : the social imaginary that was p resent in Goiás about the hospi tal ; the intervent ions of the Kingdom, wi th reference to Medicine , in the Brazi l ian colony; the Portuguese -Brazi l ian medical theories and pract ices about the body, heal th, cure, and disease; the structure of the Portuguese - Brazi l ian medical assistance in that period; the hospi tal treatment of fered to soldiers; the most recurrent diseases in the captaincy of Goiás; the therapeut ic and prophylact ic resources known and used in that period, both in the Kingdom and in the Colony; among other aspects. The main sources used in the study are: the Regulat ions for the Mi l i tary Hospi tals; the Regulat ions for the Physician-Major and the Surgeon-Major; the announcements of contract for the tasks needed in the hospi tal operat ion; the books about diet and medical prescript ions, as wel l as the l ist of medicines requested and received to fi l l up the drugstore of the hospi tal ; and the medical guides and manuals that ci rculated in the Kingdom and in i ts domains. We emphasized that the increase of mi l i tary members in the captaincy of Goiás was preponderant in the const ruct ion of a mi l i tary hospi tal before the construct ion of a civi l one in the region. Af ter al l , the soldiers were also those who cont ributed to keeping the assets of the Kingdom in Goiás, rest raining the cont raband of gold, helping in the col lect ion of the quinto, and imposing the order in the region. The hospi tals reveal , through their historical t rajectories, thei r ut i l i ty wi th regards to the heal th and the infi rmi ty of a part icular s ociety.
Este estudo teve por objet ivo reconst rui r a história do Hospi tal Real Mi l i tar de Vi l la Boa de Goyaz no período de 1746 a 1827. Trata-se de um tema inédi to na historiografia goiana e, por tanto, prof ícuo à compreensão da história da Medicina em Goiás. Parto do princípio de que as inst i tuições, que não são e nunca foram real idades estát icas, têm as suas h istórias e papeis sociais bem marcados, um dos mot ivos que as tornam alvo de anál ises. No caso, a part i r desse objeto de pesquisa, é possível revelar: o imaginário social presente na sociedade goiana sobre o hospi tal ; as intervenções do Reino , no âmbi to da medicina, na colônia brasi leira; as teorias e prát icas médicas luso - brasi lei ras acerca do corpo, da saúde, da cura e da doença; a est rutura da assistência hospi talar luso-brasi leira no período; o tratamento hospi talar oferecido aos mi l i tares; as doenças mais recor rentes na capi tania de Goiás; os recursos terapêut icos e profi lát icos conhecidos e empregados no período, tanto no Reino quanto na Colônia; ent re outros aspectos. As principais fontes que envolvem o estudo são: os Regulamentos para os Hospi tais Mi l i tares; o Regulamento do Físico Mor e do Ci rurgião Mor; os edi tais de contrato dos serviços necessár ios ao funcionamento hospi talar; os l ivros de dietas e os de recei tuários médicos, bem como a relação de medicamentos pedidos e recebidos para abastecer a bot ica do hospi tal ; e os guias e manuais médicos que ci rcularam no Reino e em seus domínios. Enfat izamos que o aumento do corpo mi l i tar na capi tania de Goiás foi preponderante para que a instalação de um hospi tal mi l i tar na região antecedesse a de um hospi tal civi l . Afinal , eram os mi l i tares também que cont ribuíam para guardar os bens do Reino em ter ras goianas, coibindo os contrabandos do ouro, auxi l iando na ar recadação do quinto e impondo a ordem na região. Os hospi tais, ao longo de suas trajetór ias históricas, revelam a sua ut i l idade no que concerne à saúde e à enfermidade de determinada sociedade.
Cadó, Luiz Carlos Daniel. "Marcopolo S/A : uma empresa frente à conjuntura econômica pós-Real". reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2001. http://hdl.handle.net/10183/1815.
Texto completoBARDELLI, CHIARA. "Machine Learning and Statistical models in real world applications". Doctoral thesis, Università degli studi di Pavia, 2021. http://hdl.handle.net/11571/1447635.
Texto completoLeivas, Pedro Henrique Soares. "Tr?s ensaios em economia hospitalar". Pontif?cia Universidade Cat?lica do Rio Grande do Sul, 2017. http://tede2.pucrs.br/tede2/handle/tede/7695.
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Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES
This thesis presents three essays related to the quality of hospital care in Brazil, made using data from 2008 to 2014 from the Hospital Information System of the Unified Health System (SIH-SUS) and the National Registry of Health Establishments (CNES). In the first essay, the objective was to verify if the health outcome of patients undergoing hip replacement are better as the hospital performs more of this procedure. In other words, we tried to verify the existence of the so-called volume-outcome effect in the Brazilian hospital sector. Evidences pointed to the existence of a volume-outcome effect in Brazil. Exploring the geographical distribution of patient residences and hospitals as a source of exogenous variation for volume, we could identify that the effect is a result of the practice-makes-perfect hypothesis, occurring through static scale economies. In the second essay, the objective was to verify if the probability of death of patients submitted to percutaneous coronary intervention is lower if it was treated in a specialized hospital in cardiovascular diseases instead of general hospital. The use of the instrumental variables model allowed us to evaluate the relationship from a causal perspective. The findings pointed out that the health outcomes of patients treated in specialized hospitals are better than the results of patients treated in general hospitals. Finally, the third essay aimed to investigate the existence of a weekend effect in the Brazilian hospital sector. Considering the patients admitted in an emergency with a diagnosis of acute myocardial infarction (AMI), odds ratios for hospital death were estimated using logistic regression. The results were consistent with the existence of the weekend effect, even controlling a series of factors, including hospital effect.
Esta tese apresenta tr?s ensaios relacionados a qualidade do cuidado hospitalar no Brasil, os quais foram confeccionados utilizando dados de 2008 a 2014, provenientes do Sistema de Informa??es Hospitalares do Sistema ?nico de Sa?de (SIH-SUS) e do Cadastro Nacional de Estabelecimentos de Sa?de (CNES). No primeiro ensaio, o objetivo foi verificar se o resultado de sa?de dos pacientes submetidos a artroplastia de quadril s?o melhores ? medida que o hospital realiza mais desse procedimento. Em outras palavras, buscou-se verificar a exist?ncia do chamado volume-outcome effect no setor hospitalar brasileiro. As evid?ncias apontaram a exist?ncia do volume-outcome effect no Brasil. Explorando a distribui??o geogr?fica das resid?ncias dos pacientes e dos hospitais como fonte de varia??o ex?gena para o volume, fomos capazes de identificar que o referido efeito ? resultado da hip?tese de practice-makes-perfect, ocorrendo atrav?s de ganhos est?ticos de escala. No segundo ensaio, o objetivo foi verificar se a probabilidade de ?bito de pacientes submetidos a Interven??o Coron?ria Percut?nea ? menor se o mesmo foi tratado em hospital especializado em doen?as cardiovasculares ao inv?s de hospital geral. A utiliza??o do modelo de vari?veis instrumentais permitiu avaliar a rela??o sob uma perspectiva causal. Os achados apontaram que os resultados de sa?de dos pacientes tratados em hospitais especializados s?o melhores do que os resultados dos pacientes tratados em hospitais gerais. Por fim, o terceiro ensaio teve por objetivo investigar a exist?ncia de um weekend effect no setor hospitalar brasileiro. Considerando os pacientes internados em car?ter de urg?ncia com diagn?stico de Infarto Agudo do Mio?rdio (IAM), foram estimadas raz?es de chance para o ?bito hospitalar por meio de regress?o log?stica. Os resultados foram coerentes com a exist?ncia do weekend effect, mesmo controlando uma s?rie de fatores, inclusive efeito fixo de hospital.
Sousa, Rui Carlos de Abreu Santana de. "" Acidentes com matérias perigosas no contexto do hospital de S. Bernardo - Setúbal "". Master's thesis, Instituto de Ciências Biomédicas Abel Salazar, 2010. http://hdl.handle.net/10216/57086.
Texto completoSousa, Rui Carlos de Abreu Santana de. "" Acidentes com matérias perigosas no contexto do hospital de S. Bernardo - Setúbal "". Dissertação, Instituto de Ciências Biomédicas Abel Salazar, 2010. http://hdl.handle.net/10216/57086.
Texto completoNovák, Aleš. "Vývoj cen nemovitostí v souvislosti s hospodářským vývojem České republiky". Master's thesis, Vysoká škola ekonomická v Praze, 2008. http://www.nusl.cz/ntk/nusl-4301.
Texto completoKuchenbecker, Grete Marta. "Influ?ncia da cirurgia mam?ria e altera??es da mama sobre o sucesso da amamenta??o em beb?s nascidos por cesariana eletiva". Pontif?cia Universidade Cat?lica do Rio Grande do Sul, 2015. http://tede2.pucrs.br/tede2/handle/tede/5991.
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Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES
INTRODUCTION : Breast changes can have a significant impact on breastfeeding success. In Brazil the prevalence of breast surgery is higher among the population of private health system users. Another risk factor that can interfere in successful breastfeeding in these patients is the high rate of cesarean birth, which in turn may be associated with nipple trauma.OBJECTIVES : The aim of this study was to evaluate the influence of breast surgery and other breast changes on breastfeeding success in patients undergoing elective cesarean section at a private hospital.METHODS : We included in the study newborns undergoing elective cesarean section equal to or greater than 37 weeks' gestation. Data were obtained from hospital records, interviews with the mothers during their stay in the maternity ward and via telephone at the end of the second week and three months after delivery. The variables were gestational age, presence of partners, number of pregnancies, type of nipple, previous breastfeeding, pain during breastfeeding, complementary prescription, silicone breast implants, breast reduction surgery, and bleeding nipples fissures. A logistic regression model was adjusted considering exclusive breastfeeding response at three months as a variable and as dependent variables those significant at the 30% level in previous analysis.RESULTS : The study sample consisted of 1117 newborns and their mothers whose deliveries occurred consecutively and met the inclusion criteria. Of the 1117 mothers, 741 (66.34%) had exclusive breastfeeding at three months of life. All the variables studied represented significant risk factors for the lack of exclusive breastfeeding at three months, except pain during breastfeeding and presence of cracks. In multivariate analysis, the variables that remained significant after adjusting for confounding factors were use of food supplements in the first 24 hours of life (odds ratio [OR] 2.11, confidence interval [CI] 1.62 95% 2.75); flat nipple (OR 2.40, 95% CI 1.58 to 3.65); silicone breast implant (OR 1.88, 95% CI 1.24 to 2.85); and breast reduction surgery (OR 5.65, 95% CI 2.92 to 10.85).CONCLUSIONS : In this population of patients undergoing elective cesarean section in a private health service, breast surgeries, especially breast reduction, were important risk factors for the absence of exclusive breastfeeding at three months postpartum. Another important risk factor for early weaning was the type of flat nipples.
INTRODU??O : Altera??es da mama podem ter impacto significativo sobre o sucesso da amamenta??o. No Brasil, na popula??o usu?ria do sistema privado de sa?de, a preval?ncia de cirurgias mam?rias ? alta. Outro fator de risco que pode interferir no sucesso da amamenta??o nessas pacientes ? a alta taxa de parto ces?reo, que por sua vez pode estar associado a traumas mamilares.OBJETIVOS : O objetivo deste estudo foi avaliar a influ?ncia da cirurgia mam?ria e de outras altera??es da mama no sucesso da amamenta??o em pacientes submetidas ? cesariana eletiva em um hospital privado.M?TODOS : Foram inclu?dos no estudo rec?m-nascidos por cesariana eletiva, com idade gestacional igual ou maior que 37 semanas. Os dados foram obtidos do prontu?rio hospitalar, de entrevistas com as m?es durante a estadia na maternidade e por contatos telef?nicos no final da segunda semana e tr?s meses ap?s o parto. As vari?veis em estudo foram idade gestacional, presen?a de companheiro, n?mero de gesta??es, tipo de mamilo, amamenta??o pr?via, dor durante a amamenta??o, prescri??o de complemento, implante de silicone de mama, cirurgia de redu??o mam?ria, fissura mam?ria e sangramento mam?rio. Um modelo de regress?o log?stica foi ajustado tendo como vari?vel de resposta amamenta??o exclusiva aos tr?s meses e como vari?veis dependentes as significativas ao n?vel de 30% nas an?lises anteriores.RESULTADOS : A amostra do estudo foi composta por 1117 rec?m-nascidos e suas m?es, cujos partos ocorreram de forma consecutiva e que atendiam aos crit?rios de inclus?o. Das 1117 m?es, 741 (66,34%) mantiveram amamenta??o exclusiva aos tr?s meses de vida. Todas as vari?veis estudadas representaram fatores de risco significativos para aus?ncia de aleitamento materno exclusivo aos tr?s meses, exceto dor durante a amamenta??o e presen?a de fissuras. Na an?lise multivariada, as vari?veis que se mantiveram significativas ap?s o ajuste para fatores de confus?o foram uso de complemento alimentar nas primeiras 24 horas de vida (odds ratio [OR] 2,11, intervalo de confian?a [IC] 95% 1,62-2,75); mamilo plano (OR 2,40, IC95% 1,58-3,65); implante de silicone mam?rio (OR 1,88, IC95% 1,24-2,85); e cirurgia de redu??o de mama (OR 5,65, IC95% 2,92-10,85).CONCLUS?ES : Nessa popula??o de pacientes usu?rias do sistema privado de sa?de, submetidas a parto ces?reo, as cirurgias mam?rias, especialmente a redu??o de mama, foram importantes fatores de risco para aus?ncia de amamenta??o exclusiva aos tr?s meses p?s-parto. Outro importante fator de risco para desmame precoce foi o mamilo do tipo plano.
Maseda, Luis J. "Real option analysis of flexibility in a hospital emergency department expansion project : a systems approach". Thesis, Massachusetts Institute of Technology, 2008. http://hdl.handle.net/1721.1/44704.
Texto completoIncludes bibliographical references (leaves 57-58).
Hospital Emergency Departments across the United States have been experiencing demand in excess of their capacity to treat patients for the last two decades. This research considers a hypothetical case inspired by a hospital in the Greater Boston undergoing an ED expansion to meet existing and projected demand. A traditional infrastructure expansion project approach to plan, design and immediately build for expected demand 10 to 15 years into the future is compared to a flexible design able to meet short term demands and then adapt to future demand realization. It is the overall objective of this research to identify, characterize and quantify the parameters that should be considered in ED expansion projects and provide useful modeling techniques to drive investment decisions that best allow hospital administrators to provide expected level of service to their patient population.
by Luis J. Maseda.
S.M.
Stulík, Zdeněk. "Vývoj cen nemovitostí v České republice v souvislosti s hospodářskou krizí". Master's thesis, Vysoká škola ekonomická v Praze, 2010. http://www.nusl.cz/ntk/nusl-16706.
Texto completoPaci, Lucia <1985>. "Bayesian space-time data fusion for real-time forecasting and map uncertainty". Doctoral thesis, Alma Mater Studiorum - Università di Bologna, 2014. http://amsdottorato.unibo.it/6182/2/Paci_Lucia_tesi.pdf.
Texto completoPaci, Lucia <1985>. "Bayesian space-time data fusion for real-time forecasting and map uncertainty". Doctoral thesis, Alma Mater Studiorum - Università di Bologna, 2014. http://amsdottorato.unibo.it/6182/.
Texto completoRadant, Kimberly Lynn Belec. "PATIENT-STAFF PERCEPTIONS OF A REAL AND IDEAL WARD TREATMENT ENVIRONMENT". Thesis, The University of Arizona, 1985. http://hdl.handle.net/10150/275271.
Texto completoRagde, Siri Fenstad. "Characterization of surgical staff `s exposure to surgical smoke at St. Olavs Hospital". Thesis, Norges teknisk-naturvitenskapelige universitet, Institutt for samfunnsmedisin, 2012. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-19642.
Texto completoBezerra, Clarissa Maria Bandeira. "Estresse e s?ndrome de Burnout nos enfermeiros de um hospital universit?rio". PROGRAMA DE P?S-GRADUA??O EM ENFERMAGEM, 2016. https://repositorio.ufrn.br/jspui/handle/123456789/22002.
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Objetivo: Verificar o n?vel de estresse e a presen?a da s?ndrome de Burnout em enfermeiros nos turnos diurno e noturno na ?rea hospitalar. M?todo: Trata-se de estudo descritivo, do tipo transversal observacional, com abordagem quantitativa em um Hospital Universit?rio da Universidade Federal do Rio Grande do Norte. A pesquisa foi realizada com a amostra de 108 enfermeiros atuantes nos turnos diurno e noturno. Consistiu na aplica??o de question?rios, um verificador de dados sociodemogr?ficos da amostra, a Escala de Bianchi modificada para quantificar o n?vel de estresse e o Maslach Burnout Inventory - Human Services Survey), para identificar a presen?a da S?ndrome de Burnout. A tabula??o dos dados se deu em planilhas e depois em tabelas. As vari?veis cont?nuas foram verificadas por medidas de posi??o (m?dia e mediana), dispers?o (desvio padr?o). Para as compara??es entre os turnos com rela??o aos escores dos instrumentos foi aplicado o teste t de Student e o teste n?o-param?trico de Mann-Whitney. Foram aplicados teste de Correla??o de Spearmann e de Pearson. Adotou-se n?vel de signific?ncia de 0,05. O projeto foi aprovado pelo Comit? de ?tica em Pesquisas da Universidade Federal do Rio Grande do Norte, sob o Parecer n? 1.313.575. Resultados: Os dados mostraram que 88,88% dos participantes eram do sexo feminino, com faixa et?ria de 24-45 anos correspondendo a 84.25% dos trabalhadores, de maioria casados 47,22%. Em maior n?mero encontram-se os que possuem outro emprego 55,56%. M?dia de tempo de servi?o de 12,78 anos. 50% dos participantes referiram praticar atividade f?sica. O escore para o n?vel de estresse do turno diurno foi de 2,35 e do noturno 2,31, sendo classificados como m?dio. As dimens?es do Burnout para o grupo do diurno mostrou exaust?o 21,88; despersonaliza??o 5,89; realiza??o profissional 38,88. Para o noturno, exaust?o 20,10; despersonaliza??o 5,79 realiza??o profissional 38,98. Foram considerados medianos. Os valores do estresse e do Burnout quanto ao turno de trabalho n?o foram estatisticamente significativos. Existiu correla??o e valores de p estaticamente significativos quando comparados estresse e as dimens?es da s?ndrome (p= < 0,0001), (p=0,0001) e (p=0,0003). Conclus?o: O n?vel de estresse entre os enfermeiros foi avaliado como n?vel m?dio nos turnos diurno e noturno e das tr?s dimens?es do Burnout em ambos os turnos tamb?m, onde verificou-se aus?ncia da s?ndrome. Houve correla??o estatisticamente significativas entre estresse e os dom?nios do Burnout.
Objective: To determine the level of stress and the presence of burnout syndrome in nurses in day and night shifts in the hospital. Method: This is a descriptive study, an observational cross-sectional with quantitative approach in a University Hospital of the Federal University of Rio Grande do Norte. The survey was conducted with a sample of 108 nurses working day and night shifts. It consisted of questionnaires for evaluation a sociodemographic data checker form of the sample, the modified Bianchi scale to quantify the level of stress and the Maslach Burnout Inventory - Human Services Survey), to identify the presence of burnout syndrome. The tabulation of the data was in spreadsheets and then tables. Continuous variables were checked for position measurements (mean and median), dispersion (standard deviation). For comparisons between the shifts with respect to the scores of the instruments we applied the Student t test and the nonparametric Mann-Whitney. Applied Spearman correlation test and Pearson. Adopted is a significance level of 0,05. The project was approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte, in the Opinion No. 1.313.575. Results: The data showed that 88.88% of the participants were female, aged 24-45 years corresponding to 84.25% of the workers, most married 47.22%. In the largest number are having another job 55.56%. Average of 12.78 years of service. 50% of participants reported physical activity and 50% did not. The score for the level of stress of the day shift was 2.35 and 2.31 of the night, being classified as average. The dimensions of Burnout for day group showed exhaustion 21.88; depersonalization 5.89; professional achievement 38.88. For the night, exhaustion 20,10; depersonalization 5.79 professional achievement 38.98. They were considered average. The values of stress and burnout as the work shift were not statistically significant. There was correlation and statically significant p-values when compared stress and the dimensions of the syndrome (p = <0.0001) (p = 0.0001) (p = 0.0003). Conclusion: The level of stress among nurses was rated as average level in day and night shifts and the three dimensions of Burnout in both rounds too, where there was absence of the syndrome. There was a statistically significant correlation between stress and the domains of burnout.
Höfferová, Gabriela. "Marketingové aktivity vo Všeobecnej nemocnici s poliklinikou Lučenec n.o". Master's thesis, Vysoká škola ekonomická v Praze, 2013. http://www.nusl.cz/ntk/nusl-199244.
Texto completoBanchelli, Federico <1986>. "A Recursive Partitioning Approach to Hospital Case Mix Classification". Doctoral thesis, Alma Mater Studiorum - Università di Bologna, 2017. http://amsdottorato.unibo.it/7776/1/Banchelli_Federico_Tesi.pdf.
Texto completoGandolfi, Talita. "Preval?ncia de doen?a renal cr?nica em pacientes idosos diab?ticos em uma unidade hospitalar de Porto Alegre-RS". Pontif?cia Universidade Cat?lica do Rio Grande do Sul, 2011. http://tede2.pucrs.br/tede2/handle/tede/2634.
Texto completoIntrodu??o: A doen?a renal cr?nica (DRC) e o diabetes mellitus s?o problemas de sa?de que atingem milhares de pessoas em todo mundo. Com o envelhecimento do ser humano o surgimento de doen?as ? natural. Portanto durante o processo de envelhecimento existe a necessidade de uma aten??o abrangente ? sa?de para que estas doen?as sejam controladas, proporcionando uma melhor qualidade de vida para as pessoas idosas. Objetivos: O presente estudo teve como objetivo geral estudar a ocorr?ncia de doen?a renal cr?nica em pacientes idosos diab?ticos, atendidos em uma unidade hospitalar de Porto Alegre-RS. Material e M?todos: Trata-se de um estudo transversal com coleta de dados, retrospectivo, descritivo e anal?tico, que analisou os seguintes dados obtidos dos prontu?rios m?dicos: nome, idade, sexo, peso, altura, diagn?stico pr?vio de DM 2, dosagens de creatinina s?rica, triglicer?deos, colesterol-HDL, n?veis de press?o arterial e medica??es utilizadas. Conclus?o: Este estudo mostrou uma alta preval?ncia de doen?a renal cr?nica em pacientes idosos diab?ticos atendidos em uma unidade hospitalar de Porto Alegre-RS. Observou-se que conforme a idade dos pacientes aumenta, a DRC tamb?m aumenta para um est?gio mais avan?ado.
Viktorová, Stanislava. "Aplikace prostorových analýz pomocí technologie GIS pro účely trhu s nemovitostmi". Master's thesis, Vysoké učení technické v Brně. Ústav soudního inženýrství, 2012. http://www.nusl.cz/ntk/nusl-232614.
Texto completoNaik, Pranab Sabitru. "Design and implementation of a fully automated real-time s-parameter imaging system". Thesis, Click to view the E-thesis via HKUTO, 2004. http://sunzi.lib.hku.hk/hkuto/record/B30708758.
Texto completoREGO, RICARDO BORDEAUX. "BRAZILIAN S CAPITAL MARKET CHANGE: PRIVATE VERSUS PUBLIC STOCK PLACEMENTS AFTER PLANO REAL". PONTIFÍCIA UNIVERSIDADE CATÓLICA DO RIO DE JANEIRO, 2004. http://www.maxwell.vrac.puc-rio.br/Busca_etds.php?strSecao=resultado&nrSeq=5749@1.
Texto completoEsta tese investiga a decisão por emissões públicas ou particulares de ações no Brasil. É apresentada uma revisão da literatura nacional e internacional sobre o assunto. É relatada a evidência empírica no Brasil. Dois modelos são construídos de forma a elucidar o problema investigado, à luz da literatura revista e da evidência empírica: Análise Discriminante e Regressão Logística. A legislação relativa às emissões e ações no Brasil é resumida. Os resultados apontam para maior propensão à emissão privada de empresas estatais ou holdings, com menor lucratividade (maiores prejuízos), que realizaram emissões de menor porte, apresentavam maior concentração de propriedade, endividamento e menor liquidez em Bolsa de Valores.
This dissertation studies the decision for public issues or private placements of equity in Brazil as a source of capital. The national and international literature on the subject is reviewed. The empirical evidence of placements of the Brazilian capital market and the characteristics of the issuers are also presented. After the discussion of the evidence and literature, two models are constructed: Multiple Discriminant Analysis and Logistic Regression, relating the characteristics of firms to the decision of type of issue. The regulation of stock issues is also discussed. The results show that firms with less liquid stocks, more debt, lower returns on equity and profits, more concentration of control and smaller issues, more probably use private issues.
Yeh, nai-ming y 葉乃銘. "The relation of hospital employee''s job satisfaction, organizational commitment and attitude toward hospital''s cooperation". Thesis, 1998. http://ndltd.ncl.edu.tw/handle/7v7pzz.
Texto completoLiu, I.-Shan y 劉伊珊. "The Dynamic Balanced Scorecard for Emerging Hospital: S- H Hospital Case". Thesis, 2010. http://ndltd.ncl.edu.tw/handle/63309539961549486632.
Texto completo淡江大學
會計學系碩士在職專班
98
The government encouragement of medical and biochemical technique industries caused the rapidly change of the medical environment and the fiercely competition. In particular, the emerging health care institutions in order to survive, improve organizational performance is bound to. Based on this, to construct the new hospital in this study the dynamic balanced scorecard for the main purpose of the methodology through the system dynamics, precision is looking into the overall hospital strategic objectives of the policy and performance indicators. First description of the Balanced Scorecard, followed by the description of the various factors and indicators of the causal relationship, and establish a system dynamic model, then as a policy laboratory model to simulate different policy results from the analysis to identify the factors driving success, to determine key indicators to achieve strategic objectives. The research showed that key performance indicators of hospitals, is the growth of the number of patients;affect patients is for the growth of the key indicators of quality medical professionals, the main line to primary care physician, nursing professional competence, administrative staff of administrative support to and the environment equipment capacity composed of four parts together.
Maciel, André Bernardo Silva. "Análise do desempenho económico-financeiro do Real Hospital Veterinário". Master's thesis, 2012. http://hdl.handle.net/11328/424.
Texto completoOrientação: Prof.º Doutor Fernando António de Oliveira Tavares.
Wang, Wei-yu y 王偉育. "Biological Real-time O2 Sensor''s Fabrication". Thesis, 2009. http://ndltd.ncl.edu.tw/handle/80378192674346377147.
Texto completo國立中正大學
機械工程所
97
The oxygen is a very important molecule to the existence of the creatures. Not only the animals and the plants are dependent on the oxygen to live but also the concentration of oxygen is a vital parameter to the clinical inspection. Once the oxygen content is not normal in tissue, there will be produced the pathological changes. The over-higher level of the oxygen content leads to the pathological changes of over-oxidation, and the over-lower level leads to the oxygen deficiency and all kinds of cardiovascular disease. The instantaneous detection of the oxygen content in vivo through the oxygen sensor offers people a new method to take responses in advance in order to achieve improved effect of the treatment, and oxygen sensor may provide a further research and application. This research utilizes the Ru-based optical-sensing complex which excites luminescent phase shifts to measure the oxygen concentration of the tissue as the target to develop the instantaneous detection of the oxygen content in vivo from the different oxygen content. The advantages of the O2 sensor are that the analyte will not be consumed, there is no need of the reference substance, and it won’t be disturbed by the speed of the flowing of the specimen and the external factors. This research also involves the O2 sensor used to incorporate with optical fiber and electronic circuit assembly transmitting and dealing with the signal, and the needle inserting into the tissue to measure it’s surrounding. This sensor will be a small, rapid response, and not environmentally disturbed instantaneous sensor in vivo. For the sake of avoiding the complex procedures of adjusting the luminescences, the new method of luminescence immobilization shows the results of higher response of the luminescence through reducing the oxygen concentration, and it is the normal response of the sensor. After trying a variety of tests, the signal of the luminescence can be obtained. However, the related applications and the technical integration of the oxygen sensor are not mature, and it has to be adjusted with electronic circuit in order to improve the performance of the system.
KUO, YU-CHENG y 郭于誠. "The Transition Strategies for a Community Hospital: A Case Study of S Hospital". Thesis, 2018. http://ndltd.ncl.edu.tw/handle/2azbrf.
Texto completo逢甲大學
經營管理碩士在職學位學程
106
Although the national health insurance has successfully taken care of the health of many disadvantaged ethnic groups in Taiwan since 1995, more and more large hospitals and small clinics come out; meanwhile, more and more middle regional hospital disappeared because it has failed to implement the system of graded medical treatment and referral policy. Many middle regional hospitals must take a transition and change their business model to avoid a closed crisis. The S hospital was established in 1973 and has grown from a small surgical hospital with only 30 beds to a regional teaching hospital with a total of 617 beds. However, in the face of challenges of rapid transition in the medical market, S hospital decided to upgrade to the medical center, improve the quality of medical care, and deepen the brand value to gain the support of the people. S hospital analyzed itself with SWOT and five forces analyses. It re-examined itself, predicted the development of trends, formulated strategies, and established the direction of investment in resources, then it began to implement the strategy. In the course of implementing the strategies, S hospital continuously strived to improve the quality and competitiveness, implement organizational reengineering, and strengthen research and teaching software and hardware configurations. Although the final result that S hospital was still unable to smoothly become a medical center in 2017, it has successfully opened the door of transformation and improved many of the defects of the S hospital, which has given a new definition to the quality and brand image of the S hospital. It is hoped that the colleagues of the S hospital will continue to work hard, constantly seek new changes, and hopefully become a medical center one day.
Jen, Shou Tao y 任守道. "Public Hospital Privatization and It''s Personnel Management". Thesis, 1995. http://ndltd.ncl.edu.tw/handle/08829003993928271685.
Texto completoWang, Hsiao-Wei y 王曉薇. "Landscape Design checklist of Hospital''s Healing Garden". Thesis, 2009. http://ndltd.ncl.edu.tw/handle/63233686281786204934.
Texto completo國立臺灣大學
園藝學研究所
97
The purpose of this study is to develop a landscape design check list of the hospital’s healing garden. The study of discussions of previous studies about “Healing Garden” and “Healing Landscape”, and contrasting their main guidelines, “landscape elements (for example, plants, water, sun, animal…etc)” and “activity needs (spaces and facilities for sitting, walking, talking, playing, eating, exercising…etc)” were considered important dimensions that have great effects on healing. Hence, the research hypothesized that “landscape elements” and “activity needs” are correlated with “landscape benefits”. Beside this, the “landscape elements” and “activity needs” could be the major causes of landscape benefits from the natural environment. Questionnaire survey were conducted in the Taipei Medical University Wan-Fang Hospital, and participants include doctors, staff, patients and companions (N=144). The statistical analyses used the Pearson correlation to test the relationship between “landscape elements” and “activity needs”, the relationship between “landscape elements” and “landscape benefits”, and the relationship between “activity needs” and “landscape benefits”. Additionally, it also employed a one-way ANOVA to examine the mean difference of variances within each different category users. Results indicated that there is no significant difference in different categories of users in the dimensions of “landscape elements”, and “activity needs”. Significant positive correlations were found between the “landscape elements” and “landscape benefits”, the “activity needs” and “landscape benefits”, as well as the “landscape elements” and “activity needs”. The multiple regressions revealed that the “landscape elements” and “activity needs” significantly predicted “landscape benefits”. In fact, the “landscape elements” and “activity needs” must be the major considerations of the landscape design check list of a hospital’s healing garden. The check list can be used to satisfy the implication for efficiently planning future hospital’s healing space and to evaluate the healing degree in hospital’s garden environment.
Vasconcelos, Samanta Jonas Penetra Fernandes. "Avaliação do negócio do real Hospital Veterinário: relatório de estágio". Master's thesis, 2012. http://hdl.handle.net/11328/421.
Texto completoNeves, João António Cunha. "Qual a real importância da Pancreatite Autoimune num hospital terciário?" Master's thesis, 2017. http://hdl.handle.net/10316/82234.
Texto completoIntrodução: A Pancreatite Autoimune (PAI) representa, na prática clínica, uma patologia de relevância crescente, embora persistam algumas reservas quanto à sua definição e caracterização. Inicialmente, a elevação sérica da fração IgG4, destacar-se-ia como possível marcador específico. Contudo, foi comprovado que a especificidade inerente a este e outros marcadores séricos era limitada. Dada a complexidade e ausência de um consenso diagnóstico,foram inicialmente criados os critérios HISORt. Posteriormente, os International Consensus Diagnostic Criteria for Autoimmune Pancreatitis (ICDC) foram apresentados e definidos como a guideline internacional para o diagnóstico, classificação e tratamento da PAI. Contudo, o diagnóstico de PAI continua a ser complexo, exigindo um elevado grau de suspeição clínica e dependendo, frequentemente, da colheita de material para estudo histológico. Objetivos: O objetivo primordial deste projeto consistiu em estabelecer uma relação entre o diagnóstico de PAI e a presença ou ausência de níveis elevados de IgG4. Foi ainda elaborado um estudo comparativo entre os critérios HISORt e ICDC, para averiguar as principais diferenças subjacentes a estes. Estabeleceu-se a respetiva acuidade diagnóstica, utilizando como gold standard a conjugação de dados clínicos, analíticos, imagiológicos, histológicos e a resposta à terapêutica. Materiais e Métodos: Foram analisados todos os doentes com ≥18 anos no momento do diagnóstico, submetidos a doseamentos de IgG4, de 2012 a 2015. Os dados incluíram variáveis demográficas, clínicas, analíticas, imagiológicas, histológicas e terapêuticas. Resultados: Foram identificados 1110 doentes com doseamentos de IgG4, 117 (10,5%) dos quais apresentavam níveis >135mg/dL. O diagnóstico definitivo de PAI foi estabelecido em 13 doentes, dos quais 6 (46,2%) apresentavam níveis normais de IgG4. Os critérios HISORt demonstraram uma sensibilidade de 30,8%, na identificação de doentes com PAI, face à sensibilidade de 46,2% apresentada pelos critérios ICDC. 28,5% dos doentes classificados pelos critérios ICDC como diagnósticos prováveis/definitivos de PAI Tipo I apresentaram doseamentos de IgG4 positivos. Conclusão: A IgG4 revelou pouca utilidade no diagnóstico de PAI. A aplicação dos dois grupos de critérios revelou uma inferioridade diagnóstica dos critérios HISORt face aos ICDC. Uma maior independência face à serologia da IgG4 e a capacidade de diferenciação dos dois subtipos de PAI foram as duas principais características que puderam justificar a discrepância existente entre os critérios HISORt e os ICDC.
Introduction: Autoimmune Pancreatitis (AIP) remains a growing relevant pathology in the clinical practice, albeit the ambiguity regarding its definition and characterization still prevails. Initially, the increase of the IgG4 fraction was thought to be its main specific marker. Nevertheless, it was proved that the specificity inherent to this particular and other serologic markers was limited. Due to the complexity and lack of a diagnostic consensus, the HISORt criteria were designed. Thereafter, the ICDC criteria were delineated and presented as the International Guideline for the diagnosis, classification and treatment of AIP. Notwithstanding, the diagnosis of AIP remains complex, demanding a high level of clinical suspicion and frequently requiring histological analysis of gathered samples. Objectives: The primordial objective of this project consisted in establishing a relation between the diagnosis of AIP and the presence or absence of increased IgG4 levels. A comparative study between the HISORt and ICDC criteria was also performed, in order to investigate the main differences regarding these two classifications. The diagnostic accuracy was assessed by a gold standard made up of clinical, analytical, imagiological, histological and therapeutic response data. Materials and Methods: All the patients, aged ≥18 at the time of the diagnosis and to whom the levels of IgG4 were determined between 2012 and 2015, were included. Demographic, clinical, analytical, imagiological, histological and therapeutic variables were considered. Results: 1110 patients with IgG4 determinations were identified, of which 117 (10.5%) presented levels >135mg/dL. 6 (46.2%) within the 13 patients established with a definitive diagnosis of AIP featured normal IgG4 levels. The HISORt criteria revealed a 30.8% sensitivity in identifying patients with AIP, whilst the ICDC criteria presented a 46.2% sensitivity. 28.5% of those considered, by the ICDC criteria, as probable/definitive Type I AIP had positive IgG4 determinations. Conclusion: IgG4 revealed to be of limited value on the diagnosis of AIP. The application of the two criteria demonstrated a diagnostic inferiority when comparing the HISORt to the ICDC. A major independence regarding the IgG4 serology and the ability to discriminate the two distinct AIP subtypes were the two main features that could justify the discrepancy between the HISORt and ICDC criteria.
Yao, Shang-Fu y 姚尚甫. "Integration for Network Transaction Platform of Vehicle''s Aftermarket and Vehicle''s Hospital". Thesis, 2014. http://ndltd.ncl.edu.tw/handle/u6g3vs.
Texto completo國立臺北科技大學
車輛工程系所
102
In the automotive industry chain, the profit generated from the automobile aftermarket exceeds the profits arising from a sale of a car. The definition of automobile aftermarket means all the services a car owner wants and requires, this include vehicle maintenance, vehicle inspection, component supply, modification, used cars, insurance claims, automobile roadside assistance, and etc. The three main profit generators in automobile after market is vehicle maintenance, component suppliers and used car business. This study will focus on these three main profit generator sectors, with the use of the cloud network system having a cross-industry alliance, then proposing a concept of " Vehicle''s Hospital " and a new business model "Innovation and Integration Services Platform". The purpose is to facilitate the circulation of used cars; with the current less disadvantage car shops, it can improve its service skills and qualities, reduce operating costs and bring business opportunities; to components manufactures it helps to improve iii the quality of the products. In addition it can enhance the trust between the sellers and used car, car parts or maintenance consumers. At the same time, having the advantage of vehicle’s health and management help the less experienced consumers to conduct a healthly vehicle management and maintenance. The goal of this innovative integration services platform, is hoping the automobile aftermarket or vehicle-related industries to integrate, promote industrial restructuring and upgrading service quality to consumers. Which will lead to a more convenient and a more secure services for the consumers.