Teses / dissertações: "Hospital Real de S"

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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.

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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.

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Staphylococcus aureus (S. aureus) catheter-related bloodstream infection (CRBSI) remains a leading cause of nosocomial (hospital acquired) infection worldwide. Early detection of S. aureus as a causative organism and appropriate antibiotic therapy is crucial in reducing patient morbidity and mortality rates. Current diagnosis of S. aureus intravascular catheter (IVC) colonisation relies on the use of conventional culture-dependent methods. However, many fastidious bacteria are difficult to be recovered in current laboratory conditions. Furthermore, a definitive diagnosis following a positive culture may take up to seven days and is therefore not useful in directing early antibiotic therapy in patients with CRBSI. A real-time polymerase chain reaction (PCR) assay, using primers specific to the thermonuclease (nuc) gene, targeting the S. aureus genome has the potential to address these limitations.
Thesis (Masters)
Master of Science (MSc)
School of Natural Sciences
Science, Environment, Engineering and Technology
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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.

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OBJECTIVE: 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

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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.

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Coordena??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

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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.

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This thesis is focused on the risks arising from the data recorded in the cadastre of real estate and legislation related to the cadastre. Introductory chapters are devoted to the definition of risk for the purposes of this work and of basic terms in response to the changes brought by the new Civil Code. A brief historical overview coupled to the cadastre and description of the basic principles of the cadastre is complemented by context resulting from the integration with information systems of public administration. The merit of the work is dedicated to risks arising from the principles of the cadastre, historical circumstances, the importance and obligatory force of the registered data and their accuracy. Among the major factors influencing the risks associated with trade in real estate can be classified in particular, the evidence of ownership of itself and fulfilling the principle of publicity material, the question of the acreage recorded in cadastre, providing access to the property or existence of the simplified register. The work is enriched by concrete examples from practice that show errors and possible solutions.

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Halamíček, 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.

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This work deals with an artificial intelligence problematics in real-time computer games. Goal of this project is a creation of an intelligent computer opponent in a real-time enviroment of a multiagent systems.

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Messingher, 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.

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The sound environment in hospitals is complex. While there have been several studies that address the acoustic environment in hospitals, there is a limited amount of research done concerning the effect that noise has on staff. This thesis describes two related studies: 1) analysis of the relationships between acoustics and perceptual staff outcomes using an existing data set collected in real hospitals; 2) development of methodologies to test the relationships between acoustics and hospital staff task performance in a simulated laboratory setting. In the first study it was found that mental health and perception of noisiness were occupational factors that were related to the sound environment using a variety of acoustic metrics. Only a few acoustic metrics were shown to be statistically significant related to dependent variables in a direct correlation (e.g., as the acoustic conditions worsened the dependent variable also decreased). However, almost all acoustic metrics tested had a statistically significant relationship with mental health once subjective job strain was considered as a moderating factor. This means that while the direct impact of sound may not be immediately observable, sound may play a more significant role once subjective job strain is taken into account. In the second study, a new methodology was developed to directly relate staff task performance to noise and beta-tested on a single group of subjects. The methodology development included synthesizing a signal that was acoustically comparable to those heard in real hospitals in order to simulate a realistic noise exposure in a controlled environment. Additionally, objective methods of measuring performance and perception were devised by utilizing task performance scripts already validated in other studies and developing new surveys that could be administered to subjects to garner their perceived task performance and perceptions of the simulation room environment, including noise.

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Coronas, 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.

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Křenek, 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.

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This diploma thesis focus on transmiting multimedia over computer network. There are detailed informations about protocols RTP and RTPC in a first part because a transmition over a network is realized by using these protocols. Some basic multimedia terms, FFmpeg codecs and SDL library are described in next chapters. A multimedia player using FFmpeg and SDL is implemented in a second part of thesis. The player is console application and it has basic user interface. The player reproduces video and audio from a given file. RTP communication is described in next chapters of the second part. RTP server and client are implemented there too. They are console aplications and they use data coded by Theora or Vorbis. There are summarized results in a conclusion.

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Oliveira, 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.

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A presente dissertação pretende contribuir para o conhecimento da história da vida corporativa e assistencial na cidade do Porto através da Confraria dos Sapateiros nos sécs. XIV e XV. Limita-se a uma abordagem sobre as origens das confrarias e como se desenvolveram em Portuga. A Confraria dos Sapateiros aparece-nos com uma relevante vertente assistencial através do seu hospital aos peregrinos de S. Tiago. Na assistência prestada transparece toda a esfera religiosa que envolvia o homem medieval e o medo perante a morte, o que leva a praticar todo o bem que lhe possa sufragar a alma. De salientar a organização, o brio e o bom desempenho na administração do Hospital pelos confrades sapateiros, cativando a simpatia real, levando ao embargue da ordem régia da anexação à Misericórdia.

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Oliveira, 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.

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A presente dissertação pretende contribuir para o conhecimento da história da vida corporativa e assistencial na cidade do Porto através da Confraria dos Sapateiros nos sécs. XIV e XV. Limita-se a uma abordagem sobre as origens das confrarias e como se desenvolveram em Portuga. A Confraria dos Sapateiros aparece-nos com uma relevante vertente assistencial através do seu hospital aos peregrinos de S. Tiago. Na assistência prestada transparece toda a esfera religiosa que envolvia o homem medieval e o medo perante a morte, o que leva a praticar todo o bem que lhe possa sufragar a alma. De salientar a organização, o brio e o bom desempenho na administração do Hospital pelos confrades sapateiros, cativando a simpatia real, levando ao embargue da ordem régia da anexação à Misericórdia.

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Sánchez, 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.

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El Hospital de Caridad de Cartagena fue fundado en 1693. Objetivo: determinar su área de influencia, los problemas sanitarios, enfermedades y lesiones más frecuentes y otros aspectos. La fuente principal ha sido el archivo del Hospital. Entre 1900 y 1936 el Hospital experimenta un gran auge. El 58% de enfermos proceden de la Ciudad, siguiéndole la zona minera (19%). Existe una correlación negativa entre los ingresos y la estancia media. Enfermedades más frecuentes: aparato digestivo (21%), respiratorias (15%), circulatorias (10%) y genitourinarias (9%). Enfermedades infecto-contagiosas más frecuentes: tuberculosis (20%), difteria (19%), paludismo (17%), sífilis (16%), fiebres tifoideas (4%) y viruela (3%). La tasa más elevada de hospitalización por paludismo corresponde a la zona húmeda de “El Hondón”. Existe una correlación negativa entre consumo de pan y de carne por estancia y número de estancias. Entre las urgencias predominan las heridas (59%), traumatismos osteoarticulares (24,3%), quemaduras (3,3%) y cuerpos extraños (2,6%).
The “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%).

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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.

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Determina el perfil ocupacional Real de la Enfermera Asistencial del Hospital Nacional Arzobispo Loayza. Se considera que la información obtenida a través de la presente investigación serviría para que las enfermeras reflexionen sobre la forma como están desarrollando sus funciones, y así, ya sea en una forma personal y/o institucional, poder tomar medidas orientadas hacia el mejoramiento de su quehacer profesional, y brindar una atención de calidad y garantizar de esta manera el posicionamiento de la profesión en la sociedad. La investigación se enmarca en un estudio de tipo cuantitativo, método descriptivo, de corte transversal; la muestra estuvo conformada por 28 enfermeras de los Servicios de Hospitalización de Cirugía, Ginecología, Medicina y Maternidad. Las técnicas utilizadas fueron la entrevista, y la observación, diseñándose tres instrumentos para la recolección de datos: un cuestionario para evaluar conocimientos, una lista de chequeo para identificar las competencias desarrolladas, y finalmente una escala de Likert para determinar las actitudes y valores de las enfermeras seleccionadas. Se llegó a las siguientes concluye que los conocimientos de la enfermera sobre sus funciones y los conceptos del PAE en el cuidado integral al paciente y familia, son de nivel medio y alto en mayor proporción, y en menor proporción las enfermeras que poseen nivel bajo de conocimientos. En cuanto a las actitudes se encuentra que las enfermeras estudiadas presentan en su mayoría, actitudes favorables y en menor proporción se encuentran las enfermeras que poseen actitudes desfavorables. Asimismo se encontró que las aptitudes o habilidades de las enfermeras para brindar el cuidado, son adecuadas en su mayoría y sólo en un mínimo porcentaje son inadecuadas. Se puede decir que estos resultados estarían constituyendo una garantía de un buen cuidado del cliente de esta institución.
Tesis

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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.

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Gouvêa, 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.

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Este 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.

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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.

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Melnikova, Yulia. "Spanish Real Estate Market Analysis". Master's thesis, Česká zemědělská univerzita v Praze, 2016. http://www.nusl.cz/ntk/nusl-259902.

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At the beginning of 2000-ies the real estate market of residential property in Spain considered to be one the most popular and fast-growing real estate market in Europe, which attracted a great number of investment into the country and thus contributed greatly to the development of the national economy of Spain. However, because of the economic crisis in the country, residential real estate market collapsed significantly. At the present time, the Spanish real estate market of residential property market is recovering from the recession to the pre-crisis level as the prices for residential real estate property has started increasing due to the high demand for it. All this factors positively affect the national economy of Spain. In order to obtain the major aim of the thesis, it is crucial to conduct a retrospective overview of the residential real estate market of Spain before the crisis and provide a bene-ficial real estate market analysis of the current situation on the market of residential proper-ty.

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Ujčíková, 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.

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The objective of the thesis „Analysis of real estate market in selected regions of the Czech Republic“ is to analyze the real estate market in two selected regions, two of thein districts and in their capital cities. The first part of the thesis focuses on the theoretical description and terms related to the real estate market. The second part targets the description, territorial development and social level of two selected district towns. In the third part, I compare and analyze the real estate market in selected regions – the South Moravian Region (Jihomoravský) and Vysočina region and in their district towns. The analysis mainly focuses on the price development of apartments in the different districts. In the last part, I compare the market aspects of the different districts with regard to my previous findings and their influence on the local property market.

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Costa, 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.

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

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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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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.

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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.

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A Marcopolo S/A, considerando sua trajetória, seu porte e sua representatividade dentro do segmento em que atua - carrocerias para ônibus - desperta o interesse do público em geral por tratar-se de uma companhia regional com forte expressão nacional. Constituída em 1949 e hoje com empresas espalhadas pelo mundo (Argentina, México e Portugal, além do Brasil), busca atender clientes em todos os continentes através da diversidade e da qualidade de seus produtos. Possui uma forte importância social, emprega diretamente 3.000 colaboradores e recolhe expressivos valores na forma de tributos e contribuições sociais aos cofres públicos, que são revertidos de alguma forma em benefícios à população em geral. O trabalho de pesquisa teve como objetivo principal destacar o histórico da Marcopolo S/A desde a sua fundação, apresentar o setor em que a empresa está inserida e analisar econômico e financeiramente o desempenho da companhia a partir do exercício social de 1994 até o mês de setembro de 2000 (últimas informações disponíveis quando do fechamento da dissertação). A empresa sofreu o impacto de algumas mudanças macroeconômicas como: 1994 - Plano Real, 1995 - Crise do México, 1997 - Crise da Ásia, 1998 - Crise da Rússia e por último no ano de 1999 a desvalorização cambial no Brasil, que geraram mudanças estratégicas e de gestão na companhia. Faz parte do trabalho a análise e interpretação da participação da empresa junto ao mercado de capitais brasileiro, pois trata-se de uma companhia aberta com ações negociadas em bolsa. Constatou-se, que não foi interessante ao investidor que manteve em sua carteira de investimentos as ações da Marcopolo S/A. Do ponto de vista econômico-financeiro, através dos índices apresentados ao longo dos sete anos analisados – de 1994 a 2000 – se verificou que a companhia apresenta condição satisfatória. Através do exposto acima buscou-se traduzir para esta pesquisa as ocorrências e fatos positivos e negativos que a Marcopolo S/A apresentou ao longo de seus mais de 50 anos de existência.

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BARDELLI, CHIARA. "Machine Learning and Statistical models in real world applications". Doctoral thesis, Università degli studi di Pavia, 2021. http://hdl.handle.net/11571/1447635.

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Machine Learning and Statistical models are nowadays widely used in different fields of application thanks to their flexibility and adaptation to specific type of data and problem domain. Each part of this thesis presents a domain of application and proposes a specific approach to solve the problem described. A Bayesian framework is applied in the First and Third part of this thesis, while a Machine Learning approach is preferred in the Second part. The first part of this thesis proposes an algorithm for a new ensemble decision tree procedure based on Proper Bayesian bootstrap. The introduction of synthetic data generated from a prior distribution makes the prediction output more stable in terms of variance component of the Mean Square Error, with more evident results in case of low sample size and high dimensional problems. In the second part we describe a methodological proposal to automate business accounting procedures and integrate the prediction output of a Machine Learning classifier into a software for account officers. All the models are tested on real datasets provided by Datev, a company which develops software for account officers. In the third part we apply Bayesian survival analysis to a Covid-19 dataset to analyse specific quantities which describe the evolution of the epidemic. The estimation of epidemiological quantities using statistical models can be very helpful to address the nonidentifiability problem of the compartmental epidemiological models and leads to more stable prediction of trend of the epidemic.

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Leivas, 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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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.

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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.

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Sousa, 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.

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Novák, 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.

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This thesis focuses on the problem of real estate prices in the Czech Republic and its progress in context of economic development of the Czech economy. The real estate prices are an important indicator of economic maturity of the country and its incidental adverse development affect strongly banking sector and consequently the whole economy. In the first part of the work are described and analyzed causations of the economic development of the Czech Republic for providing a frame of conditions of our economy. The second part of the work is focused on the Czech real estate market, its specifics in comparison with other markets. There are summarized starting points of the previous economic era and there are described and analyzed economic influences on the real estate market. Further there is given account of the real estate prices development in detail. Preceding findings are synthesized in the final part of the work and in addition there is sketched out possible development of real estate prices in the near future.

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Kuchenbecker, 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.

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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.

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Thesis (S.M.)--Massachusetts Institute of Technology, System Design and Management Program, 2008.
Includes 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.

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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.

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The main goal, of this work on the topic The real estate development in The Czech Republic in association with the global economic crisis, is to find out the essential determinants, which can influence the real estate market. In last period we are witness of discussion on the topic price bubble. This bubble should have been to see in date until 2008. In my work I will try to analyze, if it is true or not. The essential output of my work is analysis of relationship of real estate's price development in relation to whole economy. Because of economic crisis is better view of whole analysis.

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Paci, Lucia <1985&gt. "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.

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Environmental computer models are deterministic models devoted to predict several environmental phenomena such as air pollution or meteorological events. Numerical model output is given in terms of averages over grid cells, usually at high spatial and temporal resolution. However, these outputs are often biased with unknown calibration and not equipped with any information about the associated uncertainty. Conversely, data collected at monitoring stations is more accurate since they essentially provide the true levels. Due the leading role played by numerical models, it now important to compare model output with observations. Statistical methods developed to combine numerical model output and station data are usually referred to as data fusion. In this work, we first combine ozone monitoring data with ozone predictions from the Eta-CMAQ air quality model in order to forecast real-time current 8-hour average ozone level defined as the average of the previous four hours, current hour, and predictions for the next three hours. We propose a Bayesian downscaler model based on first differences with a flexible coefficient structure and an efficient computational strategy to fit model parameters. Model validation for the eastern United States shows consequential improvement of our fully inferential approach compared with the current real-time forecasting system. Furthermore, we consider the introduction of temperature data from a weather forecast model into the downscaler, showing improved real-time ozone predictions. Finally, we introduce a hierarchical model to obtain spatially varying uncertainty associated with numerical model output. We show how we can learn about such uncertainty through suitable stochastic data fusion modeling using some external validation data. We illustrate our Bayesian model by providing the uncertainty map associated with a temperature output over the northeastern United States.

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Paci, Lucia <1985&gt. "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/.

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Environmental computer models are deterministic models devoted to predict several environmental phenomena such as air pollution or meteorological events. Numerical model output is given in terms of averages over grid cells, usually at high spatial and temporal resolution. However, these outputs are often biased with unknown calibration and not equipped with any information about the associated uncertainty. Conversely, data collected at monitoring stations is more accurate since they essentially provide the true levels. Due the leading role played by numerical models, it now important to compare model output with observations. Statistical methods developed to combine numerical model output and station data are usually referred to as data fusion. In this work, we first combine ozone monitoring data with ozone predictions from the Eta-CMAQ air quality model in order to forecast real-time current 8-hour average ozone level defined as the average of the previous four hours, current hour, and predictions for the next three hours. We propose a Bayesian downscaler model based on first differences with a flexible coefficient structure and an efficient computational strategy to fit model parameters. Model validation for the eastern United States shows consequential improvement of our fully inferential approach compared with the current real-time forecasting system. Furthermore, we consider the introduction of temperature data from a weather forecast model into the downscaler, showing improved real-time ozone predictions. Finally, we introduce a hierarchical model to obtain spatially varying uncertainty associated with numerical model output. We show how we can learn about such uncertainty through suitable stochastic data fusion modeling using some external validation data. We illustrate our Bayesian model by providing the uncertainty map associated with a temperature output over the northeastern United States.

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Radant, 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.

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Ragde, 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.

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Introduction: Surgical smoke is produced when electrosurgery is applied to the patient`s tissue during surgical procedures. The smoke is known to contain numerous of volatile chemical compounds, and carcinogens have been identified. The smoke also contains ultrafine particles, which may propose a health hazard to the surgical staff in the operating room. Methods: The aim of the study was to characterize the personal exposure of surgical smoke to the surgical personnel in the operating room, with emphasis on ultrafine particles. Five surgical procedures were selected to be included in the exposure assessment based on frequent use of electrosurgery and relatively short length of the procedures. Sampling of personal exposure to particles in surgical smoke in the range of 5.6-560 nm was performed using a Fast Mobility Particle Sizer, on four different job groups in the operating room. Important determinants of exposure were also investigated, using linear mixed effects models. In addition, three random samples of exposure to volatile organic compounds and aldehydes were executed on the main surgeon on three types of surgeries. Results: Type of surgery was an important determinant of exposure to surgical smoke, and the use of electrosurgery resulted in exposure to mainly ultrafine particles. The exposure was highest during abdominoplasty and the lowest during hip replacement surgeries. A total of five VOC`s was identified and quantified. One sample contained low levels of formaldehyde. For the other samples, the levels were below the detection limit. Conclusion: The use of electrosurgery resulted in short term high peak exposures to mainly ultrafine particles in surgical smoke. The job groups closest to the emissions are usually the highest exposed. Compared to other working environments the exposure levels for ultrafine particles was low. The concentrations of VOC`s and aldehydes was below the Norwegian OEL.

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Bezerra, 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.

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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.

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This Master's Thesis deals with marketing activities in the General Hospital and Policlinic Lučenec n.o. The goal of this thesis is the detection and evaluation of marketing activities used in General Hospital and Policlinic Lučenec n.o. The main task of this thesis is the evaluation of the satisfaction questionnaires hospitalized patients, which the hospital does not have worked. And a subsequent evaluation of own research specialized on employee satisfaction, which brings near the aspect of hospital employee satisfaction and thereby providing insight into internal marketing of hospital. Both studies are conducted in the form of completely anonymous questionnaires. The work contains the results of research on which recommendations are addressed.

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Banchelli, Federico <1986&gt. "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.

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The present dissertation was focused on the study and development of a clinical data mining methodology for hospital case mix iso-resource classification. Several recursive partitioning methodologies were applied on Emilia-Romagna Region hospital discharge database. Here, the need for developing several alternative iso-resource subgroups was a critical point in the development of case mix classification systems, due to the presence of clinical coherence requirements. Two major classes of trees were assessed: constant-fit trees and model-based trees, with a particular focus on the latter class, which peculiarity is to fit regression models in the nodes of the tree. After an extensive literature review, the traditional regression tree (constant-fit) and four model-based tree algorithms were assessed: two modifications of the Model-Based Recursive Partitioning (MOB) algorithm which were given additional flexibility by performing a within-node model selection step, respectively using count regression and continuous response regression GLMs; a two-step composite algorithm which fits regression trees and models in terminal nodes; quantile-model-based regression trees, by means of the Generalized Unbiased Interaction Detection and Estimation (GUIDE) algorithm. These algorithms were compared under several points of view. Statistical performance, measured via bootstrap out-of-bag performance curves, was in favor of model-based trees, while, among them, competing performances were found. Implications for the design of hospital case mix classification systems were also evaluated, since the two classes of trees can be conceptually linked to different refunding schemes. Moreover, application and advantages of two different ensemble methods were discussed. All the recursive partitioning methods employed resulted in the definition of iso-resource clinically similar subgroups of patients. Different interpretations were given to these alternative subgroups, due to differences in the rationale of the various splitting criteria. In particular, model-based trees identified subgroups with differential effects of patient’s age and clinical severity on resource consumption, here measured with hospital length of stay.

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Gandolfi, 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.

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Introdu??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.

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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.

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The master's thesis deals with possibilities for using of spatial analyses for purposes of the real estate market in using geographic information system. The focus of this thesis is on the issues for the search of appropriate documents for project development in GIS and data processing. For the definition of functional spatial analyses are followed criteria of the property location, building location, transportation accessibility, availability of services, physical and geographical parameters, positive and negative effects of the environment, restrictions on use. GIS project is presented as an interactive map containing the input data and the individual spatial analyses which describe the analyzed factors or criteria affecting the real estate market. The results of analyses represent the advantage possibilities of using GIS for dealing with appropriate of practical use for the purpose of the real estate market.

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Naik, 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.

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REGO, 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.

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COORDENAÇÃO DE APERFEIÇOAMENTO DO PESSOAL DE ENSINO SUPERIOR
Esta 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.

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Yeh, nai-ming, e 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.

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Liu, I.-Shan, e 劉伊珊. "The Dynamic Balanced Scorecard for Emerging Hospital: S- H Hospital Case". Thesis, 2010. http://ndltd.ncl.edu.tw/handle/63309539961549486632.

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碩士
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.

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Maciel, André Bernardo Silva. "Análise do desempenho económico-financeiro do Real Hospital Veterinário". Master's thesis, 2012. http://hdl.handle.net/11328/424.

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No âmbito do Mestrado em Finanças, foi realizado um estágio curricular em contexto de trabalho na empresa Real Hospital Veterinário. Este relatório de estágio é o resultado final desse estágio curricular. Ele orientou-se pela premissa que constituiu o objetivo primordial desde a primeira fase do trabalho: Analisar o desempenho económico e financeiro da empresa. Procurou-se com esta análise encontrar a direção mais adequada no âmbito da melhor estratégia a adotar quanto ao seu percurso. Contudo, foi efetuada uma revisão da literatura, adaptando a forma de análise à empresa em causa. Por fim, aplicou-se a análise de acordo com o modelo da empresa, servindo-se assim de base para outras realizações. With the aim of concluding the Master in Finance, it was done curricular internship with work-related training at Real Hospital Veterinário Lda. This report is the final outcome of this curricular internship. Its key line follows the main purpose since the beginning of this work: analyse the economic and financial performance in the firm path. Furthermor, it was done a bibliographic review with purpose of adjust the study to the company. To conclude, it was operated that examination in accordance with corporation’s model in a way that it serves as a foundation to other researches.
Orientação: Prof.º Doutor Fernando António de Oliveira Tavares.

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Wang, Wei-yu, e 王偉育. "Biological Real-time O2 Sensor''s Fabrication". Thesis, 2009. http://ndltd.ncl.edu.tw/handle/80378192674346377147.

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碩士
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.

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KUO, YU-CHENG, e 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.

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碩士
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.

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Jen, Shou Tao, e 任守道. "Public Hospital Privatization and It''s Personnel Management". Thesis, 1995. http://ndltd.ncl.edu.tw/handle/08829003993928271685.

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Wang, Hsiao-Wei, e 王曉薇. "Landscape Design checklist of Hospital''s Healing Garden". Thesis, 2009. http://ndltd.ncl.edu.tw/handle/63233686281786204934.

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碩士
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.

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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.

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Neves, João António Cunha. "Qual a real importância da Pancreatite Autoimune num hospital terciário?" Master's thesis, 2017. http://hdl.handle.net/10316/82234.

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Trabalho de Projeto do Mestrado Integrado em Medicina apresentado à Faculdade de Medicina
Introdução: 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.

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Yao, Shang-Fu, e 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.

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碩士
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.

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