O processo de gestão da produção é responsável pelo planejamento de todas as atividades de produção em empresas de manufatura. Modelos conceituais são referências para implantação e organização deste processo, e alguns não abordam o uso da coleta automática de dados de chão de fábrica. É proposto um modelo conceitual que considera a coleta automática, tratamento e disponibilização destes dados, permitindo que sejam tomadas decisões com base em dados mais precisos, detalhados e fáceis de serem obtidos. / The production management process is in charge to plan all production activities in manufacturing enterprises. Conceptual models are references for implantation and organization of this process. Some of these models do not include automatic shop floor data collection. It is proposed a conceptual model that takes into account the automatica data collection, using, treating and making it available. This will permit a decision making based on more detailed, accurated and easy to get information.

Com o avanço tecnológico, a valorização da informação, o ritmo acelerado das mudanças e a globalização, características que fazem com que os hospitais (sejam eles, filantrópicos, governamentais ou privados), aliada às exigências cada vez maiores dos pacientes, aumentem a busca pela qualidade na prestação dos serviços. Sobre este pretexto, os hospitais integrantes do Sistema Único de Saúde (SUS), devem elaborar seus respectivos Censos Hospitalares e apresentar seus dados estatísticos ao Ministério da Saúde, baseado nas definições da Portaria no. 312 de 02 de maio de 2002. Estes indicadores não são os únicos necessários ou importantes para a gestão hospitalar, entretanto são considerados como informaçãoes básicas em uma instituição desta natureza. Contudo, a disponibilidade destas informações de forma contínua, sustentável e confiável não tem se mostrado uma tarefa trivial, principalmente devido alguns fatores: falta de registro, registro inadequado e incompleto, falta de padronização na aplicação do vocabulário médico e mudanças constantes nas rotinas administrativas. Em hospitais considerados de grande porte, este problema pode tomar uma extensão ainda maior. Por ser bastante complexo o Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo HCFMUSP, considerado o maior complexo hospitalar da América Latina, com aproximadamente 2.200 leitos e atendendo em média 6.000 pacientes ambulatoriais por dia, constitui um bom objeto para estudo de caso, pois permite que vários desafios em relação ao tratamento da informação, como por exemplo: compartilhamento, conectividade, interoperabilidade e integração, possam surgir de maneira mais acentuada a outros hospitais de menor complexidade. Segundo esta abordagem, o trabalho também pretende explorar o nível de contribuição dos diversos Sistemas de Informação Hospitalar utilizados pelo hospital na obtenção de variáveis, para a composição de informações que serão utilizadas como base para as ações administrativas e avaliação de desempenho. O alto grau de heterogeneidade presente nas soluções no domínio da saúde, distribuídos nos diferentes sistemas de informação, apontam para a v necessidade de compartilhar e troca informações entre ambientes heterogêneos. Neste contexto, a interoperabilidade tem um papel fundamental, pois permite a comunicação de forma transparente entre sistemas e ambientes heterogêneos, autônomos e distribuídos. Foram utilizados neste estudo documentos oficiais relativos aos sistemas de informação assistencial e sua gestão no HC-FMUSP, além de atas de Reuniões do Comitê de Tecnologia da Informação do hospital (CTI). Para a coleta de dados foi aplicada a técnica de entrevista semi-estruturada aos sujeitos responsáveis pelo Serviço de Arquivo Médico SAME de áreas estratégicas do hospital e do Núcleo de Informação em Saúde NIS. A crescente complexidade da assistência à saúde torna premente a necessidade de integração dos sistemas corporativos, bem como a adoção de padrões de registro e procedimentos, porém, não basta resolver as questões somente do ponto de vista tecnológico, o desafio é trabalhar estes problemas considerando toda a sua complexidade e articulando diferentes áreas, em busca de resultados efetivos / With the technological advance, the valuation of the information, the sped up rhythm of the changes and the globalization, characteristics that make with that the hospitals (they are they, philanthropy, governmental or private), allied to the bigger requirements each time of the patients, increase the search for the quality in the installment of the services. On this excuse, the integrant hospitals of the Only System of Health (SUS), must elaborate its respective Hospital Censuses and present its statistical data to the Health department, based on the definitions of governmental decree no. 312 of 02 of May of 2002. These pointers are not only the necessary ones or important for the hospital management, however they are considered as basic information in an institution of this nature. However, the availability of these information of continuous, sustainable and trustworthy form if has not shown a trivial task, mainly had some factors: lack of register, inadequate and incomplete register, constant lack of standardization in the application of the medical vocabulary and changes in the administrative routines. In considered hospitals of great transport, this problem can take an extension still bigger. Of to be sufficiently complex the Hospital of the Clinics of the College of Medicine of the University of Sao Paulo - HCFMUSP, considered the hospital complex greater of Latin America, with approximately 2,200 stream beds and taking care of in average 6,000 patients per day in the ambulatory, constitutes a good object for case study, therefore it allows that some challenges in relation to the treatment of the information, as for example: sharing, connectivity, interoperability and integration, can appear more of accented way to other hospitals of lesser complexity. According to this boarding, the work also intends to explore the level of contribution of the diverse systems of hospital information used by the hospital in the attainment of the variables, for the composition of information that will be used as base for the administrative cases and evaluation of performance. The high degree of present heterogeneity in the solutions in the domain of health distributed in the different systems of information, points with respect to the necessity to share and changes information between heterogeneous environments. In this vii context, the interoperability has a basic paper, therefore it allows to the communication of transparent form between systems and heterogeneous, independent and distributed environments. Official documents to the systems of health care information and its management in the HCFMUSP had been used in this study relative, beyond acts of meetings of the Committee of Technology of the Information of the hospital (CTI). For the collection of data the technique of interview half-structuralized to the responsible citizens for the Service of Medical Archive was applied - SAME of strategical areas of the hospital and the Nucleus of Information in Health - NIS. The increasing complexity of the health care becomes pressing the necessity of integration of the corporative systems, as well as the adoption of register standards and procedures, however, are not enough to only decide the questions of the technological point of view, the challenge are to work these problems considering all its complexity and articulating different areas, in search of effective results

Orientador: Carolina dos Santos Batista Bonini / Resumo: Sistemas de conservação do solo são capazes de alcançar a sustentabilidade agrícola, juntamente com a integração e diversificação de atividades de manejo. São meios que exploram o sinergismo do sistema, resultado da interação solo-planta-atmosfera. Este trabalho teve como objetivo avaliar de maneira temporal os atributos físicos do solo, sob sistema de integração lavoura-pecuária-floresta, com o intuito de verificar possíveis contribuições na qualidade do solo e na sustentabilidade do sistema. O experimento foi desenvolvido na área experimental da Agência Paulista dos Agronegócios – Polo/Andradina – São Paulo - Brasil. O solo em estudo é um Argissolo Vermelho Amarelo distrófico. O delineamento em blocos casualizados se distribuiu em 4 respectivos tratamentos: T1 – integração lavoura-pecuária, sem o componente arbóreo; T2 – sistema agrossilvipastoril, com sombreamento de 1 linha de eucalipto e densidade de 196 árvores/ha; T3 - sistema agrossilvipastoril, com sombreamento de 3 linhas de eucalipto e densidade de 448 árvores/ha; T4 - plantio exclusivo de eucalipto, as amostras foram coletadas ao longo dos anos de 2014 a 2018, nas camadas de 0-0,05; 0,05-0,10 e 0,10-0,20m, para as avaliações de infiltração de água no solo, resistência à penetração, teor de umidade do solo, densidade do solo, estabilidade de agregado e porosidade do solo. Os resultados revelaram que os sistemas que utilizam integração melhoram e/ou mantêm a qualidade do solo, sem compactar ou influenciar negativame... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: Soil conservation systems are capable of achieving agricultural sustainability together with the integration and diversification of management activities. And are means that exploit the synergism of the system as a result of soil-plant-atmosphere interaction. The objective of this work was to evaluate in a temporal manner the physical attributes of the soil, under a crop- livestock-forrest integration system, in order to verify possible contributions to soil quality and system sustainability itself. The experiment was developed in the experimental area of the Paulista Agrobusiness Agency - Polo/Andradina – São Paulo Brasil. The soil under study is a dystrophic Ultisol. The randomized block design was distributed in 4 respetive treatments: T1 - crop-livestock integration, without the tree component; T2 - agrosilvipastoral system, with 1 eucalyptus line of shading and density of 196 trees/ha; T3 - agrosilvipastoral system, with 3 eucalyptus lines of shading and density of 448 trees ha; T4 - exclusive culture of eucalyptus; the samples were collected from 2014 to 2018, in the 0 -0.05 layers; 0.05-0.10 and 0.10-0.20m for the evaluation of soil water infiltration, penetration resistance, soil humidity content, soil density, aggregate stability and soil porosity. The results revealed that systems using integration improve and / or maintain soil quality without compacting or negatively influencing its water infiltration, with changes in its density and total porosity, highlighting t... (Complete abstract click electronic access below) / Mestre

On the one hand, airlines order new planes and the worldwide fleet increases, while, on the other hand, the market pressure, the rise of fuel prices and other factors contribute to regular changes in the technology. These drivers may impact maintenance activities and support to operators, and the number of issues occurring on in-service aircraft. In-service and production queries are a specific type of support activities followed-up by propulsion systems integration engineers from the aircraft manufacturer, such as Airbus. These technical questions can address any of the engine’s systems and must usually be answered to within a short timeframe as they might delay a flight or the delivery of an airplane. In the global scope of knowledge management inside the company, these engineers realized their loss of not capitalizing these activities and promoted this project. An adapted application has been developed to share the experience among programs and support the engineers for the treatment of such queries. As the focus of the project was put on assessing the actual need of the future users to provide an adapted tool, the database should prove its performance over the long term. This paper details the different steps of the project: analysis of the need, specifications, programming and testing, that led to meeting this specific need for capitalization. / <p>Presentation via videoconference for distance-based students</p>

Alcohol use disorders (AUDs) among tuberculosis (TB) patients are associated with nonadherence and poor treatment outcomes. We developed a multidisciplinary model to manage AUDs among TB patients in Tomsk, Russia. First, we assessed current standards of care through stakeholder meetings and ethnographic work. The Alcohol Use Disorders Identification Test (AUDIT) was incorporated into routine assessment of all patients starting TB treatment. We established treatment algorithms based on AUDIT scores. We then hired specialists and addressed licensing requirements to provide on-site addictions care. Our experience offers a successful model in the management of co-occurring AUDs among patients with chronic medical problems.

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No description available.

Much of industry is seeking scope economies, but this requires more complex and flexible product realisation. Modelling technologies have potential to support the life cycle engineering of both Economies of Scope and Scale (EoSS) manufacturing systems. However when companies operate in dynamic environments it is not sufficient to model manufacturing systems in isolation. Rather a holistic modelling methodology is needed which can create structural and behavioural models of dependencies between the manufacturing systems, and the business and engineering environments in which they operate; so that a suitable balance between economies of scope and scale can be achieved. This thesis describes the conception and development of a step wised Extended Modelling Methodology (EMM) which facilitates reasoning, and related decision making, about EoSS manufacturing systems. The EMM was conceived from exploratory research in two SMEs, following which it was applied and case tested in a large manufacturing company. Little academic attention to date has been paid to theorising about the link between ‘Economies of Scope and Scale (EoSS) phenomenon' and ‘manufacturing systems design'. Hence many questions about EoSS manufacturing remain unanswered, such as: (1) academic communities need to know what EoSS actually means and how state-of-the-art modelling can support qualitative and quantitative analysis of EoSS system phenomenon; and (2) industry needs to know how they can benefit from EoSS, what attended costs they might incur, and what best balance between scope and scale economies can be achieved. With these general requirements in mind the thesis reports on the conception and industrial application of the EMM. This has: (A) developed new ideas about EoSS, which can be used to characterise EoSS phenomenon; (B) introduced a new way of visualising architectural aspects of EoSS at multiple-levels of abstraction; and (C) with reference to case studies has illustrated the use of multi-level modelling to enable predictions to be made about EoSS benefits and costs.

[pt] Apresenta-se uma visão gerencial para o procedimento de projeto de suspensões de veículos terrestres. São descritos, em linhas gerais, os principais aspectos técnicos relativos ao projeto deste sub-sistema veicular, e tratados, com detalhes, os tópicos fundamentais para a sua administração. Discute-se, entre outras, as etapas de especificação do projeto, quesitos necessários, normas a serem aplicadas, e as etapas a cumprir, segundo a visão do gerente administrativo do projeto, responsável pela organização do grupo de técnicos que irá desenvolvê-lo. / [en] It is shown a managerial vision of the ground vehicles suspension design procedure. Are described, in general lines, the main technical aspects related to the design of this vehicular sub-system, and treats, with details, the fundamental topics for its administration. It is discussed, beside others, the design specification stages, necessary requirements, norms to be applied, and the stages to accomplish, according to the vision of the administrative design manager, responsible for the organization of the technicians' group that will develop it.

A tuberculose multirresistente (TBMR) - resistência simultânea a rifampicina e isoniazida, principais fármacos do esquema de tratamento da tuberculose (TB), gera mais ônus aos doentes e aos Serviços de Saúde, pois acarreta maiores custos, aumenta o tempo de tratamento e relaciona-se a prognósticos desfavoráveis. A TBMR ocorre devido à falha em algum princípio do tratamento, seja por parte dos profissionais e serviços de saúde, seja por questões ligadas ao doente. Frente a isso, o presente estudo objetivou identificar e analisar as condições de produção da TBMR relacionadas ao doente e seu entorno. Esta investigação foi realizada junto aos sujeitos em seguimento em um hospital de referência do interior paulista, entre janeiro de 2010 a janeiro de 2012. Foi utilizada a abordagem qualitativa. Por meio da análise dos prontuários médicos do serviço terciário, caracterizamos o universo do estudo - composto por todos os doentes já seguidos pela instituição, descrevendo e analisando dados sociodemográficos e clínicos correspondentes. Caracterizamos, também, a amostra estudada, formada por oito doentes de TBMR em seguimento, detalhando seu contexto de vida e trajetória com a doença, assim como a estruturação municipal para seu acompanhamento. A segunda etapa do trabalho constituiu na análise das percepções dos sujeitos a cerca do adoecimento por TB e pela forma MR. Os dados foram coletados por meio de entrevistas semi-estruturadas, gravadas e transcritas na íntegra. Os textos resultantes constituíram o corpus do estudo, organizado com recurso do software Atlas. Ti versão 7.0 e analisado sob o referencial teórico da Análise de Discurso, de matriz francesa. Os resultados da investigação baseiam-se na análise de três aspectos: percurso diagnóstico - em que é apontadas a percepção da doença e dos sintomas, as histórias pessoais e familiares do adoecimento por TB, o desenvolver até a obtenção do diagnóstico e as histórias de fracasso dos tratamentos convencionais; tratamento e acompanhamento dos casos MR - momento em que são discutidas questões ligadas a percepção do tratamento pelos doentes, as modalidades de supervisão empreendidas, os instrumentos e insumos fornecidos, além do apoio da rede familiar; coordenação da assistência - em que são analisadas as nuances da relação entre os diferentes serviços envolvidos na atenção ao doente, tanto dentro do mesmo nível assistencial quanto em sua intersecção com a atenção terciária, a fim de compreender suas fragilidades e promover as potencialidades para o tratamento dos sujeitos. Essas condições de produção mostraram-se complexas, ao passo que sofrem influência das peculiaridades da forma como os serviços locais de atenção organizando-se para atender esses doentes, além de questões relacionadas à trajetória de vida e doença desses sujeitos, apontando para a necessidade de ampliação do espaço de negociação dentro do sistema de saúde. / Multidrug-resistant tuberculosis - simultaneous resistance to rifampicin and isoniazid, the main drugs in the treatment for tuberculosis (TB), generates more onuses to patients and Health Services because it involves higher costs, increases the treatment time and relates to the unfavorable outcomes. MDR-TB occurs due to failure in some treatment principles, either by professionals and health services, or by patient issues. Concerning this, the present study aimed to identify and analyze the conditions of MDR-TB production related to the patients and their surroundings. This investigation was conducted with the subjects followed up in a referral hospital in São Paulo State, between January 2010 and January 2012. It was used a qualitative approach. By analyzing the medical records of the tertiary service, we characterized the universe of the study - consisting of all patients who were already followed by the institution, describing and analyzing the demographic and clinical data matching. We also characterized the sample, formed by eight MDR-TB patients in follow-up, detailing the context of their lives and the disease trajectory, as well as the municipal structure to monitor them. The second stage of the work consisted of analyzing the subjects\' perceptions about TB development and MR strain. Data was collected through semi-structured interviews which were recorded and fully transcribed. The resulting texts constituted the corpus of the study, organized using the Atlas.Ti software version 7.0 and analyzed from the theoretical framework of Discourse Analysis of French matrix. The results are based on analysis of three aspects: The first is diagnosis route - which shows the disease and symptoms perception of the patient, personal and family histories of TB development, the disease development until the diagnosis, and the failed conventional treatment stories. The second aspect was treatment and monitoring of MDR cases - when cases are discussed we focused on the following aspects: perceptions of treatment by patients, undertaken methods of supervision, instruments and inputs provided, and the familiar support network. The third is assistance coordination - where the nuances of the relationship between several departments involved in the patient care are analyzed, within the same care level as well as its intersection with tertiary care in order to understand their weaknesses and promote the potential treatments for the subjects. These production conditions proved to be complex whereas the local care services peculiarities influence the way they are organized to assist these patients, as well as aspects related to life and illness trajectory of these subjects, indicating the need of expanding the negotiation space within the health system