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Evaluation of primary non-compliance with discharge medication at a private hospitalKruger, Daniel Frederik January 2009 (has links)
Thesis (MSc. (Med.)(Pharmacy))--University of Limpopo, 2009. / ABSTRACT
Background: When a patient is discharged from the hospital, the doctor may
prescribe medication to be used at home which is called TTO (To Take Out)
medication. Failure by the patient to collect TTO medication might be intentional or
may indicate a lack of appropriate structures and procedures at the hospital to
provide such care on discharge, and/or failure by the health care professionals to
reach concordance with the patient to ensure that he/she continues to take
medications as prescribed.
Objectives: The purposes of this study were to examine the prevalence of primary
non-compliance with medication in this private hospital and to explore its association
with various factors contributing to its existence.
Methodology: The study was conducted at a private hospital in Gauteng, South
Africa. The study focused on discharged patients who did not redeem their TTO
medication. Thus only patients discharged from the hospital within a thirty day period
between 25 May 2009 and 23 June 2009 were included in the study. For each
subject the discharge medication prescription was reviewed and the following
determined: number of items prescribed, number of items dispensed at the hospital
pharmacy, whether any items were non-dispensed, whether any items were partially
dispensed and reason for any item non-dispensed or partially dispensed. A
telephone call was made to those subjects for whom a discharge medication script
was prescribed, but no medication was dispensed at discharge. Information was
collected from the patients to identify possible reasons for not redeeming discharge
medication.
Results: In total 1365 records were evaluated. TTO medication was prescribed for
1161 (85%) patients discharged. All items were redeemed in full by 854 (74%) of the
patients, 118 (10%) patients redeemed no discharge medication, 101 (9%) patients
redeemed only some items prescribed, 74 (6%) patients redeemed all items partly,
14 (1%) patients redeemed some items partly and some not at all and for seven
v
patients details were not known. Four reasons and five types of medication together
accounted for 54% of the total value not redeemed. The four reasons include the
following: medical aid TTO rules, patient unaware of TTO being prescribed, ward
stock given, patient still had stock at home, and the types of medication included:
blood and haematopoietic agents, analgesics, antimicrobials, agents of the
gastrointestinal tract and unclassified.
Conclusion: Some patients reported that they took own decision not to redeem the
medication and some still had stock at home, a fact that should lead healthcare
providers to ensure that they reach concordance with their patients.
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A formação do professor de matemática na Universidade Estadual de Alagoas Campus I : a reforma curricular e os saberes na opinião do egresso / The formation of professor of mathematics at the State University of Alagoas Campus I : curriculum reform and the knowledge program graduates. The field of research was the State University of Alagoas - UNEALSantos, Juracy Pinheiro dos 01 June 2011 (has links)
The research sought to study on the formation of a Professor of Mathematics at the State University of Alagoas - Campus I: Curriculum Reform and the Knowledge Program Graduates. The field of research was the State University of Alagoas-UNEAL, making a cutout in the Degree Course in Mathematics Campus I. The study was conducted in 2010 and was chosen for empirical analysis of the Pedagogical Political Project of that over the course of its existence, to verify that the knowledge Degree in Mathematics aims to develop curricula comparing before and after curriculum reform course, with the training aspects with the development of these graduates. It is a qualitative research study and descriptive with the main objective to analyze the intentions of graduates, changes to the courses determined by the design of the course, look at each issue and verify the allegations, and investigate the possibility of change in teaching mathematics about the teacher's knowledge. The methodological procedures to collect the data were semi-structured interview with the Coordinator and two teachers of the course and questionnaire to thirty-six five current students and graduates. Interest in the subject arose from the need to search for why the negative results in official assessments of teaching, emphasizing the vision of egress in relation to the knowledge built from the course that formed with the look in the curriculum. We present a summary of the information collected from document analysis and interviews in order to describe and analyze the speech of teachers and graduates with regard to proposals to adapt the curriculum, the new national curriculum guidelines, in light of what it recommends as suitable vocational training of mathematics teacher that has significantly affected the organization of undergraduate courses and the nature of professional training obtained them. With this research, we hope not provide decisive or definitive answers to the questions, however, contribute to the process of building a Degree in mathematics that meets the existing demand for skilled professionals. We believe that this research will continue discussions in view of the role of these courses in the training of teachers for basic education, one of the stages of school education that demands urgent changes in scope and in quality / Fundação de Amparo a Pesquisa do Estado de Alagoas / A pesquisa procurou estudar sobre A Formação do Professor de Matemática na Universidade Estadual de Alagoas - Campus I: a Reforma Curricular e os Saberes na Opinião do Egresso. O campo da pesquisa foi a Universidade Estadual de Alagoas-UNEAL, fazendo um recorte no Curso de Licenciatura em Matemática do Campus I. O estudo foi realizado em 2010 e para análise empírica foi escolhido o Projeto Político Pedagógico do referido curso ao longo de sua existência, para verificar que saberes o Curso de Licenciatura em Matemática se propõe a desenvolver, comparando os currículos antes e depois da reforma curricular do curso, com aspectos na formação com o desenvolvimento desses egressos.Trata-se de uma pesquisa de caráter qualitativo e descritivo tendo como objetivo principal analisar as intenções dos egressos, a evolução com as disciplinas determinadas pelo projeto do curso; observar cada questão e comparar os depoimentos; e investigar a possibilidade de mudança no ensino de Matemática quanto aos saberes docentes. Os procedimentos metodológicos para coleta de dados foram à entrevista semi-estruturada com o Coordenador e dois professores do curso e questionário aplicado a trinta e seis egressos e cinco alunos atuais. O interesse pelo tema surgiu da necessidade de buscar para o porquê dos resultados negativos nas avaliações oficiais desse ensino, dando ênfase a visão do egresso no que se refere aos saberes construídos a partir do curso que o formou com o olhar no Currículo. Apresentamos uma síntese das informações coletadas com a análise documental e nas entrevistas com o intuito de descrever e analisar a fala dos professores e egressos no que diz respeito a adaptação às propostas curriculares, às novas diretrizes curriculares nacionais, à luz do que se preconiza como adequado à formação profissional do professor de Matemática o que tem afetado de maneira significativa a organização desses cursos de licenciaturas e a natureza da formação profissional neles obtida. Com esta pesquisa,nãoesperamos oferecer respostas decisivas ou definitivas para as indagações, porém, contribuir no processo de construção de um Curso de Licenciatura em Matemática que atenda a demanda existente por profissionais habilitados. Acreditamos que esta pesquisa dará continuidade às discussões em face do papel desses cursos na formação de professores para Educação Básica, uma das etapas da educação escolar que demanda mudanças urgentes na sua abrangência e na sua qualidade
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Avaliação da eficiência energética de uma bomba hidráulica uti-lizada em uma plataforma de descarga de grãos / Analysis of Energy Efficiency of a Hydraulic Pump in a Discharged Platform Used in AgroindustryFigueiredo, João Luiz Fontana de 08 March 2018 (has links)
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Previous issue date: 2018-03-08 / The population advances quickly in the regard to the increase in consumption energy in many forms. Brazil, considered the "breadbasket of the world", has innumerable grain storage units in his territory, and these, consume a lot of energy in their reception, drying and storage processes. Particularly in the process of receiving grains, there is a large energy consumption in the discharged platforms responsible for receiving the products in bulk. These discharged platforms are operated by hydraulic pumps driven by an electric motor, which operates uninterruptedly throughout the basculation pro-cess. The present work aims to perform a study of energy efficiency in the basculation system of the discharged platform, from the use of electric devices to control the oper-ation of the engine. For this purpose, two scenarios were established. The first sce-nario considers the platform in its current state, with engine starting made by a star-triangle key. In the second scenario, star-delta start is switched off, and a frequency inverter and a programmable logic controller (PLC) are coupled to control the electric motor. For the two scenarios, the active and reactive energy consumptions were meas-ured in the discharged platform using an energy analyzer, and the costs of the energy consumed in the period of one year were calculated. Finally, the discounted Payback was calculated to evaluate the economic feasibility of installing the proposed equip-ment. The results obtained were as follows: For the current scenario, the energy used to raise a ton was 35.44.10-3 kWh/ton, for the proposed scenario, with a frequency inverter, this index was 32.78.10-3 kWh/ton. With an annual projection, the current sce-nario would consume the equivalent of 10,921.35 kWh and the proposed scenario 10,100.81 kW, generating an annual savings with equipment installation of R$721.49, and the discounted Payback found of approximately 31 years. It can be concluded, therefore, that there is a reduction of electric energy consumption from the use of the frequency inverter, but the time of return of the invested capital is very long, making the proposal economically unfeasible. / A população avança a cada dia no tocante ao aumento do consumo de energia, nas suas mais variadas formas. O Brasil, considerado o “celeiro do mundo”, possui inúme-ras unidades de armazenamento de grãos em seu território, as quais, por sua vez, consomem energia significativa em seus processos de recepção, secagem e armaze-nagem. Particularmente, no processo de recepção de grãos, existe um grande con-sumo de energia nas plataformas de descarga responsáveis por receber os produtos a granel. Essas plataformas de descarga são operadas por bombas hidráulicas, aci-onadas por um motor elétrico, que opera de forma ininterrupta durante todo o processo de basculamento. O presente trabalho visa realizar um estudo de eficiência energé-tica, no sistema de basculamento da plataforma de descarga, a partir da utilização de dispositivos elétricos para controle do funcionamento do motor. Para tal finalidade, foram estabelecidos dois cenários. O primeiro cenário considera a plataforma em seu estado atual, com partida do motor feita por uma chave estrela-triângulo. No segundo cenário, a partida com chave estrela-triângulo é desligada e são acoplados um inver-sor de frequência e um controlador lógico programável (CLP), para fazer o controle do motor elétrico. Para os dois cenários, foram medidos os consumos de energia ativa e reativa na plataforma de descarga, utilizando um analisador de energia; além disso, foram calculados os custos da energia consumida, no período de um ano. Por fim, foi calculado o Payback, descontado para avaliar a viabilidade econômica da instalação dos equipamentos propostos. Os resultados obtidos foram os seguintes: Para o cená-rio atual, a energia gasta para bascular uma tonelada foi de 35,44.10-3 kWh/ton; para o cenário proposto, com inversor de frequência, o índice foi de 32,78.10-3 kWh/ton. Realizando uma projeção anual, o cenário atual consumiria o equivalente a 10.921,35 kWh; diante do cenário proposto, o índice foi de 10.100,81 kW, gerando uma econo-mia anual, com a instalação dos equipamentos, de R$721,49; o Payback descontado encontrado foi de 31 anos aproximadamente. Pode-se concluir, portanto, que existe uma redução de consumo de energia elétrica a partir da utilização do inversor de fre-quência, porém, o tempo de retorno do capital investido é muito longo, tornando a proposta inviável economicamente.
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Emprego da técnica de emissão por fluorescência de ultravioleta no monitoramento de inibidores de corrosão em água produzida / Use of ultraviolet fluorescence emission in the monitoring of corrosion inhibitor in produced waterHerllaine de Almeida Rangel 13 July 2009 (has links)
Para aumentar os volumes de extração de petróleo, resolver e prevenir problemas nas operações de produção são utilizados diversos produtos químicos, dentre os quais se destacam os inibidores de corrosão, que são utilizados em toda cadeia produtiva do petróleo visando proteger o sistema da deterioração por corrosão. Os sais de amônio quaternário são uma das classes de inibidores mais utilizadas pela indústria do petróleo devido a sua grande eficiência. Entretanto, sua solubilidade em água faz com que estejam presentes na água produzida representando um risco para contaminação ambiental, visto que possuem baixa biodegrabilidade e potencial de bioacumulação. Como se encontram misturados a outros produtos químicos e sob efeitos das variações do ambiente em que são aplicados, definir um método de análise confiável e viável para monitoramento em linha representa um desafio para os laboratórios de campos de produção. Neste trabalho, foi estudado o emprego da fluorescência de ultravioleta na quantificação de um inibidor de corrosão do tipo sal de amônio quaternário em água. Foram obtidos espectros de emissão do produto comercial em água, além do estudo de variáveis instrumentais e interferentes presentes na água produzida. A comparação com padrões de sal de amônio quaternário permitiu identificar como principal fluorófilo, um sal alquil-aril de amônio quaternário. Estudos de estabilidade revelaram que a adsorção do inibidor de corrosão nas superfícies dos frascos plásticos provoca a queda do sinal fluorescente e que a adição de isopropanol reduz este efeito de 40 para 24%. Foram obtidas curvas de calibração com a formulação comercial e com o cloreto de 2-metil-4-dodecil-benzil-trimetil amônio com uma boa correlação. Amostras sintéticas do inibidor foram determinadas com um erro relativo de 2,70 a 13,32%. O método de adição padrão foi avaliado usando uma amostra de água produzida, e os resultados não foram satisfatórios, devido à interferência, principalmente, de compostos orgânicos aromáticos presentes / In order to increase the volume of oil extraction, solve and prevent problems in oil production, several chemical products are used. Corrosion inhibitors are the main chemical products used in the whole oil production chain, whose objective is to protect the system from deterioration caused by corrosion. The quaternary ammonium salts are the kind of inhibitor which is more frequently used by the oil industry due to its great efficiency. However, its solubility in water allows them to remain in the produced water representing a risk of environmental contamination, since they have low biodegrability and tendency to bioaccumulation. Once they are mixed to other chemical products and affected by the variations of the environment where they are applied, it becomes a challenge to production field laboratories to select a reliable and viable analysis method for on-line monitoring. This essay tends to focus on the use of the ultraviolet fluorescence in the quantification of an inhibitor of corrosion of the quaternary ammonium salt type in water. There has been obtained emission spectra of the commercial product in water besides the study of instrumental variables and interference of chemical substances in the produced water. The comparison with quaternary ammonium salt standards allow identifying an alkyl-aryl quaternary ammonium salt as the main fluorophore. Tests of stability have demonstrated that the addition of isopropyl alcohol reduces the fall of the fluorescent signal from 40 to 24% in three days time. This fall is caused by the adsorption of corrosion inhibitor in the surface of plastic containers. Good correlation curves of calibration have been obtained with commercial formularization and methyldodecylbenzyl trimethyl ammonium chloride. Synthetic samples of inhibitor have been determined with a relative error from 2,70 to 13,32%. One produced water sample from a production field has been used to evaluate the standard addition method. Satisfactory results have not been successfully achieved, principally, due to the interference of aromatics organic compounds found in the water sample
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Emprego da técnica de emissão por fluorescência de ultravioleta no monitoramento de inibidores de corrosão em água produzida / Use of ultraviolet fluorescence emission in the monitoring of corrosion inhibitor in produced waterHerllaine de Almeida Rangel 13 July 2009 (has links)
Para aumentar os volumes de extração de petróleo, resolver e prevenir problemas nas operações de produção são utilizados diversos produtos químicos, dentre os quais se destacam os inibidores de corrosão, que são utilizados em toda cadeia produtiva do petróleo visando proteger o sistema da deterioração por corrosão. Os sais de amônio quaternário são uma das classes de inibidores mais utilizadas pela indústria do petróleo devido a sua grande eficiência. Entretanto, sua solubilidade em água faz com que estejam presentes na água produzida representando um risco para contaminação ambiental, visto que possuem baixa biodegrabilidade e potencial de bioacumulação. Como se encontram misturados a outros produtos químicos e sob efeitos das variações do ambiente em que são aplicados, definir um método de análise confiável e viável para monitoramento em linha representa um desafio para os laboratórios de campos de produção. Neste trabalho, foi estudado o emprego da fluorescência de ultravioleta na quantificação de um inibidor de corrosão do tipo sal de amônio quaternário em água. Foram obtidos espectros de emissão do produto comercial em água, além do estudo de variáveis instrumentais e interferentes presentes na água produzida. A comparação com padrões de sal de amônio quaternário permitiu identificar como principal fluorófilo, um sal alquil-aril de amônio quaternário. Estudos de estabilidade revelaram que a adsorção do inibidor de corrosão nas superfícies dos frascos plásticos provoca a queda do sinal fluorescente e que a adição de isopropanol reduz este efeito de 40 para 24%. Foram obtidas curvas de calibração com a formulação comercial e com o cloreto de 2-metil-4-dodecil-benzil-trimetil amônio com uma boa correlação. Amostras sintéticas do inibidor foram determinadas com um erro relativo de 2,70 a 13,32%. O método de adição padrão foi avaliado usando uma amostra de água produzida, e os resultados não foram satisfatórios, devido à interferência, principalmente, de compostos orgânicos aromáticos presentes / In order to increase the volume of oil extraction, solve and prevent problems in oil production, several chemical products are used. Corrosion inhibitors are the main chemical products used in the whole oil production chain, whose objective is to protect the system from deterioration caused by corrosion. The quaternary ammonium salts are the kind of inhibitor which is more frequently used by the oil industry due to its great efficiency. However, its solubility in water allows them to remain in the produced water representing a risk of environmental contamination, since they have low biodegrability and tendency to bioaccumulation. Once they are mixed to other chemical products and affected by the variations of the environment where they are applied, it becomes a challenge to production field laboratories to select a reliable and viable analysis method for on-line monitoring. This essay tends to focus on the use of the ultraviolet fluorescence in the quantification of an inhibitor of corrosion of the quaternary ammonium salt type in water. There has been obtained emission spectra of the commercial product in water besides the study of instrumental variables and interference of chemical substances in the produced water. The comparison with quaternary ammonium salt standards allow identifying an alkyl-aryl quaternary ammonium salt as the main fluorophore. Tests of stability have demonstrated that the addition of isopropyl alcohol reduces the fall of the fluorescent signal from 40 to 24% in three days time. This fall is caused by the adsorption of corrosion inhibitor in the surface of plastic containers. Good correlation curves of calibration have been obtained with commercial formularization and methyldodecylbenzyl trimethyl ammonium chloride. Synthetic samples of inhibitor have been determined with a relative error from 2,70 to 13,32%. One produced water sample from a production field has been used to evaluate the standard addition method. Satisfactory results have not been successfully achieved, principally, due to the interference of aromatics organic compounds found in the water sample
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Bliva samhället till nytta : En studie om utskrivningskriterier på Sankt Sigfrids sjukhus kriminalavdelning år 1915-1945 / Become useful for the society : A study in criteria for being discharged from the forensic psychiatric departement at Sankt Sigfrids mental hospital in 1915-1945Larsen, Alexander January 2018 (has links)
This study examines the most vital criteria for being discharged from forensic psychiatric care in 1915-1945. To do so a qualitative oriented comparative text analysis has been made on medical records from the forensic psychiatric departement at Sankt Sigfrids mental hospital in Växjö, Sweden. The result shows that the most vital criteria for the whole period is that a patient proves himself to be diligent, hard-working and that he can return to an environment where he can live and make a living for himself. Furthermore, from 1940 and forward the result shows that the discharge trial has been expanded, which results in that the criteria for being discharged should to a greater extent been showed in the free rather than in the institution. The conclusion of this is that the psychiatry during the later years of the study aimed to create a more socially adapted and producitve citizen out of the patient than it did in the earlier years.
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Příprava a charakterizace plazmatem aktivované vody pro využití v bioaplikacích / Preparation and characterization of plasma activated water for bio applicationsLemonová, Hana January 2020 (has links)
The aim of this master thesis is the preparation and characterization of plasma activated water (PAW) prepared by dielectric barrier discharge at atmospheric pressure in air for the future applications in agriculture and medicine. The theoretical part is focused on plasma activated water and its effects on seeds and plants. The work also deals with the preparation and application of PAW in the world. Various types of plasma discharge configurations suitable for its preparation are described here. In the experimental part of the master thesis, distilled and tap water were chosen for activation. The concentrations of active particles in PAW generated by DBD such as nitrites, nitrates and hydrogen peroxide were determined. The value of the concentration of active particles changes probably due to mutual interactions when nitrites are oxidized by hydrogen peroxide to nitrates. Physical properties of PAW such as conductivity and pH were also characterized. After the preparation of PAW, the conductivity increases due to the increase in the concentration of active particles formed by dissociation and ionization of water molecules by plasma. The particles presented in the air, which are dissociated and ionized by plasma, also diffuse into the liquid, and contribute to this increase. The decrease in pH also corresponds to an increase in the concentration of hydrogen ions and the formation of nitric acids. Another aspect of this work was to study plasma activated water during the first eight hours after its preparation and to determine its properties. We have found that PAW prepared from tap water retains its characteristic properties for at least 8 hours and distilled water for 6 hours. In the master thesis, the analysis of plasma discharge was performed using optical emission spectroscopy. OES measurements were performed in the wavelength range 300 to 800 nm. The second positive nitrogen system (N2 (C 3u) N2 (B 3g)) and the first positive nitrogen system (N2 (B 3g) N2 (A 3+u)) were identified in the overview spectrum. Molecular nitrogen ions, OH· radicals, atomic oxygen and atomic hydrogen can be observed in the spectrum, too. The dielectric barrier discharge was also captured using a high-speed camera, and the recording shows the occurrence of multiple discharges that are spatially as well as temporary unstable.
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ETIKA PRO PŘIZNÁNÍ VÝSLUHOVÝCH NÁLEŽITOSTÍ PŘÍSLUŠNÍKŮ OZBROJENÝCH SIL A BEZPEČNOSTNÍCH SBORŮ V DEMOKRATICKÉM POLITICKÉM SYSTÉMU / The ethics for the granting of discharged requirements of the armed forces and security corps in the political democratic system.REMIŠ, Filip January 2014 (has links)
Members in the service employment to the armed forces and the security corps are currently in the States of the European Union and NATO considered as the special separate category of the State administration staff. This is due to their mostly "negative'' specifics of the service for a democratic political system, it manifests in the areas of human rights and freedoms, political rights, social work and criminal justice. Therefore, the special rules of the social security system, which is also characterized by the ethical dimension, are related to these groups. Specifically, in the Czech Republic this is the attitude to the service in the former totalitarian regime. There is also monitored the merit of the systematized places in the service employment.
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