Submitted by Jorge Silva (jorgelmsilva@ufrrj.br) on 2017-08-04T18:08:49Z No. of bitstreams: 1 2017 - Aline Pereira Neves da Costa.pdf: 1511725 bytes, checksum: 4a7c2e556973dfc168dc63ecedd0298b (MD5) / Made available in DSpace on 2017-08-04T18:08:49Z (GMT). No. of bitstreams: 1 2017 - Aline Pereira Neves da Costa.pdf: 1511725 bytes, checksum: 4a7c2e556973dfc168dc63ecedd0298b (MD5) Previous issue date: 2017-01-09 / This dissertation aimed to analyze the association of the Business Model Canvas (BMC) methodology with the critical factors for the success of MSBs in Brazil in light of Porter's competitive strategy theory. The work is justified by the fact that there are factors in the management mechanisms that, oftentimes, when neglected, can cause an increase in the probability of small business mortality. These factors can be divided into three categories: environment, company and managers. These have intrinsic connections with strategic issues, because they relate to legacy forces to both the internal and external environment organizational environment. In the wake of the reasoning it was realized that as MSBs can be efficient in their day to day, but ineffective with regard to strategic decisions. This may be related to the fact that managers do not formalize the strategy of the company because they do not know and/or they don?t know how to use the strategic tools or believe that employing them will require a lot of time. Thus, it was understood as important to reflect on the implementation and operationalization of a management methodology (BMC), associated to an approach for the elaboration of competitive strategies in order to contribute to the survival of small businesses. To achieve the goal of the study, the research is outlined as bibliographic because it was analyzed the main work on the BMC. The analysis of the results was based on the analysis of qualitative structural content, in which structuring categories and anchors were defined based on the theoretical reference. From this, the textual elements, that was extracted from the chapters referring to the BMC units, were compared with the literature review about MSBs and strategy. It was noticed that the analyzed tool has strengths, but also weak points. Although the model presents itself in a practical but in a less bureaucratic way, it analyzes the organization's' external environment in a superficial way, understanding the competitive forces uncritically. Besides that, it was understood that the greatest weakness of BMC is based on the fact that it does not address the relationship of the company and the business' sector, as it exerts influence both in the actions that encompass the internal and external environment. The understanding of the industry that the organization is inserted makes it possible to assess the barriers that prevent it from entering and leaving the business. In this way, it was understood that from the point of view of MSBs survival, it is necessary for the manager to be able to project the value chain and the strategic actions of the enterprise according to the behavior of the industry. Thus, the need was felt to reformulate the BMC structure to include the organizational strategy. The proposed layout addresses the analysis of the industry, considering the competitive forces. The intention was to associate the characteristics of strategic planning in order to assist the leader in the perception of the influence of the external environment and its stakeholders under the company. / Esta disserta??o teve como objetivo analisar a associa??o da metodologia Business Model Canvas (BMC) com os fatores cr?ticos para o sucesso das MPEs no Brasil ? luz da teoria da estrat?gia competitiva de Porter. O trabalho justifica-se pelo fato de existirem fatores nos mecanismos de gest?o que, muitas vezes, quando s?o negligenciados, podem ocasionar o aumento da probabilidade de mortalidade dos pequenos neg?cios. Tais fatores podem ser divididos em tr?s categorias: ambiente, empresa e dirigentes. Estes possuem conex?es intr?nsecas com as quest?es estrat?gica, pois relacionam-se com for?as legadas tanto ao ambiente interno quanto ao ambiente externo organizacional. Percebeu-se que as MPEs podem ser eficientes no seu dia a dia, por?m ineficazes no que diz respeito as decis?es estrat?gicas. Isto pode estar relacionado ao fato dos dirigentes n?o formalizarem a estrat?gia da empresa por n?o terem conhecimento e/ou n?o saberem utilizar as ferramentas estrat?gicas ou acreditarem que empreg?-las demandar? muito tempo. Desta maneira, entendeu-se como importante refletir sobre a implanta??o e operacionaliza??o de uma metodologia de gest?o (BMC), associada ? uma abordagem para elabora??o de estrat?gias competitivas de forma a contribuir para a sobreviv?ncia dos pequenos neg?cios. Para alcan?ar o objetivo do trabalho, a pesquisa delineou-se como bibliogr?fica, pois foi a analisada a principal obra sobre o BMC. A an?lise dos resultados fundamentou-se na an?lise de conte?do qualitativa estrutural, na qual foram definidas categorias e ?ncoras estruturantes com base no referencial te?rico. A partir disto, foram confrontados os elementos textuais extra?dos dos cap?tulos referentes as unidades do BMC com a revis?o de literatura sobre MPEs e estrat?gia. Percebeu-se que a ferramenta analisada possui pontos fortes, mas tamb?m fracos. Apesar do modelo apresentar-se de forma pr?tica, menos burocr?tica, o mesmo analisa o ambiente externo a organiza??o de maneira superficial, compreendendo as for?as competitivas acriticamente. Al?m disto compreendeu-se que a maior fraqueza do BMC se baseia no fato do mesmo n?o abordar rela??o da empresa e o setor que o neg?cio, pois o mesmo exerce influ?ncia tanto nas a??es que englobam o ambiente interno quanto o externo. A compreens?o da ind?stria que a organiza??o est? inserida possibilita a avalia??o das barreiras que a impendem de entrar e sair do neg?cio. Desta forma, entendeu-se que sob a ?tica da sobreviv?ncia das MPEs ? necess?rio que o dirigente saiba projetar a cadeia de valor e as a??es estrat?gicas do empreendimento conforme o comportamento da ind?stria. Sendo assim, percebeu-se a necessidade em reformular a estrutura do BMC de forma a incluir a estrat?gia organizacional. O layout proposto aborda a an?lise da ind?stria, considerando as for?as competitivas. A inten??o foi associar as caracter?sticas do planejamento estrat?gico a fim de auxiliar o dirigente no que diz respeito a percep??o da influ?ncia do ambiente externo e seus intervenientes sob a empresa.

Submitted by Ricardo Cedraz Duque Moliterno (ricardo.moliterno@uefs.br) on 2016-09-28T22:30:36Z No. of bitstreams: 1 Disserta??o final Adje Silva Santos pdf.pdf: 976183 bytes, checksum: 0738d5bcc440442ce545e6899e27e5dd (MD5) / Made available in DSpace on 2016-09-28T22:30:36Z (GMT). No. of bitstreams: 1 Disserta??o final Adje Silva Santos pdf.pdf: 976183 bytes, checksum: 0738d5bcc440442ce545e6899e27e5dd (MD5) Previous issue date: 2015-03-31 / The theme of the production of elderly care mainstreamed by host and link launches look at the needs of the health system is facing from the perspective and effective increase in the elderly population around the world. It is important that the health system be able to meet, receive, take responsibility for the health needs of this segment, considering their peculiarities, offering a comprehensive care, targeted and equitable. This research aims to analyze the production of elderly care by health professionals and discuss the work process of these professionals in the Family Health Strategy. In this study for the care production analysis were adopted two dimensions, namely: reception and bonding. This is a qualitative study conducted in three Family Health Units (USF) belonging to Feira de Santana - BA, data were collected through semi-structured interviews and systematic observation. The study involved 23 professionals from USF. The method used for data analysis was content analysis, from which were formulated two categories of analysis: 1) health work process: producer of cozy and binding actions? 2) Reception and attachment: meetings, contradictions and singularities to provide care to the elderly. The study results, through the work process and its elements such as object of work, instruments, agents and purposes, the performance of the health care professional of the USF is structured preferably by biologicist logic in favor of physician-centered model, directed production procedures and fragmented practice, which reduces the therapeutic object to the treatment of diseases and the alleviation of symptoms, affecting directly the production of care. The production of care, analyzed from the bond and the host is carried out in a field of practice and contradictory and conflicting speeches, however, gives rise to new ways of welcoming the elderly. Therefore, the professionals expressed different ways to welcome, to meet and to relate to the elderly, revealing the dependence of individual willingness, commitment and subjectivity of each subject to their achievement, which compromises the uniformity of the degree of acceptance and linking population. Thus, the research indicates the need for reflection on the practice and organization of the work process developed in the context of USF, involving professionals, users and managers, in order to find solutions to provide comprehensive care, planned, equitable, with new attitudes, postures and commitments in order to provide comprehensive care, humanized and quality to the elderly, enhanced by warm and actions by prioritizing the use of relational technologies in search of effective production of health care. / A tem?tica da produ??o do cuidado ao idoso transversalizada pelo acolhimento e v?nculo lan?a o olhar para as necessidades que o sistema de sa?de est? enfrentando a partir da perspectiva e efetivo aumento da popula??o idosa a n?vel mundial. ? importante que o sistema de sa?de esteja apto para atender, acolher, responsabilizar-se pelas necessidades de sa?de desse segmento, considerando as suas peculiaridades, oferecendo um cuidado integral, direcionado e equ?nime. Esta pesquisa tem como objetivo analisar a produ??o do cuidado ao idoso pelos profissionais de sa?de e discutir o processo de trabalho desses profissionais na Estrat?gia Sa?de da Fam?lia. Trata-se de um estudo qualitativo, realizado em tr?s Unidades de Sa?de da Fam?lia (USF) do munic?pio de Feira de Santana - BA, os dados foram coletados atrav?s da entrevista semi-estruturada e da observa??o sistem?tica. Participaram do estudo 23 profissionais das USF. O m?todo utilizado para a an?lise de dados foi a An?lise de Conte?do, a partir da qual foram formuladas duas categorias de an?lise: 1) Processo de trabalho em sa?de: produtor de a??es acolhedoras e vinculantes? 2) Acolhimento e v?nculo: encontros, contradi??es e singularidades na produ??o do cuidado ao idoso. Os resultados evidenciam, atrav?s do processo de trabalho e seus elementos tais como: objeto de trabalho, instrumentos, agentes e finalidades, que a atua??o do profissional de sa?de das USF est? estruturada preferencialmente pela l?gica biologicista, em favorecimento do modelo m?dico-centrado, direcionada a produ??o de procedimentos e ? pr?tica fragmentada, que reduz o objeto terap?utico ao tratamento de doen?as e ao al?vio de sintomas, comprometendo diretamente a produ??o do cuidado. A produ??o do cuidado, analisada a partir do v?nculo e do acolhimento, ? realizada em um campo de pr?ticas e discursos contradit?rios e conflituosos, entretanto, enseja novas maneiras de acolher os idosos. Portanto, os profissionais manifestaram diferentes formas de acolher, de atender e de se relacionar com os idosos, revelando a depend?ncia da disposi??o individual, compromisso e subjetividade de cada sujeito para a sua realiza??o, o que compromete a uniformiza??o do grau de acolhimento e vincula??o da popula??o. Desse modo, a pesquisa sinaliza a necessidade de reflex?o sobre a pr?tica e organiza??o do processo de trabalho desenvolvido no contexto das USF, envolvendo os profissionais, os usu?rios e os gestores, com intuito de encontrar solu??es para oferecer uma aten??o integral, planejada, equ?nime, com novas atitudes, posturas e comprometimentos, a fim de proporcionar o cuidado integral, humanizado e de qualidade aos idosos, potencializado por a??es acolhedoras e pela prioriza??o do uso das tecnologias relacionais, em busca da produ??o efetiva do cuidado em sa?de.

Contemporary and future relative sea-level (RSL) rise that can be attributed to anthropogenic climate change sees significant spatial variability as a result of the processes that underlie it. Some of the processes that contribute to RSL rise unrelated to anthropogenic climate change can and have had significant contributions. In this work, we examined the contributions of one of these processes, glacial isostatic adjustment (GIA), in the coastal regions of Atlantic Europe. These regions have seen significant RSL rise associated with a collapsing peripheral bulge throughout the Holocene and are expected to see more throughout the Anthropocene. Using the recently published paleo sea level database (García-Artola et al., 2018) which follows the HOLSEA RSL data assessment and reporting protocol (Khan et al., 2019) we determined optimal Earth model parameters for much of Atlantic Europe. These optimal parameters fit the data well and largely agree with values determined for previous works on peripheral bulges along the coasts of North America. We further used these results to perform a rudimentary sea-level budget analysis at 10 tide gauge stations, yielding results with high uncertainties and significant discrepancies between observed and projected rates of RSL change for half (5) of the tide gauge stations. Our results lead to the conclusion that GIA remains an important factor when predicting present and future RSL change.

No description available.

Made available in DSpace on 2015-04-14T13:54:17Z (GMT). No. of bitstreams: 1 465991.pdf: 532478 bytes, checksum: d48a4e811c7e65fbb7ecba9561bdcc20 (MD5) Previous issue date: 2014-07-17 / Introduction: There are 39 scales for predicting the development risk of pressure ulcer (PU), for the adults/elderly individuals for use by health professionals, especially nurses but only one was made up for use in the communitarian level. Objective: To construct a scale for predicting pressure ulcer risk of home use for the bedridden individuals cared in the Family Health Strategy (FHS). Methods: A study was carried out in five stages: (I) observational study of elderly individuals with and without PU (observational, participant and cross-sectional piece of research); (II) construction of a pressure ulcer (PU) prediction tool in the elderly; (III) analysis of the tool constructed in the stage II by the specialists committee; (IV) semantic analysis of the tool; (V) use of the tool in a sample of the elderly without PU (longitudinal and observational piece of research carried out in a sample of the bedridden elderly individuals registered in the FHP of the Distrito Sanit?rio de Sa?de III in Jo?o Pessoa-PB, Brazil). Results: The main results of each stage were: (I) 13 risk factors for PU were identified in bedridden elderly individuals with and without PU; (II) a tool containing 17 items was made up; (III) an analysis was carried out by specialists remaining 16 items; (IV) after the semantic analysis, some adjustments were fulfilled in the tool; (V) the tool was used in 92 bedridden elderly individuals. The elderly?s average age was 83,3 years old ( 60-10 years). It was female predominant (64,4%) having their family members (95,6%) as caretaker and they presented two or more morbidities (72%). Systemic hypertension, cerebrovascular accident (CVA) and diabetes mellitus were the most frequent diseases (66%, 56% and 30%, respectively). Thirteen elderly individuals presented PU (14,4%). Taking into account the predisposing factors, nine were meaningfully more common among the elderly with PU rather than those who did not present such condition: general health condition, weight loss, bed mobility, skin exposure to moisture, body hygiene incontinence;predisposing morbidities, awareness level and superficial sensitivity (P<0,05). A decreasing classification of magnitude with the associations of all factors and the presence of PU was carried out by using the logistic score test: general health condition (28,097), bed mobility (24,944), skin exposure to moisture (18,540) and weight loss (17,852) were the most leading factors. By means of the odds ratio (OR) method, it was noticed that the same factors were also predominant amongst the others. In an additional refining, the three factors of highest magnitude of association with PU were combined in a risk score. Such risk score presented points varying from 0 to 5 and it signaled the condition of each elderly individual in relation to these three factors. The elderly who had low score (score &#8804; 2) did not present PU. In those with 3 points, there was the presence of PU (42%). All the elderly individuals with 4 or more points in the score presented PU (N= 8). / Introdu??o: Existem 39 escalas de predi??o de risco de desenvolvimento de ?lcera por press?o (UPP), para adultos/idosos para aplica??o por profissionais da ?rea da sa?de, especialmente enfermeiros e somente uma foi elaborada para aplica??o em n?vel comunit?rio. Objetivo: construir uma escala de predi??o de risco para UPP de uso domiciliar para idosos acamados atendidos na Estrat?gia Sa?de da Fam?lia (ESF). M?todos: Foi realizado um estudo em cincos etapas: (I) estudo observacional de idosos com e sem UPP (pesquisa observacional, participante, transversal); (II) constru??o de um instrumento de predi??o de ?lcera por press?o em idosos; (III) an?lise do instrumento constru?do na etapa II por um comit? de especialistas; (IV) an?lise sem?ntica do instrumento; (V) aplica??o do instrumento em uma amostra de idosos sem UPP (pesquisa longitudinal, observacional, realizada em uma amostra de idosos acamados cadastrados no PSF do Distrito Sanit?rio de Sa?de III de Jo?o Pessoa-PB, Brasil). Resultados: Os principais resultados de cada etapa foram: (I) identificados 13 fatores de risco para UPP em idosos acamados com e sem UPP; (II) foi constru?do instrumento contendo 17 itens; (III) foi realizada an?lise por especialistas restando 16 itens; (IV) ap?s an?lise sem?ntica, foram feitas adequa??es no instrumento); (V) o instrumento foi aplicado em 92 idosos acamados. A m?dia da idade dos idosos foi 83,3 anos (60-10 anos). A maioria era do sexo feminino (64,4%), tinha como cuidador familiares (95,6%) e apresentava duas ou mais morbidades (72%). A hipertens?o arterial sist?mica, a doen?a cerebrovascular e a diabetes mellitus eram as morbidades mais frequentes (66%, 56% e 30%, respectivamente). Treze idosos apresentaram UPP (14,4%). Dos fatores predisponentes, nove foram significativamente mais comuns entre os idosos com UPP dos que os que n?o apresentavam esta condi??o: estado geral de sa?de, perda de peso, mobilidade no leito, exposi??o da pele ? umidade, higiene corporal, incontin?ncia; enfermidades predisponentes, n?vel de consci?ncia, sensibilidade superficial (P<0,05). Foi realizada uma classifica??o decrescente de magnitude com as associa??es de todos os fatores e a presen?a de UPP, utilizando o teste de escore log?stico: estado geral de sa?de (28,097), mobilidade no leito (24,944), exposi??o da pele ? umidade (18,540) e perda de peso (17,852) foram os fatores mais marcantes. Utilizando o m?todo odds ratio, foi observado que os mesmos fatores tamb?m se destacaram entre os demais. Em refinamento adicional, os tr?s fatores de maior magnitude de associa??o com a UPP foram combinados em um escore de risco. Este escore de risco apresentou pontua??o de 0 a 5 e sinalizou a situa??o de cada idoso em rela??o a esses tr?s fatores. Os idosos que apresentaram baixa pontua??o (escore &#8804; 2) n?o apresentaram UPP. Nos idosos com 3 pontos, ocorreu a presen?a de UPP em 42%. Todos idosos com 4 ou mais pontos no escore apresentaram UPP (N= 8).

Submitted by PPG Gerontologia Biom?dica (geronbio@pucrs.br) on 2017-08-17T20:10:44Z No. of bitstreams: 1 SGNAOLIN_VANESSA_TESE.pdf: 5164818 bytes, checksum: 7903e0d0cab4f6b2f39cb20c4d8baac0 (MD5) / Rejected by Caroline Xavier (caroline.xavier@pucrs.br), reason: Devolvido devido ? falta de capa institucional no arquivo pdf. on 2017-08-21T12:33:45Z (GMT) / Submitted by PPG Gerontologia Biom?dica (geronbio@pucrs.br) on 2017-08-23T13:11:03Z No. of bitstreams: 1 SGNAOLIN_VANESSA_TESE.pdf: 5199437 bytes, checksum: b8092c8a0353302df374eed961532c1c (MD5) / Approved for entry into archive by Caroline Xavier (caroline.xavier@pucrs.br) on 2017-08-24T11:59:43Z (GMT) No. of bitstreams: 1 SGNAOLIN_VANESSA_TESE.pdf: 5199437 bytes, checksum: b8092c8a0353302df374eed961532c1c (MD5) / Made available in DSpace on 2017-08-24T12:05:38Z (GMT). No. of bitstreams: 1 SGNAOLIN_VANESSA_TESE.pdf: 5199437 bytes, checksum: b8092c8a0353302df374eed961532c1c (MD5) Previous issue date: 2017-04-28 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / This study aims to describe the medications used by people aged 55 years and over enrolled in the ?Programa de Envelhecimento Cerebral? (PENCE) of the Family Health Strategy of Porto Alegre. It will also describe among these patients the occurrence of polypharmacy, the use of potentially inappropriate medications and its association with patients? socioeconomic, lifestyle and health variables, especially the signs and symptoms of depression and cognitive deficit. A cross-sectional population-based study conducted from January 2013 to December 2015, approved by the Research Ethics Committee of PUCRS (n? 826.858). The prevalence of polypharmacy was reported in 35.7% of the population and was the most common drug amount of all age groups, including the younger individuals (55-59 years) (28.1%). After adjustment for socioeconomic and health variables, women (OR 2.46; 95% CI 1.71-3.53), 75-79 years (OR 3.13; 95% CI 1.68-5.83), 1-3 years of study (OR 2.57; 95% CI 1.43-4.59), ex-smokers (OR 1.89; 95% CI 1.29-2.78), poor or very poor self-perceived health (OR 6.43; 95% CI 3.20-12.90), chronic conditions (cardiovascular-related) and depression symptoms were strongly associated with polypharmacy. The prevalence of PIM in the total population was 65.4%, representing a common finding in all age groups, including younger individuals (55-59 years) (60.0%). Former smokers (OR 1.06; 95% CI 1.00-1.12) and current smokers (OR 1.10; 95% CI 1.01-1.18), regular self-perception of health (OR 1.08; 95% CI 1.02-1.15), use three or four medications (OR 1.88; 95% CI 1.65-2.15), and individuals with signs and symptoms of cognitive deficit (OR 1.14; 95% CI 1.03-1.26) and depression (OR 1.12; 95% CI 1.04-1.21) were significantly associated with PIM. Polypharmacy (OR 2.80; 95% CI 2.48-3.16) had the strongest association. Polypharmacy and MPI are prevalent in middle-aged individuals, a population that is poorly researched, and the elderly. The present study proposed an advance in pharmacoepidemiological studies, analyzing some gaps in the literature related to middle-aged adults with unfavorable socioeconomic characteristics, such as low income and schooling. / Este estudo tem por objetivo descrever os medicamentos utilizados por pessoas com 55 anos ou mais, cadastradas no Programa de Envelhecimento Cerebral (PENCE) da Estrat?gia Sa?de da Fam?lia de Porto Alegre, a ocorr?ncia de polifarm?cia, o uso de medicamentos potencialmente inapropriados e a associa??o com vari?veis socioecon?micas, h?bitos de vida e sa?de, principalmente os sinais e sintomas de depress?o e de d?ficit cognitivo. Estudo transversal de base populacional, realizado entre janeiro de 2013 a dezembro de 2015, aprovado pelo Comit? de ?tica em Pesquisa da PUCRS (n? 826.858). A preval?ncia de polifarm?cia na popula??o total foi de 35,7%, representando um achado comum a todas as faixas et?rias, incluindo os indiv?duos mais jovens (55-59 anos) (28,1%). Ap?s o ajuste para as vari?veis socioecon?micas e de sa?de, as mulheres (OR 2,46; IC 95% 1,71-3,53) e os indiv?duos com 75-79 anos (OR 3,13; IC 95% 1,68-5,83), 1-3 anos de estudo (OR 2,57; IC 95% 1,43-4,59), ex-fumantes (OR 1,89; IC 95% 1,29-2,78), com pior autopercep??o de sa?de (OR 6,43; IC 95% 3,20-12,90), com doen?as cr?nicas (principalmente as cardiovasculares) e com sintomas depressivos foram fortemente associados ? polifarm?cia. A preval?ncia de PIM na popula??o total foi de 65,4%, representando um achado comum a todas as faixas et?rias, incluindo os indiv?duos mais jovens (55-59 anos) (60,0%). Os ex-fumantes (OR 1,06; IC 95% 1,00-1,12) ou atuais (OR 1,10; IC 95% 1,01-1,18), com autopercep??o de sa?de regular (OR 1,08; IC 95% 1,02-1,15), que faziam uso de tr?s ou quatro medicamentos (OR 1,88; IC 95% 1,65-2,15) e com sinais e sintomas de d?ficit cognitivo (OR 1,14; IC 95% 1,03-1,26) e depress?o (OR 1,12; IC 95% 1,04-1,21) foram significativamente associados com o maior consumo de MPI, sendo a polifarm?cia (OR 2,80; IC 95% 2,48-3,16) a vari?vel com a mais forte rela??o. Polifarm?cia e MPI s?o prevalentes em indiv?duos de meia-idade, uma popula??o que ? pouco pesquisada, e em idosos. O presente estudo prop?s um avan?o nos estudos farmacoepidemiol?gicos, analisando algumas lacunas na literatura relacionada aos adultos de meia-idade com caracter?sticas socioecon?micas desfavor?veis, como baixas renda e escolaridade.

Submitted by PPG Ci?ncia da Computa??o (ppgcc@pucrs.br) on 2018-07-16T17:26:53Z No. of bitstreams: 1 ELISA COSTA DIEL_DIS.pdf: 2030569 bytes, checksum: 97dac6ad532e10d4b88caec8f69d282e (MD5) / Approved for entry into archive by Sheila Dias (sheila.dias@pucrs.br) on 2018-07-23T11:12:32Z (GMT) No. of bitstreams: 1 ELISA COSTA DIEL_DIS.pdf: 2030569 bytes, checksum: 97dac6ad532e10d4b88caec8f69d282e (MD5) / Made available in DSpace on 2018-07-23T11:31:48Z (GMT). No. of bitstreams: 1 ELISA COSTA DIEL_DIS.pdf: 2030569 bytes, checksum: 97dac6ad532e10d4b88caec8f69d282e (MD5) Previous issue date: 2017-03-16 / Apesar de o ?gil buscar colabora??o com todos as partes envolvidas, a maioria dos projetos ?geis n?o extende essa colabora??o para o pessoal de opera??es. Problemas de comunica??o s?o um problema recorrente em equipes ?geis que tamb?m ? eminente na rela??o entre desenvolvedores e opera??es. Esta pesquisa visa compreender como a comunica??o acontece em DevOps a partir das percep??es dos praticantes. Para alcan?ar nosso objetivo, realizou-se uma Revis?o de Literatura sobre DevOps e Comunica??o, e conduziu-se um Estudo de Campo com dados qualitativos sendo coletados atrav?s de entrevistas. Os resultados indicam que hoje existem pelo menos tr?s configura??es diferentes de DevOps sendo aplicadas na ind?stria: profissionais Devs e Ops alocados na mesma equipe; uma equipe de DevOps com um conjunto de habilidades compartilhadas; e uma equipe separada de Dev e Ops trabalhando juntos. Apesar dessas configura??es, n?o foram encontradas nenhuma particularidade. Em resumo, os resultados indicam que os membros de equipes co-alocadas e multi-funcionais se comunicam melhor; ? importante trabalhar em conjunto e compartilhar conhecimentos t?cnicos; o poder de decis?o variar? de acordo com a situa??o enfrentada; entre outros. Nossas descobertas ajudam a diminuir a lacuna apontada por Erich, Amrit e Daneva entre Dev e Ops, avan?ando para uma melhor compreens?o de como profissionais DevOps colaboram, ajudando eles a melhorar suas pr?ticas de comunica??o em seu trabalho di?rio. / Even though agile actively seeks collaboration with all kinds of stakeholders, most agile projects do not extend toward the operations people. Issues in communication are a recurring issue in agile teams. Such issues are also eminent in the relationship between developers and operations. This study aims to understand how communication happens in DevOps from the perspective of practitioners. To achieve our goal, a Literature Review on DevOps and Communication was performed, and a Field Study was conducted with qualitative data being collected through interviews. Results revealed that today there are at least three different DevOps configurations being applied in the industry, being: Dev and Ops professionals allocated to the same team; a team of DevOps with a shared skill set; and a separate team of Dev and Ops working together. Despite the configurations, we did not find any particularities. In summary, results show that co-allocated and cross functional team members communicate better; it is important to work together as a single team and share technical knowledge; decision power changes based on the situation that is being faced; among others. Our findings help to narrow the gap pointed out by Erich, Amrit, and Daneva between Dev and Ops, moving towards a better understanding of how DevOps team collaborates by helping practitioners to improve their communication practices in their daily work.

Submitted by Ricardo Cedraz Duque Moliterno (ricardo.moliterno@uefs.br) on 2018-01-30T23:00:25Z No. of bitstreams: 1 disserta??o VERS?O FINAL PDF.pdf: 2988819 bytes, checksum: aee6403751f41f9de88d75a037db2c94 (MD5) / Made available in DSpace on 2018-01-30T23:00:25Z (GMT). No. of bitstreams: 1 disserta??o VERS?O FINAL PDF.pdf: 2988819 bytes, checksum: aee6403751f41f9de88d75a037db2c94 (MD5) Previous issue date: 2017-04-11 / Funda??o de Amparo ? Pesquisa do Estado da Bahia - FAPEB / Study on the work process in the Family Health Strategy, after the implantation of the more doctors program. It presents as guiding questions: how does the work process in the Family Health Strategy occur after the implantation of the More Doctors Program in a municipality in Bahia? How are the constituent elements of the health work process presented in the Family Health Strategy in a municipality in Bahia? What are the facilities, difficulties and challenges after the implantation of the More Doctors Program for the work process in the Family Health Strategy in a municipality in Bahia? The general objective is to analyze the work process in health in the Family Health Strategy, after the implantation of the more doctors program in a municipality of Bahia; And specific objectives: to describe the constitutive elements of the health work process in the Family Health Strategy in a municipality of Bahia; To discuss the facilities, difficulties and challenges encountered in the teamwork of the Family Health Strategy after the implantation of the more doctors program in a municipality in Bahia. This is a case study with a qualitative approach,whose project was submitted to the Research Ethics Committee of the UEFS and approved according to opinion number: 1.530.791. The data collection, carried out from June to July 2016, occurred through a semi-structured interview with twelve health workers and ninefamily health unit users analyzed; document analysis; and systematic observation. The empirical material was analyzed using the content analysis technique proposed by Bardin (2011).The care model is centered on the care of the community through clinical procedures and consultations to the detriment of activities aimed at health promotion. The actions developed are based on ministerial programs and the fragmentation of care, where each worker performs his actions individually, with few moments of interaction between the teams, especially the Oral Health Teams. Regarding the implantation of the program more doctors, no changes were found in the work process of other health workers, but the adaptation of foreign physicians to a biological health system.However, it was noticed the recognition of the community and the majority of the workers regarding the differentiated care of the doctors of the program who started to stay in the family health unit full-time, having only an employment relationship. Also, difficulties were not recognized that prevented care on behalf of the language of doctors. Among the difficulties, it should be noted that the program has not yet contributed to the advancement of the family health unit infrastructure, being found problems regarding the lack of materials, instruments and inputs important for the continuity of work, as well as the of the users, for the accomplishment of educative activities in detriment to the assistencialist practices. In this sense, the great challenge is the reformulation of the health work process, so that the core of the professional activity is centered on the users, breaking the paradigm of individualized actions, with a view to strengthening teamwork. / Estudo sobre o processo de trabalho na Estrat?gia Sa?de da Fam?lia, ap?s a implanta??o do programa mais m?dicos. Apresenta como perguntas norteadoras: como se d? o processo de trabalho na Estrat?gia Sa?de da Fam?lia, ap?s a implanta??o do Programa Mais M?dicos em um munic?pio da Bahia? De que forma s?o apresentados os elementos constitutivos do processo de trabalho em sa?de na Estrat?gia Sa?de da Fam?lia em um munic?pio da Bahia? Quais as facilidades, dificuldades e desafios ap?s a implanta??o do Programa Mais M?dicos para o processo de trabalho na Estrat?gia Sa?de da Fam?lia em um munic?pio da Bahia? O objetivo geral ? analisar o processo de trabalho em sa?de na ESF, ap?s a implanta??o do programa mais m?dicos em um munic?pio da Bahia; e objetivos espec?ficos: descrever os elementos constitutivos do processo de trabalho em sa?de na Estrat?gia Sa?de da Fam?lia em um munic?pio da Bahia; discutir as facilidades, dificuldades e os desafios encontrados no trabalho em equipe da Estrat?gia Sa?de da Fam?lia ap?s a implanta??o do programa mais m?dicos em um munic?pio da Bahia. Trata-se de um estudo de caso de abordagem qualitativa, cujo projeto foi submetido ao Comit? de ?tica em Pesquisa da UEFS e aprovado conforme parecer n?mero: 1.530.791. A coleta de dados, realizada no per?odo de junho a julho de 2016, ocorreu por meio de entrevista semiestruturada com doze trabalhadores de sa?de e nove usu?rios das USF analisadas, an?lise de documentos; e observa??o sistem?tica. O material emp?rico foi analisado utilizando-se a t?cnica de an?lise de conte?do proposta por Bardin (2011). O modelo de aten??o ? centrado no atendimento a comunidade por meio de procedimentos e consultas cl?nicas em detrimento de atividades voltadas para a promo??o da sa?de. As a??es desenvolvidas, baseiam-se em programas ministeriais e na fragmenta??o do cuidado, onde cada trabalhador executa suas a??es individualmente, com poucos momentos de intera??o entre as equipes, principalmente as Equipes de Sa?de Bucal. Sobre a implanta??o do programa mais m?dicos, n?o foram encontradas mudan?as no processo de trabalho dos demais trabalhadores de sa?de e sim a adapta??o dos m?dicos estrangeiros a um sistema de sa?de biologicista. No entanto, notou-se o reconhecimento da comunidade e da maioria dos trabalhadores quanto ao atendimento diferenciado dos m?dicos do programa que passaram a ficar nas USF em per?odo integral, possuindo apenas um v?nculo empregat?cio. Tamb?m n?o foram reconhecidas dificuldades que inviabilizassem o atendimento por conta do idioma dos m?dicos. Dentre as dificuldades, destaca-se que o programa ainda n?o contribuiu para o avan?o da infraestrutura das USF, sendo encontrados problemas quanto a falta de materiais, instrumentos e insumos importantes para a continuidade do trabalho, assim como na valoriza??o, tanto dos demais trabalhadores quanto dos usu?rios, para a realiza??o de atividades educativas em detrimento ?s pr?ticas assistencialistas. Nesse sentido, o grande desafio ? a reformula??o do processo de trabalho em sa?de, de maneira que o cerne da atua??o profissional esteja centrado nos usu?rios, rompendo o paradigma de atua??es individualizadas, com vistas ao fortalecimento de um trabalho em equipe.

Made available in DSpace on 2014-12-17T15:38:36Z (GMT). No. of bitstreams: 1 CYNTHIAFML_TESE.pdf: 4260965 bytes, checksum: d530470ff44413f536252f34785ca556 (MD5) Previous issue date: 2013-04-12 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / This research aimed to evaluate the Family Health Strategy (FHS) in Natal, Rio Grande do Norte, through its managers, professionals and users, having as its support the Theory of Belief and the Cognitive-Behavioral Theory. This is a multimethod research and is divided into three sub-studies. In the first study, nine managers answered to a semi-structured interview, to verify the knowledge and beliefs on SUS; the quantitative data were analyzed with descriptive statistics with the aid of SPSS software and the qualitative data were submitted to lexical analysis with support of ALCESTE software. In the second study, we have a descriptive correlational research in which the antecedent variables are related to working conditions in the family health units (FHUs) and to the professionals&#8223; profile; the corresponding variables refer to the evaluations of the FHS; a stratified probabilistic sample with 475 professionals, who answered to two scales, both consisting of three factors: Physical infrastructure, Material resources, and Treatment effectiveness, and data were analyzed using descriptive, bivariate and multivariate statistics, with the aid of SPSS. The third study is a descriptive correlational research in which the antecedent variables refer to the treatment in the FHUs and to the users&#8223; profile, and the corresponding variables refer to the evaluations of the FHS, with a stratified non-probabilistic sample with 390 users, who contributed to the construction of a new scale with a factor, effectiveness in treatment, analyzed through descriptive, bivariate and multivariate statistics, with the aid of SPSS. The results showed problems which start from management, under the shape of admission due to political indication and lack of knowledge on SUS and the FHS; they pass through the low tenure of professionals and insufficient professional; and they end up spreading all over the analyzed items: infrastructure of FHUs, material resources, professionals&#8223; training, accessibility and referral system. One concludes that, despite following an ideal model, the FHS is in need of changes with regard to the barriers to its operational reality / Esta pesquisa objetivou avaliar a ESF em Natal-RN, atrav?s de seus gestores, profissionais e usu?rios, embasada na Teoria das Cren?as e da Teoria Cognitivo-comportamental. Trata-se de uma proposta de multim?todos e encontra-se dividida em tr?s subestudos. No primeiro estudo, nove gestores responderam uma entrevista semiestruturada, para verificar o conhecimento e as cren?as sobre o SUS, sendo os dados quantitativos analisados com estat?stica descritiva com aux?lio do software SPSS e os dados qualitativos submetidos ? an?lise lexical com apoio do software ALCESTE. No segundo estudo, uma pesquisa descritiva correlacional na qual as vari?veis antecedentes referem-se ?s condi??es de trabalho nas Unidades de Sa?de da Fam?lia (USFs) e ao perfil dos profissionais e as vari?veis correspondentes referem-se ?s avalia??es da ESF; uma amostra probabil?stica estratificada com 475 profissionais, que responderam duas escalas, ambas compostas por tr?s fatores: Infraestrutura f?sica, Recursos materiais e Efici?ncia no atendimento, sendo os dados analisados por meio de estat?stica descritiva, bivariada e multivariada com aux?lio do SPSS. O terceiro estudo ? uma pesquisa descritiva correlacional na qual as vari?veis antecedentes referem-se ?s condi??es de atendimento nas USFs e ao perfil dos usu?rios, e as vari?veis correspondentes referem-se ?s avalia??es da ESF, com uma amostra n?o probabil?stica estratificada com 390 usu?rios, que contribu?ram para a constru??o de uma nova escala com um fator, efici?ncia no atendimento, analisado por meio estat?stica descritiva, bivariada e multivariada com aux?lio do SPSS. Os resultados mostraram problemas que come?am com a gest?o, sob a forma de admiss?o por indica??o pol?tica e falta de conhecimento sobre o SUS e a ESF; passam pela rotatividade e quantidade insuficiente de profissionais; e acabam disseminando-se por todos os itens analisados: infraestrutura e recursos materiais das USFs, capacita??o dos profissionais, acessibilidade e sistema de refer?ncia. Conclui-se que, apesar de seguir um modelo ideal, a ESF necessita de mudan?as em rela??o aos entraves de sua realidade operaciona

Made available in DSpace on 2016-04-28T20:13:50Z (GMT). No. of bitstreams: 1 1998 - Erick Samuel Rojas Cajavilca.pdf: 1008769 bytes, checksum: 8add22c3d7e5c2118b5b62321be8eb7d (MD5) Previous issue date: 1998-09-17 / Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico / This thesis analyzes the conditions of competitiveness of the chain of milk in Brazil, in the scope of the Mercosul having as reference of the distinct contributions of the theoretical quarrels on Competitiveness, Comparative Advantages and Enterprise Strategy. The first chapter argues economic literature referent to the competitiveness, dynamic comparative advantages and strategies of the companies. The subsequent chapters present a profile of the l?cteas chains in the countries of the Mercosul and an analysis of the transformations in the competitive environment throughout all the chain of latic?nios in Brazil to start off desregulation, stabilization and regional integration. A change of the profile of the chain of milk is verified, since the increase of the heterogeneidade of the agricultural producer, until changes in the profile of the consumption. To make front to these structural modifications in course, in the sector the companies invest in diverse strategies that allow to its permanence and growth in the market. The confirmation clearest is the resetting of the sector, in a process that some companies initiate before the opening of the economy, in middle of the decade of 80. Others, would initiate it as reflected of the processes of regional integration and stabilization of the economy. We look for to show as in one same sector, in a similar environment, the companies adopt diverse strategies, in function of its resources and perspectives of market. Having as objective the maintenance of competitive positions. / Esta disserta??o analisa as condi??es de competitividade da cadeia de l?cteos no Brasil, no ?mbito do Mercosul ? luz dos distintos aportes das discuss?es te?ricas sobre Competitividade, Vantagens Comparativas e Estrat?gia Empresarial. O primeiro cap?tulo discute a literatura econ?mica sobre a competitividade, vantagens comparativas din?micas e estrat?gias das empresas. Os cap?tulos subseq?entes apresentam um perfil das cadeias l?cteas nos pa?ses do Mercosul e uma an?lise das transforma??es no ambiente competitivo ao longo de toda a cadeia de latic?nios no Brasil a partir da desregula??o, estabiliza??o e integra??o regional. Verifica-se uma mudan?a do perfil da cadeia de l?cteos, desde o aumento da heterogeneidade do produtor rural, at? mudan?as no perfil do consumo. Para fazer frente a estas modifica??es estruturais em curso, no setor as empresas investem em diversas estrat?gias que permitam a sua perman?ncia e crescimento no mercado. A constata??o mais clara ? a recomposi??o do setor, num processo que algumas empresam iniciam antes da abertura da economia, em meados da d?cada de 80. Outras, o iniciariam como reflexo dos processos de integra??o regional e estabiliza??o da economia. Procuramos mostrar como num mesmo setor, num ambiente similar, as empresas adotam diversas estrat?gias, em fun??o dos seus recursos e perspectivas de mercado. Tendo como objetivo a manuten??o de posi??es competitivas.