Submitted by Glaucia Fernanda Galeazzi Nóbile null (glau_fgn@hotmail.com) on 2016-10-17T11:57:20Z No. of bitstreams: 2 Dissertação Glaucia F G Nobile.pdf: 848569 bytes, checksum: 59f429f76637b7e07ef432d1f29935fe (MD5) Dissertação Glaucia F G Nobile.pdf: 848569 bytes, checksum: 59f429f76637b7e07ef432d1f29935fe (MD5) / Approved for entry into archive by Juliano Benedito Ferreira (julianoferreira@reitoria.unesp.br) on 2016-10-21T15:48:33Z (GMT) No. of bitstreams: 1 nobile_gfg_me_bauru.pdf: 848569 bytes, checksum: 59f429f76637b7e07ef432d1f29935fe (MD5) / Made available in DSpace on 2016-10-21T15:48:33Z (GMT). No. of bitstreams: 1 nobile_gfg_me_bauru.pdf: 848569 bytes, checksum: 59f429f76637b7e07ef432d1f29935fe (MD5) Previous issue date: 2016-08-26 / Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) / O estudo da interação terapêutica possibilita conhecer variáveis interpessoais responsáveis pelas mudanças ocorridas nos comportamentos do cliente na terapia, dessa maneira, a pesquisa com interação terapêutica poderá auxiliar os terapeutas a identificar quais comportamentos tornam a intervenção mais eficaz. A presente pesquisa tem por objetivo descrever os comportamentos da interação terapêutica, a partir de análises sequenciais, tendo o comportamento do terapeuta e do cliente como categoria critério e descrever os qualificadores dos comportamentos. Participaram dois universitários com transtorno de ansiedade social e uma terapeuta. A terapia realizada foi individual, analítico comportamental, incluindo o treino de habilidades sociais e as sessões foram gravadas em vídeos. Onze sessões de cada cliente foram categorizadas, após a concordância entre observadores, utilizando o protocolo de categorias do Sistema Multidimensional de Categorização de Comportamentos na Interação Terapêutica (SiMCCIT) e o software The Observer. Foi realizada análise sequencial tendo o comportamento do terapeuta e do cliente como categoria critério e, na sequência foi conduzida a análise de frequência dos qualificadores dos comportamentos: tom emocional e gestos ilustrativos. Os resultados da análise sequencial, tendo o comportamento do terapeuta como critério, destaca algumas sequências da interação terapêutica, os comportamentos do terapeuta Solicitação de Relato e Facilitação favoreceram o Relato do cliente, as categorias Informação, Interpretação e Recomendação favoreceram a ocorrência de Concordância do cliente. Os resultados da análise sequencial tendo o comportamento do cliente como critério, destacam para o comportamento do terapeuta Solicitação de Relato que favoreceu o Relato do cliente e os comportamentos Solicitação de Reflexão e Facilitação favoreceram o comportamento Relações do cliente. Os resultados da frequência dos qualificadores dos comportamentos apresentam o predomínio da emoção neutra e positiva leve e ausência de emoção negativa, tanto para o terapeuta quanto para o cliente e, na maioria das categorias, ocorreu frequência maior de gestos ilustrativos do que sua ausência, com exceção da categoria Solicitação de Relato. Discute-se que o padrão encontrado nas sequências de comportamentos, em que favorecem o Relato e Relações do cliente e a ocorrência da emoção neutra e positiva leve na interação, pode ser recomendado para o atendimento de pessoas com transtorno de ansiedade social. / The study of therapeutic interaction enables to know interpersonal variables responsible for changes in clients, through behavior therapy; so, research with therapeutic interaction may assist therapists to identify behaviors that make interventions most effective. This research aims to describe the behaviors of therapeutic interaction, from sequential analysis, and the therapist's behavior and client as a criterion category and describe the qualifiers of the behaviors. They attended two university students with social anxiety disorder and a therapist. The therapy was performed individual, behavioral analytic, including social skills training and the sessions were recorded on video. Eleven sessions each client were categorized following the agreement between observers, using the Multidimensional System categories protocol behaviors Categorization in Interaction Therapy (SiMCCIT) and The Observer software. It performed sequence analysis with the therapist's behavior and customer category as the criterion and following was conducted frequency analysis of qualifiers behavior: emotional tone and illustrative gestures. The results of sequence analysis, and the therapist's behavior as a criterion, highlights some sequence of therapeutic interaction, the therapist behaviors Reporting Application and Facilitation favored customer report, the categories Information, Interpretation and Recommendation favored the occurrence of Customer Agreement . The results of sequential analysis with customer behavior as a criterion, stands for the Reporting Request therapist behavior that favored the client reporting and behavior reflection Application and Facilitation favored customer relations behavior. The results of the frequency qualifiers behavior show the predominance of the light neutral and positive emotion, and absence of negative emotion both the therapist and for the customer and, in most categories, occurred more frequently illustrative gestures that its absence, except category Report Request. It is argued that the pattern found in the sequences of behaviors that favor the reporting and customer relations and the occurrence of mild neutral and positive emotion in interaction, can be recommended for the care of people with social anxiety disorder. / FAPESP: 2014/18745-5

No description available.

Introduction: Historically, in Pennsylvania, the Salzmann Evaluation Index (SEI) (Figure 2) was used to evaluate the medical necessity of orthodontic care and whether the government will cover costs for low-income patients. Approval discrepancies occur between doctor index scoring and insurance funding with the SEI, leading to questions about how indices determine funding. Each state and insurance administrator decides which, if any, medically necessary malocclusions to include that automatically qualify for treatment coverage. As of 2022, a major insurance administrator in the state of Pennsylvania added an additional qualifying criterion: the orthodontic criteria index (OCI), ten occlusal characteristics that lead to an automatic qualification (Figure 3). This leaves the possibility that a patient may qualify on one or both indices. This study is the first to evaluate the frequency of approvals between SEI and OCI in Pennsylvania. The secondary objectives for this investigation are to evaluate the OCI criteria insurance administrator approval rate compared to the doctors’ scoring and to evaluate if sex, age, race/ethnicity, and submission year impact insurance funding decisions and to evaluate the OCI criteria insurance administrator approval rate compared to the doctors’ scoring. The results of this study may promote standardization for the state of Pennsylvania to readily adopt a list of Automatic Qualifiers for all Medicaid insurance administrators. Materials and Methods: All subjects had no orthodontic treatment and underwent routine screening and record-taking through the Temple University Kornberg School of Dentistry Orthodontic Screening Clinic from November 1, 2022, to March 31, 2023 (n = 171). For all orthodontic providers, scoring SEI and OCI was calibrated in September 2022. Malocclusion characteristics of 171 subjects between the ages of 9-20 were characterized for treatment need with standardized SEI and OCI criteria. SEI gives a numeric score of treatment need by accessing intra-arch and inter-arch tooth position relationships. OCI is a binary list for the presence of specific severe malocclusion criteria, which leads to automatic qualification for treatment. Approval thresholds were at least one OCI AQ or a SEI≥25. Patient data, including age, date of initial submission, sex, race and ethnicity, date of submission, insurance response, and orthodontist scoring, was recorded. Insurance submission records were analyzed, and funding decisions based on the Salzmann Evaluation Index (SEI) and the Orthodontic Criteria Index (OCI) were recorded. Malocclusion severity evaluation had an inter-examiner reliability of 90%, using the Salzmann Evaluation Index, with a score of >25 determining treatment need or one of the ten automatic qualifiers from the Orthodontic Criteria Index form was perceived regardless of the Salzmann Evaluation Index score. Both indices scored, along with intraoral and extraoral photographs, a cephalogram, a panoramic radiograph, and an intraoral impression, were sent to Insurance Administrator A, a primary Medicaid company for patients at TUKSoD. An employee of the insurance administrator received the records submitted and made a funding decision. Results: Overall insurance approval was 38.6%. Doctor approval rates were 42.7% for OCI and 24.6% for SEI. The overall doctor versus approval discrepancy was 39.7% for both SEI and OCI combined. Patients who qualified for treatment with one or more OCI had an average SEI of 18. Only 24.6% of SEI scores ≥25 were approved. The greatest agreement between insurance and doctor approvals was for the OCI category: impacted of canines or incisors. There was no statistically significant difference in the approval rate between the OCI and SEI for gender, ethnicity, or submission year. Age groups have a statistically significant discrepancy (P<0.01). Conclusion: There is a moderate level of agreement between insurance approval and doctor-determined scores. There is greater agreement between OCI doctor scores, and insurance approval compared to SEI. A significant approval rate variance occurs with age for SEI. Age group and % SEI Variance have an inversely proportional relationship, possibly due to differences in opinion about what constitutes a permanent dentition (impacted permanent or over-retained primary teeth). The newly implemented OCI criteria have less funding variance and produce greater agreement between insurance and clinician assessment than SEI. / Oral Biology

Made available in DSpace on 2016-03-15T19:26:06Z (GMT). No. of bitstreams: 1 Luciana Garcia Sobral.pdf: 3252050 bytes, checksum: 47c963ace331b8a086f4c776c4cc2daa (MD5) Previous issue date: 2013-08-06 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / The capabilities development, as a combination of resources and competencies, have been studied to understand the competitiveness of companies. Accordingly, this study sought to verify the influence of capabilities in the relation between strategy and operational performance of the Brazilian automotive industries. The theory presented is based in authors of Supply Chain Management, operations strategy and dynamic capabilities such as Teece and Pisano (2003), Christopher (2003), Barney (1991), Ferdows e DeMeyer (1990) e Morash (2001). This research was performed in two phases: The first phase, consisted of a qualitative exploratory study, which main s objective was to deepen the understanding of the Brazilian automotive chain, as well as to identify the competitive priorities as an element of fit between second tier suppliers, first tier suppliers and OEMs, in the dyadic context. Data was collected using in-depth interviews with five companies that were in the automotive sector. Data was analyzed using content analysis, and it was verified that there were three common competitive priorities among those companies: cost, reliability and flexibility. These competitive priorities were then translated into strategies, capabilities and performance, concentrating the focus on the automotive suppliers. The second phase of this research consisted of verifying the influence of capabilities in the relation between strategy and performance. This phase consisted of a quantitative exploratory research, that included a sample of 48 automotive suppliers, whose respondents were managers of the operations, supply chain and procurement areas. The data was treated using multivariate statistics, and revealed that capabilities in general have a mediation effect in the relation between strategy and performance. It was concluded that Braziian s automotive suppliers have their biggest focus in capabilities related to processes (combination of resources and competencies) to influence performance. / O desenvolvimento de capabilidades como uma combinação da utilização dos recursos e competências, tem sido objeto de estudos para compreender a competitividade das empresas. Nesse sentido, este estudo, buscou verificar a influência das capabilidades operacionais na relação entre estratégia e desempenho operacional das empresas da indústria automotiva. Fundamentada, do ponto de vista teórico, em autores da gestão da cadeia de suprimentos, operações, estratégias e capabilidades dinâmicas, como Teece e Pisano (2003), Christopher (2003), Barney (1991), Ferdows e DeMeyer (1990) e Morash (2001), realizou-se um trabalho de pesquisa composto de duas etapas principais. A primeira, de natureza exploratória do tipo qualitativo, teve como objetivo aprofundar o entendimento da cadeia automotiva, bem como identificar as prioridades competitivas como elemento de alinhamento (ou direcionador) entre fornecedores, empresa foco e clientes, em contexto de cadeia de suprimentos diádicos. Foram coletados dados, por meio de entrevistas em profundidade junto a cinco empresas representativas da cadeia automotiva. Estes foram tratados pela técnica de análise de conteúdo, revelando três prioridades competitivas comuns: custo, confiabilidade e flexibilidade. As prioridades identificadas foram desdobradas em estratégias, capabilidades e desempenho, concentradas nas empresas foco (no caso, empresas de autopeças). Assim, seguiu-se para a segunda etapa com o objetivo de verificar, na empresa foco, a influência da capabilidade na relação entre estratégia e desempenho. A pesquisa de natureza exploratória do tipo quantitativo utilizou-se de uma amostra de 48 empresas de autopeças automotivas, coletada junto aos gestores de operações, cadeia de suprimentos e logística. Os dados coletados, tratados pela estatística multivariada, revelaram que a capabilidade tem um papel mediador na relação entre estratégia e desempenho. Deste resultado pode-se concluir que as empresas de autopeças focam em capabilidades relacionadas a processos (combinação de recursos e competências) para influenciar o seu desempenho.

Application of supply chain management is still relatively recent practice, but it's importance is growing over time. Today, in the era of customer centricity, in order to become competitive firms shouldn't avoid collaboration with it's supply chain partners. Purpose of my thesis was to find out how supply chain management can contribute to building relationship with customers, who are the basis of any existing company. First part summarizes knowledge about supply chain, compeptitive strategies, customers, types of supply chains and customer relationship management. Particular part is dedicated to customer service and how supply chain management can contribute to it's improving. It describes also what meaning has customer service for future competitiveness. In second part, I presented the case of Zappos.com. E-retailer, which aligning entire functional strategies and whole supply chain to common strategic purpose managed to build excellent relationship with it's customers.