Submitted by Jordan (jordanbiblio@gmail.com) on 2017-02-16T15:14:12Z No. of bitstreams: 1 DISS_2015_Elieti de Fátima dos Santos.pdf: 1147296 bytes, checksum: d5c8b2729bcf8b7aefd8aa5ec727e106 (MD5) / Approved for entry into archive by Jordan (jordanbiblio@gmail.com) on 2017-02-17T12:29:14Z (GMT) No. of bitstreams: 1 DISS_2015_Elieti de Fátima dos Santos.pdf: 1147296 bytes, checksum: d5c8b2729bcf8b7aefd8aa5ec727e106 (MD5) / Made available in DSpace on 2017-02-17T12:29:14Z (GMT). No. of bitstreams: 1 DISS_2015_Elieti de Fátima dos Santos.pdf: 1147296 bytes, checksum: d5c8b2729bcf8b7aefd8aa5ec727e106 (MD5) Previous issue date: 2015-05-29 / O objetivo desta pesquisa é investigar como o Projeto Sala de Educador (PSE) de uma escola pública de ensino médio em Várzea Grande, Mato Grosso, no ano de 2013, foi entendido, implementado e vivenciado por cinco professores da área de Linguagem para atender seus interesses pessoais e profissionais, mas também de seus alunos e da própria escola. A pesquisa é de natureza qualitativa de cunho etnográfico embasada em duas perguntas orientadoras: o que fazem professores da área de Linguagem quando se reúnem na Sala de Educador? Como os professores interpretam os acontecimentos em que se engajam? Os principais instrumentos utilizados para registrar os dados foram a observação participante, um questionário e entrevistas semi-estruturadas com os participantes do estudo. Além disso, dados atinentes às discussões de textos pelos professores foram gravados e transcritos. Na análise, com base nas perguntas de pesquisa, primeiramente, o estudo descreve os tipos de eventos em que os professores participam quando se reúnem na Sala de Educador; em seguida, apresenta e analisa dados que indicam os sentidos atribuídos pelos atores aos eventos em que se engajam. Através da análise, as múltiplas vozes dos cinco professores da área da Linguagem puderam ser evidenciadas e relacionadas a importantes aspectos para o desenvolvimento do PSE no futuro. Dentre os acontecimentos, diversas barreiras apareceram, trazendo oportunidades de decisões coletivas e envolvimentos dos participantes, outras tantas, embora não resolvidas, fizeram parte de reflexões e projeções de melhorias no futuro. Este estudo traz contribuições para o entendimento de que o PSE se constitui como espaço de formação contínua e, enquanto tal, pode e deve se constituir em espaço de reflexão, construção e desconstrução de ideias que possibilitem organizar a prática pedagógica de professores em função das necessidades locais de seus alunos e da escola, não como um ato isolado, individual, mas como uma ação de caráter coletivo e colaborativo. / The objective of this research is to investigate how the Educator Meeting Room Project in a public high school in the city of Várzea Grande, Mato Grosso, in 2013, was understood, implemented and experienced by five teachers of the area of languages to attend their personal and professional interests but also the interests of their students and their school. The qualitative ethnographic study has two guiding questions: What do the language teachers do when they meet in the Educator Meeting Room? How do the teachers interpret the events in which they engage? The main instruments used to record the data were participant observation, a questionnaire and semi-structured interviews with participants of the study. In addition, data related to the discussions of texts by the teachers were recorded and transcribed. In the analysis, based on the research questions first, the study reports the events in which the teachers participated when they met in the Educator Meeting Room were reported; next, it presents and analyzes the data, which indicate the meanings attributed by the actors to the events in which they engaged. Through analysis, the multiple voices of the five language teachers could be highlighted and related to important aspects for the development of the Educator Meeting Room in the future. Among the happenings, diverse barriers appeared bringing opportunities for collective decisions and involvement of participants. Though many were not resolved, they were part of reflections and projections for future improvements. This study brings, in the first place, contributions for the understanding that Educator Meeting Room Project constitutes a space for continuing education and as such can and should constitute a space of reflection, construction and deconstruction of ideas that enable organizing pedagogical practice of teachers in function of the local necessities of their students and school, not as an isolated, individual act but as an collective and collaborative action.

La réduction (« scaling ») continue des dimensions des transistors MOSFET nous a conduits à l'ère de la nanoélectronique. Le transistor à effet de champ multi-grilles (MultiGate FET, MuGFET) avec l'architecture «nanofil canal» est considéré comme un candidat possible pour le scaling des MOSFET jusqu'à la fin de la roadmap. Parallèlement au scaling des CMOS classiques ou scaling suivant la loi de Moore, de nombreuses propositions de nouveaux dispositifs, exploitant des phénomènes nanométriques, ont été faites. Ainsi, le transistor monoélectronique (SET), utilisant le phénomène de «blocage de Coulomb», et le transistor à atome unique (SAT), en tant que transistors de dimensions ultimes, sont les premiers dispositifs nanoélectroniques visant de nouvelles applications comme la logique à valeurs multiples ou l'informatique quantique. Bien que le SET a été initialement proposé comme un substitut au CMOS («Au-delà du dispositif CMOS»), il est maintenant largement considéré comme un complément à la technologie CMOS permettant de nouveaux circuits fonctionnels. Toutefois, la faible température de fonctionnement et la fabrication incompatible avec le procédé CMOS ont été des contraintes majeures pour l'intégration SET avec la technologie FET industrielle. Cette thèse répond à ce problème en combinant les technologies CMOS de dimensions réduites, SET et SAT par le biais d'un schéma d'intégration unique afin de fabriquer des transistors « Trigate » nanofil. Dans ce travail, pour la première fois, un SET fonctionnant à température ambiante et fabriqués à partir de technologies CMOS SOI à l'état de l'art (incluant high-k/grille métallique) est démontré. Le fonctionnement à température ambiante du SET nécessite une île (ou canal) de dimensions inférieures à 5 nm. Ce résultat est obtenu grâce à la réduction du canal nanofil ‘‘trigate'' à environ 5 nm de largeur. Une étude plus approfondie des mécanismes de transport mis en jeu dans le dispositif est réalisée au moyen de mesures cryogéniques de conductance. Des simulations NEGF tridimensionnelles sont également utilisées pour optimiser la conception du SET. De plus, la cointégration sur la même puce de MOSFET FDSOI et SET est réalisée. Des circuits hybrides SET-FET fonctionnant à température ambiante et permettant l'amplification du courant SET jusque dans la gamme des milliampères (appelé «dispositif SETMOS» dans la littérature) sont démontrés de même que de la résistance différentielle négative (NDR) et de la logique à valeurs multiples. Parallèlement, sur la même technologie, un transistor à atome unique fonctionnant à température cryogénique est également démontré. Ceci est obtenu par la réduction de la longueur de canal MOSFET à environ 10 nm, si bien qu'il ne comporte plus qu'un seul atome de dopant dans le canal (diffusée à partir de la source ou de drain). A basse température, le transport d'électrons à travers l'état d'énergie de ce dopant unique est étudié. Ces dispositifs fonctionnent également comme MOSFET à température ambiante. Par conséquent, une nouvelle méthode d'analyse est développée en corrélation avec des caractéristiques à 300K et des mesures cryogéniques pour comprendre l'impact du dopant unique sur l'échelle MOSFET à température ambiante. / Continuous scaling of MOSFET dimensions has led us to the era of nanoelectronics. Multigate FET (MuGFET) architecture with ‘nanowire channel' is being considered as one feasible enabler of MOSFET scaling to end-of-roadmap. Alongside classical CMOS or Moore's law scaling, many novel device proposals exploiting nanoscale phenomena have been made either. Single Electron Transistor (SET), with its unique ‘Coulomb Blockade' phenomena, and Single Atom Transistor (SAT), as an ultimately scaled transistor, are prime nanoelectronic devices for novel applications like multivalued logic, quantum computing etc. Though SET was initially proposed as a substitute for CMOS (‘Beyond CMOS device'), it is now widely considered as a compliment to CMOS technology to enable novel functional circuits. However, the low operation temperature and non-CMOS fabrication process have been major limitations for SET integration with FET. This thesis makes an effort at combining scaled CMOS, SET and SAT through a single integration scheme enabling trigate nanowire-FET, SET or SAT. In this work, for the first time, fabrication of room temperature operating SET on state-of-the-art SOI CMOS technology (featuring high-k/metal gate) is demonstrated. Room temperature operation of SET requires an island (or channel) with dimensions of 5 nm or less. This is achieved through reduction of trigated nanowire channel to around 5 nm in width. Further study of carrier transport mechanisms in the device is carried out through cryogenic conductance measurements. Three dimensional NEGF simulations are also employed to optimize SET design. As a step further, cointegration of FDSOI MOSFET and SET on the same die is carried out. Room temperature hybrid SET-FET circuits enabling amplification of SET current to micro-ampere range (proposed as ‘SETMOS device' in literature), negative differential resistance (NDR) and multivalued logic are shown. Alongside this, on the same technology, a Single Atom Transistor working at cryogenic temperature is also demonstrated. This is achieved through scaling of MOSFET channel length to around 10 nm that enables having a single dopant atom in channel (diffused from source or drain). At low temperature, electron transport through the energy state of this single dopant is studied. These devices also work as scaled MOSFETs at room temperature. Therefore, a novel analysis method is developed correlating 300 K characteristics with cryogenic measurements to understand the impact of single dopant on scaled MOSFET at room temperature.

Introduktion: En god följsamhet till rätt handhygien- och klädrutiner minskar risken för smittspridning. En av operationspersonalens viktigaste uppgifter är att förebygga infektioner. Följsamhet till handhygien- och klädrutiner skyddar både patient och personal från infektioner.   Syfte: Att undersöka och sammanställa operationspersonalens följsamhet till kläd– och handhygienrutiner på operationsavdelning.                                                                             Metod: En deskriptiv systematisk litteraturstudie utfördes, där databaserna PubMed, Cinahl och ScienceDirect genomsöktes. Efter granskning och analys valdes tio vetenskapliga artiklar ut att inkluderas i resultatet, fem med hög kvalitet och fem med medelhög kvalitet.                                         Resultat: Fungerande följsamhet till handhygien- och klädrutiner kunde bero på god information angående rutinerna. Personalen hade god följsamhet till att avlägsna smycken innan de gick in på operationsavdelningen. Bristande följsamhet till handhygien- och klädrutiner på operationssal var exempelvis otillräckligt utförd handdesinfektion samt brister i användandet handskar. Bristerna berodde dels på en negativ inställning och attityd, men även på dålig kunskap om handhygien- och klädrutiner.              Slutsats: Totalt tio vetenskapliga studier togs med gällande kläd- och handhygienrutiner. I dessa upptäcktes brister i handhygien- och klädrutiner men också det som fungerade i rutinerna. Det framkom även skillnader bland operationspersonalens följsamhet till handhygien- och klädrutiner. / Introduction: Good follow-up to proper hand hygiene and clothing routines reduces the risk of infection spread. One of the operational personnel's most important tasks is to prevent infections. Compliance with hand hygiene and clothing routines protects patients and personnel from infections. Aim: To investigate and compile operational personnel compliance with hand hygiene- and clothing routines in the operations department. Method: A descriptive systematic literature study was conducted using the databases PubMed, Cinahl and Science Direct. After examination and analysis, ten scientific studies were selected to be included in the results, five with high quality and five with medium quality.   Results: Functional compliance with hand hygiene and clothing routines could be due to good information about the routines. The staff had good adherence to removing jewelry before entering the operations department. Inadequate compliance with hand hygiene and clothing routines in the operating room were, for example, insufficient hand disinfection and shortcomings in the use of gloves. The shortcomings were due to a negative attitude and attitude, but also to poor knowledge of hand hygiene and clothing routines. Conclusion: A total of ten scientific studies were carried out with current hand hygiene- and clothing procedures. In these, defects were discovered in hand hygiene- and clothing routines, but also in the hygiene routines. There were also differences among operating personnel in compliance with hand hygiene- and clothing routines.

Orientador: José Angelo Barela / Banca: Fabio Viadanna Serrão / Banca: Eliane Mauerberg de Castro / Resumo: O avanço da idade vem acompanhado de muitas alterações estruturais, funcionais e comportamentais. Como um bom desempenho do controle postural depende da integridade dos sistemas sensoriais e motor, as deteriorações que ocorrem nestes sistemas com o envelhecimento poderiam influenciar o desempenho de controle postural em indivíduos idosos. Entretanto, ainda não estão claras quais alterações funcionais nos sistemas sensoriais e motor são provocadas pelo envelhecimento por si só, bem como a relação entre estas alterações e as mudanças no desempenho de controle postural de adultos idosos. Assim, o objetivo deste estudo foi avaliar o desempenho dos sistemas sensoriais e motor e do controle postural de adultos idosos e investigar a relação entre as alterações destes sistemas e o controle postural desta população. Vinte adultos idosos (68,9±3,7 anos) (GAI) e 20 adultos jovens (21,9±2,1 anos) (GAJ) foram submetidos a avaliações sensoriais, motoras e de controle portural. As avaliações sensoriais foram compostas por avaliação visual (acuidade e sensibilidade ao contraste) e somatossensorial (sensibilidade cutânea e sensibilidade ao movimento passivo). As avaliações motoras consistiram de medidas de torque articular e de latência de ativação muscular após perturbação da superfície de suporte. As avaliações de controle postural consistiram de medidas de oscilação corporal durante manutenção da postura ereta (em semi-tandem stance), resolução de conflito sensorial (movimentação discreta de uma sala móvel) e acoplamento entre informação visual e oscilação corporal (movimentação periódica, ...(Resumo completo, clicar acesso eletrônico abaixo) / Abstract: With aging, individuals exhibit several structural, functional and behavioral changes. As a good postural control performance depends on the integrity of the sensory and motor systems, deterioration of these systems occurring with aging could influence the postural control performance of older adults. However, it is still unclear which sensory and motor functional changes are due to aging per se, neither the relationship between these changes and the changes of the performance of postural control in older adults. Therefore, the purpose of this study was to examine the performance of the sensory and motor systems and postural control in older adults and to investigate the relationship between changes in these systems and postural control in this population. Twenty older adults (68,9±3,7 years) (GAI) and 20 young adults (21,9±2,1 years) (GAJ) were submitted to sensory, motor and postural control assessments. Sensory assessments were composed of visual (acuity and contrast sensitivity) and somatosensory assessments (tactile sensitivity of and sensitivity to passive motion). Motor assessments consisted of measurements of joint torque and muscular activity latency after displacement of support surface. Postural control assessments consisted of measuring the body oscillation during maintenance of the upright stance (semi-tandem stance), the resolution of a sensory conflict (discrete movement of a moving room) and the coupling between visual information...(Complete abastract, click electronic access below) / Mestre

No description available.

Falar da humanização é retomar a tradição do ocidente de pensar o lugar que o ser humano ocupa no mundo, nas inter-relações com seus semelhantes, na esfera social e também de saúde, em uma ética e solidariedade. Para uma prática de cuidados humanizada, o início destes cuidados deve ocorrer com o acolhimento do usuário em todos os setores, entre eles o Centro Cirúrgico. Este estudo tem como objetivo geral: compreender o processo de acolhimento no cotidiano da assistência de enfermagem no Centro Cirúrgico a partir da diretriz: acolhimento, ambiência e clínica ampliada da Política Nacional de Humanização. E como objetivos específicos: descrever o acolhimento do usuário durante as práticas cotidianas do cuidado de enfermagem no Centro Cirúrgico; analisar as experiências de acolhimento na perspectiva dos usuários no Centro Cirúrgico durante as práticas cotidianas do cuidado de enfermagem e identificar as estratégias utilizadas durante o cuidado de enfermagem no Centro Cirúrgico que concretizam a viabilização da diretriz: acolhimento, ambiência e clínica ampliada. Para dar conta do estudo selecionamos a abordagem etnometodológica, caráter exploratório. O cenário do estudo foi um hospital da rede estadual do Rio de Janeiro e os dados foram coletados por meio de entrevista semiestruturada realizada com 18 usuários em pós-operatório e observação participante no Centro Cirúrgico. Em seguida submetidos à análise de conteúdo de Bardin, emergindo três categorias: A recepção do usuário no Centro Cirúrgico; caracterização da realização do acolhimento na recepção do Centro Cirúrgico na perspectiva do usuário e estratégias de cuidado direcionadas para ambiência, acolhimento e clínica ampliada. Conclui-se que compreender o processo de acolhimento no cotidiano da assistência de enfermagem somente foi possível pelo compartilhamento de experiências de usuários que utilizaram os serviços da unidade. O cuidado de enfermagem neste ambiente foi identificado a partir de duas práxis: na recepção do paciente para cirurgia eletiva e diferentemente para cirurgia de emergência. O ambiente do Centro Cirúrgico gera no usuário uma gama de sentimentos e há um imaginário em torno do evento cirúrgico e deste espaço. No que se refere à diretriz, o cuidado de enfermagem neste setor atende parcialmente ao que esta estabelecido. Um caminho para a viabilização da PNH e da diretriz: acolhimento, ambiência e clínica ampliada é a educação continuada em serviço que deve não somente dispor da política em sua teoria, mas desenvolver métodos para que a torne concreta e palpável promovendo melhoria no cuidado de enfermagem. / To talk about humanization is to recapture the western tradition of thinking about the place where the human being occupies in the world, about the interrelationship between its fellow human beings, about the social as well as health care sphere, about ethics and solidarity. To a humanized care practice the beginning of this care must occur with the user embracement in all sectors, including the general surgical ward. The main goal of this study is: to comprehend the user embracement process in the everyday of the nurse assistance in the general surgical ward through the directive: user embracement, ambiance and extended general practice from the Política Nacional de Humanização (PNH). As the specific goals: to describe the user embracement during the daily nursing care practice in the general surgical ward; to analyze the user embracement experiences from the perspective from the users in the general surgical ward during the daily nursing care practice and to identify the strategies used during the nursing care in the general surgical ward that make the feasibility of the directive real: User Embracement, Ambiance and Extended General Practice. In order to carry the study through we chose the ethnomethodological approach with an exploratory research design. The study scenario is a Rio de Janeiro States hospital and the data were collected through semi-structured interviews with eighteen participants in post-operative care and participant observation in the general surgical ward. Afterwards they were submitted to the Bardins content analysis, from what three categories emerged: the reception of the user in the general surgical ward; characterization of the execution of the user embracement in the general surgical wards reception from the users perspective and strategies of care oriented towards the ambiance, user embracement and extended general practice. Final considerations: comprehending the user embracement process in the everyday of the nurse assistance was only possible through the sharing of the experiences of the users that used the services of the unit. Nursing care in this environment was identified through two praxes: in the reception of the user to elective surgery and differently to the emergency surgery. The ambiance of the general surgical ward creates in the user a range of feelings and there is an imaginary around the surgical event and this space. About the directive, the nursing care in this sector attends partially what is established. A way to the feasibility of the PNH and the directive: user embracement, ambiance and extended general practice is a lifelong learning in work that must not only employ the politics in its theory, but develop methods in order to make it real and tangible, promoting an improvement in the nursing care.

Muitos dos locais onde as atividades são realizadas nas academias de ginásticas são salas pequenas e fechadas com sistema de climatização artificial, freqüentados por um grande número de alunos realizando seus exercícios e profissionais auxiliando as atividades. Com isso, há uma intensa transpiração desses indivíduos, uma freqüente rotina de limpeza do piso e de equipamentos com pequenos intervalos, possibilitando a alterações da qualidade do ar indoor. O presente trabalho busca mostrar as tendências de variações nos valores das concentrações dos poluentes atmosféricos BTEX em ambiente indoor, especificamente na sala de spinning de uma academia de ginástica do Rio de Janeiro. Para o monitoramento da qualidade do ar foram utilizados cartuchos de carvão ativado SKC, acoplado a uma bomba KNF com vazão de 1l min. Para a extração de cada amostra foi feita a análise cromatográfica com cromatógrafo a gás modelo 6890 acoplado a um espectrômetro de massa modelo 5973 da marca Agilent. Foram analisadas 34 amostras coletadas na salas de spinning durante as aulas com atividades aeróbicas, o que intensificava a respiração dos indivíduos, possibilitando uma maior inalação destes COVs. Em contrapartida, também foram coletadas 5 amostras outdoor, 4 delas pareadas indoor/ outdoor para uma análise comparativa das concentrações destes poluentes. Dentre os compostos orgânicos voláteis analisados, o tolueno é o BTEX mais abundante obtido neste trabalho, representando 81% destes COVs indoor. Todas as amostras medidas em pares indoor/ outdoor tiveram concentrações maiores no interior, exceto para o benzeno no dia 3/12/2010. Simples atividades usualmente realizadas pelo homem, como a inserção de piso emborrachado, manutenção do sistema de climatização artificial, e limpeza podem alterar o ar indoor. As conclusões alcançadas após as medições das concentrações de BTEX foram de que o ar indoor estava mais poluído do que o outdoor. Este monitoramento da qualidade do ar indoor ainda é escasso no Brasil. Alguns esforços tem sido feito em relação a ambientes confinados como a Portaria n˚3523 do Ministério da Saúde, regulamentando o controle dos ambientes climatizados e a Resolução n˚9 da Agência Nacional de Vigilância Sanitária, além da Resolução CONAMA n ˚3 estabelecendo padrões de qualidade do ar para alguns compostos químicos, porém muitos compostos químicos ainda não são legislados ou não possuem a devida atenção, não sendo suficientes para contemplar a complexidade do assunto / In many gyms work-out activities take place in small enclosed rooms where the climate is controlled artificially. Normally, those rooms are full of students doing their workout and trainers helping them. Intense human transpiration requires a frequent floor and equipment cleaning routine. This routine, performed at short intervals can affect the indoor air quality. This study is aimed at showing varying concentration levels of the BTEX air pollutant at a gym in Rio de Janeiro, Brazil, specifically the spinning room. To monitor the air quality, activated charcoal cartridges (SKC) were used, coupled to a KNF pump with a flow rate of 1l min. For the extraction of each sample, a gas chromatographic analysis machine model 6890 was used coupled to an Agilent mass spectrometer model 5973. We analyzed a total of 34 air samples collected in the spinning room during active aerobic classes; the increased respiration from the subjects allow for a greater inhalation of VOCs. In Contrast, five samples were also collected outdoors; four of them were paired indoor / outdoor for comparative analysis of these pollutants. Among the volatile organic compounds analyzed, toluene was the most abundant BTEX found in this study, representing 81% of indoor VOCs. In all the indoor / outdoor paired samples, the concentration was higher in the interior samples, with one exception, benzene on 3/12/2010. Simple changes that can easily be done by man, such as the installation of rubberized flooring, regular maintenance of the air acclimatization equipment, and general cleanliness can greatly affect the indoor air quality. The conclusion achieved after looking at the BTEX measurements was that the indoor air was more polluted than the air outdoors. This air quality monitoring is still scarce in Brazil. Some efforts have been made in relation to confined spaces such as Ordinance n˚ 3523 from the Ministry of Health, which regulates the air of air-conditioned environments and Resolution n˚ 9 of the National Agency for Sanitary Vigilance, as well as Resolution CONAMA n˚ 3 by setting standards for air quality for some chemical compounds, unfortunately many chemical compounds are not yet legislated or receive proper attention in this matter, therefore not giving this indoor air pollution matter enough grounds to address the complexity of the subject

Introdução: As morbidades e mortalidade relacionadas ao uso de medicamentos (MRM) representam um desafio para a saúde pública e são consequências da utilização não efetiva e insegura dos medicamentos. Estudos internacionais mostram como as MRM afetam pacientes internados no hospital e como podem ser evitadas na maioria dos casos. Entretanto, pouco é conhecido sobre as MRM na prática ambulatorial. Estas pesquisas têm abordado as consequências clínicas negativas para os usuários de medicamentos e sugerem que vultosas somas de recursos financeiros são utilizadas para manejar e resolver estas morbidades ao redor do mundo. Já no Brasil, o conhecimento sobre as MRM é escasso em ambas perspectivas e o seu impacto econômico é desconhecido. Objetivo: O propósito desta Tese foi obter uma estimativa sobre os gastos com morbidade e mortalidade associadas ao uso de medicamentos no Brasil, utilizando modelos farmacoeconômicos (teórico e empírico). Métodos: Foram considerados como morbidades relacionadas a medicamentos os novos problemas de saúde advindos da utilização de uma farmacoterapia (por exemplo, reações adversas, dependência a medicamentos e intoxicação por overdose) e as falhas terapêuticas (por exemplo, efeito insuficiente dos medicamentos e problemas de saúde não tratados). Foram conduzidos dois estudos utilizando abordagens distintas (bottom up e top down) na coleta de dados sobre custos. O primeiro estimou, por meio da análise do tipo microcosting, os custos para resolução de Morbidades Relacionadas a Medicamentos em casos identificados no serviço de emergência de um hospital universitário. Resultados: O custo médio para tratar cada um desses pacientes é de aproximadamente R$ 2.200. Reações adversas a medicamentos, falta de adesão à farmacoterapia e problemas resultantes da administração de doses incorretas foram as causas mais prevalentes das morbidades. No segundo estudo, um modelo do tipo cost-of-illness foi traduzido e adaptado para a realidade brasileira, e então um painel com especialistas (farmacêuticos e médicos) foi realizado para estimar a proporção de pacientes que experimentam uma MRM, a proporção de MRM evitáveis e as consequências clínicas resultantes desta morbidade. A partir disto, o custo das MRM para o sistema de saúde brasileiro foi modelado, baseado em estatísticas nacionais sobre o consumo de serviços de saúde. Os especialistas julgaram as morbidades relacionadas a medicamentos como um evento bastante frequente. De acordo com esta estimativa central, as MRM seriam responsáveis por um uso considerável de recursos, podendo chegar a 23% do orçamento público anual total destinado à saúde no Brasil. Para cada real gasto com medicamentos, pelo Ministério da Saúde no Brasil, cinco reais seriam gastos para resolver as MRM. Da mesma forma foi verificado que mais da metade dos casos seriam evitáveis. Conclusão: As MRM são, de fato, um problema de ordem econômica-orçamentária, clínica e humanística para os usuários de medicamentos e para o sistema de saúde brasileiro, e que é imperiosa a criação de políticas públicas e ações capazes de evitar os danos gerados pelo uso não racional de medicamentos, garantir a segurança dos pacientes, bem como uma melhor alocação de recursos em saúde. / Introduction: Drug related morbidities and mortality (DRM) is a challenge to public health due to the consequences of ineffective and unsafe medicines use. It is well known that the DRM are common among hospitalized patients, and are preventable to some extent, but little is known about DRM outside the hospital. In Brazil, the knowledge on the subject is scarce and its economic impact is unknown. However, international studies suggest that DRM result in considerable amounts of financial resources to manage and resolve these morbidities around the world and the negative clinical consequences for those who use medicines. Aim: In this thesis, the drug related morbidities include: new medical problems arising from the pharmacotherapy (adverse effects, addiction to drugs and intoxication by overdose) and therapeutic failure (e.g. insufficient drug effect and untreated health problems). Methods: Two studies were conducted using different methodologies. The first study was a cross-sectional study, based on a microcosting analysis, where patients admitted to a teaching hospital emergency were identified in order to determine the proportion of people seeking health services due to a DRM, and, consequently, to obtain the cost for manage these patients. Results: It was observed that 14.6% of patients visiting an emergency service, do so because of a DRM and the average cost to treat each of these patients is approximately R$ 2,000. Adverse drug reactions, lack of adherence to pharmacotherapy and problems resulting from the administration of incorrect doses were the most prevalent causes of morbidity. In the second study, a cost-of-illness model was translated to portuguese and adapted, and then a panel of experts (pharmacists and physicians) was conducted to estimate the proportion of patients experiencing DRM, the proportion of preventable DRM, and the negative outcomes resulting from this morbidity. From this, the DRM cost for the Brazilian Health System was modeled, based on national statistics on the consumption of health services. Experts have judged drug-related morbidities to be a fairly frequent event. According to central estimate, the DRM would be responsible for a considerable use of resources, being able to reach 23% of the total annual public health budget in Brazil. For each real (R$ 1,00) spending on medicines, by the Brazilian Ministry of Health, five reais (R$ 5,00) would be spent to manage the DRM. Likewise, in this study it was also verified that more than half of the cases would be avoidable. In the second, a panel of experts (pharmacists and physicians) was performed to estimate the proportion of patients experiencing an DRM, DRM preventable ratio and the clinical consequences of this morbidity. From this, the cost of DRM for the Brazilian health system was modeled, based on national statistics on the consumption of health services. Conclusion: Based on these and many other results presented in this thesis, it is concluded that the DRM are indeed, an economic, clinical and humanistic issue for those who use medicines and to the Brazilian health system, and that is overriding the establishment of public policies and actions to prevent the damage caused by the non-rational use of medicines to ensure patient safety and to the best allocation of health resources.

Abstract Purpose and research question The purpose of the study is to clarify the role and significance of mind marketing in hotel rooms to strengthen the hotel brand. What does sense marketing mean today in hotel rooms? In what way can sense of mind in hotel rooms influence the brand identity? Method The essay is written in a qualitative research method with abductive elements. The empirical material consists of six semistructured interviews with eight respondents. Conclusion The study results show that the hotel room has an influence on the hotel brand. The hotel is an organization with several sectors and, in the experience of the guest, each sector is tasked with sending an emotional message. Sensory marketing is implemented in hotel rooms for an effective method used to convey a message and to create experiences. The hotel industry wants to offer a service that makes the guests happy and create positive memories. It is the clearest method of differentiating from other hotels which has an influence over the brand. Keywords Sensory marketing, Brand, Image, Identity, Service landscape, Hotel, Hotel room

abstract: Hotel amenities and their influence on consumer choice have been extensively studied by academics. These have largely focused on consumer preferences vacation modes and the psychographic characteristics of travelers. Revenue managers make practical use of this information by attempting to match available hotel rooms with traveler demands for accommodations, setting prices that maximize profits for the hospitality company. The experienced revenue manger is able to determine the most profitable price schedule for a room types across many distribution channels. This study was conducted to test the use of choice modeling for objectively assessing dollar values of three basic amenities for consumers (room type, kitchen availability and price). Researcher used paired comparisons modeled as a conditional logit. This study used market segmentation and choice modeling to determine the value of amenities for an aggregate group and 16 more homogenous groups. Market segmentation and choice modeling allowed this study to segment markets into more homogenous groups, and by doing that allowed for calculation of customer willingness to pay for additional amenities. Results from this study confirm that customers are willing to pay for kitchen $65.43 on top of their room value. All responders generally agree to liking an extra bedroom in their hotel room and they are willing to pay $37.39 more than for a studio room. A surprising result is that it seems based on the results that responders generally do not like to have a second bedroom and they are not willing to pay for it. By knowing customer willingness to pay, it can be assured that customers always feel they are getting a high value out of the transaction and increase the likelihood of future transactions. The significance of this research is the concrete numbers that can be, and already have been, applied immediately in the hospitality industry, and is positively impacting business revenue and customer experience. / Dissertation/Thesis / M.S. Community Resources and Development 2014