Submitted by ROGERIO BAPTISTA TEIXEIRA FERNANDES (rogeriobteixeira@yahoo.com.br) on 2016-04-25T21:50:10Z No. of bitstreams: 1 EBAPE Dissertação MAP Turma Intensiva Rogerio Fernandes PDF.pdf: 709868 bytes, checksum: 58f8d5750c16cdab6971c0c2bc1d8cad (MD5) / Approved for entry into archive by ÁUREA CORRÊA DA FONSECA CORRÊA DA FONSECA (aurea.fonseca@fgv.br) on 2016-04-29T15:34:19Z (GMT) No. of bitstreams: 1 EBAPE Dissertação MAP Turma Intensiva Rogerio Fernandes PDF.pdf: 709868 bytes, checksum: 58f8d5750c16cdab6971c0c2bc1d8cad (MD5) / Approved for entry into archive by Marcia Bacha (marcia.bacha@fgv.br) on 2016-05-09T14:48:55Z (GMT) No. of bitstreams: 1 EBAPE Dissertação MAP Turma Intensiva Rogerio Fernandes PDF.pdf: 709868 bytes, checksum: 58f8d5750c16cdab6971c0c2bc1d8cad (MD5) / Made available in DSpace on 2016-05-09T14:49:08Z (GMT). No. of bitstreams: 1 EBAPE Dissertação MAP Turma Intensiva Rogerio Fernandes PDF.pdf: 709868 bytes, checksum: 58f8d5750c16cdab6971c0c2bc1d8cad (MD5) Previous issue date: 2015-12-21 / The reimbursement to the Unified Health System (SUS), created by Law No. 9.656 of 1998, showed impressive results in the period 2011-2014, compared to the period 2007-2011. This exploratory study analyzes the reimbursement to the SUS, its origin, legal support, juridical basis, organization, functioning, operating performance and effectiveness, focusing on results achieved in the period 2011-2014. In order to accomplish, the author relied on previous studies, official documents and reports, legislation, judgments of the Court of Audit and lawsuits filed before the Supreme Court. The analysis indicates that the results achieved in the last four years are promising, reflecting a favorable scenario for the consolidation of reimbursement to SUS as an important regulatory instrument for the supplementary health sector. / O ressarcimento ao Sistema Único de Saúde (SUS), criado pela Lei n. 9.656, de 1998, apresentou resultados expressivos no período 2011-2014, em contraposição ao período 2007-2010. O presente estudo, de caráter exploratório, buscou analisar o ressarcimento ao SUS, sua origem, base legal, fundamentação jurídica, organização, funcionamento, desempenho operacional e efetividade, com foco nos resultados alcançados no período 2011-2014. Para isso, o autor apoiou-se em estudos anteriores, em documentos e relatórios oficiais, na legislação em vigor, nos acórdãos do Tribunal de Contas da União e nas ações ajuizadas perante o Supremo Tribunal Federal. As análises efetuadas indicam que os resultados alcançados nos últimos quatro anos são promissores, refletindo um cenário favorável à consolidação do ressarcimento ao SUS como um importante instrumento de regulação para o setor de saúde suplementar.

Made available in DSpace on 2010-04-20T20:51:29Z (GMT). No. of bitstreams: 3 46936.PDF.jpg: 14016 bytes, checksum: 0ab1894383e90ee689f540f62ef69f55 (MD5) 46936.PDF: 1030386 bytes, checksum: 3e452fb919f46f0d69ed8daab2e913e1 (MD5) 46936.PDF.txt: 299878 bytes, checksum: 3f4efdb87e7ff618edcf87a19ea06ee2 (MD5) Previous issue date: 2005-12-13T00:00:00Z / This dissertation focus on the analysis of supply hospital services and its utilization in the philanthropic hospitals in the city of Piracicaba between the years 2000 and 2004. The data was obtained by structured questionnaires and personal interviews made with hospital administrators, SES-SP Regional Director, and the Municipal Health Secretary of Piracicaba. The supply hospital services was measured by bed numbers, diversity and quantity of available biomedical equipment and Human Resources, and its utilization was measured by internments, surgeries and diagnosis tests, besides the indicators occupation rate and average length of stay. The characterization of financing sources was obtained by the hospital income distribution among SUS, private health care plans and other resources. These two philanthropic hospitals of the city are the only ones to serve SUS patients and in the regional area composed of 26 cities with a population of 1.377.753 inhabitants, there is only one small Municipal Hospital. 56% of the inhabitants in the city are covered by some private health plan, an average superior to Brazil’s average and São Paulo State average, denoting a strong presence of private financing. The results show that the supply hospital services in these establishments had little evolution in the period, with the increase of SUS beds and decrease of beds used by private health care plans and limited biomedical equipment growth. The analysis of average length of stay indicator by financier detailed by diagnostic groups of CID 10 revealed important differences that could limit the SUS services utilization. In the analysis period, the hospital services served besides Piracicaba, other 242 cities of different country states. For the interviewed people, even though the Municipal District showed small increase in bed and supply equipment, there still is a lack to serve the existing demand. The excess of cardiologic services was mentioned, mainly due to the transference of some cardiac procedures to University Hospitals, which should reduce the use od this service by the SUS in the Region. The interviewed people are aware of the presence of trend towards outpatient care and de-hospitalization movement due to incorporation of new technologies and medical procedures, cut in cost and the expansion of day-hospital services in the city.The selection of the most important indicators made by interviewers people was composed by the occupation rate, hospital infection rate, average length of stay and the number of surgeries made. There are two vacancy control centers, the Regional Health Direction DIR XV and the Municipal District, this last one being responsible for the urgent internment authorization of other cities at the Piracicaba hospitals. / A dissertação versou sobre a análise da oferta de serviços hospitalares e sua utilização nos hospitais filantrópicos no Município de Piracicaba no período de 2000 a 2004. Os métodos de coleta de dados utilizados foram por meio de questionários estruturados e de entrevistas com os administradores dos hospitais, da diretora responsável pela Direção Regional da SES-SP e do Secretário Municipal de Saúde de Piracicaba. A oferta de serviços hospitalares foi medida por meio do número de leitos, diversidade e quantidade de métodos diagnósticos disponíveis e recursos humanos, e sua utilização foi medida por meio das internações, cirurgias e exames de diagnóstico além dos indicadores taxa de ocupação e tempo médio de permanência. A caracterização das fontes de financiamento foi obtida pela distribuição das receitas dos hospitais entre o SUS, Planos de Saúde e outras fontes. Os dois hospitais filantrópicos do município são os únicos a fazerem atendimento SUS, e na área da Direção Regional, composta de 26 municípios com uma população de 1.377.753 habitantes, há apenas um único hospital municipal de pequeno porte. O município tem uma cobertura de 56% de habitantes vinculados a algum plano de saúde, media superior à do Brasil e do Estado de São Paulo, denotando forte presença do financiamento privado. Os resultados mostraram que a oferta de serviços hospitalares nesses estabelecimentos teve pequena evolução no período, com aumento de leitos SUS e redução de leitos utilizados por planos de saúde/particulares e limitado incremento de equipamentos. A análise do indicador tempo médio de permanência por financiador, detalhado por grupos de diagnósticos da CID 10, revelou diferenças importantes que podem limitar a utilização dos serviços pelo SUS. No período de análise, a prestação de serviços hospitalares atendeu além de Piracicaba outros 242 municípios de diversos estados do país. Na visão dos entrevistados apesar do município ter apresentado tímido incremento na oferta de leitos e equipamentos, ainda há carência para atender a demanda existente. O excesso de oferta de serviços de cardiologia foi mencionado, mormente devido a transferência de alguns procedimentos cardíacos para hospitais universitários, o que deve reduzir a utilização desse serviço pelo SUS no município. É percebida pelos entrevistados a presença dos movimentos de ambulatorização e desospitalização devido a incorporação de novas tecnologias e procedimentos médicos, à redução de custos e à expansão de serviços de hospital-dia no município. A seleção de indicadores mais importantes pelos entrevistados foi composta pela taxa de ocupação, taxa de infecção hospitalar, tempo de permanência e o número de cirurgias realizadas. Existem duas centrais de regulação de vagas, a da direção regional de saúde DIR XV e a do município, sendo esta última a responsável pelas autorizações de internação de urgência de outros municípios nos hospitais da cidade.

The prevalence of Protein-Energy Malnutrition (PEM) in South Africa has been welldescribed in previous research studies and yet little is known about the nutritional status of toddlers in the Vosloorus Township. Using the research questions as the conceptual framework for the study, an exploratory descriptive survey was conducted to determine. • What factors give rise to malnutrition in the Vosloorus Township? • Why do toddlers on the PEM Programme fail to achieve their expected target weight? Data was collected by means of structured interviews from a sample of 50 mothers in the Vosloorus Township whose toddlers were on the PEM Programme. The fmdings indicated that the poor socio-economic conditions of the majority of households, especially unemployment, low levels of education and ignorance, contributed towards the development of malnutrition amongst toddlers and their failure to thrive on the PEM Programme. Recommendations to reduce levels of malnutrition and transform existing nutrition programmes were made. / Health Studies / M.A. (Nursing Science)

O monitoramento da razão Z de duas variáveis através de gráfico de controle tem sido um tema recentemente explorado na literatura. Para analisar mais o assunto, o estudo avalia a eficiência e viabilidade de aplicação dessa ferramenta como suporte na tomada de decisão para gerenciamento de capacidade de mão de obra de retaguarda (doravante mencionado como Backoffice) de serviço de empresa do setor bancário. Tradicionalmente, gráficos de controle tem sido utilizados para monitorar o processo produtivo de manufaturas, mas recentemente tem sido adotado para monitoramento de alguns serviços. Apesar de ainda seguir muitos conceitos pioneiros na manufatura, a atividade do setor de serviços apresenta suas particularidades como, por exemplo, a impossibilidade de gerar estoque. Assim, a necessidade de adequar seus recursos à demanda torna-se essencial, sendo fundamental a gestão de controles e sua urgência para que possa reagir rapidamente em caso de variação de demanda e adequar sua capacidade. Em um cenário de restrição de recursos, planejar é crucial para evitar desperdícios e garantir eficiência. O objetivo deste estudo é apresentar o gráfico de controle como ferramenta para monitorar a razão de duas variáveis aleatórias: a demanda e a mão de obra em Backoffice de serviço em um banco. Nesse trabalho, gráfico de controle de Shewhart tradicional e gráfico de controle de Shewhart com regras suplementares são analisados e os resultados obtidos confirmam a possibilidade de utilização da ferramenta de gráficos de controle para o gerenciamento e adequação de mão de obra para atender a demanda. O monitoramento da razão (demanda/ mão de obra) ajudará o gestor a alocar adequadamente o time (mão de obra) de acordo com a demanda e a capacidade produtiva. Como contribuição, o estudo avalia o comportamento da razão Z = X/Y em situação de alta variabilidade da variável X e baixa variabilidade da variável Y . / The monitoring of the ratio Z of two variables through control chart has been recently explored in the literature. This study analyses the efficiency and viability of this tool as a support to the manager\'s decision in capacity management of a Backoffice service in a business banking service. Traditionally, control charts have been used to monitoring production process in manufacturing companies, but recently it has been adopted in monitoring some classes of services. Although many pioneering definitions developed for manufacturing are still applied in the service activities, the service industry has some particularities as the impossibility to generate stock, for example. Thus, the need to adapt the resources of manpower to attend the demand becomes essential mainly in a current financial global crisis, with resource constraints. The control management is fundamental and urgent to plan a fast reaction to adequate its capacity in case of a large demand variation. Thus, monitoring is crucial to avoid vast and ensure efficiency. The aim of this paper is to present a control chart to monitor the ratio of the two random quantities: the demand and the labor of a Backoffice service in a business banking service. In this paper, traditional Shewhart and Shewhart with supplementary rules control charts are considered and the results confirmed the possibility to apply the control charts to help the management to adequate the manpower in order to attend the demand. The monitoring of the ratio (demand/manpower) will help the manager to allocate adequately the team (the manpower) according to the demand and the production capacity. The contribution of this study is the analysis of the behavior of the ratio Z = X/Y in situation of large variability of the variable X and low variability of the variable Y .

The aim of the diploma thesis is to design, structural check of rainforced elements. The slab, column, wall and staircase is desinged. The internal forces are obtained from Finite Element Method and are checked with the supplementary frame method. The design of elements is based on internal forces form FInite Element Method. Service limite state is check for the slab. All calculations were performed in accordance with valid standard.

La démographie et les modes de vie ont considérablement évolué au cours des dernières décades. De tels changements sont destinés à influencer la conception de l’habitation et ils incluent notamment une série de besoins émergents: s’en suivent des besoins additionnels en espace pour répondre à l’arrivée de ces activités additionnelles au niveau du logement. La planification en vue de répondre à ces besoins émergeants constitue le principal thème de la présente thèse. Dans le cas de la maison unifamiliale détachée, le sous-sol est disponible pour offrir des espaces appropriés à ces besoins émergents. Par contre, une telle ressource n’est normalement pas présente dans le cas d’un édifice multifamilial. La thèse propose un espace additionnel spécifique en vue de répondre à ces besoins émergents : l’espace supplétif. Même si un tel espace n’est pas envisagé dans les publications du domaine, des précédents existent quant à sa présence en planification multifamiliale. Le but de la présente étude est d’offrir des lignes directrices quant à la conception et l’intégration d’un tel espace supplétif. Elle va s’appuyer sur l’approche systémique en raison de la logique de déduire la solution à partir d’une analyse de l’objectif. L’application de l’approche systémique implique donc que tous les critères correspondant à la nature spécifique de l’espace supplétif seront extrapolés à partir de l’objectif. Dans le cas la présente étude, ce sont les critères du bureau à domicile qui seront d’abord précisés car il s’agit de l’activité émergente la plus exigeante. Les critères seront traités comme vecteurs d’un modèle générique indicatif de la manière d’organiser l’espace supplétif. Ce modèle visera le bureau à domicile en vue d’offrir les solutions pertinentes et il se concentrera principalement sur les critères d’intimité visuelle et spatiale. La contribution du modèle sera de suggérer des lignes directrices en vue d’incorporer l’espace supplétif à l’intérieur des édifices résidentiels de type multifamilial, ce que la planification conventionnelle n’offre pas. C’est le concept d’adaptabilité qui est à la base de toute stratégie visant à permettre le changement en architecture et en habitation, d’autant plus lorsqu’il s’agit d’un espace supplétif. À cet effet, l’espace supplétif va recourir à l’approche Open Building afin d’appliquer le concept d’adaptabilité, en raison de ses avantages majeurs tant au niveau conceptuel que constructif. Différentes applications de l’approche Open Building, telles que le projet NEXT21 et le protocole KSI (Kikou support and Infill), offrent des exemples susceptibles de constituer d’efficaces lignes directrices pour la conception d’un espace supplétif. La faisabilité du modèle d’espace supplétif proposé est vérifiable et démontrable dans le monde réel. Les systèmes constructifs industrialisés sont en mesure de permettre le changement sans démolition car leurs joints mécaniques « à sec » rencontrent généralement les normes DfD (Design for Disassembly), non seulement en ce qui concerne l’espace supplétif mais pour l’ensemble du logement. / Demographics and lifestyles have changed considerably in the past few decades. These changes are bound to influence the design of housing and they notably include a series of emerging needs: additional spatial needs due to additional activities brought to the traditional housing premises. Planning for those emerging needs is the main theme of this thesis. In a typical single-family detached house, the basement is available to accommodate the spatial requirements for these emerging needs. However, such a provision does not typically exist in multi-family housing. This thesis proposes a specific additional space to accommodate these emerging needs: the supplementary space. Although such a space has not been explored in the literature, there are precedents for its application in multi-family floor planning. The objective of this study is to provide guidelines for the design and the integration of this supplementary space. It relies on the systems approach as the design-decision methodology due to its logic of deducting the solution from the analysis of the objective. Applying the systems approach means that all the criteria corresponding to the specific purpose of the supplementary space will be extrapolated from the objective. However, once the supplementary space is being used to deal with emerging needs, it will then introduce its own relevant criteria. This study will start with the criteria for designing a home office because this is the most demanding emerging needs activity. The criteria are organized as vectors of a generic model indicating how the supplementary space can be formulated. The model will target the workplace at home and subsequently offer solutions to them. This study focuses on the planning provisions dealing mainly with visual and spatial privacy. The overall outcome of the model is to suggest guidelines to incorporate the supplementary space within multi-family residential buildings, a feature not offered in traditional planning. The concept of adaptability is the key design strategy to accommodate change in architecture and housing, even more in the case of a supplementary space. Therefore, the supplementary space model will apply the concept of adaptability through the Open Building (OB) approach; elaborating more on the practical design and construction features. Different OB applications, such as the NEXT21 project and the KSI (Kikou Support and Infill) protocol in Japan, are examples that can be used as efficient guidelines to design a supplementary space. The feasibility of the supplementary space model can be validated and served in the real world. Industrialized building systems are capable of accommodating change without demolition as their dry mechanical joints are generally at meeting the DfD (design for disassembly) standards, not only for the supplementary space but also for the whole dwelling unit.

Předložená magisterská práce se zabývá možným použitím vitrifikovaného lignitového lóžového popele jako náhrada slinku v kompozitních cementech. Byly zkoumány vlivy přidaného vitrifikovaného lóžového popele, jeho jemnosti, alkalických roztoků a jejich koncentrací. Byly připraveny kompozitní cementy v souladu s normou DIN EN 197 – 1. V těchto cementech bylo nahrazeno 30 % slinku vitrifikovaným lóžovým popelem. Konkrétně byly připraveny kompozitní cementy s vitrifikovaným lóžovým popelem o jemnosti 5549 cm2/g a 8397 cm2/g. Dále byly přidány alkalické roztoky hydroxidů a síranů vždy o dvou různých koncentracích, za účelem stimulace pucolánové a/nebo geopolymerní reakce. Mechanické vlastnosti připravených vzorků byly charakterizovány mechanickým testováním na prizmách s rozměry 40×40×160 mm, jak je specifikováno v normě DIN EN 196 – 1. Byla provedena nedestruktivní měření dynamického elastického modulu a destruktivní testovaní na pevnosti v tlaku a v ohybu. Distribuce velikosti částic a chemická analýza vstupních materiálů byla vykonána pomocí laserové granulometrie a rentgenové fluorescence. U zatvrdlých kompozitů bylo dále zkoumáno po 2 a 28 dnech hydratace fázové složení s využitím metody rentgenové difrakce a mikrostruktura s využitím skenovací elektronové mikroskopie. Výsledky ukázaly, že mechanické vlastnosti jsou nezávislé na množství přidaných alkálií stejně jako na jemnosti přidaného vitrifikovaného lóžového popele. Nicméně, znatelně nižší mechanické pevnosti byly pozorovány pro vzorky, které byly aktivovány hydroxidy, pravděpodobně kvůli brzké tvorbě silikátového hydrogelu. Vzorky aktivované sírany nedosáhly pevností jako referenční malta.

Mayotte département d’outre-mer français depuis 2011, fait partie de l’archipel des Comores ; elle est séparée des îles de l’État de l’Union des Comores depuis 1975. L’instauration d’un visa en 1995 et l’ordonnance n° 2002-688 du 12 juillet 2004 entréeen vigueur le 1er avril 2005 relative à l’extension de la sécurité sociale à Mayotte exclut les malades étrangers du système de santé mahorais. Ceci entraine des processus d’évacuation sanitaire par la voie d’une immigration clandestine qui provoque des naufrages et des violations des droits du patient. L’attrait de Mayotte et de la France métropolitaine pour les populations défavorisées occasionne des situations de conflits et de concurrence pour l’accès à la protection sanitaire et sociale. Les populations défavorisées de Mayotte, qui se battent pour combler leur retard par rapport à la métropole, vivent mal cette concurrence ; tandis que les populations immigrées vivant dans la clandestinité et sous la menace d’une expulsion imminente, rencontrent des difficultés pour faire valoir leur droit aux soins et au bénéfice à l’assistance du système social. Les obstacles sont nombreux et souvent considérables, dus notamment à la discrimination, à une disparité de difficultés sociales et économiques et à leurs conditions de vie généralement très difficiles. La maîtrise des flux migratoires et la lutte contre l’immigration irrégulière demeurent des priorités de la politique du gouvernement français en matière d’immigration. Laspécificité de la situation du département de Mayotte ainsi que l’importance des flux migratoires qui y sont constatés ont conduit les autorités sanitaires à gérer les flux migratoires liés aux évacuations sanitaires par la voie illégale. La France mène une politique sanitaire en continuant de soutenir l’Union des Comores dans l’amélioration de l’accessibilité et de laqualité des soins, à travers les programmes d’appui au secteur de la santé. Ces programmes auront pour finalité l’amélioration de la santé des mères et des enfants, notamment la réduction des mortalités maternelle et néonatale. La France à travers son organisme Agence française de développement (AFD) entend appuyer le ministère de la Santé dans l’élaboration et la mise en oeuvre des politiques publiques et contribuer au renforcement du cadre institutionnel et juridique du secteur. Il s’agira notamment d’appuyer l’État comorien dans la mise en place de mécanismes de régulation du service privé dans le secteur public et de réformer la pharmacie nationale. Cette recherche pointe les enjeux liés au droit de la protection sociale et au droit de la santé des étrangers sur le territoire national, aussi bien en France métropolitaine qu’à Mayotte. La diversité des droits nationaux applicables à Mayotte constitue une entrave sérieuse face aux dispositifs locaux relatifs à l'accompagnement sanitaire et social. Il est donc indispensable de chercher des solutions juridiques relatives à l’uniformisation de ce droit sanitaire et social afin d’améliorer le système de santé. Les résultats de cette recherche ont montré que les dispositifs locaux tels que le « bon rose » et le « bon AGD » ne sont pas du tout équivalents aux dispositifs nationaux (l'AME et la CMUc). / Mayotte a French overseas department since 2011, is part of the comorian archipelago from which it was separated from the State of Union of the Comoros islands since 1975. The introduction of a visa in 1995 and the order n° 2002-688 delivered on 12 july 2004 and entered into force on April 1st 2005 with regard to the extension of social security in Mayotte exclude the foreign sick from Mayotte's health system. This leads to a process of medical evacuation following an illegal immigration way that causes shipwrecks and the violation of the patient's rights. The attraction of Mayotte and Mainland France for disadvantaged populations lead to conflict situations and competition in the access to health and social protection. Mayotte's disadvantaged populations, who are struggling to catch up with the mainland, do not get along with that competition. At the same time the illegal immigrants living clandestinely and with the threat of expulsion are facing difficulties to assert their right to health care and to benefit from social system assistance. Obstacles are numerous and most of the time considerable, mainly because of discrimination, because of their judicial status, of disparity in their social and economical difficulties and because of their generaly very hard living conditions. The control of migratory flow and the fight against illegal immigrant remain the top priorities of the French government policy as far as immigration is concerned. The singularity of the situation in the department of Mayotte and the huge migratory flows that have been observed led healthcare authorities to handle migratory movements related to illegal medical evacuations. France has a healthcare policy and continues to support the Union of Comoros in the effort to improve healthcare access and quality, through support programs to health sector. These programs aim at improving the health of mothers and children, mainly in reducing maternal mortality. Through its organisation AFD, France aims at supporting health ministry in elaborating and implementing public policies and helping comorian state to put in place regulatory mechanisms of a private service within public sector and to reform the national pharmacy. This work focus on the issues related to the right to social protection and the health law for foreigners on the national territory, in mainland France and in Mayotte as well. Diversity of national laws applicable in Mayotte is a significant barrier to local devices in terms of medical and social assistance. It is necessary to seek legal solutions related to standardization of this health and social law in order to better the healthcare system. During our field research we observed that local devices such as the "pink warrant" and the "good AGD" are not at all equivalent to the national devices (AME and CMUc).

The thesis is about New Zealand House of Representatives electoral system. In introductory part is briefly presented the political system of New Zealand. Then is currently used electoral system, its genesis and impacts of transition from the first past the post to mixed member proportional system researched. Thesis is in its effort focusing on segments of electoral system and trying to identify its problematic points and to introduce alternative electoral system proposed to the electors in referenda. The thesis is using the electoral studies methods, especially quantitative measuring of attributes of electoral system and party structure within the House of Representatives.

<p>  </p> <p>Concrete is the second most consumed material in the world after water and is an essential element of constructed infrastructure. Over 14 billion m3 of concrete are being produced annually, resulting in a serious impact on the environment. The production of cement, which is the main component of concrete, is responsible for 5 – 8 % of global CO2 emissions. As a result, several global initiatives have been undertaken to achieve carbon neutrality by 2050. This carbon neutrality target coincides with the Paris Agreement's goal to limit global warming to 1.5 °C. A well-known, and successful strategy to reduce CO2 emissions in the concrete industry is to use supplementary cementitious materials (SCMs) as a partial replacement for cement. However, it is projected that in 2030 the demand for two of the most commonly used SCMs, fly ash and slag cement, will exceed their supply. Using nontraditional and natural pozzolans (NNPs) can help to close this supply gap, but there is a lack of knowledge regarding the reactivity and long-term performance of these materials.</p> <p>The purpose of this research was to perform experiments on several NNPs, some of which can be supplied in commercially viable quantities with the objective of evaluating their performance in cementitious systems (mortars and concretes) with the goal of accurately assessing their potential for use as alternative SCMs. The mortar study was performed using a total of 11 different NNPs, belonging to 4 distinctive groups and distributed as follows: 3 from the group of calcined clays (CCs) - CC1, CC2, and CC3, 3 from the group of natural pozzolans (NPs) - NP1, NP2 and NP3, 2 from the group of fluidized bed combustion (FBCs) ashes - FBC1 and FBC2, and 3 from the group of bottom ashes (GBAs) - GBA1, GBA2, and GBA3.</p> <p>The concrete study was performed on 4 different materials, one from each of the previously mentioned groups. The materials selected for concrete study were the worst-performing members of each group, as determined by the analysis of the test results obtained from mortars. These included CC2, NP3, FBC1, and GBA3 materials. This approach was adopted under the assumption that achieving adequate concrete characteristics with lowest-quality materials will all but assure satisfactory performance of concretes with higher-quality materials. </p> <p>The findings generated from this research indicate that several of the NNPs used in this study present a viable alternative to traditional SCMs. As an example, out of the 11 NNPS, 9 were found to conform to the requirements of the ASTM C618-19, the standard specification currently used to assess the suitability of coal fly ash and raw or calcined natural pozzolans for use in concrete. Results obtained from tests performed on mortars demonstrated that, when used at the replacement level of 25%, all 11 NNPs produced mixtures with characteristics similar to those obtained from the plain cement (OPC) mortar. For that reason, this level of replacement was selected to prepare concrete specimens. The results collected from concrete specimens showed that, when compared to plain concrete, mixtures with all 4 NNPs attained comparable (or improved) mechanical (compressive and flexural strength), durability (freeze-thaw resistance), and transport (formation factor and rate of water absorption) properties. As in the case of traditional SCMs, the mixtures with NNPs were found to require extended curing times to fully realize their property-enhancing potential associated with pozzolanic reactions. Overall, the best performing materials were those from the CCs group, followed by those belonging to, respectively, NPs, GBAs, and FBCs groups. </p>