scholarly journals O credenciamento como ferramenta de apoio na auditoria em saúde

2020 ◽  
Vol 20 (81) ◽  
Author(s):  
Tatiana Souza da Silva Werle ◽  
Antonio Rodrigues de Andrade
Keyword(s):  
User Satisfaction ◽  
Vital Role ◽  
Maximum Efficiency ◽  
Virtual Library ◽  
Final Sample ◽  
Minimum Requirements ◽  
Contract Managers ◽  
Definition Of ◽  
Health Efficiency

Objetivos: identificar os principais problemas enfrentados pela auditoria em saúde e demostrar como o processo de credenciamento impacta diretamente na qualidade da assistência prestada. Método: revisão integrativa da literatura, realizada em duas bases de dados e uma biblioteca virtual, de acesso aberto, tendo como critério de inclusão: responder à questão norteadora. A amostra final foi composta de 14 artigos. Resultados: da síntese das evidências, emergiram oito categorias aos quais demonstraram a ausência dos seguintes critérios: anotações de enfermagem, definição de protocolos, avaliação da qualidade, satisfação do usuário, definição de materiais e medicamentos, adoção de pacotes e requisitos mínimos necessários a contratação. Conclusão: o serviço de auditoria desempenha papel vital na elaboração dos processos de credenciamento, sendo importante que os gestores de contratos e os auditores estejam interligados em prol de identificar os pontos fracos e dirimir as deficiências, buscando contribuir para que a organização atinja o máximo de sua eficiência.Palavras-chaves: Auditoria; Qualidade; Saúde; Eficiência. ABSTRACTObjectives: to identify the main problems faced by the health audit and to demonstrate how the accreditation process directly impacts the quality of care provided. Method: integrative literature review, carried out in two databases and a virtual library, open access, with the inclusion criterion: answering the guiding question. The final sample consisted of 14 articles. Results: from the synthesis of the evidence, eight categories emerged which demonstrated the absence of the following criteria: nursing notes, definition of protocols, quality assessment, user satisfaction, definition of materials and medicines, adoption of packages and minimum requirements necessary for contracting. Conclusion: the audit service plays a vital role in the elaboration of the accreditation processes, being important that the contract managers and the auditors are interconnected in order to identify the weaknesses and resolve the deficiencies, seeking to contribute to the organization reaches maximum efficiency. Keywords: Audit, Accreditation, Health, Efficiency.

scholarly journals Service Quality Assurance in Cloud Data Centers Using Migration Scaling

2020 ◽  
Vol 02 (01) ◽  
pp. 53-63
Author(s):  
Dr. Akey Sungheetha ◽  
Dr. Rajesh Sharma R
Keyword(s):  
Quality Of Service ◽  
Service Quality ◽  
User Satisfaction ◽  
Data Centers ◽  
Vital Role ◽  
Cloud Data ◽  
Similar Work ◽  
Cloud Data Centers ◽  
Multiple Metrics

The continuous and swift progress in the number of the cloud data centers have led to establishment of multitudes of the computational nodes and the huge paradigm. But the assuring the quality of services through these paradigms is still questionable. So tit has become a prominent areas of research. As the quality of service of the data centers plays a vital role in the user satisfaction. The present work carried out in the paper survey the service quality rendered in the previous similar work, identifies the drawbacks and proposes a strategy of migration taking into consideration the multiple metrics. The proposed structure is validated through the cloud simulator to evince its capability in efficiently handling the resources and guaranteeing the quality of service.

Immunoferritin localization of intracellular antigens in positively stained frozen sections

1978 ◽  
Vol 36 (2) ◽  
pp. 168-169
Author(s):  
K. T. Tokuyasu
Keyword(s):  
Surface Tension ◽  
Water Surface ◽  
Thin Layers ◽  
The Other ◽  
Positive Staining ◽  
Frozen Sections ◽  
The Past ◽  
Ultrathin Frozen Sections ◽  
Definition Of

During the past investigations of immunoferritin localization of intracellular antigens in ultrathin frozen sections, we found that the degree of negative staining required to delineate u1trastructural details was often too dense for the recognition of ferritin particles. The quality of positive staining of ultrathin frozen sections, on the other hand, has generally been far inferior to that attainable in conventional plastic embedded sections, particularly in the definition of membranes. As we discussed before, a main cause of this difficulty seemed to be the vulnerability of frozen sections to the damaging effects of air-water surface tension at the time of drying of the sections.Indeed, we found that the quality of positive staining is greatly improved when positively stained frozen sections are protected against the effects of surface tension by embedding them in thin layers of mechanically stable materials at the time of drying (unpublished).

The Influence Of The Led Luminaires Electrical Parameters On Their Correlated Colour Temperature During Operation Mode

2020 ◽  
pp. 89-96
Author(s):  
Sergei S. Kapitonov ◽  
Alexei S. Vinokurov ◽  
Sergei V. Prytkov ◽  
Sergei Yu. Grigorovich ◽  
Anastasia V. Kapitonova ◽  
...  
Keyword(s):  
Operation Mode ◽  
Light Sources ◽  
Electrical Parameters ◽  
Colour Temperature ◽  
Radiation Spectra ◽  
Service Period ◽  
Close Proximity ◽  
Definition Of ◽  
Comprehensive Study

The article describes the results of comprehensive study aiming at increase of quality of LED luminaires and definition of the nature of changes in their correlated colour temperature (CCT) in the course of operation. Dependences of CCT of LED luminaires with remote and close location of phosphor for 10 thousand hours of operation in different electric modes were obtained; the results of comparison between the initial and final radiation spectra of the luminaires are presented; using mathematical statistics methods, variation of luminaire CCT over the service period claimed by the manufacturer is forecast; the least favourable electric operation modes with the highest CCT variation observed are defined. The obtained results have confirmed availability of the problem of variation of CCT of LED luminaires during their operation. Possible way of its resolution is application of more qualitative and therefore expensive LEDs with close proximity of phosphor or LEDs with remote phosphor. The article may be interesting both for manufacturers and consumers of LED light sources and lighting devices using them.

Assessment of multimorbidity of diseases in geriatric practice

2020 ◽  
pp. 17-21
Author(s):  
Mark Oprenko
Keyword(s):  
Quality Of Life ◽  
The Core ◽  
Definition Of

The definition of the multimorbidity concept reveals insufficient specificity of the comorbidity and multimorbidity definitions and, as a result, confusion in the use of these terms. Most authors are unanimous that the “core” of multimorbidity is presence of more than one disease in a patient. These coexisting diseases can be pathogenetically interconnected and non-interconnected. Regardless, the degree of multimorbidity always affects prognosis and quality of life.

Guaranteed values – the basis of the analysis of the quality of individual products

2019 ◽  
pp. 20-33
Author(s):  
D. N. Kalacheva
Keyword(s):  
Frequency Distribution ◽  
Distribution Law ◽  
Basic Characteristics ◽  
Definition Of

Herein, the main features and rules of using guaranteed values when analyzing the quality of rocket - space equipment products are considered. The definition of the guaranteed value and the form of its presentation is given. It is indicated that guaranteed value is distributed and is characterized by the frequency distribution law. The main methods of representation and conversion of guaranteed values are statistical. Examples of determining the basic characteristics of guaranteed values are given.

The first flush in sewer systems

1996 ◽  
Vol 33 (9) ◽  
pp. 101-108 ◽  
Author(s):  
Agnès Saget ◽  
Ghassan Chebbo ◽  
Jean-Luc Bertrand-Krajewski
Keyword(s):  
Treatment Strategy ◽  
Real Data ◽  
First Flush ◽  
Clear Definition ◽  
Controversial Subject ◽  
Sewer Systems ◽  
Wet Weather ◽  
Definition Of ◽  
Appearance Frequency

The first flush phenomenon of urban wet weather discharges is presently a controversial subject. Scientists do not agree with its reality, nor with its influences on the size of treatment works. Those disagreements mainly result from the unclear definition of the phenomenon. The objective of this article is first to provide a simple and clear definition of the first flush and then to apply it to real data and to obtain results about its appearance frequency. The data originate from the French database based on the quality of urban wet weather discharges. We use 80 events from 7 separately sewered basins, and 117 events from 7 combined sewered basins. The main result is that the first flush phenomenon is very scarce, anyway too scarce to be used to elaborate a treatment strategy against pollution generated by urban wet weather discharges.

Cytoprotective Agents to Avoid Chemotherapy Induced Sideeffects on Normal Cells: A Review

2019 ◽  
Vol 19 (10) ◽  
pp. 765-781
Author(s):  
Seema Rohilla ◽  
Harish Dureja ◽  
Vinay Chawla
Keyword(s):  
Adverse Effects ◽  
Anticancer Agents ◽  
Therapeutic Index ◽  
Chemotherapeutic Agents ◽  
Vital Role ◽  
Normal Cells ◽  
Normal Tissues ◽  
Organ Specific ◽  
Delay In Treatment

Anticancer agents play a vital role in the cure of patients suffering from malignancy. Though, the chemotherapeutic agents are associated with various adverse effects which produce significant toxic symptoms in the patients. But this therapy affects both the malignant and normal cells and leads to constricted therapeutic index of antimalignant drugs which adversely impacts the quality of patients’ life. Due to these adversities, sufficient dose of drug is not delivered to patients leading to delay in treatment or improper treatment. Chemoprotective agents have been developed either to minimize or to mitigate the toxicity allied with chemotherapeutic agents. Without any concession in the therapeutic efficacy of anticancer drugs, they provide organ specific guard to normal tissues.

Role and rationale of Kaala in the field of Ayurvedic Pharmaceutics - A Conceptual Approach

2017 ◽  
Vol 2 (4) ◽  
Author(s):  
Vrinda Bhat ◽  
Surekha S. Medikeri ◽  
Shobha G. Hiremath
Keyword(s):  
Dosage Form ◽  
Pharmaceutical Preparation ◽  
Vital Role ◽  
Constant Factor ◽  
Conceptual Approach ◽  
Safety And Efficacy ◽  
Significant Aspect ◽  
Definition Of

Samskara is defined as a process of bringing about a desired modification or establishing a change of property in a drug or group of drugs. In the process of Aushadhi Nirmana, varied number of procedures (Samskaras) are adopted to inculcate the desired dosage form and efficacy to the medicine. Among all Samskaras, Kaala plays a vital role in Ayurvedic pharmaceutics. Kaala is a constant factor which follows incoherently in every step of Aushadhi Nirmana. Active principles of plants vary in every season and at different quarters of the day. After the collection of drugs for a pharmaceutical preparation, Kaala plays its role during Paka of various formulations. The definition of pharmaceutics does not end with mere production of a dosage form but also includes its safety and efficacy. Kaala has the potential to influence both these factors. Thus, our Acharyas have provided meticulous information on Ayurvedic pharmaceutics giving prime importance to a minute, yet very significant aspect called “Kaala”.

Phamacognostical and Pharmaceutical Evaluation of Chandrashakaladi Vataka - A herbal formulation

2016 ◽  
Vol 1 (3) ◽  
Author(s):  
Dr. Akash S Changole ◽  
Mandip Goyal ◽  
Harish CR
Keyword(s):  
Classical Method ◽  
Raw Materials ◽  
Herbal Medicines ◽  
Vital Role ◽  
Published Data ◽  
Herbal Formulation ◽  
Physico Chemical ◽  
Good Manufacturing Practices ◽  
Solvent Systems

Background: Quality control and the standardization of herbal medicines involve steps like standard source and quality of raw materials, good manufacturing practices and adequate analytical screening. These practices play a vital role in guaranting the quality and stability of herbal preparations. Chandrashakaladi Vataka is an Ayurvedic herbal formulation mentioned to be beneficial in Kushtha. Till date no published data is available on its analytical profile. Aim: To develop the Pharmacognostical and Phyto-chemical profile of Chandrashakaladi Vataka. Material and Methods: Chandrashakaladi Vataka was prepared as per classical method and analytical findings were recorded. Samples were subjected to organoleptic analysis, physico-chemical analysis and HPTLC examination by optimizing the solvent systems. Results and Conclusions: Pharmacognostical profile of Chandrashakaladi Vataka was established. Loss on drying, Ash value, Acid insoluble extract, Methanol soluble extract, Chandrashakaladi Vataka was found within prescribed limits. HPTLC profile of Chandrashakaladi Vataka revealed 12 spots at 254 nm and 13 spots at 366 nm.

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