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Eficiência produtiva no terceiro setor: um estudo comparativo de desempenho entre organizações filantrópicas asilares; Productive efficiency on the third sector: a comparative study of performance among philanthropic senior housing organizations

Milani Filho, Marco Antonio Figueiredo
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 15/09/2009 PT
Relevância na Pesquisa
35.91%
Este trabalho objetivou classificar, sob a perspectiva da eficiência, as organizações filantrópicas asilares do estado de São Paulo, assim como investigar se o grau de dependência por recursos públicos e privados, os resultados financeiros e, também, o nível de disclosure dessas entidades guardaram relação significativa com o respectivo nível de eficiência produtiva. A amostra foi composta por 42 instituições de longa permanência para idosos (ILPIs) sediadas no estado de São Paulo, cujos dados de insumos (capital e trabalho) foram relacionados com seus produtos (representados pelos indicadores de desempenho estabelecidos pela Agência Nacional de Vigilância Sanitária Anvisa), utilizando-se como período de referência o ano de 2008. O nível de eficiência relativa das entidades foi calculado através da Análise Envoltória de Dados (Data Envelopment Analysis - DEA) com retornos variáveis de escala e orientação aos insumos. As hipóteses de pesquisa foram testadas pela análise de regressão linear, cujas variáveis dependentes foram o grau de eficiência das ILPIs e as independentes foram valores nominais e por residente de: transferências públicas, receitas próprias e transferências privadas, receitas totais...

A case study on the use of personalised video tutorials in a second level school

Boland, Robert
Fonte: University of Limerick, Department of Education and Professional Studies Publicador: University of Limerick, Department of Education and Professional Studies
Tipo: Master thesis (Taught); all_ul_research; ul_theses_dissertations; none
ENG
Relevância na Pesquisa
45.73%
non-peer-reviewed; Video technology has expanded exponentially over the last decade. With the advent of video hosting websites like You Tube, and the integration of video cameras on mobile phones, the video clip is everywhere. Students are using this technology for entertainment and self-directed learning, but it has not made its way into mainstream education, particularly at second level. The purpose of this study is to investigate the use of this technology to produce Personalised Video Tutorials, as an aid to student learning and revision. A review of the current literature indicates that the use of Personalised Video Tutorials add significantly to the educational experience gained by their use. While research at second level is limited, similar technologies in third level institutions are in regular use and received very positively. A case study research model was used to research the issue in a single school involving eight teachers and two hundred students. As part of the investigation teachers recorded a personalised video tutorial for their class. This was hosted on a website for students to access outside of class contact time. Students were tested before and after watching the Personalised Video Tutorial. Both students and teachers involved also completed a questionnaire. The research findings indicate that both the staff and students responded very favourably to the idea of Personalised Video Tutorials being hosted online as a revision aid. There was a significant improvement in the grades of the students who watched the Personalised Video Tutorials. However...

The use of an intervention programme to improve undergraduate students’ chemical knowledge and address their misconceptions

Regan, Áine
Fonte: University of Limerick Publicador: University of Limerick
Tipo: info:eu-repo/semantics/masterThesis; all_ul_research; ul_published_reviewed; ul_theses_dissertations
ENG
Relevância na Pesquisa
45.96%
peer-reviewed; The increase in the percentage of Irish students entering third level education means that many students choosing Science programmes do not have an adequate foundation in Science. This study is an attempt to increase retention amongst under-prepared students in undergraduate Science programmes by providing support to improve their Chemistry understanding. An Intervention Programme was designed for three course groups of students, who have been previously identified as low-achievers in Chemistry. This programme consisted of two semesters of tutorials: Phase 1 focusing on basic Chemistry concepts and ideas and Phase 2 focusing on the mole and chemical calculations. The tutorials utilised various strategies including peerlearning and assessment, formative assessment and inquiry-based learning. A pre- and post-diagnostic test of chemical concepts and misconceptions was designed and administered in the first and last tutorial session of each phase. Students’ performance in both the pre- and post-diagnostic tests was measured, but this could only be done for students who had completed both the pre- and post-test. The tests also included a published instrument for measuring student attitudes and confidence towards Chemistry. The pre-diagnostic tests were used to design the content of the Intervention Programme to meet students’ specific needs. The students were taken in small class groups...

"Crossing the Sahara without water": A critical analysis of the macro and micro-level dynamics of persistent class inequality in the Back To Education Allowance Welfare to Education Programme.

Power, Martin J.
Fonte: University of Limerick Publicador: University of Limerick
Tipo: info:eu-repo/semantics/doctoralThesis; all_ul_research; ul_published_reviewed
ENG
Relevância na Pesquisa
45.74%
peer-reviewed; This thesis elaborates a critical empirical and theoretical exposition of the impact of the Irish welfare to education programme, the Back to Education Allowance, on classbased exclusion. In doing so, it contributes to a broader understanding of dynamics of welfare to education programmes in the era of the post-welfare state. It adopts a strong ‘structural’ position, which sees the source of social exclusion as lying in the structured inequality of the labour market and the state (Morris 1994, p.80). It rejects arguments that social exclusion can be addressed by promoting policy that adopts a weak ‘cultural’ position (Morris 1994, p.80), ultimately blaming the excluded for their own misfortune. The thesis proposes the provision of education, and 3rd level education in particular, as a key means of addressing social exclusion. Education is theoretically situated in terms of its relationship with the economy and broader state policy, which has (ultimately) resulted in the commodification of education (Mulderrig, 2003). The education system controls levels of social mobility (Drudy and Lynch 1993, p.26) and by extension I argue that education can affect social exclusion. However the education system as it stands at present serves as a means to reproduce society’s inequalities The thesis situates the Back to Education Allowance (BTEA) in its macro level (global) context. It examines the system of welfare provision that exists in Ireland and how that system emerged. It locates the emergence of Neoliberalism as the dominant political discourse in the 1980s...

Do buildings & estates offices in Irsh third level institutions operate & provide value to project management offices

Carey, Thomas
Fonte: University of Limerick Publicador: University of Limerick
Tipo: info:eu-repo/semantics/masterThesis (taught); ul_theses_dissertations; all_ul_research
ENG
Relevância na Pesquisa
46%
non-peer-reviewed; Irish third level institutions are faced with the challenge of managing projects with the increasing constraints of the economic climate. Most research on PMOs has focused on private organizations with existing PMO structures. Little research has considered PMOs in government organizations and specifically Irish third level institutions. This study examines the Buildings and Estates Offices of two of the seven institutions in Ireland to confirm whether these offices are operating as PMOs and what the value of these offices is. The study provides an insight and greater understanding of PMOs in the Irish third level sector. Interviews were conducted with informants from two institutions. The findings are presented in two case studies. The study found that Buildings and Estates Offices in third level institutions are operating as PMOs and that their value is measured by the delivery of capital projects, management of the project process and oversight of ongoing projects on behalf of the institution. The study contributes to the gap in research in PMOs in the government / public sector and particularly PMOs in the Irish third level sector context.

An Investigation into the use of an online tutorial in a third level college. A case study approach

Meehan, Áine
Fonte: University of Limerick Publicador: University of Limerick
Tipo: info:eu-repo/semantics/masterThesis; all_ul_research; ul_theses_dissertations
ENG
Relevância na Pesquisa
45.75%
non-peer-reviewed; Rapid changes in technology and the proliferation of online sources has made information literacy (IL) a necessary and valued skill in today’s society. Academic libraries are faced with the challenges of delivering IL instruction to their entire body of students even with decreased resources. There has been a growing trend in academic libraries to create online tutorials that teach IL in order to meet demand. This study primarily investigates the effectiveness of such an online tutorial in teaching within a third level college in Ireland. A case study approach was used to discover the effectiveness of an online tutorial in terms of learning outcomes. Questionnaires were used to compare learning outcomes after use of the online tutorial and taught classes. In depth interviews were conducted with students, focus groups of teaching staff and students were assembled and students were observed using the online tutorial. The study found that although the staff and students of IT Sligo placed a high value on IL skills, there is a lack of appropriate training in this area. The study established that there is support from the lecturing staff and students of IT Sligo in embedding the online tutorial in the curriculum. The study found that after a further collaborative process with stakeholders and further improvement of the online tutorial...

Caracterización de pacientes con tuberculosis y tuberculosis resistente a múltiples medicamentos en instituciones de tercer nivel de Bogotá D.C.; Characterization of patients with tuberculosis and multidrug-resistant tuberculosis in third level institutions in Bogota DC

Pedraza Moreno, L.M.; García Alvarado, C.A.; Muñoz Sánchez, Alba Idaly
Fonte: Murcia : Servicio de Publicaciones de la Universidad de Murcia Publicador: Murcia : Servicio de Publicaciones de la Universidad de Murcia
Tipo: Artigo de Revista Científica Formato: application/pdf
SPA
Relevância na Pesquisa
45.85%
La tuberculosis es un problema de salud pública del mundo, que continúa empeorando principalmente, por la creciente prevalencia de la Resistencia a Múltiples Medicamentos, las precarias condiciones de vida y trabajo de la población, la presencia del Virus de la Inmunodeficiencia Humana, entre otros. Objetivos: Caracterizar los pacientes portadores de tuberculosis y tuberculosis resistente a múltiples medicamentos, en instituciones de tercer nivel de complejidad. Metodología: Estudio cuantitativo, de alcance descriptivo, transversal, de corte retrospectivo realizado en 6 instituciones de tercer nivel de Bogotá. La recolección de datos se realizó entre Octubre de 2010 y Enero de 2011, con un total de 640 registros clínicos de pacientes diagnosticados entre Octubre de 2008 y Octubre de 2010. Se salvaguardaron los aspectos éticos. Resultados: En cuanto al tipo de tuberculosis se encontró que el 46% de las personas portaban TB Pulmonar, el 41% extrapulmonar y en el 14% no tenía, registraba esta información. Se halló que de forma predominante el 64% de los participantes eran hombres, el 21% eran mayores de 65 años y el 44% pertenecían al régimen contributivo. Se evidenció que el 2.2% de los casos fueron diagnosticados como TB MDR; de ellos el 71% pertenecían al sexo masculino...

Street-level drug law enforcement: A meta-analytic review

Mazerolle, Lorraine; Soole, David W.; Rombouts, Sacha
Fonte: Universität Tübingen Publicador: Universität Tübingen
Tipo: Aufsatz; info:eu-repo/semantics/article
EN
Relevância na Pesquisa
35.94%
Background: An atmosphere of ineffectiveness regarding the ability of police to address crime problems in general and street-level drug problems in particular prevailed in the 1980s. Law enforcement tactics in the 1980s were typically reactive, unfocused and generally failed to disrupt street-level drug market activity. Development of focused proactive policing strategies during the 1990s, such as problem-oriented policing and partnerships with third parties, led to a renewed faith in the capacity of the police to efficaciously deal with street-level drug problems. Objectives: To utilize meta-analytic procedures to assess the relative effectiveness of police-led drug law enforcement interventions. Specifically, we examined the relative effectiveness of a number of policing approaches, including problem-oriented policing, community-wide policing, and hotspots policing compared to the standard, reactive mode of drug law enforcement that dominated police practice until the 1990s. Search Strategy: We identified relevant studies using a guided, iterative search process utilizing appropriate keyword searches of major databases from various disciplines. In addition, we hand searched key journals in the law enforcement literature, trawled discipline relevant websites...

Improving mathematics teaching at second level through the design of a model of teacher knowledge and an intervention aimed at developing teachers’ knowledge

O'Meara, Niamh
Fonte: University of Limerick Publicador: University of Limerick
Tipo: info:eu-repo/semantics/doctoralThesis; all_ul_research; ul_published_reviewed; ul_theses_dissertations
ENG
Relevância na Pesquisa
45.72%
peer-reviewed; The importance of mathematics is recognised and acknowledged worldwide and its importance as a school subject has been confirmed universally. A primary concern in Ireland among educators, policy makers and the Department of Education and Skills is the finding that many students complete their second level studies with a poor grasp of mathematics and are not prepared for the mathematics they will face at third level or in the workplace. Researchers now accept that the supply of well qualified second level students in mathematics for higher education or the workplace is crucially dependent upon the quality of teaching they receive especially in the formative years. Teachers’ levels of knowledge helps determine the quality of mathematics teaching and underpin much of what is done in the mathematics classroom. Research has shown that numerous attributes of effective teaching are affected by, inter alia, a mathematics teacher’s knowledge base. Furthermore an extensive knowledge base on the part of teachers will allow them to teach for understanding and foster an appreciation of mathematics among their students while research also suggests that this knowledge can result in increased uptake and attainment levels in mathematics. However...

Identification of the difficulties in teaching and learning of introductory organic chemistry in Ireland and the development of a second-level intervention programme to address these

O'Dwyer, Anne
Fonte: University of Limerick Publicador: University of Limerick
Tipo: info:eu-repo/semantics/doctoralThesis; all_ul_research; ul_published_reviewed; ul_theses_dissertations
ENG
Relevância na Pesquisa
36.05%
peer-reviewed; This project involved the effective implementation of Chemistry Education Research (CER) into classroom practice. The project was carried out in two cycles. Cycle One of the project involved two investigations: one at second-level and one at third-level. Cycle Two involved the development, implementation and evaluation of an intervention in the Irish second-level schools programme to address the issues identified in Cycle One. The difficulties of organic chemistry have been investigated and researched in many other countries. However, there has been no explicit research carried out investigating the difficulties experienced by novices learning organic chemistry in Ireland. This Action Research project involved an investigation of the difficulties experienced by those learning organic chemistry at second-level and at introductory third-level in Ireland. The second-level study involved the completion of questionnaires by chemistry teachers in 73 Second-Level schools and pupils in 35 second-level schools teaching Leaving Certificate Chemistry in Ireland. At third-level, questionnaires were completed by lecturers in 12 different third-level Irish institutions and to students in three different Institutions. These questionnaires provided an insight into the teaching and learning of organic chemistry. It was found that those teaching and learning organic chemistry at second-level and third-level experience many common topics as difficult: IUPAC nomenclature; functional groups; characteristics of organic compounds; reaction types; reaction mechanisms and practical work. Organic chemistry accounts for a substantial amount of the Leaving Certificate Chemistry syllabus (20%) and examination (25%). Using the findings from Cycle One and those from CER...

Nível de evidenciação × custo da dívida das empresas brasileiras; Disclosure level × cost of debt of Brazilian companies

LIMA, Gerlando Augusto Sampaio Franco de
Fonte: Universidade de São Paulo, Faculdade de Economia, Administração e Contabilidade, Departamento de Contabilidade e Atuária Publicador: Universidade de São Paulo, Faculdade de Economia, Administração e Contabilidade, Departamento de Contabilidade e Atuária
Tipo: Artigo de Revista Científica
POR
Relevância na Pesquisa
35.96%
Este trabalho tem como objetivo investigar a relação entre o nível de disclosure voluntário e o custo de capital de terceiros. Espera-se que o aumento do disclosure pelas empresas resulte na diminuição da assimetria de informação, diminuindo o risco oferecido aos financiadores da empresa, resulte, também, no aumento da visibilidade e negociabilidade de seus papéis, bem como na quantidade de informação divulgada aos seus stakeholders de uma forma geral. Antes de analisar a regressão com dados em painel, foi utilizada a técnica multivariada de Análise de Correspondência (ANACOR) para se fazer uma análise exploratória das variáveis estudadas. Foram pesquisadas 23 companhias abertas no decorrer de 2000 a 2004, para o nível de disclosure (ND), e de 2001 a 2005, para o custo de capital de terceiros (Kd) e as variáveis de controle, obedecendo à seguinte equação: (Kd t) = ƒ(NDt-1, variáveis de controle t-1). Os resultados empíricos demonstraram que, a partir da utilização do efeito pooling, pelo método dos mínimos quadrados generalizados, cujo R² foi de aproximadamente 28,49%, o nível de disclosure voluntário possui relação inversa com o custo de capital de terceiros, ou seja, quanto maior o nível de diclosure...

Alterações hemodinamicas e respiratorias em pacientes submetidos a extração de terceiros molares retidos sob anestesia local; Hemodynamic and respiratory alterations in patients undergoing extraction of retained third molar teeth under local anesthesia

Laura Helena Aparecida Aguirre D´Ottaviano
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 07/08/2009 PT
Relevância na Pesquisa
35.92%
A cirurgia para extração de terceiros molares retidos, constitui a cirurgia de média complexidade mais frequentemente realizada em consultórios de cirurgiões-dentistas. Trata-se de estudo prospectivo, descritivo, com componente analítico, com o objetivo de avaliar a ansiedade dos pacientes no período que antecede o procedimento, as alterações hemodinâmicas, respiratórias e dor no intraoperatório em pacientes submetidos à extração de terceiros molares retidos sob anestesia local. Foram incluídos no estudo 42 sujeitos do sexo masculino, hígidos, com idade compreendida entre 18 e 34 anos. A anestesia foi feita com cloridrato de lidocaína a 2% com adrenalina 1:50.000 (Xylestesin®), na dose que variou de 72 a 144 mg, correspondente ao conteúdo de 2 a 4 tubetes (1,8 ml/tubete). Foram avaliados com auxílio de monitor multiparamétrico não-invasivo os seguintes parâmetros: pressão arterial sistólica, diastólica e média, frequência cardíaca, saturação periférica de O2 e frequência respiratória; o grau de ansiedade (escala de ansiedade para cirurgia odontológica - Escala de Corah) e dor (escala analógica- verbal). A análise estatística foi realizada por meio dos testes t de Student pareado e Wilcoxon pareado. O nível de significância foi fixado em 5% (p < 0...

A third level trigger programmable on FPGA for the gamma/hadron separation in a Cherenkov telescope using pseudo-Zernike moments and the SVM classifier

Frailis, Marco; Mansutti, Oriana; Boinee, Praveen; Cabras, Giuseppe; De Angelis, Alessandro; De Lotto, Barbara; Forti, Alberto; Dell'Orso, Mauro; Paoletti, Riccardo; Scribano, Angelo; Turini, Nicola; Mariotti, Mose'; Peruzzo, Luigi; Saggion, Antonio
Fonte: Universidade Cornell Publicador: Universidade Cornell
Tipo: Artigo de Revista Científica
Publicado em 24/02/2006
Relevância na Pesquisa
45.75%
We studied the application of the Pseudo-Zernike features as image parameters (instead of the Hillas parameters) for the discrimination between the images produced by atmospheric electromagnetic showers caused by gamma-rays and the ones produced by atmospheric electromagnetic showers caused by hadrons in the MAGIC Experiment. We used a Support Vector Machine as classification algorithm with the computed Pseudo-Zernike features as classification parameters. We implemented on a FPGA board a kernel function of the SVM and the Pseudo-Zernike features to build a third level trigger for the gamma-hadron separation task of the MAGIC Experiment.

On the third level descendent fields in the Bullough-Dodd model and its reductions

Baseilhac, P.; Stanishkov, M.
Fonte: Universidade Cornell Publicador: Universidade Cornell
Tipo: Artigo de Revista Científica
Publicado em 31/12/2002
Relevância na Pesquisa
45.75%
Exact vacuum expectation values of the third level descendent fields $<(\partial\phi)^3({\bar\partial}\phi)^3e^{a\phi}>$ in the Bullough-Dodd model are proposed. By performing quantum group restrictions, we obtain $$ in perturbed minimal conformal field theories.; Comment: 7 pages, LaTeX file with amssymb; to appear in Phys. Lett. B

The political act of developing provision for writing in the Irish higher education context

Cleary, Lawrence; O'Sullivan, Íde
Fonte: The WAC Clearinghouse and Parlor Press Publicador: The WAC Clearinghouse and Parlor Press
Tipo: info:eu-repo/semantics/bookPart; all_ul_research; ul_published_reviewed
ENG
Relevância na Pesquisa
45.75%
peer-reviewed; In 2007, when the authors of this chapter were being selected to get Ireland’s first writing centre up and running, concerns about postgraduate writing for publication coincided with national and institutional drives to up-skill the population for participation in a knowledge economy. A feature of our context is that our institution began its life as a National Institute of Higher Education and maintains strong ties with local industry to this day. Student retention and transferable skills development were Higher Education Authority concerns that largely determined some goals for our target groups. Those groups included mature students, international students and students coming in through the Access programme as a consequence of low, or the absence of, Leaving Certification exam scores (http://www. examinations.ie/). The national discourse about writing at third level in Ireland up to that time was largely limited to talk about writing development for professional academic advancement.

Nível de evidenciação × custo da dívida das empresas brasileiras; Disclosure level × cost of debt of Brazilian companies

Lima, Gerlando Augusto Sampaio Franco de
Fonte: Universidade de São Paulo. Escola de Economia, Administração e Contabilidade Publicador: Universidade de São Paulo. Escola de Economia, Administração e Contabilidade
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; ; Formato: application/pdf
Publicado em 01/04/2009 POR
Relevância na Pesquisa
35.96%
Este trabalho tem como objetivo investigar a relação entre o nível de disclosure voluntário e o custo de capital de terceiros. Espera-se que o aumento do disclosure pelas empresas resulte na diminuição da assimetria de informação, diminuindo o risco oferecido aos financiadores da empresa, resulte, também, no aumento da visibilidade e negociabilidade de seus papéis, bem como na quantidade de informação divulgada aos seus stakeholders de uma forma geral. Antes de analisar a regressão com dados em painel, foi utilizada a técnica multivariada de Análise de Correspondência (ANACOR) para se fazer uma análise exploratória das variáveis estudadas. Foram pesquisadas 23 companhias abertas no decorrer de 2000 a 2004, para o nível de disclosure (ND), e de 2001 a 2005, para o custo de capital de terceiros (Kd) e as variáveis de controle, obedecendo à seguinte equação: (Kd t) = ƒ(NDt-1, variáveis de controle t-1). Os resultados empíricos demonstraram que, a partir da utilização do efeito pooling, pelo método dos mínimos quadrados generalizados, cujo R² foi de aproximadamente 28,49%, o nível de disclosure voluntário possui relação inversa com o custo de capital de terceiros, ou seja, quanto maior o nível de diclosure...

20 years' experience in the management of Zenker's diverticulum in a third-level hospital

Ruiz-Tovar,J.; Pérez de Oteyza,J.; Collado,M. V.; Rojo,R.; García-Villanueva,A.
Fonte: Revista Española de Enfermedades Digestivas Publicador: Revista Española de Enfermedades Digestivas
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/06/2006 ENG
Relevância na Pesquisa
45.75%
Zenker's diverticulum arises in the posterior wall of the pharynx, above the cricopharyngeal muscle, secondary to a functional cricopharyngeal disorder. We describe our experience with the management of Zenker's diverticulum from 1985 to this day in a third-level hospital. We review clinical data from 27 patients (78% males) with a mean age of 60.4 years. The most common clinical manifestations were dysphagia, regurgitation, syalorrhea, cough, and weight loss. All cases were diagnosed using an esophagogram. A diverticulectomy with cricopharingeal myotomy was performed in 74% of patients. Complications developed in 5 cases (21%), and the recurrence rate was 4% (1 of 3 cases, where myotomy was not performed).

An economic analysis of inadequate prescription of antiulcer medications for in-hospital patients at a third level institution in Colombia

Machado-Alba,Jorge Enrique; Castrillón-Spitia,Juan Daniel; Londoño-Builes,Manuel José; Fernández-Cardona,Alejandra; Campo-Betancourth,Carlos Felipe; Ochoa-Orozco,Sergio Andrés; Echeverri-Cataño,Luis Felipe; Ruiz-Villa,Joaquín Octavio; Gaviria-Mendo
Fonte: Revista Española de Enfermedades Digestivas Publicador: Revista Española de Enfermedades Digestivas
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/02/2014 ENG
Relevância na Pesquisa
45.75%
Introduction: The prescription and costs of antiulcer medications for in-hospital use have increased during recent years with reported inadequate use and underused. Aim: To determine the patterns of prescription-indication and also perform an economic analysis of the overcost caused by the non-justified use of antiulcer medications in a third level hospital in Colombia. Materials and methods: Cross-sectional study of prescription-indication of antiulcer medications for patients hospitalized in "Hospital Universitario San Jorge" of Pereira during July of 2012. Adequate or inadequate prescription of the first antiulcer medication prescribed was determined as well as for others prescribed during the hospital stay, supported by clinical practice guidelines from the Zaragoza I sector workgroup, clinical guidelines from the Australian Health Department, and finally the American College of Gastroenterology Criteria for stress ulcer prophylaxis. Daily defined dose per bed/day was used, as well as the cost for 100 beds/day and the cost of each bed/drug. A multivariate analysis was carried out using SPSS 21.0. Results: 778 patients were analyzed, 435 men (55.9%) and 343 women, mean age 56.6 ± 20.1 years. The number of patients without justification for the prescription of the first antiulcer medication was 377 (48.5%)...

Invasive pneumococcal disease in a third level pediatric hospital in Mexico City: epidemiology and mortality risk factors

Gómez-Barreto,Demóstenes; Espinosa-Monteros,Luz Elena; López-Enríquez,Claudia; Jiménez-Rojas,Verónica; Rodríguez-Suárez,Romeo
Fonte: Instituto Nacional de Salud Pública Publicador: Instituto Nacional de Salud Pública
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/10/2010 EN
Relevância na Pesquisa
45.75%
Objective. To assess the epidemiologic characteristics of invasive pneumococcal diseases (IPD) among a population in a pediatric hospital in Mexico City and analyze mortality-related risk factors, serotype distribution and antibiotic susceptibility related to S.pneumoniae. Material and Methods. We performed a retrospective review of IPD cases at a third level pediatric hospital between 1997-2004. Results. A total of 156 patients were included. The mortality rate was 27.5% and was associated with six pneumococcal serotypes: 14, 6B, 23F, 6A, 19F and 19A. There was no relationship between mortality and antimicrobial susceptibility pattern. A total of 28.2% of isolates were resistant to penicillin and 24.6% were resistant to cefotaxime. A statistically significant relationship was observed between mortality and previous underlying disease (CI 95%; 2.5-18.3; p< 0.05) using a multivariate logistic regression model. Conclusions. Our outcomes show that IPD mortality in our population is closely related to underlying disease and to six serotypes, five of which are included in the 7-valent pneumococcal conjugate vaccine.

Invasive pneumococcal disease in a third level pediatric hospital in Mexico City: epidemiology and mortality risk factors

Gómez-Barreto,Demóstenes; Espinosa-Monteros,Luz Elena; López-Enríquez,Claudia; Jiménez-Rojas,Verónica; Rodríguez-Suárez,Romeo
Fonte: Instituto Nacional de Salud Pública Publicador: Instituto Nacional de Salud Pública
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/10/2010 EN
Relevância na Pesquisa
45.75%
Objective. To assess the epidemiologic characteristics of invasive pneumococcal diseases (IPD) among a population in a pediatric hospital in Mexico City and analyze mortality-related risk factors, serotype distribution and antibiotic susceptibility related to S.pneumoniae. Material and Methods. We performed a retrospective review of IPD cases at a third level pediatric hospital between 1997-2004. Results. A total of 156 patients were included. The mortality rate was 27.5% and was associated with six pneumococcal serotypes: 14, 6B, 23F, 6A, 19F and 19A. There was no relationship between mortality and antimicrobial susceptibility pattern. A total of 28.2% of isolates were resistant to penicillin and 24.6% were resistant to cefotaxime. A statistically significant relationship was observed between mortality and previous underlying disease (CI 95%; 2.5-18.3; p< 0.05) using a multivariate logistic regression model. Conclusions. Our outcomes show that IPD mortality in our population is closely related to underlying disease and to six serotypes, five of which are included in the 7-valent pneumococcal conjugate vaccine.