Pesquisa | SciELO

Abstract This study explored the effects of L-PRF on pain, soft tissue healing, periodontal condition, and post-extraction bone repair of mandibular third molars (3Ms). A randomized, prospective, triple-blind, split-mouth clinical trial was conducted with 34 volunteers. Eligible patients were randomly allocated into two treatments: G1 (without L-PRF), G2 (alveoli filled with L-PRF), in which the removal of bilateral 3Ms was performed at the same surgical time. Outcomes were assessed according to a visual analogue scale (pain), soft tissue scoring system (wound healing), periodontal probing of mandibular second molar. Bone repair was determined by volumetric analysis (ITK-SNAP software) and fractal analysis (ImageJ software). An intention-to-treat approach to Statistical analysis was used. L-PRF reduced pain in the 7-day postoperative follow-up (p = 0.019) and not only improved soft tissue healing after 1 month of follow-up (p = 0.021), but also probing depth (distal face) in 3 months postoperatively (p = 0.011). Significant alveolar reduction occurred in 3 months after surgery in both treatments (p < 0.05), however, this was more significant in G1 (p = 0.016). The fractal dimension showed no statistical differences. L-PRF improved postoperative clinical parameters of pain, soft tissue healing, and periodontal condition, suggesting that it has a beneficial effect on preserving the alveolar ridge and accelerating the initial repair process. LPRF L PRF condition postextraction post extraction 3Ms. Ms . (3Ms) randomized prospective tripleblind, tripleblind triple blind, blind triple-blind splitmouth split mouth volunteers G without LPRF, , L-PRF) alveoli time (pain) wound healing) molar ITKSNAP ITK SNAP software ImageJ software. intentiontotreat intention treat used 7day day 7 followup follow up p 0.019 0019 0 019 0.021, 0021 0.021 021 0.021) distal face 0.011. 0011 0.011 011 0.011) 0.05, 005 0.05 05 0.05) however 0.016. 0016 0.016 016 0.016) differences process (3Ms (pain 0.01 001 01 002 0.02 02 00 0.0 0.

https://doi.org/10.1590/1807-3107bor-2024.vol38.0089

Tratamento de feridas complexas com prótese de PVC e enxerto parcial de pele autólogo: Protocolo acelerado e de baixo custo de cicatrização por terceira intenção autólogo
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ARIEL-DE-LIMA, DIEGO

; DE-LIMA, LANA LACERDA

; CLAZZER, RENATA

; PAIVA, KÊILERTE RENES GURGEL

; DE-ANDRADE, ANTÔNIO VICENTE DIAS

; DOS-SANTOS, JORGE EDSON PINHEIRO

; SILVA NETO, JOÃO FIRMINO DA

Revista Brasileira de Cirurgia Plástica

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2023, Volume 38 Nº 3 elocation e0765

Resumo: En Pt | Texto: En Pt | PDF: En | PDF: Pt

■ ABSTRACT Introduction: Complex wounds are serious tegumentary injuries that are difficult to resolve with conventional dressings. This study aimed to describe a third-intention wound healing technique, reproducible and low cost, applicable to complex wounds, using polyvinyl chloride (PVC) prosthesis temporarily placed in the injured area to promote the protection and stimulate its “granulation,” followed by autologous partial-thickness skin grafting. Method: Consecutively, 20 patients with complex wounds resulting from external causes were selected and divided into 2 groups: A - patients who underwent the coverage technique with PVC prosthesis, followed by grafting, and B - patients submitted to the care of the dressing team, with daily changes until wound granulation, standard in our institution. Patients were evaluated regarding length of stay; costs; local pain; complications; the time until medical discharge; and patient satisfaction. Results: The length of hospital stay, its costs, and the time until medical discharge were shorter in group A (p<0.05). However, there was no statistically significant difference in local pain between techniques A and B. Conclusion: The technique using PVC prosthesis and graft has good efficacy for treating complex wounds, being reproducible and inexpensive. Introduction dressings thirdintention third intention cost (PVC granulation “granulation, partialthickness partial thickness grafting Method Consecutively groups team institution stay costs complications satisfaction Results p<0.05. p005 p p<0.05 . 0 05 (p<0.05) However Conclusion inexpensive “granulation p00 p<0.0 (p<0.05 p0 p<0. (p<0.0 p<0 (p<0. p< (p<0 (p< (p

■ RESUMO Introdução: Feridas complexas são lesões tegumentares graves, de difícil resolução com curativos convencionais. O objetivo deste estudo foi descrever uma técnica de cicatrização de feridas por terceira intenção, reprodutível e de baixo custo, aplicável a feridas complexas, utilizando uma prótese de policloreto de vinila (PVC) colocada temporariamente na área da lesão para promover proteção e estimular sua “granulação”, seguida de enxerto autólogo de pele de espessura parcial. Método: De forma consecutiva, foram selecionados 20 pacientes com feridas complexas, decorrentes de causas externas, divididos em 2 grupos: A - pacientes que foram submetidos à técnica de cobertura com prótese de PVC, seguida de enxerto; e B - pacientes submetidos aos cuidados da equipe de curativo, com trocas diárias até granulação da ferida, padrão da nossa instituição. Os pacientes foram avaliados quanto ao tempo de internação; custos; em relação à dor local; à presença de complicações; ao tempo até a alta médica; e à satisfação do paciente. Resultados: O tempo de internamento e seus custos, assim como o tempo até a alta médica, foram menores no grupo A (p<0,05). Todavia, não houve diferença estatisticamente significativa em relação à dor local entre as técnicas A e B. Conclusão: A técnica utilizando prótese de PVC e enxerto possui boa eficácia para o tratamento de feridas complexas, sendo reprodutível e de baixo custo. Introdução graves convencionais intenção custo (PVC granulação, , “granulação” parcial Método consecutiva externas grupos curativo ferida instituição internação custos complicações médica paciente Resultados p<0,05. p005 p p<0,05 . 0 05 (p<0,05) Todavia Conclusão “granulação p00 p<0,0 (p<0,05 p0 p<0, (p<0,0 p<0 (p<0, p< (p<0 (p< (p

https://doi.org/10.5935/2177-1235.2023rbcp0765-pt

Energy Management in Energy Intensive Industries - Recommended Technical & Managerial Actions and a Delphi Study
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Silva, Vilson Roiz Gonçalves Rebelo da

; Loures, Eduardo de Freitas Rocha

; Lima, Edson Pinheiro de

; Belinaso, Luiz Antonio

Brazilian Archives of Biology and Technology

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2023, Volume 66 elocation e23220345

Resumo: En | Texto: En | PDF: En

Abstract This paper presents the proposition of a set of technical and managerial actions recommended for the management of energy in industry. Economic, environmental, political and social aspects have been putting pressure on the whole society for a more conscious and efficient use and consumption of energy in its diverse forms. Energy-intensive industries show a high energy consumption, they work with processes in severe temperature conditions, residual dissipation of heat and flux of not used residues, always being subject to great environment risks. These large-sized companies offer great opportunities for making energy more efficient, use of co-generation and various other possibilities for a better management and improvement of energetic performance. The research is characterized as quali-quantitative, exploratory and descriptive, presenting a statistical analysis for the questionnaire answers. The energy management practices refer to procedures used for dealing with energetic issues. In function of the interdisciplinary aspect of energy management in the industry, the management practices can be better understood with technical and managerial continuous or frequent actions. A Delphi study for verification of the validity of the proposed technical and managerial actions was carried out together with academia and industry specialists. The results show a favorable positioning, confirmed by a reliability rate among suitable evaluators (IRR - Inter Rater Reliability). The set of technical and managerial actions is made up of reference elements for creation, organization and conduction of an energy management system in the industry. Economic environmental forms Energyintensive Energy intensive conditions residues risks largesized large sized cogeneration co generation performance qualiquantitative, qualiquantitative quali quantitative, quantitative quali-quantitative descriptive answers issues specialists positioning IRR Reliability. Reliability . Reliability) creation

https://doi.org/10.1590/1678-4324-2023220345

Diretrizes da Sociedade Brasileira de Cardiologia sobre Angina Instável e Infarto Agudo do Miocárdio sem Supradesnível do Segmento ST – 2021
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Nicolau, José Carlos

; Feitosa Filho, Gilson Soares

; Petriz, João Luiz

; Furtado, Remo Holanda de Mendonça

; Précoma, Dalton Bertolim

; Lemke, Walmor

; Lopes, Renato Delascio

; Timerman, Ari

; Marin Neto, José A.

; Bezerra Neto, Luiz

; Gomes, Bruno Ferraz de Oliveira

; Santos, Eduardo Cavalcanti Lapa

; Piegas, Leopoldo Soares

; Soeiro, Alexandre de Matos

; Negri, Alexandre Jorge de Andrade

; Franci, Andre

; Markman Filho, Brivaldo

; Baccaro, Bruno Mendonça

; Montenegro, Carlos Eduardo Lucena

; Rochitte, Carlos Eduardo

; Barbosa, Carlos José Dornas Gonçalves

; Virgens, Cláudio Marcelo Bittencourt das

; Stefanini, Edson

; Manenti, Euler Roberto Fernandes

; Lima, Felipe Gallego

; Monteiro Júnior, Francisco das Chagas

; Correa Filho, Harry

; Pena, Henrique Patrus Mundim

; Pinto, Ibraim Masciarelli Francisco

; Falcão, João Luiz de Alencar Araripe

; Sena, Joberto Pinheiro

; Peixoto, José Maria

; Souza, Juliana Ascenção de

; Silva, Leonardo Sara da

; Maia, Lilia Nigro

; Ohe, Louis Nakayama

; Baracioli, Luciano Moreira

; Dallan, Luís Alberto de Oliveira

; Dallan, Luis Augusto Palma

; Mattos, Luiz Alberto Piva e

; Bodanese, Luiz Carlos

; Ritt, Luiz Eduardo Fonteles

; Canesin, Manoel Fernandes

; Rivas, Marcelo Bueno da Silva

; Franken, Marcelo

; Magalhães, Marcos José Gomes

; Oliveira Júnior, Múcio Tavares de

; Filgueiras Filho, Nivaldo Menezes

; Dutra, Oscar Pereira

; Coelho, Otávio Rizzi

; Leães, Paulo Ernesto

; Rossi, Paulo Roberto Ferreira

; Soares, Paulo Rogério

; Lemos Neto, Pedro Alves

; Farsky, Pedro Silvio

; Cavalcanti, Rafael Rebêlo C.

; Alves, Renato Jorge

; Kalil, Renato Abdala Karam

; Esporcatte, Roberto

; Marino, Roberto Luiz

; Giraldez, Roberto Rocha Corrêa Veiga

; Meneghelo, Romeu Sérgio

; Lima, Ronaldo de Souza Leão

; Ramos, Rui Fernando

; Falcão, Sandra Nivea dos Reis Saraiva

; Dalçóquio, Talia Falcão

; Lemke, Viviana de Mello Guzzo

; Chalela, William Azem

; Mathias Júnior, Wilson

Arquivos Brasileiros de Cardiologia

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Jul 2021, Volume 117 Nº 1 Páginas 181 - 264

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

https://doi.org/10.36660/abc.20210180 3052 downloads

High performance teams: an investigation of the effect on self-management towards performance
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Pfutzenreuter, Thais Carreira

; Lima, Edson Pinheiro de

; Frega, José Roberto

Production

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2021, Volume 31 elocation e20210053

Resumo: En | Texto: En | PDF: En

Abstract Paper aims Work design is being constantly transformed by technology and requirements for polyvalent workers piloting the work system instead of operating it. This paper investigates self-management teams’ implementation and its effects on performance. A Brazilian cosmetics company case study of team development was used as a guidance for this investigation. Originality Consistent connection between team development theory and practice, exploring sociotechnical approach and empowerment best practices. Research method Boxplot analysis is performed over team building stages along with One-way Variance Analysis to test average performance differences among stages’ transitions. Tukey test was sequentially applied to identify its statistic differences in pairs. Descriptive analysis and Analysis of Means are complementarily applied for shop-floor accidents performance assessment. Main findings Team development reached the expected performance over team stages. Forming to storming, though, was the only transition with no performance average gains. Storming to norming was the highest improvement, which meets sociotechnical principles. Moreover, mean of accidents was inferior at performing stage comparing to the overall mean of accidents during the whole project, highlighting additional shop-floor safety improvements enhanced by the new work design. Implications for theory and practice This paper is restricted to a single sociotechnical environment. Therefore, generic conclusions imply further investigation.

https://doi.org/10.1590/0103-6513.20210053

[SciELO Preprints] - COVID-19 and acute pulmonary embolism: what should be considered to indicate a computed tomography pulmonary angiography scan?
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Moreira, Bruno Lima Santana, Pablo Rydz Pinheiro Zanetti, Gláucia Marchiori, Edson

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Data de publicação: 2020-05-27

Resumo: En

The full spectrum of COVID-19 is still emerging, although several studies have highlighted that patients infected with the novel coronavirus can potentially develop a hypercoagulable state. However, several aspects related to the incidence and pathophysiology of the association between COVID-19 and pulmonary embolism are not well established. Here, we present a case of a patient with COVID-19 who developed acute pulmonary embolism. Clinical and laboratory data and findings of non-enhanced CT indicate possibility of acute pulmonary embolism, and support the decision to proceed with computed tomography pulmonary angiography that can objectively identify filling defects in pulmonary arterial branches.

https://doi.org/10.1590/0037-8682-0267-2020

COVID-19 and acute pulmonary embolism: what should be considered to indicate a computed tomography pulmonary angiography scan?
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Moreira, Bruno Lima

; Santana, Pablo Rydz Pinheiro

; Zanetti, Gláucia

; Marchiori, Edson

Revista da Sociedade Brasileira de Medicina Tropical

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2020, Volume 53 elocation e20200267

Resumo: En | Texto: En | PDF: En

Abstract The full spectrum of COVID-19 is still emerging, although several studies have highlighted that patients infected with the novel coronavirus can potentially develop a hypercoagulable state. However, several aspects related to the incidence and pathophysiology of the association between COVID-19 and pulmonary embolism are not well established. Here, we present a case of a patient with COVID-19 who developed acute pulmonary embolism. Clinical and laboratory data and findings of non-enhanced CT indicate possibility of acute pulmonary embolism, and support the decision to proceed with computed tomography pulmonary angiography that can objectively identify filling defects in pulmonary arterial branches.

https://doi.org/10.1590/0037-8682-0267-2020 1130 downloads

Triple-matched defects on ventilation/perfusion scintigraphy and computed tomography: the importance of the reticular reversed halo sign
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Moreira, Bruno Lima

; Santana, Pablo Rydz Pinheiro

; Gomes, Antônio Carlos Portugal

; Marchiori, Edson

Jornal Brasileiro de Pneumologia

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2020, Volume 46 Nº 5 elocation e20190416

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

https://doi.org/10.36416/1806-3756/e20190416 246 downloads

The roles related to performance measurement systems use: a study based on clusters statistics analysis
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Rocha, Letícia Maoski

; Lima, Edson Pinheiro de

; Costa, Sérgio Eduardo Gouvêa da

; Sant’Anna, Ângelo Márcio Oliveira

; Angelis, Jannis Jan

Gestão & Produção

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2020, Volume 27 Nº 4 elocation e2708

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

Resumo: Os sistemas de medição de desempenho (SMD) vêm sendo muito estudado ao longo dos anos, porém este é ainda um tema muito importante para as empresas e continua sendo objeto de estudo, pois tais sistemas auxiliam na tomada de decisão, permitem o acompanhamento e controle de indicadores e contribuem para a realização da estratégia de negócios e de operações. Os estudos atuais acerca dos SMD, em sua maioria, versam sobre seus conceitos e definições, modelos, frameworks, recomendações para projeto e implementação, entre outros. Baseado em um conjunto de usos para um SMD descrito na forma de papéis para serem desempenhados, este artigo tem como objetivo principal discutir as inter-relações entre os papéis de um sistema de medição de desempenho, agrupando-os para então indicar recomendações para o seu uso. Para tanto, um survey foi aplicado à representantes de empresas, os quais puderam expressar seus níveis de concordância para os papéis de um SMD. Os dados foram analisados por meio da técnica de análise de cluster, onde os papéis foram agrupados em quatro grupos e comparados com a literatura existente. Dos agrupamentos formados foi possível indicar quatro principais recomendações às empresas, as quais justificam a adoção dos SMD para atingir resultados desejados.

Abstract: The performance measurement systems (PMS) have been studied over the last ten years, but this is still a very important research topic for companies and it keep being studied nowadays, because such systems help in decision-making, they allow monitoring and control indicators, and to assist business and operations strategy realization. The recent studies on PMS mostly are on reviewing their concepts and definitions, models, frameworks, design and implementation recommendations, etc. Based on a study oriented to PMS use described by roles to be played, this article aims to discuss the interrelationships between the roles of a performance measurement system, to cluster them and to formulate recommendations for their adoption and proper use. Thus, a survey collected and analyzed the perception of business representatives, who are able to express their agreement levels for PMS roles and use. Data are analyzed by using cluster analysis technique where the roles forms four groups, which can be confronted with the findings of related works from PMS literature. From the groups formed, it is possible to indicate four main domains of recommendations: to assure the alignment between strategic management of operations and its performance, promoting and improving the overall efficiency and effectiveness of the business operations results; to produce positive changes in organizational systems, processes and culture, developing the capacity to manage continuous improvement projects through integrated strategic management systems; to have a customer-oriented design approach; to be orientated and to manage stakeholders’ demands.

https://doi.org/10.1590/0104-530x2708-20 566 downloads

10.

Energy Efficiency in the Food Industry: A Systematic Literature Review
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Pradella, Angela Morandini

; Loures, Eduardo de Freitas Rocha

; Costa, Sergio E. Gouvea da

; Lima, Edson Pinheiro de

Brazilian Archives of Biology and Technology

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2019, Volume 62 Nº spe elocation e19190002

Resumo: En | Texto: En | PDF: En

Abstract Governments and private companies have increased efforts to identify effective actions for improving energy efficiency in manufacturing processes. The objective of this work is to improve the decision-making process by increasing the quality of information related to energy indicators in the food industry. This research involves developing a systematic literature review (SLR) to identify energy efficiency indicators in the food industry, which serve as inputs for a sectoral evaluation based on multicriteria techniques. The SLR identified six criteria evaluated by food industry experts, which form the proposed basis for evaluating the performance of related sectors. These criteria are: benchmarks, key performance indicators, framework, monitoring, ISO 50001, and information communication technologies (ICTs) in sectoral evaluations. The criteria were evaluated by experts using the Analytic Hierarchy Process (AHP), which prioritizes the most important food industry issues using an evaluation scale. Weights were attributed to each issue and positioned according to the Preference Ranking Organization Method for Enrichment Evaluations (PROMETHEE) to evaluate each sector by the identified criteria. The evaluated criteria are applicable to the three sectors surveyed, with emphasis on the beverage sector. Among the evaluated criteria, ICTs were highlighted by Industry 4.0 as a concern for the food sector.

https://doi.org/10.1590/1678-4324-smart-2019190002 1273 downloads

11.

Energy Management in Energy-Intensive Industries: Developing a Conceptual Map
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Silva, Vilson Roiz Gonçalves Rabelo da

; Loures, Eduardo de Freitas Rocha

; Lima, Edson Pinheiro de

; Costa, Sergio Eduardo Gouvêa da

Brazilian Archives of Biology and Technology

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2019, Volume 62 Nº spe elocation e19190017

Resumo: En | Texto: En | PDF: En

Abstract This paper presents the development of a conceptual map regarding energy management applied to industry. The energy issue is currently of great relevance, especially for the so-called energy-intensive industries related to high energy consumption and their associated environmental impacts. The present research is characterized as a basic, exploratory approach justified by the need to build knowledge on the subject of energy management in industry. The methodology provides for the use of a computational tool called CMap Tools, which assists in the graphic representation of the proposed conceptual map. The conceptual map based on the ISO 50001 standard and on successful energy management practices described in the scientific literature is directed toward a process design covered by the managerial discipline called Business Process Management. The conceptual map is intended to clarify the relationships that are established between the intra-organizational and main external stakeholders involved in an energy management system. Owing to the way internal areas and external organizations relate, the representation structure using a “Spider” is the most appropriate. The work developed presents an energy management system for an energy-intensive industry in a clear (conceptually and visually), orderly, unified, harmonious, and balanced manner indicating the distribution of its elements, and serves as an initial step in the creation of an ontology for this area of knowledge.

https://doi.org/10.1590/1678-4324-0000000000 2099 downloads

12.

Energy Management in Industry: An Enterprise Engineering Approach
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Silva, Vilson Roiz Gonçalves Rebelo da

; Loures, Eduardo de Freitas Rocha

; Lima, Edson Pinheiro de

; Costa, Sergio Eduardo Gouvêa da

Brazilian Archives of Biology and Technology

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2018, Volume 61 Nº spe elocation e18000160

Resumo: En | Texto: En | PDF: En

ABSTRACT Companies have needs and experience new opportunities to build their structure and align organizational process to achieve energy management with higher priority facing economic and environmental issues. The objective of this paper is to present the design and modeling of the Energy Management System (EnMS) in energy-intensive industries in an enterprise engineering approach, according to the management discipline called Business Process Management (BPM). The design of the process is based on the ISO 50001 standard and in good practices cited in the scientific literature. The methodology is characterized as basic, experimental, qualitative, and oriented according to the BPM development cycle. The process design created in the “should be” format presents a framework based on the Plan, Do, Check and Act (PDCA) cycle. The process is described in a necessary and sufficient way, arranging activities, actors and roles to establish an energy management process. The key process model of the energy review was developed in the Business Process Model and Notation (BPMN). The design and modeling allows to: analyze the EnMS as a process for understanding the activities; assist decision making; automate processes; enable collaboration; allow alignment of the process with the strategy; support the change and assisting with the evaluation of the organizational potential to implement the EnMS.

https://doi.org/10.1590/1678-4324-smart-2018000160 3440 downloads

13.

Análise comparativa de rentabilidade: um estudo sobre o Índice de Sustentabilidade Empresarial
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Silva, Elias Hans Dener Ribeiro da

; Lima, Edson Pinheiro de

; Costa, Sérgio Eduardo Gouvêa da

; Sant'Anna, Ângelo Márcio Oliveira

Gestão & Produção

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Dez 2015, Volume 22 Nº 4 Páginas 743 - 754

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

Resumo Organizações têm se esforçado para demonstrar à sociedade suas políticas de boas práticas sociais e ambientais e os investimentos socialmente responsáveis têm sido cada vez mais relevantes, fundamentando a crescente criação de índices de sustentabilidade empresarial. Muitos estudos têm sido feitos sobre o ISE - Índice de Sustentabilidade Empresarial – da BM&FBovespa, para averiguar se a carteira de ações composta por empresas consideradas sustentáveis traz maior retorno aos acionistas do que a carteira de ações de outros índices. Porém, grande parte dessas pesquisas dá foco ao valor das ações como forma de geração de valor e poucos são os estudos que se pautam em análises fundamentalistas. Este trabalho tem por objetivo comparar indicadores fundamentalistas de rentabilidade entre um grupo de empresas participantes do ISE e um grupo de referência, verificando se a gestão sustentável gera rentabilidade empresarial e a forma como criam valor aos acionistas. Os grupos foram comparados e as evidências encontradas, por meio da utilização do teste estatístico t-student, demonstram que, apesar de o ISE possuir uma carteira teórica diferenciada, voltada ao tema social, ambiental e ético, a rentabilidade das empresas que a compõem é semelhante ou inferior à das empresas do grupo de referência. Apesar disso, percebe-se que o grupo ISE apresenta outras formas de criação de valor ao acionista, como menor volatilidade e menor exposição ao risco.

Abstract Organizations have been striving to show society their policies of good social and environmental practices; consequently, they have been increasingly investing in socially responsible actions, one of the reasons for the growing creation of indexes of corporate sustainability. Many studies have been conducted on the ISE - Corporate Sustainability Index - of BM&F Bovespa to verify whether the portfolio composed of sustainable companies brings higher return to shareholders than other portfolios of regular companies. However, most of these researches focus on the stock value as a way to generate value, and there are few studies focusing on fundamental analysis. The main purpose of this paper is to compare fundamentalist profitability indicators between a group of companies that compose the ISE index and a reference group, verifying whether sustainable management improves business profitability, and how it creates value for shareholders. The groups were compared; the evidences found by using the t-student statistical test show that in spite of having a differentiated theoretical portfolio, focused on social, environmental and ethical issues, the profitability of companies that compose the ISE Group is similar to or lower than that of companies of the reference group. Nevertheless, the results show that the companies of the ISE Group have other ways to create shareholder value, such as lower volatility and risk exposure.

https://doi.org/10.1590/0104-530X1889-14 7617 downloads

14.

Uso de Intervenções Baseadas em Evidências na Síndrome Coronária Aguda – Subanálise do Registro ACCEPT
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Wang, Ricardo

; Neuenschwander, Fernando Carvalho

; Lima Filho, Augusto

; Moreira, Celsa Maria

; Santos, Elizabete Silva dos

; Reis, Helder Jose Lima

; Romano, Edson Renato

; Mattos, Luiz Alberto Piva e

; Berwanger, Otávio

; Andrade, Jadelson Pinheiro de

Arquivos Brasileiros de Cardiologia

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Abr 2014, Volume 102 Nº 4 Páginas 319 - 326

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

Fundamento: As diretrizes baseiam-se em evidências para pautar suas recomendações; apesar disso, há uma lacuna entre o recomendado e a prática clínica. Objetivo: Descrever a prática de prescrição de tratamentos com indicação baseada em diretrizes para pacientes com síndrome coronariana aguda no Brasil. Métodos: Foi realizada uma subanálise do registro ACCEPT, na qual foram avaliados os dados epidemiológicos e a taxa de prescrição de ácido acetilsalicílico, inibidores P2Y12, antitrombóticos, betabloqueadores, inibidores da enzima conversora de angiotensina/bloqueadores AT1 e estatinas. Além disso, avaliou-se a qualidade da reperfusão coronariana no infarto com supradesnivelamento do segmento ST. Resultados: Foram avaliados 2.453 pacientes. As taxas de prescrição de ácido acetilsalicílico, inibidores de P2Y12, antitrombóticos, betabloqueadores, inibidores da enzima conversora de angiotensina/bloqueadores AT1 e estatinas foram, respectivamente, de 97,6%, 89,5%, 89,1, 80,2%, 67,9%, 90,6%, em 24 horas, e, respectivamente, de 89,3%, 53,6, 0%, 74,4%, 57,6%, 85,4%, em 6 meses. Com relação ao infarto com supradesnivelamento do segmento ST, somente 35,9% e 25,3% dos pacientes foram submetidos a angioplastia primária e trombólise, respectivamente, nos tempos recomendados. Conclusão: Este registro mostrou altas taxas de prescrição inicial de antiplaquetários, antitrombóticos e estatina, bem como taxas mais baixas de betabloqueadores e de inibidores da enzima conversora de angiotensina/bloqueadores AT1. Independentemente da classe, todos apresentaram queda do uso aos 6 meses. A maioria dos pacientes com infarto com supradesnivelamento do segmento ST não foi submetida a reperfusão coronariana no tempo recomendado.

Background: The recommendations in guidelines are based on evidence; however, there is a gap between recommendations and clinical practice. Objective: To describe the practice of prescribing evidence-based treatments for patients with acute coronary syndrome in Brazil. Methods: This study carried out a subanalysis of the ACCEPT registry, assessing epidemiological data and the prescription rate of acetylsalicylic acid, p2y12 inhibitors, antithrombotic drugs, beta-blockers, angiotensin-converting enzyme inhibitors/angiotensin-receptor blockers (IAT1RB), and statins. In addition, the quality of myocardial reperfusion in ST-segment elevation myocardial infarction was evaluated. Results: This study assessed 2,453 patients. The prescription rates of acetylsalicylic acid, p2y12 inhibitors, antithrombotic drugs, beta-blockers, angiotensin-converting enzyme inhibitors/IAT1RB, and statins were as follows: in 24 hours - 97.6%, 89.5%, 89.1%, 80.2%, 67.9% and 90.6%; and at six months - 89.3%, 53.6%, 0%, 74.4%, 57.6% and 85.4%, respectively. Regarding ST-segment elevation myocardial infarction, only 35.9% and 25.3% of the patients underwent primary angioplasty and thrombolysis, respectively, within the recommended times. Conclusion: This registry showed high initial prescription rates of antiplatelet drugs, antithrombotic drugs, and statins, and lower prescription rates of beta-blockers and angiotensin-converting enzyme inhibitors/IAT1RB. Independently of the class, the use of all drugs decreased by six months. Most patients with ST-segment elevation myocardial infarction did not undergo myocardial reperfusion within the time recommended.

https://doi.org/10.5935/abc.20140033 4385 downloads Citado 2 vezes em SciELO

15.

Produtividade sistêmica: conceitos e aplicações
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King, Ney Cesar de Oliveira

; Lima, Edson Pinheiro de

; Costa, Sérgio Eduardo Gouvêa da

Production

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Mar 2014, Volume 24 Nº 1 Páginas 160 - 176

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

O estudo de temas relacionados à produtividade ocupa um lugar de destaque na agenda estratégica das empresas desde a gênese dos modelos de produção em massa. Vários modelos, processos e técnicas vêm sendo desenvolvidos com o propósito de melhorar os atuais níveis de desempenho das organizações. O conceito de produtividade evoluiu de uma abordagem unidimensional para um enfoque sistêmico, no entanto as diferentes técnicas desenvolvidas para a sua mensuração tratam de dimensões específicas. Há, portanto, a necessidade de se integrar tais técnicas em um modelo de gestão pela produtividade sistêmica, o que constitui o principal objetivo deste artigo. Partindo da construção de um conjunto de determinantes teóricos que representam a produtividade sistêmica, desenvolveu-se um processo para a sua mensuração utilizando-se como metodologia a abordagem por processos de Cambridge. Tal processo foi refinado via entrevistas e é ilustrado por um caso de simulação.

The study of themes related to productivity has occupied a special place in the strategic agenda of enterprises since the beginnings of mass production. Several models, processes and techniques have been developed with the purpose of improving the present performance levels of organizations. The concept of productivity has been following an evolution cycle from one-dimension approach to a systemic view; however, the different techniques used for its measurement are designed only for some of its specific dimensions. There is a need for integrating those techniques through a systemic productivity management model, and this is the main objective of this paper. Starting from a set of theoretical guidelines that represents the systemic productivity management model, a process was developed for its measurement using the Cambridge process approach. This process was refined by interviews with experts and illustrated by a case study simulation.

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