O BALANCED SCORECARD COMO SISTEMA DE AVALIAÇÃO DE DESEMPENHO DESDOBRADO NAS ÁREAS DE GESTÃO, ENSINO, PESQUISA E EXTENSÃO EM UMA INSTITUIÇÃO DE ENSINO SUPERIOR COMUNITÁRIA

No setor de ensino superior privado, o aumento da concorrência e a busca por melhores resultados, com maior velocidade, estão criando novas demandas nestas instituições, forçando as mesmas a tornarem suas práticas de gestão mais eficientes e eficazes. Neste contexto, as instituições de ensino superior precisam de uma abordagem mais sistêmica sobre a avaliação de desempenho institucional, gerando indicadores adequados que meçam a efetividade das relações de causa - efeito da sua estratégia e auxiliando a tomada de decisão. Assim, este artigo tem por objetivo apresentar uma proposta de aplicação do BSC desdobrado nas áreas de gestão, ensino, pesquisa e extensão como um sistema de avaliação de desempenho em uma Instituição de Ensino Superior Comunitária (IESC). A pesquisa tem uma abordagem qualitativa, é exploratória e descritiva, adotando estratégias de pesquisa bibliográfica, documental e de estudo de caso. A pesquisa sugeriu que é possível desdobrar o BSC em uma IESC nas áreas de ensino, pesquisa, extensão e gestão. Desta forma, o sistema proposto permitirá a tradução da estratégia em termos operacionais, alinhando as atividades chave, bem como envolvendo todos em uma só direção

GESTÃO PÚBLICA NO PILOTO AUTOMÁTICO: QUEBRA DE PARADIGMAS A PARTIR DA UTILIZAÇÃO DA E.B.I.A. – ESTRATÉGIA BRASILEIRA DE INTELIGÊNCIA ARTIFICIAL UTILIZADA EM PROL DA EFICIENCIA DOS SERVIÇOS PÚBLICOS

Os serviços públicos oferecidos aos cidadãos na maioria da sua oferta, não apresentam eficiência, em que pese à alta carga tributária imposta pelo Poder Público aos seus administrados. O presente estudo objetiva-se demonstrar que a aplicação da Tecnologia pode de forma relevante aumentar a arrecadação com adoção de procedimentos produtivos para assim custear as politicas públicas e proporcionar maior eficiência dos serviços públicos oferecidos, baseada em maior precisão e celeridade na solução das demandas dos administrados. Desta forma, o presente trabalho, utilizando-se do método bibliográfico de pesquisa, objetiva demonstrar que os avanços da Tecnologia aliados aos serviços públicos beneficiam de forma significativa os cidadãos no custeio das políticas públicas. Em vista de benefícios do Poder Público as ferramentas tecnológicas podem aperfeiçoar os serviços públicos oferecidos apresentando maior eficiência (e-Serviços Públicos) a todos os cidadãos, sem que haja privilégios no atendimento, pois resulta em uma dimensão de democracia e respeito à cidadania, além de maior economia para o Estado, maior nível de transparência e qualidade no atendimento das demandas dos serviços públicos, inclusive aquelas derivadas da implantação dos direitos sociais disciplinados no artigo 6º da Constituição de 1988

Integrating the pastoral component in agricultural systems

This paper aims to discuss the impact of the introduction of pastures and grazing animals in agricultural systems. For the purposes of this manuscript, we focus on within-farm integrated crop-livestock systems (ICLS), typical of Southern Brazil. These ICLS are designed to create and enhance the synergisms and emergent properties have arisen from agricultural areas where livestock activities are integrated with crops. We show that the introduction of the crop component will affect less the preceding condition than the introduction of the livestock component. While the introduction of crops in pastoral systems represents increasing diversity of the plant component, the introduction of animals would represent the entry of new flows and interactions within the system. Thus, given the new complexity levels achieved from the introduction of grazing, the probability of arising emergent properties is theoretically much higher. However, grazing management is vital in determining the success or failure of such initiative. The grazing intensity practiced during the pasture phase would affect the canopy structure and the forage availability to animals. In adequate and moderate grazing intensities, it is possible to affirm that livestock combined with crops (ICLS) has a potential positive impact. As important as the improvements that grazing animals can generate to the soil-plant components, the economic resilience remarkably increases when pasture rotations are introduced compared with purely agriculture systems, particularly in climate-risk situations. Thus, the integration of the pastoral component can enhance the sustainable intensification of food production, but it modifies simple, pure agricultural systems into more complex and knowledge-demanding production systems

The use of telemedicine to support Brazilian primary care physicians in managing eye conditions : the TeleOftalmo Project

Purpose: To determine whether teleophthalmology can help physicians in assessing and managing eye conditions and to ascertain which clinical conditions can be addressed by teleophthalmology in primary care setting. Methods: We evaluated the resolution capacity of TeleOftalmo, strategy implemented in the public health system of southern Brazil. Resolution capacity was defined as the ability to fully address patients’ eye complaints in primary care with remote assistance from ophthalmologists. Data from tele-eye reports were collected over 14 months. Resolution capacity was compared across different age groups and different ocular conditions. Results: Overall, 8,142 patients had a tele-eye report issued in the study period. Resolution capacity was achieved in 5,748 (70.6%) patients. When stratified into age groups, the lowest capacity was 43.1% among subjects aged �65 years, while the highest was 89.7% among subjects aged 13–17 years (p<0.001). Refractive error (70.3%) and presbyopia (56.3%) were the most prevalent conditions followed by cataract (12.4%) and suspected glaucoma (7.6%). Resolution capacity was higher in cases of refractive error, presbyopia, spasm of accommodation and lid disorders than in patients diagnosed with other condition (p<0.001). Conclusions: With telemedicine support, primary care physicians solved over two-thirds of patients’ eye or vision complaints. Refractive errors had high case resolution rates, thus having a great impact on reducing the number of referrals to specialty care. Teleophthalmology adoption in primary-care settings as part of the workup of patients with eye or vision complaints promotes a more effective use of specialty centers and will hopefully reduce waiting times for specialty referral

Documento-síntese

Documento-síntes

A social and ecological assessment of tropical land uses at multiple scales: the Sustainable Amazon Network

Science has a critical role to play in guiding more sustainable development trajectories. Here, we present the Sustainable Amazon Network (Rede Amazonia Sustentavel, RAS): a multidisciplinary research initiative involving more than 30 partner organizations working to assess both social and ecological dimensions of land-use sustainability in eastern Brazilian Amazonia. The research approach adopted by RAS offers three advantages for addressing land-use sustainability problems: (i) the collection of synchronized and co-located ecological and socioeconomic data across broad gradients of past and present human use; (ii) a nested sampling design to aid comparison of ecological and socioeconomic conditions associated with different land uses across local, landscape and regional scales; and (iii) a strong engagement with a wide variety of actors and non-research institutions. Here, we elaborate on these key features, and identify the ways in which RAS can help in highlighting those problems in most urgent need of attention, and in guiding improvements in land-use sustainability in Amazonia and elsewhere in the tropics. We also discuss some of the practical lessons, limitations and realities faced during the development of the RAS initiative so far.Keywords: Social–ecological systems, Tropical forests, Land use, Interdisciplinary research, Sustainability, Trade-off

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries