16 research outputs found
Expediente
Reitor: Vahan Agopyan
Vice-Reitor: Antonio Carlos Hernandes
CHC – Centro Interunidades de História da Ciência
Diretor: Gildo Magalhães
Vice-diretor: João Francisco Justo Filho
Comissão Editorial:
Gildo Magalhães dos Santos Filho
Flávio Ulhoa Coelho
João Francisco Justo Filho
José Roberto Machado Cunha Silva
Mayra Laudanna
Sara Albieri
Conselho Editorial:
Amâncio Cesar Santos Friaça (USP – IAG)
André Argollo (UNICAMP)
André Mota (USP – FM)
Antônio Carlos Cassola (USP – ICB)
Flavio Ulhoa Coelho (USP – IME)
Francisco Assis Queiroz (USP – FFLCH)
Francisco Rômulo Monte Ferreira (UFRJ)
Gildo Magalhães dos Santos Filho (USP – FFLCH)
Henrique Lindenberg Neto (USP – POLI)
Ivã Gurgel (USP – IF)
João Francisco Justo Filho (USP – POLI)
José Roberto Machado Cunha da Silva (USP – ICB)
Maria Amélia Mascarenhas Dantes (USP – FFLCH)
Márcia Regina Barros da Silva (USP – FFLCH)
Mayra Laudanna (USP – IEB)
Paula de Carvalho Papa (USP – FMVZ)
Roni C. D. de Menezes (USP – FE)
Rui Moreira (Universidade de Lisboa)
Sara Albieri (USP – FFLCH)
Comitê de Publicação:
Editor responsável: Gildo Magalhães dos Santos Filho
Editor gerente: Lauro Fabiano de Souza Carvalho
Assessoria editorial: Camilie Cardoso
Danielle Rodrigues Amaro
Raiany Oliveira
Pedro Barbieri (participação neste número)
Secretária: Adriana Antunes Casagrande de Luca
Contato: Revista Khronos – CHC/USP
Av. Prof. Lineu Prestes, 338 – Térreo
Cidade Universitária – São Paulo – SP
CEP 05508-900
e-mail [email protected]
telefone (11) 3091-3776
Capa deste número: autoria de Camilie Cardoso, a partir de ilustração contida em Le diverse et artificiose machine, de Agostino Ramelli (Paris, 1588).
 
Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study
Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p<0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p<0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised
Technological Revolution and the labor market: the redefinition of the Brazilian banking professional category
O objetivo desta dissertação de Mestrado é propor a análise do impacto das mudanças tecnológicas na relação entre o capital e o trabalho, especificamente na composição orgânica de ambos, a partir da situação do trabalhador bancário evidenciando a precarização de salários e consequente compressão psicossocial dos trabalhadores desta indústria de serviços, buscando um olhar desta História econômica contemporânea que enxergue as questões polÃticas e sociais do cotidiano no trabalho qualificado na sociedade informatizada. Para esse intento, veremos a formação do sistema bancário brasileiro, acompanharemos a trajetória do maior banco público brasileiro, o Banco do Brasil, conceituaremos o trabalho imaterial problematizando a apropriação do conhecimento da categoria bancária pelos sistemas informáticos que atendem aos bancos.The objective of this Master\'s thesis is to propose the analysis of the impact of technological changes on the relation between capital and labor, specifically on the organic composition of both, based on the situation of the banking worker - evidencing the precariousness of wages and consequent psychosocial compression of the workers in this service industry, seeking a look at this contemporary economic history that sees the political and social issues of daily life in the skilled work in the computerized society. For this purpose, we will see the formation of the Brazilian banking system, we will follow the trajectory of the greater Brazilian public bank, Banco do Brasil, we will conceptualize immaterial work and will problematize the appropriation of knowledge of the banking category by the computer systems that serve the banks
Technological Revolution and the labor market: the redefinition of the Brazilian banking professional category
O objetivo desta dissertação de Mestrado é propor a análise do impacto das mudanças tecnológicas na relação entre o capital e o trabalho, especificamente na composição orgânica de ambos, a partir da situação do trabalhador bancário evidenciando a precarização de salários e consequente compressão psicossocial dos trabalhadores desta indústria de serviços, buscando um olhar desta História econômica contemporânea que enxergue as questões polÃticas e sociais do cotidiano no trabalho qualificado na sociedade informatizada. Para esse intento, veremos a formação do sistema bancário brasileiro, acompanharemos a trajetória do maior banco público brasileiro, o Banco do Brasil, conceituaremos o trabalho imaterial problematizando a apropriação do conhecimento da categoria bancária pelos sistemas informáticos que atendem aos bancos.The objective of this Master\'s thesis is to propose the analysis of the impact of technological changes on the relation between capital and labor, specifically on the organic composition of both, based on the situation of the banking worker - evidencing the precariousness of wages and consequent psychosocial compression of the workers in this service industry, seeking a look at this contemporary economic history that sees the political and social issues of daily life in the skilled work in the computerized society. For this purpose, we will see the formation of the Brazilian banking system, we will follow the trajectory of the greater Brazilian public bank, Banco do Brasil, we will conceptualize immaterial work and will problematize the appropriation of knowledge of the banking category by the computer systems that serve the banks