Frankenstein e o clima organizacional: Estudo bibliográfico sobre um construto indefinido

Estudo bibliográfico acerca do clima organizacional, que se constitui como um construto de ampla utilização em gestão de pessoas. O clima tem sido abordado de várias maneiras, com inúmeras definições e modelos que o explicam, não havendo consenso sobre sua definição e mensuração. Este artigo objetiva reunir pesquisas sobre Clima Organizacional, apresentando suas divergências teóricas à ótica de autores que contribuíram para sua criação, buscando evidências sobre os motivos das diferenças existentes entre suas abordagens. Como resultado, observam-se as divergências marcantes e necessárias entre os critérios que compõem o construto, por contemplar a necessidade de incluir a percepção de políticas e práticas organizacionais. Trata-se, portanto de um construto moldado que remete à ideia da criatura de Shelley (2012), formada por pedaços distintos de outras criaturas e sem um núcleo determinado, que garanta uma existência plena, permitindo assim a relação metafórica como o monstro de Frankenstein

Perceived usability of a store and forward telehealth platform for diagnosis and management of oral mucosal lesions : a cross-sectional study

EstomatoNet was created in the south of Brazil to provides specialist support over a webbased platform to primary care dentists for diagnosis of oral lesions. To evaluate the usability of EstomatoNet and to identify user perceptions regarding their expectations and difficulties with the system; and to compare the perceptions of regular users of the service to those of first-time users. Sixteen dentists were selected for the study: 8 were frequent users of EstomatoNet and 8 were residents who had never used the Platform. To assess usability, participants were required to request telediagnosis support for a fictional case provided by the research team. During the process of uploading the information and sending the request, users were asked to “think out loud,” expressing their perceptions. The session was observed by an examiner with remote access to the user’s screen (via Skype). After the simulation, users completed the System Usability Scale (SyUS), a validated tool with scores ranging from 0 to 100. The mean SyUS score assigned by frequent users was 84.7±6.6, vs. 82.2±9.3 for residents (satisfactory usability: score above 68). The difference between the groups was not statistically significant (Student t test, P = .55). The residents group took longer (347.1±101.1s) to complete the task than frequent users (252.8±80.3s); however, the difference between the groups was not statistically significant (Student t test, P = .06). In their subjective evaluation, users suggested the inclusion of a field to add further information on outcomes and resolution of the case and changes in the position of the “Send” button to improve workflow. The present results indicate satisfactory usability of EstomatoNet. The Platform seems to meet the needs of users regardless of how experienced they are; nevertheless, a few minor changes in some steps would improve the tool

Effects of combined training performed two or four times per week on 24-h blood pressure, glycosylated hemoglobin and other health-related outcomes in aging individuals with hypertension : rationale and study protocol of a randomized clinical trial

Background: Acute blood pressure lowering after exercise seems to predict the extent of blood pressure reduction after chronic exercise training interventions. Based on that, the same weekly amount of exercise performed more frequently could be more beneficial for controlling blood pressure. Purpose: To compare the effects of a combined training program (resistance plus aerobic exercise) performed four or two times per week on 24-h ambulatory blood pressure and other healthrelated outcomes in middle-aged and older individuals with hypertension. Methods: This study will be a randomized, parallel group, two-arm, superiority trial. Ninety-eight participants aged 50–80 years with a previous physician diagnosis of hypertension will be randomized to perform two or four sessions per week of combined training using the same total weekly overload. Primary outcomes will be 24-h ambulatory blood pressure and glycosylated hemoglobin; secondary outcomes will be endothelial function, physical fitness and quality of life. The outcomes will be assessed at baseline and at the end of 12 weeks period. Results: Our conceptual hypothesis is that a combined exercise program performed four or two times per week with equalized weekly volume/overload will improve all outcomes in comparison to the baseline values, and that reductions in 24-h blood pressure and glycosylated hemoglobin will be more pronounced in the group that trained four times a week than twice. The results of this trial are expected to provide evidences to support that higher weekly frequency of combined training should be emphasized in aging adults with hypertension

Consenso brasileiro para o tratamento da esclerose múltipla : Academia Brasileira de Neurologia e Comitê Brasileiro de Tratamento e Pesquisa em Esclerose Múltipla

O crescent arsenal terapêutico na esclerose múltipla (EM) tem permitido tratamentos mais efetivos e personalizados, mas a escolha e o manejo das terapias modificadoras da doença (TMDs) tem se tornado cada vez mais complexos. Neste contexto, especialistas do Comitê Brasileiro de Tratamento e Pesquisa em Esclerose Múltipla e do Departamento Científico de Neuroimunologia da Academia Brasileira de Neurologia reuniram-se para estabelecer este Consenso Brasileiro para o Tratamento da EM, baseados no entendimento de que neurologistas devem ter a possibilidade de prescrever TMDs para EM de acordo com o que é melhor para cada paciente, com base em evidências e práticas atualizadas. Por meio deste documento, propomos recomendações práticas para o tratamento da EM, com foco principal na escolha e no manejo das TMDs, e revisamos os argumentos que embasam as estratégias de tratamento na EM.The expanding therapeutic arsenal in multiple sclerosis (MS) has allowed for more effective and personalized treatment, but the choice and management of disease-modifying therapies (DMTs) is becoming increasingly complex. In this context, experts from the Brazilian Committee on Treatment and Research in Multiple Sclerosis and the Neuroimmunology Scientific Department of the Brazilian Academy of Neurology have convened to establish this Brazilian Consensus for the Treatment of MS, based on their understanding that neurologists should be able to prescribe MS DMTs according to what is better for each patient, based on up-to-date evidence and practice. We herein propose practical recommendations for the treatment of MS, with the main focus on the choice and management of DMTs, as well as present a review of the scientific rationale supporting therapeutic strategies in MS

Frankenstein e o clima organizacional: Estudo bibliográfico sobre um construto indefinido

Bibliographic research about the organizational climate, which constitutes a construct of wide use in People Management. The climate has been approached in many ways, with many definitions and models that explain it and there is no consensus on its definition and measurement. This article aims to bring together research on Organizational Climate, presenting the theoretical divergences of the authors who contributed to its creation, seeking evidence on reasons for existing differences between their approaches. As a result, one can find the remarkable and necessary differences between the criteria that make up the construct, since it contemplates the need to include the perception of organizational policies and practices. It is therefore a construct that refers to the idea shaped Shelley (2012)´s creature, formed by separate pieces of other creatures and without a certain core that ensures full existence, thus allowing the metaphorical relationship to Frankenstein's monster.Estudo bibliográfico acerca do clima organizacional, que se constitui como um construto de ampla utilização em gestão de pessoas. O clima tem sido abordado de várias maneiras, com inúmeras definições e modelos que o explicam, não havendo consenso sobre sua definição e mensuração. Este artigo objetiva reunir pesquisas sobre Clima Organizacional, apresentando suas divergências teóricas à ótica de autores que contribuíram para sua criação, buscando evidências sobre os motivos das diferenças existentes entre suas abordagens. Como resultado, observam-se as divergências marcantes e necessárias entre os critérios que compõem o construto, por contemplar a necessidade de incluir a percepção de políticas e práticas organizacionais. Trata-se, portanto de um construto moldado que remete à ideia da criatura de Shelley (2012), formada por pedaços distintos de outras criaturas e sem um núcleo determinado, que garanta uma existência plena, permitindo assim a relação metafórica como o monstro de Frankenstein