Operational performance and budget constraints: case study in a public hospital specialized in hematology

The objective of this paper is to analyze the impact of budget constraints of the Brazilian public sector on operational performance indicators in a hematology specialized Hospital. In order to carry out this research a case study approach was designed considering average length of stay, occupancy rate, hospital mortality rate. Data regarding results of these indicators were obtained considering two periods of time. The first period was from January 2013 to December 2014 and the second period was from January 2015 to September 2016. Expected performance reference values from these indicators were also obtained. Data were obtained from official performance reports. The starting point for budget constraints considered was January 2015. Descriptive statistics was used to present the operational performance obtained. Mann-Whitney U test was used to analyze the presence of significant differences (p=0.05) in operational performance for the performance indicators considered. The results point out that, despite budget constraints, the operational performance regarding occupancy rates and hospital mortality rate did not presented statistically significant differences. Average length of stay was higher in the second period.The objective of this paper is to analyze the impact of budget constraints of the Brazilian public sector on operational performance indicators in a hematology specialized Hospital. In order to carry out this research a case study approach was designed considering average length of stay, occupancy rate, hospital mortality rate. Data regarding results of these indicators were obtained considering two periods of time. The first period was from January 2013 to December 2014 and the second period was from January 2015 to September 2016. Expected performance reference values from these indicators were also obtained. Data were obtained from official performance reports. The starting point for budget constraints considered was January 2015. Descriptive statistics was used to present the operational performance obtained. Mann-Whitney U test was used to analyze the presence of significant differences (p=0.05) in operational performance for the performance indicators considered. The results point out that, despite budget constraints, the operational performance regarding occupancy rates and hospital mortality rate did not presented statistically significant differences. Average length of stay was higher in the second period.The objective of this paper is to analyze the impact of budget constraints of the Brazilian public sector on operational performance indicators in a hematology specialized Hospital. In order to carry out this research a case study approach was designed considering average length of stay, occupancy rate, hospital mortality rate. Data regarding results of these indicators were obtained considering two periods of time. The first period was from January 2013 to December 2014 and the second period was from January 2015 to September 2016. Expected performance reference values from these indicators were also obtained. Data were obtained from official performance reports. The starting point for budget constraints considered was January 2015. Descriptive statistics was used to present the operational performance obtained. Mann-Whitney U test was used to analyze the presence of significant differences (p=0.05) in operational performance for the performance indicators considered. The results point out that, despite budget constraints, the operational performance regarding occupancy rates and hospital mortality rate did not presented statistically significant differences. Average length of stay was higher in the second period

ATLANTIC EPIPHYTES: a data set of vascular and non-vascular epiphyte plants and lichens from the Atlantic Forest

Epiphytes are hyper-diverse and one of the frequently undervalued life forms in plant surveys and biodiversity inventories. Epiphytes of the Atlantic Forest, one of the most endangered ecosystems in the world, have high endemism and radiated recently in the Pliocene. We aimed to (1) compile an extensive Atlantic Forest data set on vascular, non-vascular plants (including hemiepiphytes), and lichen epiphyte species occurrence and abundance; (2) describe the epiphyte distribution in the Atlantic Forest, in order to indicate future sampling efforts. Our work presents the first epiphyte data set with information on abundance and occurrence of epiphyte phorophyte species. All data compiled here come from three main sources provided by the authors: published sources (comprising peer-reviewed articles, books, and theses), unpublished data, and herbarium data. We compiled a data set composed of 2,095 species, from 89,270 holo/hemiepiphyte records, in the Atlantic Forest of Brazil, Argentina, Paraguay, and Uruguay, recorded from 1824 to early 2018. Most of the records were from qualitative data (occurrence only, 88%), well distributed throughout the Atlantic Forest. For quantitative records, the most common sampling method was individual trees (71%), followed by plot sampling (19%), and transect sampling (10%). Angiosperms (81%) were the most frequently registered group, and Bromeliaceae and Orchidaceae were the families with the greatest number of records (27,272 and 21,945, respectively). Ferns and Lycophytes presented fewer records than Angiosperms, and Polypodiaceae were the most recorded family, and more concentrated in the Southern and Southeastern regions. Data on non-vascular plants and lichens were scarce, with a few disjunct records concentrated in the Northeastern region of the Atlantic Forest. For all non-vascular plant records, Lejeuneaceae, a family of liverworts, was the most recorded family. We hope that our effort to organize scattered epiphyte data help advance the knowledge of epiphyte ecology, as well as our understanding of macroecological and biogeographical patterns in the Atlantic Forest. No copyright restrictions are associated with the data set. Please cite this Ecology Data Paper if the data are used in publication and teaching events. © 2019 The Authors. Ecology © 2019 The Ecological Society of Americ

Doadores de sangue de primeira vez e comportamento de retorno no hemocentro público do Recife

OBJETIVO: Analisar o perfil dos doadores de sangue conforme o período da primeira doação e comportamento de retorno no hemocentro público do Recife. CASUÍSTICA E MÉTODOS: Estudo retrospectivo, com 363 doadores, no qual se utilizou o banco de dados do Sistema de Banco de Sangue (SBS) referente ao período de 01 de janeiro de 1998 a 13 de junho de 2008. Na análise avaliaram-se a mediana do número de doações por sexo, idade e escolaridade, além da associação entre o período da primeira doação e o sexo, idade à primeira doação e fator Rh. Para 261 (excluídos 100 doadores de primeira vez e dois por imprecisão da data do retorno), o comportamento de retorno. RESULTADOS: Aproximadamente 77,1% eram homens, 40,5% entre 25-34 anos de idade, 47,7% haviam completado o segundo grau e 54% doaram espontaneamente. A mediana do número de doações foi maior entre os homens (p=0,000) mais velhos (p=0,000). A participação feminina cresceu no período atual (30,6%) em comparação a 1998-2000 (4,8%), mas o percentual superior dos doadores de primeira vez era referente a homem (p=0,003). Daqueles que doaram cinco ou mais vezes, 43,8% retornaram para próxima doação com intervalo menor que seis meses. Prevaleceu o sexo masculino entre doadores de repetição (p=0,011). CONCLUSÕES: A grande maioria dos doadores de repetição (intervalo de tempo entre as duas últimas doações igual ou inferior a 13 meses) ainda não está próximo do número máximo de doação anual. É fundamental concentrar a atenção neste grupo potencialmente mais receptivo para aumentar efetividade do recrutamento.OBJECTIVE: To analyze the profile of blood donors in respect to the period of the first donation and their return pattern to the public blood bank of Recife. METHOD: A retrospective study was performed of the data of 363 donors input to the Blood Bank System Database in the period from January 1, 1998 to June 13, 2008. In the analysis, the median number of donations by gender, age and schooling years were evaluated, as well as the association of the time of the first donation with the gender, age and Rh factor. Additionally, the return pattern of 261 of these donors (excluding 100 first time donors and two for lack of precision as to the date of return) was evaluated. RESULTS: Approximately 77.1% were men, of whom 40.5% were from 25 to 34 years old, 47.7% had completed high school and 54% donated spontaneously. The median number of donations was higher among older men (p = 0.000). The participation of women increased in this period (30.6%) compared to 1998-2000 (4.8%), even so most first-time donors were men (p = 0.003). Of those who donated five or more times, 43.8% returned for the next donation at an interval of less than six months. More men than women were repeat donors (p = 0.011). CONCLUSIONS: the great majority of repeat donors (with a time interval between the last two donations of 13 months or less) is still not close to the maximum possible number of annual donations. It is essential to focus on this group who are potentially more receptive to increasing the effectiveness of recruitment

Doadores de sangue de primeira vez e comportamento de retorno no hemocentro público do Recife

OBJETIVO: Analisar o perfil dos doadores de sangue conforme o período da primeira doação e comportamento de retorno no hemocentro público do Recife. CASUÍSTICA E MÉTODOS: Estudo retrospectivo, com 363 doadores, no qual se utilizou o banco de dados do Sistema de Banco de Sangue (SBS) referente ao período de 01 de janeiro de 1998 a 13 de junho de 2008. Na análise avaliaram-se a mediana do número de doações por sexo, idade e escolaridade, além da associação entre o período da primeira doação e o sexo, idade à primeira doação e fator Rh. Para 261 (excluídos 100 doadores de primeira vez e dois por imprecisão da data do retorno), o comportamento de retorno. RESULTADOS: Aproximadamente 77,1% eram homens, 40,5% entre 25-34 anos de idade, 47,7% haviam completado o segundo grau e 54% doaram espontaneamente. A mediana do número de doações foi maior entre os homens (p=0,000) mais velhos (p=0,000). A participação feminina cresceu no período atual (30,6%) em comparação a 1998-2000 (4,8%), mas o percentual superior dos doadores de primeira vez era referente a homem (p=0,003). Daqueles que doaram cinco ou mais vezes, 43,8% retornaram para próxima doação com intervalo menor que seis meses. Prevaleceu o sexo masculino entre doadores de repetição (p=0,011). CONCLUSÕES: A grande maioria dos doadores de repetição (intervalo de tempo entre as duas últimas doações igual ou inferior a 13 meses) ainda não está próximo do número máximo de doação anual. É fundamental concentrar a atenção neste grupo potencialmente mais receptivo para aumentar efetividade do recrutamento

Characterisation of microbial attack on archaeological bone

As part of an EU funded project to investigate the factors influencing bone preservation in the archaeological record, more than 250 bones from 41 archaeological sites in five countries spanning four climatic regions were studied for diagenetic alteration. Sites were selected to cover a range of environmental conditions and archaeological contexts. Microscopic and physical (mercury intrusion porosimetry) analyses of these bones revealed that the majority (68%) had suffered microbial attack. Furthermore, significant differences were found between animal and human bone in both the state of preservation and the type of microbial attack present. These differences in preservation might result from differences in early taphonomy of the bones. © 2003 Elsevier Science Ltd. All rights reserved