Enhancing hospital resilience and planning capacity in scenarios of crisis using group decision‐making and interpretive structural modeling

Hospitals, as critical infrastructures, confront multifaceted challenges during crises, ranging from natural disasters to pandemics. Initially, these facilities must secure essential emergency support functions and, subsequently, expedite their recovery from any adverse impacts. Hospital resilience, influenced by numerous variables and assessed through various evaluation criteria, remains enigmatic in terms of relationships and hierarchy among these factors. By integrating group decision-making and interpretive structural modeling, this study delves into determinants of practices bolstering hospital resilience from an internal management perspective. While the empirical results offer insights specific to the study context, the primary contribution is in the innovative methodology that shifts the emphasis from mere outputs to the intrinsic value of the process itself. Consequently, a hierarchical model of hospital resilience emerges, enriching insights into hospital resilience and highlighting the intricate balance between methodological rigor and tangible application, additionally serving as a blueprint for similar context-specific investigations. The research culminated in a consolidation session with an external expert, who assessed the model's applicability as a tool for generating new knowledge about developing hospital resilience management. Advantages and limitations are also discussed.info:eu-repo/semantics/publishedVersio

Geographic pattern of morphological variation of the coconut mit, Aceria guerreronis Keifer (Acari:Eriophyidae), using multivariate morphometry.

Made available in DSpace on 2018-06-13T00:45:37Z (GMT). No. of bitstreams: 1 SP19772ID31949.pdf: 959368 bytes, checksum: 6c15fb99ecbe8c6d8913eb34103e6549 (MD5) Previous issue date: 2009-12-1

Prevalence of Xanthomonas perforans associated with bacterial spot in processing tomato crops in Brazil.

Resumo 1012

Ocorrência e caracterização do complexo de espécies causadoras da mancha bacteriana do tomateiro no Alto Vale do Rio do Peixe, SC.

O objetivo deste trabalho foi identificar isolados de Xanthomonas causadores da mancha bacteriana do tomateiro para cosumo in natura, provenientes da região do Alto Vale do Rio do Peixe, SC, Brasil, bem como caracterizá-los quanto à sensibilidade in vitro ao cobre

An increase in nitric oxide produced by rat peritoneal neutrophils is not involved in cell apoptosis

Polymorphonuclear neutrophils (PMN) obtained from carrageenin-stimulated peritoneal cavities of rats, but not blood PMN, spontaneously produced nitric oxide (NO) when incubated in vitro. Incubation of the cells with the NO synthase inhibitors, L-imino-ethyl-L-ornithine (L-NIO) or NG-monomethyl-L-arginine (L-NMMA), inhibited NO production. This inhibition could be reversed by L-arginine. Incubation of PMN with lipopolysaccharide (LPS) failed to enhance NO production. Pretreatment of the rats with dexamethasone (DEXA) prior to carrageenin injection or incubation of PMN with the glucocorticoid in vitro partially inhibited the spontaneous release of NO. On the other hand, when PMN obtained from DEXA pretreated rats were incubated in vitro with DEXA, NO synthase activity and hence NO generation were almost abolished. A similar inhibition was also observed following the addition of L-NIO or cycloheximide to cultures of carrageenin-elicited PMN. The NO production by PMN did not appear to be related to cell viability or apoptosis. Indeed, neither the blockade of NO generation by L-NIO nor the incubation of the neutrophils with a NO donor, S-nitroso-acetylpenicillamine (SNAP) modified the pattern of LDH release or DNA fragmentation. In summary, it appears that PMN migration triggers a continuous NO synthesis, and that NO produced by these cells is not related to their apoptosis

Arroz aromático: uma nova opção de arroz para o mercado.

A Embrapa Arroz e Feijão fez uma parceria com a Faculdade Anhanguera de Ciências Humanas, para realizar um estudo com o objetivo de verificar a aceitabilidade e possíveis nichos de mercado do arroz aromático em Goiânia. A metodologia consistiu de uma amostragem aleatória da população local e verificação, por meio de uma análise sensorial, de como o produto era percebido.bitstream/CNPAF/21524/1/comt_60.pd