Iterative Development of Professional Knowledge Intensive Business Processes

Knowledge related aspects of businesses processes are often ignored or referred to as a black box in process improvement projects. As a result they remain untouched and it is left to the knowledge workers to establish routines and workflows that deliver results needed to fulfill the business processes needs. This often results in lowered efficiency, redundancy of knowledge related activities, lack of systematic knowledge sharing and maintaining and insufficient support for knowledge workers. In this paper we introduce goals and practices as well as criteria to monitor the degree of achievement for such processes. We connect these to a maturity model for knowledge intensive business processes, which is used to assess and improve quality of knowledge intensive processes. It can be used during process improvement projects as well as for a self assessment

Osso bovino esponjoso inorgânico liofilizado em bloco no reparo de fístula oronasal induzida em cães Lyophilized inorganic bovine bone cancellous block for iatrogenic oronasal fistula repair in dogs

O reparo de fístulas oronasais representa um desafio para o cirurgião, devido à freqüente ocorrência de recidivas. Com o intuito de avaliar o emprego de osso bovino esponjoso inorgânico liofilizado em bloco (OBEILB) no tratamento dessa afecção, foi realizado um experimento utilizando dez cães sem raça definida, fêmeas com peso variando entre 8-17kg, submetidos à indução de fístulas oronasais após exodontia dos caninos. O procedimento cirúrgico foi realizado em duas etapas: na fístula do lado esquerdo, foi feito reparo imediato após realização do defeito, e, no lado direito, o reparo foi efetuado após sete dias, ambos preenchidos com OBEILB e recobertos com retalho de mucosa de origem gengival. Os animais foram avaliados clínica e radiograficamente, semanalmente, entre sete e 120 dias. O material usado é eficaz no reparo de fístulas oronasais do alvéolo do dente canino maxilar, não apresentando evidências de rejeição e recidivas.The oronasal fistula repair still represents a challenge to the surgeons, due to the high incidence of recidivation. An experiment using 10 adult mongrel dogs weighting between 8 and 17 kilograms was performed in order to evaluate the in block lyophilized inorganic bovine bone cancellous (BLIBBC) in the treatment of this disease. Each dog had an exodontic procedure of both canine teeth, in order to produce an oronasal fistula. The surgical procedure realized consisted in two different surgical steps: the left side defect was repaired right after the defect have been produced, while the right side defect was repaired seven days after the fistula induction; both sides were repaired using BLIBBC and covered with gengival flap. The animals were radiological and clinicaly evaluated every week for 120 days. The material used was effective in the repair of both fistulas, without rejection or recurrence