Cost management: bibliometrics in the annals of the national production engineering meeting

The National Meeting of Production Engineering (ENEGEP) is an event organized by the Brazilian Association of Production Engineering (ABEPRO) in which brings together the academic community of researchers working in the sector of Production Engineering and constitutes one of the leading promoters of technical and scientific production in the area. Among the various topics transiting the meeting, cost management is one of those who has relevant interaction. This article aims to analyze the academic contributions published in the Annals ENEGEP from 2008 to 2018 and trends in the area of ​​Economic Management, Cost Management subarea. Methodologically it made the use of bibliometric analysis techniques, analyzing, quantitatively and qualitatively, 219 articles, considering the following variables: quantitative evolution of publications; authoring features per article; authors; educational institutions; keywords; and themes. The main results identified an average of twenty papers per year with the cost management issue, the vast majority of publications were carried out with two or more authors, in relation to the authorship, 71% of authors had only one article, the southern region is the one most representative authors of publications, and as to the keywords which is evident most frequently are "Cost Management" and "costs"

Epidemiology and outcomes of non-cardiac surgical patients in Brazilian intensive care units

OBJECTIVES: Due to the dramatic medical breakthroughs and an increasingly ageing population, the proportion of patients who are at risk of dying following surgery is increasing over time. The aim of this study was to evaluate the outcomes and the epidemiology of non-cardiac surgical patients admitted to the intensive care unit. METHODS: A multicenter, prospective, observational, cohort study was carried out in 21 intensive care units. A total of 885 adult surgical patients admitted to a participating intensive care unit from April to June 2006 were evaluated and 587 patients were enrolled. Exclusion criteria were trauma, cardiac, neurological, gynecologic, obstetric and palliative surgeries. The main outcome measures were postoperative complications and intensive care unit and 90-day mortality rates. RESULTS: Major and urgent surgeries were performed in 66.4% and 31.7% of the patients, respectively. The intensive care unit mortality rate was 15%, and 38% of the patients had postoperative complications. The most common complication was infection or sepsis (24.7%). Myocardial ischemia was diagnosed in only 1.9% of the patients. A total of 94 % of the patients who died after surgery had co-morbidities at the time of surgery (3.4 ± 2.2). Multiple organ failure was the main cause of death (53%). CONCLUSION: Sepsis is the predominant cause of morbidity in patients undergoing non-cardiac surgery. In this patient population, multiple organ failure prevailed as the most frequent cause of death in the hospital.OBJETIVO: Devido aos avanços da medicina e ao envelhecimento da população, a proporção de pacientes em risco de morte após cirurgias está aumentando. Nosso objetivo foi avaliar o desfecho e a epidemiologia de cirurgias não cardíacas em pacientes admitidos em unidade de terapia intensiva. MÉTODOS: Estudo prospectivo, observacional, de coorte, realizado em 21 unidades de terapia intensiva. Um total de 885 pacientes adultos, cirúrgicos, consecutivamente admitidos em unidades de terapia intensiva no período de abril a junho de 2006 foi avaliado e destes, 587 foram incluídos. Os critérios de exclusão foram; trauma, cirurgias cardíacas, neurológicas, ginecológicas, obstétricas e paliativas. Os principais desfechos foram complicações pós-cirúrgicas e mortalidade na unidade de terapia intensiva e 90 dias após a cirurgia. RESULTADOS: Cirurgias de grande porte e de urgência foram realizadas em 66,4% e 31,7%, dos pacientes, respectivamente. A taxa de mortalidade na unidade de terapia intensiva foi de 15%, e 38% dos pacientes tiveram complicações no pós-operatório. A complicação mais comum foi infecção ou sepse (24,7%). Isquemia miocárdica foi diagnosticada em apenas 1,9%. Um total de 94 % dos pacientes que morreram após a cirurgia tinha co-morbidades associadas (3,4 ± 2,2). A principal causa de óbito foi disfunção de múltiplos órgãos (53%). CONCLUSÃO: Sepse é a causa predominante de morbidade em pacientes submetidos a cirurgias não cardíacas. A grande maioria dos óbitos no pós-operatório ocorreu por disfunção de múltiplos órgãos.Faculdade de Medicina de São José do Rio PretoServidor Público Estadual Serviço de Terapia IntensivaHospital São Lucas Unidade Coronariana IntensivaHospital Moinhos de Vento Centro de Terapia IntensivaClínica Sorocaba Centro de Terapia IntensivaClínica São Vicente Centro de Terapia IntensivaUniversidade Federal da Paraíba Hospital Universitário Unidade de Terapia Intensiva de AdultosUniversidade Federal de São Paulo (UNIFESP)Hospital Pró-Cardíaco Centro de Terapia IntensivaUniversidade Federal do Mato Grosso do Sul Hospital Universitário Centro de Terapia Intensiva AdultoUniversidade Estadual de LondrinaHospital de Terapia IntensivaUniversidade Estadual do PiauíHospital Santa Luzia Centro de Terapia IntensivaUniversidade Estadual do Oeste do ParanáFaculdade de Medicina de São José do Rio Preto Hospital de BaseHospital do Servidor Público EstadualHospital Cardiotrauma IpanemaSanta Casa de Misericórdia Centro de Terapia IntensivaUNIFESPSciEL

O Fluxo de Caixa como Ferramenta de Gerenciamento Financeiro de Pequenas Empresas

This study is engaged on the axis of Financial Management, with research into the factors controlling corporation in small business finance. It has as main objective to analyze the cash flow tool as a tool for financial management and specific process to describe the use of the Cash Flow tool objectives; analyze the feasibility of implementing the Cash Flow tool as an instrument of financial management and suggest proposals for suitability for deployment of Cash Flows as a financial management system. Facing these objectives the research uses the precedence of qualitative methodology and applies the instruments on-site visit, interview and questionnaire to collect data. Descriptive analysis that confront the theoretical basis and the data obtained from research is used. With the completion of the analysis the following results were achieved: description of business processes researched; identifying the needs and forms of control currently used and presentation of improvement measures for the adjustment of non-conformities identified. The study contributes to both the academic improvement by analyzing the real situation of the company, as well as it serves as a recommendation to companies embracing similar difficulties in financial management.Este estudo está situado no eixo de Administração Financeira, com investigação sobre os fatores de controle de finanças empresariais em corporação de pequeno porte. Possui como objetivo geral analisar a ferramenta Fluxo de Caixa como instrumento para gerenciamento financeiro e como objetivos específicos descrever o processo de utilização da ferramenta de Fluxo de Caixa; analisar a viabilidade de implantação da ferramenta como instrumento de gerenciamento financeiro e sugerir propostas de adequação para implantação do Fluxo de Caixa como sistema de gerenciamento financeiro. Para atender a esses objetivos a pesquisa utiliza metodologia de natureza qualitativa e aplica os instrumentos de visita in loco, entrevista e aplicação de questionário para a coleta dos dados. É utilizada a análise descritiva que busca confrontar as bases teóricas e os dados obtidos com a investigação. Com a realização da análise foram alcançados os seguintes resultados: descrição dos processos da empresa pesquisada; identificação das necessidades e formas de controle utilizadas atualmente e apresentação de medidas de melhoria para o ajuste das inconformidades apontadas. O estudo contribui tanto para o aperfeiçoamento acadêmico pela análise de situação real da empresa, assim como serve de recomendação a empresas que enfrentam dificuldades similares quanto à gestão financeira

The Cash Flow as Financial Management Tool For Small Businesses

This study is engaged on the axis of Financial Management, with research into the factors controlling corporation in small business finance. It has as main objective to analyze the cash flow tool as a tool for financial management and specific process to describe the use of the Cash Flow tool objectives; analyze the feasibility of implementing the Cash Flow tool as an instrument of financial management and suggest proposals for suitability for deployment of Cash Flows as a financial management system. Facing these objectives the research uses the precedence of qualitative methodology and applies the instruments on-site visit, interview and questionnaire to collect data. Descriptive analysis that confront the theoretical basis and the data obtained from research is used. With the completion of the analysis the following results were achieved: description of business processes researched; identifying the needs and forms of control currently used and presentation of improvement measures for the adjustment of non-conformities identified. The study contributes to both the academic improvement by analyzing the real situation of the company, as well as it serves as a recommendation to companies embracing similar difficulties in financial management.</p

ANÁLISE ERGONÔMICA DO AMBIENTE DE TRABALHO NA FABRICAÇÃO DE FERRAMENTAS FLORESTAIS

This research aimed to evaluate the work environment in a tool manufacturing factory. This process involves the cutting activities, orvado, turning, forger, temper, cable insertion, grinding, welding and varnishing. To evaluate the thermal comfort was used IBUTG to measure the wind speed anemometer, lux meter to evaluate the brightness and decibel meter to analyse the exposure of workers to noise. The data ranged IBUTG on average 20.9°C at 27.3°C. The forger had the highest IBUTG values averaged over the entire production process. All activities had wind speeds below 0.75 m/s, being perfectly acceptable for the entire workday. The average luminance oscillated from 42.9 lux to 393.3 lux. The activities of varnish, temper, forger and cable insertion had average illuminance below 150 lux required throughout the workday. All activities presented noise above 85 dB(A), except the varnishing and cutting. Noise levels ranged on average of 79.7 dB(A) in varnishing at 8 hours 95.7 dB (A), in the grinding at 13 hours

Brazilian Consensus on Photoprotection

Brazil is a country of continental dimensions with a large heterogeneity of climates and massive mixing of the population. Almost the entire national territory is located between the Equator and the Tropic of Capricorn, and the Earth axial tilt to the south certainly makes Brazil one of the countries of the world with greater extent of land in proximity to the sun. The Brazilian coastline, where most of its population lives, is more than 8,500 km long. Due to geographic characteristics and cultural trends, Brazilians are among the peoples with the highest annual exposure to the sun. Epidemiological data show a continuing increase in the incidence of nonmelanoma and melanoma skin cancers. Photoprotection can be understood as a set of measures aimed at reducing sun exposure and at preventing the development of acute and chronic actinic damage. Due to the peculiarities of Brazilian territory and culture, it would not be advisable to replicate the concepts of photoprotection from other developed countries, places with completely different climates and populations. Thus the Brazilian Society of Dermatology has developed the Brazilian Consensus on Photoprotection, the first official document on photoprotection developed in Brazil for Brazilians, with recommendations on matters involving photoprotection