I've Got an Idea! Do IDEA Boards Facilitate Improved Completion of Wellness Focused Activities in a College of Nursing?

Background: In any given academic department there are many ideas discussed to promote wellness, yet it is often difficult to move specific wellness activity ideas from the initial conception stage to the implementation and evaluation stages. Wellness Committees are formed in departments where proposed ideas are generated. However, the same issue of lack of follow-through persists. In order to provide better follow-through and completion of wellness activities, an IDEA board was piloted by a Wellness Committee in a College of Nursing.Aim: This pilot project was implemented to determine the feasibility and utility of using an IDEA board to implement and complete wellness initiatives within a College of Nursing.Methods: An online mixed-methods survey was used to evaluate the use of an IDEA board within a Wellness Committee (n = 9) in a College of Nursing over a one-year period.Results: Results of the pilot study were positive and encouraging. Committee members found the visual representation helpful in guiding the group through the process of idea identification generation to idea implementation and evaluation.Conclusions: Using an IDEA board to guide the process of proposed wellness activities may facilitate improved completion of activities

Proposta de um modelo de gestão para alta hospitalar baseado na abordagem lean

Dissertação (mestrado) - Universidade Federal de Santa Catarina, Centro Tecnológico. Programa de Pós-Graduação em Engenharia de Produção, Florianópolis, 2017Com a necessidade de melhor utilização da capacidade de hospitais, eles buscam a melhoria de seus processos por meio do planejamento adequado da alta do paciente. Em análise a literatura, constatou-se há falta de integração entre as práticas de alta hospitalar e as demais áreas do hospital, assim como falta de processos para nivelar e sequenciar a alta de pacientes. Este fato, evidencia a falta de um padrão de referência para a alta hospitalar. Desta forma, o presente trabalho tem por objetivo mitigar estas lacunas apontadas por intermédio de um modelo de gestão, que contempla os seguintes objetivos: identificar os fundamentos teóricos da alta hospitalar; diagnosticar a alta hospitalar na prática; analisar o modelo proposto em relação aos constructos e às barreiras para a alta. A estrutura metodológica deste trabalho é composta por quatro etapas, a pesquisa e análise da literatura, a pesquisa-ação e a proposição e análise do modelo para a gestão de alta hospitalar. A pesquisa e análise da literatura foi realizada com base em pesquisas sistemáticas da literatura, em que buscou-se identificar os conceitos da alta hospitalar, bem como as práticas, barreiras e modelos de gestão. Na etapa de pesquisa-ação, realizou-se um mapeamento do fluxo do paciente em um hospital da Grande Florianópolis SC, resultando em três mapas do estado atual com o diagnóstico do fluxo de pacientes, este possibilitou a elaboração de três mapas do estado futuro com o desenho da condição ideal do fluxo do paciente. Com base nestas informações levantadas o modelo para a gestão de alta hospitalar foi elaborado, contendo uma rotina para o planejamento e controle de altas hospitalares e ainda, elencando as ferramentas para sua operacionalização. Como diferencial, o modelo proposto apresenta uma visão integrada da gestão da alta com o processo da alta hospitalar, devido ao fato de ser elaborado com uma visão de sistema de produção. O modelo aponta as ações necessárias em cada etapa do fluxo do paciente no hospital, auxiliando o profissional da saúde a melhor compreender a interação entre admissão, tratamento e alta, possibilitando um assim um planejamento adequado dos recursos necessários e da alta hospitalar. Uma das ferramentas que o modelo destaca é o heijunka, que é utilizado como forma de nivelar e sequenciar o fluxo de pacientes na alta hospitalar. Assim, o modelo proposto pode ser utilizado como referência a fim de promover soluções para os problemas recorrentes em fluxos de altas hospitalares, de modo a garantir e/ou melhorar o cuidado ao paciente, visando ainda a padronização e comunicação entre os diversos setores envolvidos no cuidado ao paciente.Abstract: With the need for better utilization of hospital capacity, they seek to improve their processes through the appropriate planning of patient discharge. When analyzing the literature review, there was a lack of integration between hospital discharge practices and other areas of the hospital, as well as a lack of processes to level and sequentially discharge patients. This fact evidences the lack of a reference standard for hospital discharge. In this way, the present work aims to mitigate these shortcomings indicated trough a management model, which contemplates the following objectives: identify the theoretical foundations of hospital discharge; Diagnose hospital discharge in practice; Analyze the proposed model in relation to constructs and barriers to discharge. This work methodological structure is composed of four stages: literature research and analysis, action research and proposal and analysis of a model for hospital discharge management. The literature research and analysis was carried out based on systematic literature searches, in which it was sought to identify the concepts of hospital discharge, as well as practices, barriers, and management models. In the action-research stage, a patient flow mapping was performed in a hospital in Grande Florianópolis - SC, resulting in three current state maps with the flow of patients diagnosis, which enabled the elaboration of three future state maps with the patient's flow ideal condition design. Based on the information gathered in the literature and in the action research analysis, a model for hospital discharge management was elaborated, containing a routine for the planning and control of hospital discharges and also listing the tools for its operationalization. As a differential, the proposed model presents an integrated vision of discharge management with the hospital discharge process, due to the fact that the model is elaborated with a production system view. The model indicates the actions required at each patient's hospital flow stage, helping the health professional to better understand the interaction between admission, treatment, and discharge, thus enabling adequate planning of the necessary resources and hospital discharge. One of the tools that the model highlights is heijunka, which is used as a way to level and sequence the flow of patients at hospital discharge. Thus, the proposed model can be used as a reference in order to promote solutions to recurrent problems in hospital discharges, in order to guarantee and/or improve patient care, aiming at standardization and communication among the different sectors involved in patient care

Data augmentation driven by optimization for membrane separation process synthesis

This paper proposes a new hybrid strategy to optimally design membrane separation problems. We formulate the problem as a Non-Linear Programming (NLP) model. A common approach to represent the physical behavior of the membrane is to discretize the system of differential equations that govern the separation process. Instead, we represent the input/output behavior of the single membrane by an artificial neural network (ANN) predictor. The ANN is trained on a dataset obtained through the MEMSIC simulator. The equation form of the trained predictor (shape and weights) is then inserted in the NLP model at the place of the discretized system of differential equations. To improve the ANN accuracy without an excessive computational burden, we propose data augmentation strategies to target the regions where densify the dataset. We compare a data augmentation strategy from the literature with a novel one that densifies the dataset around the stationary points visited by a global optimization algorithm. Our approach was validated using a relevant industrial case study: hydrogen purification. Validation by simulation is performed on the obtained solutions. The computational results show that a data augmentation smartly coupled with optimization can produce a robust and reliable design tool

Evolución de la comunidad de moluscos del lago Sabaudia: causas antropogénicas

The evolution of the molluscan biota in Sabaudia Lake (Italy, central Tyrrhenian Sea) in the last century is hereby traced on the basis of bibliography, museum type materials, and field samplings carried out from April 2009 to September 2011. Biological assessments revealed clearly distinct phases, elucidating the definitive shift of this human-induced coastal lake from a freshwater to a marine-influenced lagoon ecosystem. Records of marine subfossil taxa suggest that previous accommodations to these environmental features have already occurred in the past, in agreement with historical evidence. Faunal and ecological insights are offered for its current malacofauna, and special emphasis is given to alien species. Within this framework, Mytilodonta Coen, 1936, Mytilodonta paulae Coen, 1936 and Rissoa paulae Coen in Brunelli and Cannicci, 1940 are also considered new synonyms of Mytilaster Monterosato, 1884, Mytilaster marioni (Locard, 1889) and Rissoa membranacea (J. Adams, 1800). Finally, human-driven environmental changes and cumulative anthropogenic pressures proved to be the whole driver of the constitution of the human-induced malacofauna studied, casting doubts on the correct use of the definition of "native fauna"

Alien molluscan species established along the Italian shores: An update, with discussions on some Mediterranean "alien species" categories

The state of knowledge of the alien marine Mollusca in Italy is reviewed and updated. Littorina saxatilis (Olivi, 1792), Polycera hedgpethi Er. Marcus, 1964 and Haminoea japonica Pilsbry, 1895 are here considered as established on the basis of published and unpublished data, and recent records of the latter considerably expand its known Mediterranean range to the Tyrrhenian Sea. COI sequences obtained indicate that a comprehensive survey of additional European localities is needed to elucidate the dispersal pathways of H. japonica. Recent records and interpretation of several molluscan taxa as alien are discussed both in light of new Mediterranean (published and unpublished) records and of four categories previously excluded from alien species lists. Within this framework, ten taxa are no longer considered as alien species, or their records from Italy are refuted. Furthermore, Trochocochlea castriotae Bellini, 1903 is considered a new synonym for Gibbula albida (Gmelin, 1791). Data provided here leave unchanged as 35 the number of alien molluscan taxa recorded from Italy as well as the percentage of the most plausible vectors of introduction, but raise to 22 the number of established species along the Italian shores during the 2005-2010 period, and backdate to 1792 the first introduction of an alien molluscan species (L. saxatilis) to the Italian shores

Pioneer settlement of the cold-water coral Desmophyllum dianthus (Esper, 1794) on plastic

Larval settlement is a critical step for sessile benthic species such as corals, whose ability to thrive on diverse natural and anthropogenic substrates may lead to a competitive advantage in the colonization of new environments with respect to a narrow tolerance for a specific kind of substratum. Plastic debris, widespread in marine waters, provides a large, motile, and solid substratum supporting a highly diverse biological community. Here we present the first observation of a floating plastic bottle colonized by the deep-sea coral Desmophyllum dianthus. The density pattern and co-occurring species composition suggest a pioneer behavior of this coral species, whose peculiar morphologic plasticity response when interacting with the plastic substrate (i.e., low density polyethylene) has not been observed before. The tolerance of D. dianthus for such plastic substrate may affect ecological processes in deep water environments, disrupting interspecific substrate competition in the benthic community

New Mediterranean biodiversity records (July 2018)

In the present article, new records are given for 15 species (4 native and 9 alien and 2 cryptogenic), belonging to 6 Phyla (i.e. Chlorophyta, Ctenophora, Cnidaria, Mollusca, Arthropoda, and Chordata), from 10 Mediterranean countries: Morocco: the finding of the crab Callinectes sapidus represents the westernmost one of the species in the Mediterranean; Italy: first records of the nudibranch Polycera hedgpethi from the harbour of La Spezia, and first finding of the invasive ctenophore Mnemiopsis leidyi in the Fiora River; Tunisia: Caulerpa taxifolia var. distichophylla is recorded for the first time, showing an even wider distribution in the Mediterranean; Greece: the finding of the jellyfish Pelagia benovici represents the first record of the species in the Ionian Sea, while the finding of the smallscale codlet Bregmaceros nectabanus in the Ionian Sea is another interesting first report for the area; Malta: the cryptogenic scleractinian coral Oculina patagonica was recorded; Slovenia: the parasitic copepod Demoleus heptapus was recorded from a sixgill bluntnose shark, Hexanchus griseus; Croatia: the Lessepsian cephalaspidean mollusc Haminoea cyanomarginata is recorded for the first time from the area; Bulgaria: the Asian date mussel Arcuatula senhousia was recorded from the Black Sea; Cyprus: the Lessepsian gastropod Viriola sp. [cf. corrugata) was recorded for the first time from the area, while two decapod species were recorded also for the first time from Cyprus, i.e. the caridean shrimp Pasiphaea sivado and the anomuran Munida curvimana; Turkey: the acari Lohmannella falcata is recorded for the first time from Antalya and the Lessepsian fish Priacanthus sagittarius in the Levantine coasts of Turkey (off Hatay/Arsuz) showing that this species has extended its range in a very short time.peer-reviewe

Relative influence of environmental factors on biodiversity and behavioural traits of a rare mesopelagic fish, Trachipterus trachypterus (gmelin, 1789), in a continental shelf front of the Mediterranean Sea

Coastal environments can be influenced by water body masses with particular physical, chemical, and biological properties that create favourable conditions for the development of unique planktonic communities. In this study, we investigated a continental shelf front at Ponza Island (Tyrrhenian Sea) and discussed its diversity and complexity in relation to major environmental parameters. Moon phase and current direction were found to play a significant role in shaping species abundance and behaviour. During in situ observations, we also provided the first data on the behaviour of juveniles of a rare mesopelagic species, Trachipterus trachypterus, suggesting the occurrence of Batesian mimicry

Identificação dos desperdícios de cocriação de valor em serviços industriais em startups

Objective of the study: This study aims to identify the wastes from the value co-creation in industrial services in the startups context. In addition, through the dynamic systems approach, to analyze the interaction among the wastes in the startups' value co-creation.Design/methodology/approach: First, we conducted a systematic literature review based on the Systematic Search Flow method (SSF) and the content analysis following Bardin (2011), then, through the dynamic systems approach, this step, we verify the interaction and behavior among these wastes in the value co-creation context.Findings: Based on the finds, we recognized six wastes from the value co-creation in startups. We evidenced that waste "Personal Characteristics" was pointed was the greatest impact on co-creation concerning other wastes.Originality: This is the first paper that recognizes and behavior evaluates the wastes from value cocreation in industrial service based on the dynamic of systems approach for the startups.Research limitations/implications: The wastes recognized were based on current literature. An empirical test can be a way to identify other wastes and evaluation these finds in the practice.Practical implications: The listed wastes can serve as a basis to guide strategies for mitigating or eliminating these losses in the value co-creation process in startups. In addition, directing players in decision-making anticipated way from different perspectives to improve collaboration among multiple companies without wastes.Social implications: Once the value cocreation process is more efficient, the societal can receive more benefits and enhance well-being, through services new or services improved offerings for society via startups.Objetivo: Este estudio tiene como objetivo identificar los desperdicios de la co-creación de valor en los servicios industriales en el contexto de las startups. Además, a través del enfoque de sistemas dinámicos, analizar la interacción entre los residuos en la co-creación de valor de las startups.Diseño/metodología/enfoque: Primero, realizamos una revisión sistemática de la literatura basada en el método Systematic Search Flow (SSF) y el análisis de contenido siguiendo a Bardin (2011), luego, a través del enfoque de sistemas dinámicos, este paso, verificamos la interacción y comportamiento entre estos residuos en el contexto de co-creación de valor.Hallazgos: Con base en los hallazgos, reconocimos seis desperdicios de la co-creación de valor en las startups. Evidenciamos que el residuo "Características Personales" fue señalado como el de mayor impacto en la co-creación con respecto a otros residuos.Originalidad: Este es el primer trabajo que reconoce y evalúa el comportamiento de los desperdicios de la cocreación de valor en el servicio industrial basado en el enfoque dinámico de sistemas para las startups.Limitaciones/implicaciones de la investigación: Los desechos reconocidos se basaron en la literatura actual. Una prueba empírica puede ser una forma de identificar otros residuos y evaluar estos hallazgos en la práctica.Implicaciones prácticas: Los desperdicios enumerados pueden servir de base para orientar estrategias de mitigación o eliminación de estas pérdidas en el proceso de co-creación de valor en las startups. Además, dirigir a los actores en la toma de decisiones de manera anticipada desde diferentes perspectivas para mejorar la colaboración entre múltiples empresas sin desperdicios.Implicaciones sociales: Una vez que el proceso de cocreación de valor es más eficiente, la sociedad puede recibir más beneficios y mejorar el bienestar, a través de servicios nuevos o servicios mejorados que se ofrecen a la sociedad a través de nuevas empresas.Objetivo: Este estudo tem como objetivo identificar os desperdícios da cocriação de valor em serviços industriais no contexto de startups. Além disso, através da abordagem de sistemas dinâmicos, analisar a interação entre os desperdícios na cocriação de valor das startups.Desenho/metodologia/abordagem: Inicialmente, realizamos uma revisão sistemática da literatura com base no método Systematic Search Flow (SSF) e a análise de conteúdo seguindo Bardin (2011), em seguida, através da abordagem de sistemas dinâmicos, nesta etapa, verificamos a interação e comportamento desses resíduos no contexto da cocriação de valor.Resultados: Com base nos achados, reconhecemos seis desperdícios da cocriação de valor em startups. Constatamos que o resíduo “Características Pessoais” foi apontado como o de maior impacto na cocriação em relação aos demais resíduos.Originalidade: Este é o primeiro trabalho que reconhece e avalia o comportamento dos desperdícios da cocriação de valor em serviços industriais com base na abordagem dinâmica de sistemas para as startups.Limitações/implicações da pesquisa: Os resíduos reconhecidos foram baseados na literatura atual. Um teste empírico pode ser uma forma de identificar outros desperdícios e avaliar esses achados na prática.Implicações práticas: Os desperdícios listados podem servir de base para orientar estratégias de mitigação ou eliminação dessas perdas no processo de cocriação de valor em startups. Além disso, direcionar os atores na tomada de decisões antecipada de diferentes perspectivas para melhorar a colaboração entre várias empresas sem desperdícios.Implicações sociais: Uma vez que o processo de cocriação de valor seja mais eficiente, a sociedade pode receber mais benefícios e aumentar o seu bem-estar, por meio de novos serviços ou ofertas de serviços aprimorados para a sociedade via startups

EFEITO DO ÁCIDO 1-NAFTALENO ACÉTICO E DE 6-BENZILAMINOPURINA NA MICROPROPAGAÇÃO DE MELALEUCA (Melaleuca Alternifolia Cheel)

Melaleuca alternifolia Cheel possui um óleo essencial em suas folhas, ramos e caule de grande importância medicinal com ação bactericida e antifúngica contra vários patógenos humanos. A técnica da micropropagação de é importante para atender à demanda de plantas medicinais com alto padrão genético e fitossanitário, mantendo um banco de germoplasma. Objetivou-se avaliar o efeito do ANA (Ácido 1-Naftaleno Acético) e do BAP (6-Benzilaminopurina) na multiplicação in vitro de Melaleuca (Melaleuca alternifolia Cheel) para produzir de forma massal atendendo à demanda industrial farmacêutica. Utilizou-se plantas já isoladas in vitro pertencentes ao laboratório. Testou-se cinco concentrações de ANA (0,0; 0,5; 1,0; 1,5; 2,0 mg.L-1) e cinco de BAP (0,0; 0,5; 1,0; 1,5; 2,0 mg.L-1), adicionadas em meio MS com 30 g.L-1 de sacarose, pH ajustado a 5,8 e solidificado com 2,5 g.L-1 de Phytagel. Os melhores resultados para comprimento de planta foram obtidos com ANA 1 mg.L-1 (2,16 cm) e nos tratamentos com BAP, a testemunha teve melhor desenvolvimento com média de 1,39 cm. O melhor desenvolvimento radicular, para testes com ANA, foi em 1,0 mg.L-1 com média de 5,16 raízes, sendo que a tendência foi diminuir os resultados com concentrações mais elevadas. A concentração de 1 mg.L-1 de ANA é recomendada para o enraizamento in vitro de melaleuca. A adição de 1,5 mg.L-1 de ANA inibe o desenvolvimento da plantas. A concentração de com 0,5 mg.L-1 de BAP favorece a emissão de gemas laterais