Custo Total de Propriedade aplicado ao Centro de Documentação Histórica da Universidade Severino Sombra: Um estudo de caso

Este artigo visa mostrar uma pequena realidade da prática de análise de custo total de propriedade através de um estudo de caso e discussão de resultados. O mesmo também propõe soluções moldadas de acordo com a necessidade aparente do problema em evidência. Mostra o quão importante é ter o controle dos custos de TI e seus adjacentes e quão poderosa pode ser a ferramenta TCO, mesmo que direcionada a pequenas estruturas operacionais

Development of an instrument to evaluate the knowledge that the patient with hepatic cirhosis has about his disease and treatment

Introduction: hepatic cirrhosis (HC) is a disease with high morbidity and mortality in Brazil. Its treatment is complex and requires from lifestyle changes to large surgeries such as liver transplantation. To reach the best treatment results, it is necessary to guarantee a good patient’s adherence to the treatment. Studies indicate that the patient’s self-knowledge about his or her clinical condition is a determining factor in its adherence.Objectives: to assist in the design of an instrument that evaluates knowledge about the disease and treatment of HC. To improve the student knowledge on liver cirrhosis. Development of skills related to physical examination of the patient with HC.Methodology: The development process of the instrument will be divided into 3 stages: construction of the instrument (1st stage), evaluation of content validity and clarity of the instrument (2nd stage) and assessment of the reliability of the instrument (3 rd stage).Results: an instrument to evaluate the cirrhotic patient knowledge about the disease was made, analyzed by specialists and approved in the criteria proposed.Conclusions:1) The development of the instrument followed the steps described in literature.2) The suggestion of the evaluators allowed to restructure the questions making them clearer and more relevant to the proposal of the instrument.3) it was possible to achieve satisfactorily the proposal of the construction of the instrument.Key words: Liver cirrhosis; Self concept; Surveys and questionnaires; Health education

Development of an instrument to evaluate the knowledge that the patient with hepatic cirrhosis has about his disease and treatment

Introdução: cirrose hepática (CH) é uma doença com alta morbidade e mortalidade no Brasil. Seu tratamento é complexo e requer desde mudanças no estilo de vida até se submeter a grandes cirurgias, como o transplante hepático. Para alcançar os melhores resultados é necessário que o paciente tenha uma boa aderência ao tratamento. Estudos indicam que o conhecimento do paciente sobre sua condição clínica é um fator determinante na aderência. Objetivos: criar um instrumento que meça o conhecimento que um paciente com CH tem sobre sua doença e seu tratamento. Methodologia: o processo de desenvolvimento do instrument foi dividido em 3 estágios: construção do instrument (1º estágio), avaliação do conteúdo e claridade do instrument (2º estágio) e avaliação da confiabilidade do instrument (3º estágio). Results: um instrument para avaliar o conhecimento do paciente cirrótico sobre sua doença foi feito, analisado por especialistas e aprovado pelos critérios propostos. Conclusions: 1) O desenvolvimento do instrumento seguiu os passos descritos na literatura. 2) As sugestões dos avaliadores foram seguidas na reestruturação das questões, tornando-as mais claras e relevantes para a proposta do instrumento. 3) Foi possível alcançar de forma satisfatória a proposta de construção do instrumento.Introduction: hepatic cirrhosis (HC) is a disease with high morbidity and mortality in Brazil. Its treatment is complex and requires from lifestyle changes to large surgeries such as liver transplantation. To reach the best treatment results, it is necessary to guarantee a good patient’s adherence to the treatment. Studies indicate that the patient’s self-knowledge about his or her clinical condition is a determining factor in its adherence. Objectives: to assist in the design of an instrument that evaluates knowledge about the disease and treatment of HC. Methodology: The development process of the instrument will be divided into 3 stages: construction of the instrument (1st stage), evaluation of content validity and clarity of the instrument (2nd stage) and assessment of the reliability of the instrument (3 rd stage). Results: an instrument to evaluate the cirrhotic patient knowledge about the disease was made, analyzed by specialists and approved in the criteria proposed. Conclusions: 1) The development of the instrument followed the steps described in literature. 2) The suggestion of the evaluators allowed to restructure the questions making them clearer and more relevant to the proposal of the instrument. 3) it was possible to achieve satisfactorily the proposal of the construction of the instrument

Intussusception reveals MUTYH-related polyposis syndrome and colorectal cancer: a case report

We are reporting a rare case of MUTYH-associated polyposis, a colorectal cancer hereditary syndrome, diagnosticated after an intussusception. Colorectal cancer is an important cause of cancer related mortality that can be manifested by an intussusception, a rare occurrence in adults and almost always related to tumors. Approximately 5% of colorectal cancers can be attributed to syndromes known to cause hereditary colorectal cancer, such as MUTYHassociated polyposis, autosomal genetic syndrome associated with this disease. We present the case of a 44 years old male, that sought medical consultation with a complaint of abdominal discomfort, that after five days changed its characteristics. The patient was sent to the emergency department were a CT-scan revealed intestinal sub-occlusion by ileocolic invagination. Right colectomy was carried out. The anatomic-pathological examination revealed a moderately differentiated mucinous adenocarcinoma and multiples sessile polyps, which led to the suspicion of a genetic syndrome. In the genetics analysis two mutations were observed in the MUTYH gene, and MUTYH-associated polyposis was diagnosticated. This case demonstrates the importance of meticulous analysis of the patient examinations results to identify possible discrete alterations that can lead to improved understanding of disease