Implementation plan of advanced access for the ear nose and throat department at a public portuguese hospital

Today's healthcare landscape grapples with the challenge of timely access and operational efficiency. The Ear, Nose, and Throat (ENT) department of the hospital in study faces these and other obstacles, such as high no-show rates and operational inefficiencies. High no-show rates disrupt patient care and leave resources underused, while low operational efficiency extends lead time and compromised continuity of care. To address these issues, a literature review was conducted, as well as interviews with some professionals of the department in study. A problem-solving methodology was used, in which the situation was diagnosed and then solutions were proposed to solve the problem. This thesis proposes an adapted Advanced Access implementation in the ENT department. It aims to enhance patient care and operational efficiency. By exploring this subject and implementing Advanced Access, this study contributes insights to elevate patient care and operational effectiveness in healthcare in the department in study.O atual senário da saúde enfrenta o desafio de fornecer acesso atempado e eficiente a nível operacional. O departamento de Otorrinolaringologia enfrenta esses e outros problemas, como altas taxas de não comparecimento e ineficiência operacional. As altas taxas de não comparecimento prejudicam o atendimento ao paciente e levam a subutilização de recursos, enquanto a baixa eficiência operacional aumenta o tempo de espera e compromete a continuidade de cuidados. Para abordar essas questões, foi realizada uma revisão da literatura, bem como entrevistas com alguns profissionais do departamento em estudo. Foi utilizada uma metodologia de resolução de problemas, na qual a situação foi diagnosticada e, em seguida, propostas soluções para resolver o problema. Esta tese propõe uma implementação adaptada de Advance Access no departamento de Otorrinolaringologia. Tem como objetivo melhorar o atendimento ao paciente e a eficiência operacional O objetivo é melhorar o atendimento ao paciente e a eficiência operacional. Ao explorar este assunto e implementar o Acesso Avançado, este estudo contribui com insights para elevar o atendimento ao paciente e a eficácia operacional em cuidados de saúde no departamento em estudo

NEOTROPICAL ALIEN MAMMALS: a data set of occurrence and abundance of alien mammals in the Neotropics

Biological invasion is one of the main threats to native biodiversity. For a species to become invasive, it must be voluntarily or involuntarily introduced by humans into a nonnative habitat. Mammals were among first taxa to be introduced worldwide for game, meat, and labor, yet the number of species introduced in the Neotropics remains unknown. In this data set, we make available occurrence and abundance data on mammal species that (1) transposed a geographical barrier and (2) were voluntarily or involuntarily introduced by humans into the Neotropics. Our data set is composed of 73,738 historical and current georeferenced records on alien mammal species of which around 96% correspond to occurrence data on 77 species belonging to eight orders and 26 families. Data cover 26 continental countries in the Neotropics, ranging from Mexico and its frontier regions (southern Florida and coastal-central Florida in the southeast United States) to Argentina, Paraguay, Chile, and Uruguay, and the 13 countries of Caribbean islands. Our data set also includes neotropical species (e.g., Callithrix sp., Myocastor coypus, Nasua nasua) considered alien in particular areas of Neotropics. The most numerous species in terms of records are from Bos sp. (n = 37,782), Sus scrofa (n = 6,730), and Canis familiaris (n = 10,084); 17 species were represented by only one record (e.g., Syncerus caffer, Cervus timorensis, Cervus unicolor, Canis latrans). Primates have the highest number of species in the data set (n = 20 species), partly because of uncertainties regarding taxonomic identification of the genera Callithrix, which includes the species Callithrix aurita, Callithrix flaviceps, Callithrix geoffroyi, Callithrix jacchus, Callithrix kuhlii, Callithrix penicillata, and their hybrids. This unique data set will be a valuable source of information on invasion risk assessments, biodiversity redistribution and conservation-related research. There are no copyright restrictions. Please cite this data paper when using the data in publications. We also request that researchers and teachers inform us on how they are using the data

Characterisation of microbial attack on archaeological bone

As part of an EU funded project to investigate the factors influencing bone preservation in the archaeological record, more than 250 bones from 41 archaeological sites in five countries spanning four climatic regions were studied for diagenetic alteration. Sites were selected to cover a range of environmental conditions and archaeological contexts. Microscopic and physical (mercury intrusion porosimetry) analyses of these bones revealed that the majority (68%) had suffered microbial attack. Furthermore, significant differences were found between animal and human bone in both the state of preservation and the type of microbial attack present. These differences in preservation might result from differences in early taphonomy of the bones. © 2003 Elsevier Science Ltd. All rights reserved