Estudo de caso sobre Livraria

O tema central deste estudo, a Livraria M.Leone está localizada na Barra da Tijuca em um ponto estratégico, onde em um raio de 500 metros estão localizados um shopping de comunidade, três shoppings de vizinhança e cinco grandes condomínios. Esta localização privilegiada beneficia em muito os negócios da Livraria e dá uma vantagem significativa em comparação à seus principais concorrentes. O bairro da Barra da Tijuca caracteriza-se por seu recente e constante crescimento. O bairro dota de um IDH (Índice de Desenvolvimento Humano) superior à média do município do Rio de Janeiro. Há ainda um grande potencial de consumo por conta da elevada renda média familiar na região. Todos esses fatores são fundamentais no sucesso da livraria estudada. Em contrapartida a estas vantagens, um dos grandes desafios enfrentados por empresas deste ramo é a grande sazonalidade de demanda. O período de maior demanda é o de Volta às Aulas, que representa três meses no ano e ao mesmo tempo cerca de 80% do faturamento anual. Isso força a Livraria a recorrer a algumas ferramentas que são necessárias para evitar o fracasso do negócio. Mão de obra temporária e oferta de outros serviços e produtos em paralelo são algumas dessas. No período atual de revolução e avanço tecnológico, é preciso ficar atento e se adaptar constantemente de forma a não ser ultrapassado por outros mais “antenados”. A questão do livro digital se tornou fonte de preocupação dos livreiros e, concordando ou não com o possível sucesso desse novo mercado de livros eletrônicos, os empresários do ramo devem estudar, pesquisar e conhecer todas as especificidades desse mercado em plena ascensão. Quem não se adaptar e procurar inovar pode ficar para trás nesse momento de grande mudança

Time to reconcile research findings and clinical practice on upper limb neurorehabilitation

The problemIn the field of upper limb neurorehabilitation, the translation from research findings to clinical practice remains troublesome. Patients are not receiving treatments based on the best available evidence. There are certainly multiple reasons to account for this issue, including the power of habit over innovation, subjective beliefs over objective results. We need to take a step forward, by looking at most important results from randomized controlled trials, and then identify key active ingredients that determined the success of interventions. On the other hand, we need to recognize those specific categories of patients having the greatest benefit from each intervention, and why. The aim is to reach the ability to design a neurorehabilitation program based on motor learning principles with established clinical efficacy and tailored for specific patient's needs. Proposed solutionsThe objective of the present manuscript is to facilitate the translation of research findings to clinical practice. Starting from a literature review of selected neurorehabilitation approaches, for each intervention the following elements were highlighted: definition of active ingredients; identification of underlying motor learning principles and neural mechanisms of recovery; inferences from research findings; and recommendations for clinical practice. Furthermore, we included a dedicated chapter on the importance of a comprehensive assessment (objective impairments and patient's perspective) to design personalized and effective neurorehabilitation interventions. ConclusionsIt's time to reconcile research findings with clinical practice. Evidence from literature is consistently showing that neurological patients improve upper limb function, when core strategies based on motor learning principles are applied. To this end, practical take-home messages in the concluding section are provided, focusing on the importance of graded task practice, high number of repetitions, interventions tailored to patient's goals and expectations, solutions to increase and distribute therapy beyond the formal patient-therapist session, and how to integrate different interventions to maximize upper limb motor outcomes. We hope that this manuscript will serve as starting point to fill the gap between theory and practice in upper limb neurorehabilitation, and as a practical tool to leverage the positive impact of clinicians on patients' recovery

Teaching Theoretical Physics: the cases of Enrico Fermi and Ettore Majorana

We report on theoretical courses by Fermi and Majorana, giving evidence of the first appearance and further development of Quantum Mechanics teaching in Italy. On the basis of original documents, we make a comparison between Fermi's and Majorana's approaches. A detailed analysis is carried out of Fermi's course on Theoretical Physics attended by Majorana in 1927-28. Three (previously unknown) programs on advanced Physics courses submitted by Majorana to the University of Rome between 1933 and 1936 and the course he held in Naples in 1938 complete our analysis: Fermi's phenomenological approach resounded in Majorana, who however combined it with a deeper theoretical approach, closer to the modern way of presenting Quantum Mechanics.Comment: latex, 21 pages; a contribution in the centenary of the birth of Ettore Majoran

Time to reconcile research findings and clinical practice on upper limb neurorehabilitation

In the field of upper limb neurorehabilitation, the translation from research findings to clinical practice remains troublesome. Patients are not receiving treatments based on the best available evidence. There are certainly multiple reasons to account for this issue, including the power of habit over innovation, subjective beliefs over objective results. We need to take a step forward, by looking at most important results from randomized controlled trials, and then identify key active ingredients that determined the success of interventions. On the other hand, we need to recognize those specific categories of patients having the greatest benefit from each intervention, and why. The aim is to reach the ability to design a neurorehabilitation program based on motor learning principles with established clinical efficacy and tailored for specific patient's needs. The objective of the present manuscript is to facilitate the translation of research findings to clinical practice. Starting from a literature review of selected neurorehabilitation approaches, for each intervention the following elements were highlighted: definition of active ingredients; identification of underlying motor learning principles and neural mechanisms of recovery; inferences from research findings; and recommendations for clinical practice. Furthermore, we included a dedicated chapter on the importance of a comprehensive assessment (objective impairments and patient's perspective) to design personalized and effective neurorehabilitation interventions. It's time to reconcile research findings with clinical practice. Evidence from literature is consistently showing that neurological patients improve upper limb function, when core strategies based on motor learning principles are applied. To this end, practical take-home messages in the concluding section are provided, focusing on the importance of graded task practice, high number of repetitions, interventions tailored to patient's goals and expectations, solutions to increase and distribute therapy beyond the formal patient-therapist session, and how to integrate different interventions to maximize upper limb motor outcomes. We hope that this manuscript will serve as starting point to fill the gap between theory and practice in upper limb neurorehabilitation, and as a practical tool to leverage the positive impact of clinicians on patients' recovery

The dry grasslands of Abruzzo National Park, the oldest protected area in the Apennines (Central Italy): overview of vegetation composition, syntaxonomy, ecology and diversity

The Abruzzo, Lazio and Molise National Park was established in 1923 and is considered a flagship conservation area in Italy. It includes large extensions of semi-natural grasslands, maintained by traditional transhumant grazing for centuries. The patterns and drivers of grassland composition within the Park are still poorly investigated, and the scattered phytosociological data available were often based on relevés with varied and not precisely defined sizes. In order to provide for the first time a general overview of the Park’s dry grasslands, we analysed a dataset of 87 relevés with a fixed size of 2 × 2 m, precisely delimited in the field and GPS-located. Specific research aims were: (1) to classify the vegetation plots into floristic-ecological types, supported by an analysis of mean (Italy-specific) Ellenberg Indicator Values (EIVs); (2) to assign the types to up-to-date phytosociological syntaxa; (3) to identify the main environmental drivers for both composition and richness patterns; (4) to test the degree of correlation between (Italy-specific) EIVs and the measured environmental variables. Environmental predictors included high-resolution climatologies and remote-sensed standing biomass. Main vegetation types were identified using Hierarchical Cluster Analysis (HCA). Distancebased RDA was performed as a constrained ordination method to reveal correlations between floristic composition and environmental variables. Drivers of species richness were explored through partial correlation and Regression Trees. HCA and NMDS revealed four floristically and ecologically well-interpretable groups, in turn well corresponding to the level of phytosociological class (namely Molinio-Arrhenatheretea, Nardetea strictae, Festuco hystricis-Ononidetea striatae and Festuco-Brometea). Constrained ordination showed that most of the floristic variation was explained by biomass, annual precipitation (Pann) and mean annual temperature (Tm). Strong and significant positive correlations were found between biomass and EIV for Nitrogen (EIV-N), and between Tm and EIV for Temperature (EIV-T). Strong and significant negative correlations were found between Pann and EIV-T, EIV for Continentality (EIV-C) and EIV for soil Reaction (EIV-R). Species richness was positively correlated with slope inclination and negatively with elevation; richness was higher in sites with a high rock cover, and on limestone or clayey substrata than on siliceous ones. We conclude that in the study area: a) dry semi-natural grasslands are arranged at least into four distinguishable, high rank floristic-ecological groups; b) a mixture of climatic (especially precipitation) and edaphic (especially bedrock and soil reaction) gradients are the main drivers of such composition patterns; c) species richness is higher in sites more stressed by summer drought and/or nutrient scarcity; d) community-means of Italy’s specific EIVs are well correlated with environmental variables in grasslands, including a good correspondence between EIV-T and mean annual temperature

Time to reconcile research findings and clinical practice on upper limb neurorehabilitation

The problemIn the field of upper limb neurorehabilitation, the translation from research findings to clinical practice remains troublesome. Patients are not receiving treatments based on the best available evidence. There are certainly multiple reasons to account for this issue, including the power of habit over innovation, subjective beliefs over objective results. We need to take a step forward, by looking at most important results from randomized controlled trials, and then identify key active ingredients that determined the success of interventions. On the other hand, we need to recognize those specific categories of patients having the greatest benefit from each intervention, and why. The aim is to reach the ability to design a neurorehabilitation program based on motor learning principles with established clinical efficacy and tailored for specific patient's needs.Proposed solutionsThe objective of the present manuscript is to facilitate the translation of research findings to clinical practice. Starting from a literature review of selected neurorehabilitation approaches, for each intervention the following elements were highlighted: definition of active ingredients; identification of underlying motor learning principles and neural mechanisms of recovery; inferences from research findings; and recommendations for clinical practice. Furthermore, we included a dedicated chapter on the importance of a comprehensive assessment (objective impairments and patient's perspective) to design personalized and effective neurorehabilitation interventions.ConclusionsIt's time to reconcile research findings with clinical practice. Evidence from literature is consistently showing that neurological patients improve upper limb function, when core strategies based on motor learning principles are applied. To this end, practical take-home messages in the concluding section are provided, focusing on the importance of graded task practice, high number of repetitions, interventions tailored to patient's goals and expectations, solutions to increase and distribute therapy beyond the formal patient-therapist session, and how to integrate different interventions to maximize upper limb motor outcomes. We hope that this manuscript will serve as starting point to fill the gap between theory and practice in upper limb neurorehabilitation, and as a practical tool to leverage the positive impact of clinicians on patients' recovery

SCFHLA: Un Modelo de Interoperabilidad Semántica para Simulación Distribuida de Cadenas de Suministro

La simulación distribuida de cadenas de suministro tiene la gran ventaja de preservar la independencia de los miembros de la cadena, pudiendo reutilizar simuladores existentes sin necesidad de crear uno nuevo. Sin embargo, el problema que emerge en este tipo de simulación es la necesidad de acordar el conjunto de objetos, eventos, interacciones y métricas, que deben ser entendidas por todos los participantes para lograr con éxito un resultado valioso para los mismos. En este trabajo se presenta un marco conceptual basado en una red de ontologías, que da soporte a las tareas de modelado y composición de la simulación distribuida de cadenas de suministro para garantizar la interoperabilidad semántica de sus miembros. Se utiliza el estándar HLA (High Level Architecture) como herramienta de construcción de una simulación distribuida.Fil: Sarli, Juan Leonardo. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Santa Fe. Instituto de Desarrollo y Diseño. Universidad Tecnológica Nacional. Facultad Regional Santa Fe. Instituto de Desarrollo y Diseño; ArgentinaFil: Leone, Horacio Pascual. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Santa Fe. Instituto de Desarrollo y Diseño. Universidad Tecnológica Nacional. Facultad Regional Santa Fe. Instituto de Desarrollo y Diseño; ArgentinaFil: Guitierrez, Maria de los Milagros. Universidad Tecnológica Nacional. Facultad Regional Santa Fe. Centro de Investigación y Desarrollo de Ingeniería en Sistemas de Información; Argentin

Cardiovascular Hypertension-Mediated Organ Damage in Hypertensive Urgencies and Hypertensive Outpatients

BACKGROUND: The prevalence of hypertension mediated organ damage (HMOD) in patients attending the Emergency Department (ED) with symptomatic blood pressure (BP) rise is unknown, and whether HMOD varies between asymptomatic and symptomatic patients with grade 3 hypertension is unclear. AIM: This study aimed to investigate cardiac and vascular HMOD in hypertensive urgencies (HU) and asymptomatic outpatients with grade 1–3 hypertension. METHODS: Patients attending the ED with a symptomatic BP rise ≥180/110 mmHg were prospectively enrolled (HU group), after the exclusion of acute organ damage. HMOD and BP were assessed after 72 h from ED discharge in an office setting. These patients were matched by age and sex to outpatients with grade 3 hypertension (Grade 3 group), and by age, sex, and 72 h office BP values to outpatients with any grade hypertension (Control group). RESULTS: A total of 304 patients were enrolled (76 patients in the HU group, 76 in the Grade 3 group, and 152 in the Control group). Grade 3 patients had increased left ventricular mass (LVMi) compared to patients with HU (106.9 ± 31.5 vs. 96.1 ± 30.7 g/m(2), p = 0.035). Severe left ventricular hypertrophy (LVH) was more frequent in grade 3 (21.1 vs. 5.3%, p = 0.004), and pulse wave velocity (PWV) was similar in the two groups. There was no difference in LVMi between ED and Control patients (96.1 ± 30.7 vs. 95.2 ± 26.6 g/m(2), p = 0.807). LVH prevalence was similar (43.4 vs. 35.5%, p = 0.209, respectively), but patients with HU had thicker interventricular septum (11.9 ± 2.2 vs. 11.1 ± 2.2 mm, p = 0.007). PWV was similar between these two groups. Patients with HU needed more antihypertensive drugs than Control patients (2 vs. 1, p < 0.001). CONCLUSIONS: Patients with HU had a better cardiac HMOD profile than outpatients with grade 3 hypertension. Their cardiac and vascular HMOD is more comparable to an outpatient with similar in-office BP, although they need more antihypertensive medications

Glycopeptide resistance among coagulase- negative staphylococci that cause bacteremia: epidemiological and clinical findings from a case-control study

A 1-year prospective case-control study (ratio of control patients to case patients, 3:1) was performed to assess the incidence, risk factors, and genotypic patterns of bacteremia caused by glycopeptide-resistant coagulasenegative staphylococci (CoNS) and their correlation with hospital glycopeptide use. Among 535 subjects with CoNS bacteremia, 20 subjects had a glycopeptide-resistant strain (19 strains were resistant to teicoplanin and 1 was resistant to both teicoplanin and vancomycin). The percentage of resistant isolates recovered in 1 year was 8% in intensive care units and 3% and 2% in medical and surgical wards, respectively. Genotypic analysis of resistant strains showed different patterns with a high degree of polymorphism. Use of glycopeptides in individual wards was not statistically associated with the percentage of resistance. Previous exposure to β-lactams and glycopeptides, multiple hospitalization in the previous year, and concomitant pneumonia were significantly associated with the onset of glycopeptide-resistant CoNS bacteremia. Mortality rates were 25% among case patients and 18% among control patients, and they were significantly higher among patients who presented with concomitant pneumonia and a high Acute Physiology and Chronic Health Evaluation III score