Navegando por Autor "Rêgo, Amália Cinthia Meneses"
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Artigo Analysis of performance indicators applied in a university hospital conveniated to the Brazilian Hospital Services Company(International Journal of Development Research, 2018-07) Gurgel, Júlia Lorena Marques; Hékis, Hélio Roberto; Vasconcelos, Rafael Monteiro de; Valentim, Ricardo Alexsandro de Medeiros; Guerra Neto, Custódio Leopoldino de Brito; Rêgo, Amália Cinthia Meneses; Araújo Filho, IramiIntroduction: In Brazil, university hospitals have fundamental importance in the evolution of the Unified Health System (SUS) and in several areas that favor the improvement of the health conditions of the population. Thus, this article aims to analyze performance indicators of the Onofre LopesUniversitary Hospital, located in the northeast region of the country, before and after joining the management contract with the Brazilian Hospital Services Company (EBSERH). Methods: In order to perform this study, the authors selected performance indicators in hospital organizations and analyzed the comparativeof the bienniums 2011-2012 and 2014-2015, based on the performance index matrix. The 32 indicators are organized in terms of structure and results, and in the categories: installations, human resources, revenue, production, productivity, quality, costs and teaching/research/extension. Results: The results show better performance of the indicators in the biennium 2014-2015. The authors attribute this evolution of the performance indexes to the expansion and reorganization of the work team, to the increase in revenue, to structural reforms and to the provision of new services to the population. Conclusion: The small number of studies that relate the results of the indicators in a periodic comparison of the same hospital is noticeable. Therefore, is essential the monitoring, analysis and dissemination of these indicatorsArtigo Control of payment of suppliers in a public hospital: case study of Onofre Lopes University Hospital – Brazil(Scientific Research Platform (SRP) - Seychelles, 2019-01) Soares, Adolfo Rebouças; Cabral, Eric Lucas dos Santos; Castro, Wilkson Ricardo Silva; Pedrosa, Felipe Martins; Costa Junior, João Florêncio da; Florentino, Davidson Rogério de Medeiros; Souza, Ricardo Pires de; Viana, Danylo de Araújo; Assis, Amanda Gomes de; Barreto, Jurandir; Hékis, Hélio Roberto; Rêgo, Amália Cinthia Meneses; Araújo Filho, IramiThroughout the last decades, the discussion about the quality in the health service has gained global importance, mainly due to the difficulty in reaching a thorough measurement for the performance of health services based on objective criteria. Thus, the purpose of the present study is to evaluate through Control Charts whether the supplier payment process in a public hospital is being completed within the time frames specified by internal corporate administrative resolutions. Initially followed the Montgomery methodology for non-self-correlated phenomena from which the application of individual control charts and moving range was utilized. Following the charts analysis, it became necessary to verify the conformity of the data in relation to the distribution. Hence, the Kolmogorov-Smirnov and Chi-Square tests were performed, in which it was verified that the Weibull distribution is better suited to the data, and control charts were applied for the Weibull distribution and Capability study. The results of the applications indicated variability in the process, which can be minimized by identifying the bottlenecks inherent to the formalities in the payment process; evaluating the time a given invoice remains with the purchasing coordinator; defining a timeframe necessary to comply with the process verification before validating the invoice and send it to the contract unity; determining the specific time requirements for each stage of the process as to optimize the flow; and establishing key performance indicators in order to attain an in depth understanding of the internal proceduresArtigo Fibrin rich in leukocytes and platelets (L-PRF) and bisphosphonate-induced osteonecrosis: we need to advertise now(International Journal of Trend in Scientific Research and Development, 2019) Faria, Maria de Fátima; Cabral, Eric Lucas dos Santos; Castro, Wilkson Ricardo Silva; Florentino, Davidson Rogério de Medeiros; Costa Junior, João Florêncio da; Souza, Ricardo Pires de; Guzen, Fausto Pierdoná; Pinheiro, Francisco Irochima; Rêgo, Amália Cinthia Meneses; Araújo Filho, IramiThe American Association of Oral and Maxillofacial Surgeons (AAOMS) reported in 2004 a new pathology that causes osteonecrosis in the Maxillomandibular complex. The condition was named Bisphosphonate-related osteonecrosis of the jaw (BRONJ), and later renamed by medication related to jaw osteonecrosis due to the appearance of severe alveolar bone loss in the Maxillomandibular complex resulting from the use of different drugs other than Bisphosphonates. Odontology, especially oral surgery, a field concerned with newbiotechnologies, has been introducing innovations in tissue engineering. Oro-maxillofacial reconstruction is of great interest to current oral and maxillofacial surgeons, as part of the search for strategies in bioengineering and biomaterials, a major promoter of bio-dental research in our times. In order to verify the scientific evidences to analyse the effectiveness of leukocyte and platelet rich fibrin (L-PRF) on bone neoformation inMaxillomandibular complex’s surgical procedures, a search for qualified articles was conducted in the Medline (PubMed), Embase and Cochrane Central Register of Controlled Trials databases. The works analysed were published from 2013 to 2018. This review concludes that the use of platelet rich fibrin (L-PRF) is significant in the complete healing of the lesion in short postoperative periods and in the resolution of the treatments, reducing the need for postoperative re-interventions, resulting in lower morbidity for the patientsArtigo Magnetic device for closing skin wounds(Research, Society and Development, 2020-11-11) Pinheiro, Gleyse Karina Lopes de Oliveira; Batista, André Lima; Cobucci, Ricardo Ney; Rêgo, Amália Cinthia Meneses; Araújo-Filho, Irami; Guzen, Fausto Pierdoná; Pinheiro, Francisco Irochima; https://orcid.org/0000-0001-5264-3620The attempt to repair skin wounds dates back many years. We have observed bone fragments for making needles, hair, fibers, and animal tissues as sutures and even applying sensors to accelerate the healing process throughout history. Despite all the developments, the need for a qualified professional and prior local anesthesia to perform the suture still represent obstacles. The present study aimed to create 3D printing pieces containing N42 neodymium magnets to be fixed to the skin with adhesive tape to promote skin wounds' closure without the need for anesthesia. A descriptive, experimental study was carried out, divided into the Patent search, Ideation and creation, 3D Modeling, 3D printing of structural parts, Assembly, and Testing on artificial skin. ABSplus® plastic parts were created through 3D printing that received N42 neodymium magnets and the application of a double-sided adhesive to attach to the skin. A perilesional arrangement was simulated with the pieces created using an artificial skin model (EasySuture® Standart) after making the incision. After applying the pieces containing N42 neodymium, there was a perfect coaptation of the lesion's edges without detecting interspersed spaces in the longitudinal axis of the incision. The research resulted in creating a prototype that needs improvements and industrial adaptations for viable use in surgical practice.Artigo Minnesota innovation survey at the Brazilian Hospital services company(European Journal of Scientific Research, 2018) Medeiros, Helder Pacheco de; Cabral, Eric Lucas dos Santos; Castro, Wilkson Ricardo Silva; Pedrosa, Felipe Martins; Florentino, Davidson Rogério de Medeiros; Gurgel, Júlia Lorena Marques; Hékis, Hélio Roberto; Valentim, Ricardo Alexsandro de Medeiros; Guerra Neto, Custódio Leopoldino de Brito; Rêgo, Amália Cinthia Meneses; Araújo Filho, IramiPromoting innovation is bringing to the field of organizations (public or private) a strategic bias recommended for decision-making. Knowing their determinants factors is one of the essential tasks that managers face due to the high level of complexity involved. The purpose of this study was to present, through the Minnesota Innovation Survey (MIS) method developed by the Minnesota Innovation Research Program (MIRP) of the University of Minnesota in the United States. The characteristics favorable to the innovation environment in University Hospitals agreed to the Brazilian Company of Hospital Services (EBSERH), considered one of the largest public company of public character in health services in Brazil. Seventeen hospitals (43.59%) from a total of 39 branches were surveyed in all regions of the country, through a structured electronic questionnaire containing 83 questions related to the 29 dimensions directed to the development of health innovations. With this, it was sought to determine the main variables related to change in this context. As a result, the characterization of eleven dimensions favorable to innovation in these hospital organizations was verified, with a strong correlation between them, determinants for an innovative environment in public health policies. In terms of contributions, the research developed an essential method for management, control and innovation of health care service providers, which can be used in a wide range of contexts, highlighting the main factors favorable to organizational environments focused on innovative processes, creating a theoretical basis pleasant practice for new research to be carried out using the methodology usedArtigo Pré-condicionamento isquêmico em diferentes tempos e seu efeito na translocação bacteriana induzida por isquemia e reperfusão intestinal em ratos(2013) Medeiros, Aldo da Cunha; Araújo Filho, Irami; Torres, Mariana Lima; Sá, Caroline de Vasconcelos; Jácome, Daniel Torres; Rêgo, Amália Cinthia MenesesArtigo Prior telephone confirmation to reduce absenteeism in oncological surgeries: a phone call that saves lives(International Journal of Innovative Research In Medical Science, 2019) Brazorotto, Joseli Soares; Souza, Danielly Acioli Galvão de; Sena, Erika Maria Araújo Barbosa de; Vasconcelos, Talita Lúcio Chaves; Medeiros, Breno Carvalho de; Rêgo, Amália Cinthia Meneses; Filho, Irami Araújo; https://orcid.org/0000-0002-3891-9819In assessing the quality of health services, the use of quality and resolution indicators used in the operating room stands out. The cancellation fee for operating procedures is one of the most important. Cancellations interfere with the outcome of care and increase hospital costs. In the case of cancer patients, the consequences are severe, since early surgical intervention directly influences prognosis, reducing morbidity, and mortality. Considering that surgical suspensions should be prevented, pre-anesthetic consultation and telephone confirmation days before the procedure configure strategies that can be adopted to minimize the problem. A descriptive observational study with a quantitative approach was conducted on the impact of previous telephone confirmation on the reduction of cancellation of oncologic surgeries due to absenteeism. The research was carried out at Professor Alberto Antunes University Hospital, Federal University of Alagoas (HUPAA/UFAL), city of Maceió, State of Alagoas, Northeastern Brazil. The sample consisted of 205 patients with scheduled cancer surgery from January to June 2019, after approval by the Institutional Ethics Committee. Data analysis was performed descriptively. The effectiveness of previous telephone confirmation was verified, with a 50% reduction in cancellation of elective oncologic surgeries due to absenteeism. The implementation of a call center to confirm the presence of the user consisted of an impact strategy in reducing the cancellation of previously scheduled cancer surgeries.Artigo Quality evaluation under the perception of satisfaction of the users of different age groups in a Public Hospital in Natal - Brazil(Scientific Research Platform (SRP) - Seychelles, 2018-09) Cabral, Eric Lucas dos Santos; Castro, Wilkson Ricardo Silva; Pedrosa, Felipe Martins; Costa Junior, João Florêncio da; Florentino, Davidson Rogério de Medeiros; Souza, Ricardo Pires de; Hékis, Hélio Roberto; Rêgo, Amália Cinthia Meneses; Araújo Filho, IramiThe present article endeavors to describe the levels of satisfaction of users of medical services at the University Hospital Onofre Lopes (UHOL) in different age groups and to study the association between users' satisfaction and the different types of services provided by this public health institution. The study is based on the Annual Satisfaction Survey conducted by the UHOL Ombudsman's office, which evaluates this information for health policy subsidy in this hospital. A total of 4,290 users were consulted between 2015 and 2017 divided into three age groups: adolescents, adults and the elderly. The dependent variable was patient satisfaction after medical consultation at the hospital, evaluated on a four-level Likert scale. The independent variables were Gender of respondents (G); Comfort at the reception hall (CRH); Hygiene, cleanliness and organization of the hospital (HCO); Comfort of facilities at the medical care area (CFMC); Reception Service (RS); Health team attendance (HTA); Attendance waiting time (AWT); Education Level (EL), Age (A) and Evaluation of General Satisfaction on Hospital Services (GS). The multiple linear regression and logistic regression analysis was completed, respectively, for the data in general and separately for each age bracket. Very few participants declared to be dissatisfied or very dissatisfied (4%). In the crude model, general satisfaction was associated with CRH and HCO in the adolescent group, CFMC and RS in the CRH, HCO, RS and HTA groups in the elderly group. Adolescents showed greater dissatisfaction with hospital services because they presented specific demands concomitant with their age group