Estructuración y aplicación de la norma UNE 66177 para la integración de las normas ISO 9001 e ISO 45001 en estaciones de servicio de gasolina en Boyacá (Colombia) / Structuring and Application of the UNE 66177 standard for Integration of ISO 9001 and ISO 45001 in Boyacá - Colombia Gasoline Service Stations / Estruturação e aplicação da norma UNE 66177 para a integração das normas ISSO 9001 e ISSO 45001 em postos de gasolina em Boyacá (Colômbia)

Introducción: Las estaciones de servicio de gasolina actualmente tienen dificultad en certificar sus procesos de funcionamiento ante los entes correspondientes; por tal motivo, surgió el interés de cumplir con estándares inter-nacionales mediante la aplicación integral de dos normas técnicas colombianas, como lo son la ISO 9001:2015 y la ISO 45001:2018. Objetivo: Diseñar y aplicar un modelo integrado de gestión de la calidad y seguridad y salud en el trabajo bajo los requisitos de las normas técnicas colombianas ISO 9001 e ISO 45001 para las estaciones de servicio de gasolina de Boyacá, con aplicación en una empresa piloto. Metodología: Se desarrolló en tres fases. Inicialmente, se diagnosticaron las condiciones actuales de las estaciones de servicio de gasolina; posteriormente, se diseñó un modelo de integración bajo las normas objeto de estudio, y, por último, se aplicó dicho modelo a la empresa piloto. Resultados: Se obtuvo el diseño de un sistema de gestión integral basado en calidad, seguridad y salud en el trabajo mediante la aplicación de dos normas técnicas como lo son la ISO 9001:2015 e ISO 45001:2018, respec-tivamente. Conclusiones: Este sistema integrado de gestión es el primer paso para que las estaciones de servicio de gasolina puedan ofrecer calidad en la venta de combustible, alineado con las exigencias normativas expuestas en la Resolu-ción 0312 de 2019, y para cumplir los requisitos técnicos de la Resolución 40405 de 2020

Introduction: Gasoline service stations currently have difficulty certifying their operating processes by corresponding entities, for this reason there is an interest in complying these standards through the comprehensive application of two technical standards such as ISO 9001: 2015 and ISO 45001:2018. Objective: Design and apply an integrated model of quality management and occupational health and safety, under requirements of the Colombian technical standard ISO 9001 and ISO 45001 for ga-soline service stations in Boyacá, with a pilot company.Methodology: It was developed in three phases, initially it was discovered in the current conditions of gasoline service stations, later an integration model was started under the standards and finally the model was applied to the pilot Company. Results: The design of a comprehensive management system based on quality, safety and health at work was obtained through the application of two technical standards such as ISO 9001:2015 and ISO 45001:2018 respectively. Conclusions: An integrated management system based on ISO 9001:2015 and ISO 45001:2018 stan-dards was designed, which is the first step to gasoline service stations can offer quality in the sale of fuel aligned with the regulatory requirements in resolution 0312 of 2019 and to meet the technical requirements of resolution 40405 of 2020

Introdução: Atualmente, os postos de gasolina têm dificuldade para certificar seus processos ope-racionais perante as entidades correspondentes; por esse motivo, surgiu o interesse em cumprir as normas internacionais por meio da aplicação integral de duas normas técnicas colombianas, como a ISSO 9001:2015 e a ISSO 45001:2018. Objetivo: projetar e implementar um modelo integrado de gestão de qualidade e saúde e segurança ocupacional de acordo com os requisitos das normas técnicas colombianas ISO 9001 e ISO 45001 para postos de gasolina em Boyacá, com aplicação em uma empresa piloto. Metodologia: foi desenvolvida em três fases. Inicialmente, foram diagnosticadas as condições atuais dos postos de gasolina; em seguida, foi projetado um modelo de integração de acordo com os padrões em estudo e, por fim, o modelo foi aplicado à empresa piloto. Resultados: o projeto de um sistema de gestão integrado baseado em qualidade, segurança e saúde no trabalho foi obtido por meio da aplicação de duas normas técnicas, como a ISO 9001:2015 e a ISO 45001:2018, respectivamente. Conclusões: Esse sistema de gerenciamento integrado é o primeiro passo para que os postos de combustíveis ofereçam qualidade na venda de combustíveis, alinhados com os requisitos regulatórios estabelecidos na Resolução 0312 de 2019, e atendam aos requisitos técnicos da Resolução 40405 de 2020

Development of Standards of Disability in China and Comparison with Foreign Countries / 中国康复理论与实践

Objective:To discuss the technical standards of disability assessment in personal injury compensation in China, and to put forward the conception of standard construction. Methods:The disability assessment technical standards in China were systematically reviewed, as well as the contents of the United States Guides to the Evaluation of Permanent Impairment (GEPI) and the United Kingdom Guidelines for the Assessment of General Compensation in Personal Injury Cases (GAGD). Results:There were six standards for disability assessment and three of them were commonly used in China at present, coming from different departments. There were some repeated, intertwined, contradictory contents. The disabilities were graded in ten grades, and the disability rate was difference of 10% between two successive grades. The determination of disability grades came from the consensus of specialists, and was little scientific. In comparison, GEPI was developed according to the ICF standards formulated by the World Health Organization, which contained continuous disability value instead of disability grade, along with the weight of organs to calculate synthetically. GEPI emphasizes objective indicators. GAGD directly gave the financial amount of disability compensation. Conclusion:It is needed to integrate the standard management departments of technical standards for disability assessment in China to link standards up; strengthen macro plan and establish the system table of forensic disability assessment standards; carry out international exchanges of technical standards and refer to the concept and data of foreign standards when revising standards.

Inquérito sobre nível de conhecimento e participação em Normas Brasileiras de Informática em Saúde / Survey about knowledge level and participation in Brazilian Health Standards / Encuesta de nivel de conocimiento y la participación en las Normas Brasileñas de Informática de la Salud

A padronização por meio de normas técnicas ABNT/CEE-78 representa uma forma de incrementar a adoção de tecnologias da informação e comunicação na área da saúde. Entretanto, parte dos profissionais e estudantes de áreas relacionadas à informática em saúde ainda desconhecem esse tema. Objetivo: identificar o nível de conhecimento das normas técnicas ABNT/CEE-78 por profissionais e estudantes de Informática em saúde. Método: foi elaborado um inquérito seguindo as etapas de pesquisa bibliográfica e construção de um questionário online. Resultados: 110 participantes responderam ao questionário, sendo 64% com idade entre 20 e 40 anos e 47% da área de exatas. Apesar de 77% apontarem conhecer a ABNT, somente 2% participam das atividades da ABNT/CEE-78, mas 58% demonstraram interesse em participar e promovê-las. Conclusão: Foi possível identificar que embora a grande maioria dos participantes conheça a ABNT, poucos possuem conhecimento sobre normas da área da Informática em Saúde.

The standardization of technical standards by ABNT/CEE-78 is a way to increase the adoption of information and communication technologies in health area. However, the professionals and students related to health informatics areas are still unaware of this issue. Objective: Identify the level of knowledge of technical standards ABNT / CEE-78 for professionals and students in health informatics. Method:  a survey was prepared following the steps of bibliographic research and building an online questionnaire. Results: 110 participants completed the survey, with 64% between 20 and 40 years old and 47% in the exact sciences area. Although 77% know about ABNT, only 2% participate in ABNT/CEE-78 activities, but 58% expressed interest in participating and promoting them. Conclusion: It was possible to identify that despite a mojority of participants knows about ABNT, only few have knoldgement about health informatics standards.

La estandarización de las normas técnicas a través de la ABNT / CEE-78 es una forma de aumentar la adopción de tecnologías de la información y de la comunicación en la asistencia sanitaria. Sin embargo, los profesionales y estudiantes de las áreas de informática relacionados con la salud todavía no son conscientes de este problema. Objetivo: Identificar el nivel de conocimiento de las normas técnicas ABNT / CEE-78 para profesionales y estudiantes de informática de la salud. Método: una encuesta se desarrolló siguiendo los pasos de la investigación bibliográfica y la construcción de un cuestionario en línea. Resultados: 110 participantes completaron el cuestionario, 64% tenían edad entre 20 y 40 años y 47% son de las ciencias exactas. A pesar de que 77% indicaron conocer la ABNT, sólo 2% participa en actividades de ABNT / CEE-78, pero 58% expresó su interés en participacion y promoción de las mismas. Conclusión: El estudio identificó que aunque la gran mayoría de los participantes sabe ABNT, pocos tienen conocimiento de las normas en el campo de la Informática de la Salud.

The surrent situation and prospect about design and implementation of forensic clinical medicine standards ;in China( / 中国法医学杂志

Technical standards were supports that not only for any profession’s development, but also for the basic means of modern quality control.Forensic clinical medicine has developed nearly 40 years in china, there are 23 normative technical documents at present, the range of its application has been expanding with time, the caseload has been more than 1 million pieces per year all the country. Reviewing these standards, it can be seen: Technital standard of forensic clinical medicine has absorbed a large number of advanced international ideas, assimilating plenty of practice experience at the same time, standard's system has been initially formed, it has become one of the important means to guarantee the quality of medicolegal expertise. Certainly, the construction of forensic clinical standardization in China is still an arduous task, there are also many outstanding contradiction in the existing standards, our studies on international standards were not in-depth, and so on. In the future, forensic science experts still need to strengthen the companion study of technical standards and laws or regulations, intensify tracing and evaluating of international standards in order to form more adaptive and advanced technical standards.

Alimentación infantil: una reflexión en torno a los programas de estudio de enfermería en la Ciudad de México / Infant feeding: a reflection regarding the nursing curricula in Mexico City

Dada la posición clave de la enfermería en la atención primaria de la salud, en este trabajo se examinan los programas de estudio de la Licenciatura en Enfermería de instituciones educativas públicas en la Ciudad de México, para establecer si cuentan con los contenidos para poner en práctica las recomendaciones actuales sobre alimentación infantil. Se presenta un análisis documental que contrasta los programas de estudio con las dos normas oficiales referidas al tema. En un total de once sedes, nueve instituciones públicas ofrecen la Licenciatura en Enfermería, mediante siete programas de estudio que difieren en los mapas curriculares, denominaciones y contenidos temáticos, con bibliografía insuficiente y desactualizada. Se recomienda hacer equivalentes los programas, actualizar la bibliografía e incluir las normas oficiales pertinentes y la literatura internacional, para enfrentar los desafíos de la modernidad y la globalización en la temática alimentaria de la población infantil.

Given the key position of the nursing profession in primary health care, in this article we examine the nursing degree curricula in public institutions in Mexico City to establish whether these programs of study include the topics necessary to implement the current recommendations regarding infant feeding. We perform a documentary analysis that compares the nursing curricula to the two official regulations existing on the subject. In a total of eleven locations, nine public institutions offer undergraduate degrees in nursing. There are seven programs of study in existence, with different structures, course names, and thematic contents among them and all with insufficient and outdated bibliography. We recommend that the programs be made more equivalent, that the bibliography be updated, and that the relevant official standards and international literature be included, so as to better meet the challenges of modernity and globalization in the subject of infant feeding.

Nivel de cumplimiento de la norma técnica de salud para control de tuberculosis con evaluación de sintomáticos respiratorios y control de contactos BK positivos. Hospital Provincial Docente Belén de Lambayeque 2011 / Level of compliance with the technical health standard for tuberculosis control with evaluation of respiratory symptoms and control of positive BK contacts. Belén de Lambayeque Provincial Teaching Hospital 2011

Objetivo: el presente estudio tuvo como objetivo principal determinar el Cumplimiento de la Norma Técnica de Salud para el Control de la Tuberculosis en relación a la evaluación de Sintomáticos Respiratorios y control de contactos de pacientes BK positivos en el Hospital Provincial Docente Belén de Lambayeque, Enero - Diciembre del 2011. Material y métodos: Se realizó el presente estudio con diseño epidemiológico de tipo descriptivo, observacional, retrospectivo y transversal con. La muestra de estudio estuvo constituida por 267 Sintomáticos Respiratorios. Resultados: Los principales resultados fueron: En los pacientes BK positivos predominó el sexo femenino, las edades entre 25 y 29 años y el grado de instrucción nivel secundario; el porcentaje de Sintomáticos Respiratorios examinados con dos muestras de esputo fue 52.1%; el porcentaje de visitas domiciliarias a los pacientes con diagnóstico de BK positivo fue 39.1%, el número de contactos examinados en relación a los contactos censados fue 12.8% del total. Conclusión: un 61% de incumplimiento de la Norma Técnica de Salud para el control de la Tuberculosis en relación a la evaluación de Sintomáticos Respiratorios y control de contactos de pacientes BK positivos en el HPDBL del año 2011-(AU)

Objetive: The present study had as main objective to determine the level of fulfillment of the Technical Norm of Health for the Tuberculosis control in the evaluation of respiratory symptomatic patients and contacts surveillance in positive Ziehl Neelsen stain patients from the Hospital Provincial Docente Belén in Lambayeque, in the year 2011. Material and Methods: This study had a descriptive, observational, retrospective and cros s - sectional epidemiological design. The study sample consisted of 267 patients with respiratory symptoms. Results: The main results were: most positive BK patients were females, ages between 25 and 29 and with high school education, the percentage of respiratory symptomatic patients with two sputum samples was 52.1%, the percentage of home visits patients with positive diagnosis of BK was 39.1%, the number of contacts examined in relation to contacts census was 12.8% of the total. Conclusions: 61% of non-fulfillment with health standards for TB control in relation to the evaluation of respiratory symptomatic patients and contact control of BK positive patients in the HPDBL of 2011.(AU)

Evaluación de exposición a calor: alcances y limitaciones de los indicadores: su interpretación y correcta aplicación / Heat exposure assessment: scope and limitations of indicators: its interpretation and proper application

Se analizan los fundamentos, alcances y limitaciones de los indicadores TGBH (Temperatura de Globo y Bulbo Húmedo), Tasa Requerida de Evaporación de Sudor y Frecuencia Cardiaca. Se presentan distintos casos experimentales, en los cuales se realiza una evaluación detallada de la exposición a calor utilizando estos estándares.

This paper discusses the foundations, scope and limitations of Wet Bulb Globe Temperature (WBGT) indicators, required rate of sweat evaporation and heart rate. The study presents various experimental cases on which a detailed evaluation of heat exposure using these standards is carried out.

Aplicação da Norma Regulamentadora nº 17 em serviços privados de reabilitação fisioterápica dos municípios do Rio de Janeiro e Niterói. / Application of Regulatory Norm 17 (NR17) in private physiotherapy rehabilitation services in Rio de Janeiro and Niteroi municipalities.

O objetivo deste estudo é apresentar um perfil sobre a aplicação da Norma Regulamentadora nº 17 em serviços privados de fisioterapia. A pesquisa foi operacionalizada por meio de avaliação dos serviços privados de fisioterapia nos municípios do Rio de Janeiro e Niterói realizada por meio de visita às instituições. Foram selecionados aleatoriamente 30 (trinta) serviços de fisioterapia regularmente registrados no órgão de classe da categoria sendo que apenas 20 (vinte) aceitaram a visita de avaliação. Dados foram coletados sobre a conformidade dos serviços às orientações legais estabelecidas. Os resultados indicam que a média de conformidade dos serviços foi de 66.44% e que apenas um serviço alcançou a conformidade plena estabelecida na NR17. Neste sentido, a ação dos trabalhadores e empregadores deve privilegiar a busca conjunta de soluções para reduzir a exposição do trabalhador, aumentar o grau de satisfação por meio da reorganização do trabalho ou da adoção de medidas técnicas necessárias à obtenção de níveis de segurança e conforto condizentes ao desempenho de suas tarefas.

The aim of this study is to present a profile on the application of ergonomics standard regulatory norm 17 (NR17) in private services of physiotherapy rehabilitation. This research was operationalized through assessment of private physiotherapy services in Rio de Janeiro and Niteroi municipalities, conducted through visits to the institutions. 30 (thirty) services of physiotherapy regularly registered in the unit class of the category were randomly selected and 20 (twenty) accepted the evaluation visit. Data were collected on the accordance of services to the established legal guidelines. The results indicate that the average compliance of the services was 66.44% and that only one service has achieved full compliance established by NR17. In this sense, the action of workers and employers must focus on the joint search for solutions to reduce the exposure of the worker, increasing the degree of satisfaction through the reorganization of work or by the adoption of technical measures necessary to achieve levels of safety and comfort necessary to the performance of the workers? tasks.

Destaques éticos nos periódicos nacionais das áreas médicas / Ethics relevance in Brazilian medical journals

OBJETIVO: Avaliar os destaques éticos existentes nas instruções aos autores de periódicos nacionais citados conjuntamente pelas quatro áreas médicas da CAPES e qualificados nível "A" nacional ou "I" internacional. MÉTODOS: As instruções aos autores de 20 revistas nacionais foram estudadas e 36 tipos de preocupações éticas foram identificados, permitindo a seguinte categorização: I - Ética na pesquisa com seres humanos; II - Integridade científica; III - Política editorial. RESULTADOS: Os resultados mostraram que na categoria I a instrução mais freqüente (50 por cento) é a exigência de aprovação da pesquisa por um CEP institucional, seguida da indicação no corpo do artigo referir-se a esta aprovação (35 por cento), e a apresentação de cópia do parecer do CEP (30 por cento). Todavia, nenhum periódico adverte sobre a importância do CEP ser credenciado pela CONEP. Na categoria II, 55 por cento dos periódicos exigem declaração de conflitos de interesse e 40 por cento deles interrogam sobre qual tipo de interesse; todavia, todos (100 por cento) os periódicos são omissos quanto à verificação de conflitos de interesse entre autores e revisores assim como prevenção de fraudes, plágios e fabricação de dados. Finalmente, na categoria III, 65 por cento dos periódicos exigem que os direitos autorais sejam-lhes cedidos e os demais 35 por cento nada dizem sobre o assunto. CONCLUSÃO: Os resultados são discutidos em relação à situação atual do Brasil em relação à ética da pesquisa em seres humanos e à prevenção de desonestidade científica.

OBJECTIVE: To evaluate the Brazilian journals cited by the four CAPES medical areas, qualified as "A" national or "I" international, regarding the relevance given to ethics in the instructions for authors. METHODS: The instructions for authors of twenty Brazilian journals were studied and 36 types of ethical concerns were identified allowing the following categorization: I - Ethics in human research; II - Scientific integrity; III - Editorial policy. RESULTS: The results on Category I show that the most frequent instructions (50 percent) requires previous approval of the research by a institutional Ethics Committee (CEP), followed by indication on how to cite this approval in the body of the article (35 percent), plus presentation of a copy of the CEP approval (30 percent). However, none advert on the importance of the CEP being recognized by the CONEP. On Category II, 55 percent of the journal require declarations of conflict of interest, and 40 percent of them inquire about the type of interest; however, all (100 percent) journal do not mentione prevention conflict of interests between authors and peer reviewers, neither on frauds, plagiarisms or data fabrication. Finally, in Category III, 65 percent of the journals require the authors to transfer publications rights to them, while the remaining 35 percent do not mention copyright CONCLUSION: These results are discussed in relations to the Brazilian present situation regarding ethics in the scientific production of researches using human subjects for the prevention of scientific dishonesty.

Strategic Approach for Standardization on Ubiqitous Healthcare System / 대한의료정보학회지

BACKGROUND: As ubiquitous computing is being introduced in the health care sector due to increase in elderly population and chronic patients, development in sensoring and wireless communication technologies, information technology infrastructure and computerization of health care facilities, the concept of ubiquitous health is also being introduced. In order to vitalize and spread the ubiqiutous health, standardization of related information technology must be preceded anything else. OBJECTIVE: The objective of this study is to review status of standaridization and standard adoption in domestic and international ubiquitous health care, and propose scope of standardization, a list of nessessary standards, and strategic approaches to develop standards based on the review. METHODS: We reviewed components of ubiquitous health care system, scope of standardization in technology, application cases, and status of standard aoption based on literature search. Status of standardization of related information technology in health care domain was reviewed by domestic and international activities of related standard development organizations. Based on these review results, scope of standardization and strategic approaches to develop standards for the domestic ubiquitous health were developed and modified after consultation of expert panel. RESULTS: Status of health care information standardization is in the early stage and information technology for ubiquitous health is in the exploratory stage in Korea. Accrodingly, it is proposed to develop standards for computerization of health care facilities, health information exchange, point-of-care bio-signal measurement, smart cards, and sensor technology in order by taking different approaches such as adopt or adapt international standards or develop domestic standards and introduce them as international standards according to possession of corresponding technology by domestic vendors and maturity of dometic vendors.