RÉSUMÉ
Logistics informatization is importantfor promoting the high-quality development of public hospitals.It is a driving force for innovating hospital logistics management and an important practice of"green hospitals"and"smart hospitals".The logistics information system can effectively integrate people,machines,materials,and events of hospitals to achieve data-driven scientific management and improve service and management efficiency.By analyzing the current status of logistics manage-ment in the Sun Yat-sen University Cancer Center,this article proposes a transformation path to and management ideas for hospi-tal refined logistics management based on the information system,expecting to provide an insight into future information construc-tion and hospital logistics management development.
RÉSUMÉ
Objective:This study aims to analyze the provincial policy text of separate payment for National medical insurance negotiated drugs,summarize the key measures and characteristics,and provide reference for the formulation and improvement of separate payment policies in various provinces.Methods:The retrieved policy texts were analyzed by searching the websites of the medical security bureaus of various provinces,municipalities,and autonomous regions.Results:There are differences in the separate payment policies of different provinces in terms of catalogue publishing,catalogue selection,drug management,policy treatment level and policy cohesion.Conclusion:The separate payment policy is the key driver of Joint Reformation for Public Health Services,Medical Insurance,and Medical Production-Circulation.And all provinces should balance the various policy elements of the separate payment catalogue,deal with the control of medical insurance funds and patients'sense of gain,and clarify the relationship between the separate payment policy and support the development of innovative drugs,so as to reduce the obstacles of Joint Reformation for Public Health Services,Medical Insurance,and Medical Production-Circulation.
RÉSUMÉ
Objective:To explore the influence of information-knowledge-attitude-practice (IKAP) health management model on nursing effect in elderly population with high cardiovascular risk in Baiyin city.Methods:In this non-randomized controlled trial, a total of 126 elderly population with high cardiovascular risk who received physical examination and nursing services from October 2021 to March 2022 in the Health Management Center of the First People′s Hospital of Baiyin were collected as the research subjects by cluster random sampling method. Using propensity score matching method to enroll patients in a 1∶1 ratio based on their preferred nursing methods, 63 patients receiving routine nursing were included in control group and were given routine health education and nursing (health education was given by explaining disease-related knowledge, diet and medication guidance, once a week), and 63 patients who received IKAP health management model were enrolled as IKAP group and were given IKAP health management on the basis of the control group once a week by collecting information, transmitting knowledge, changing ideas and behavior. Both groups were continuously intervened for 6 months. The psychological state [Chinese psychosomatic health scale (CPSHS)], self-efficacy [insight and treatment attitudes questionnaires (ITAQ)], quality of life [generic quality of life inventory-74 (GQOLI-74)], lifestyles (controlled diet, regular exercise, sleep difficulties, weight control) and physical health status [somatic self-rating scale (SSS)] were compared between groups before and after the intervention. The medication rate and compliance rates of blood pressure, blood glucose and blood lipid of the two groups were compared by chi-square test, and the influence of IKAP health management model on nursing effect in elderly population with high cardiovascular risk in Baiyin city was analyzed.Results:The CPSHS score, sleep difficulty rate and SSS score in both groups after intervention were all significantly lower than those before intervention [IKAP group, (19.29±4.96) vs (31.37±9.23) points, 31.75% vs 73.02%, (37.06±4.30) vs (60.16±79.83) points; control group, (22.93±7.39) vs (31.67±9.21) points, 52.38% vs 74.60%, (41.75±4.97) vs (60.04±9.95) points], and the above-mentioned indicators in IKAP group were all significantly lower than those in the control group (all P<0.05). The ITAQ score, GQOLI-74 score, diet control rate, regular exercise rate and weight control rate were all significantly higher in the two groups after intervention than those before [IKAP group, (17.65±3.65) vs (2.41±0.31) points, (83.91±6.04) vs (56.26±5.14) points, 76.19% vs 42.86%, 57.14% vs 30.16%, 71.43% vs 42.86%; control group, (14.35±3.36) vs (2.33±0.29) points, (75.25±5.78) vs (57.12±5.21) points, 57.14% vs 44.45%, 38.10% vs 28.57%, 53.97% vs 39.68%], and the above-mentioned indicators were all significantly higher in IKAP group when compared with those in the control group (all P<0.05). The compliance rates of blood pressure, blood glucose and blood lipid in IKAP group after intervention were all significantly higherthan those in the control group [(85.71% vs 68.25%, 90.48% vs 76.19%, 82.54% vs 66.67%)] (all P<0.05). Conclusion:IKAP health management model can effectively enhance the self-efficacy, correct the poor living habits, improve the psychological and physical states, help to control the blood pressure, glucose and lipid, and enhance the quality of life in elderly population with high cardiovascular risk.
RÉSUMÉ
Currently, the management of domestic laboratory developed test (LDT) is still in the exploration stage, and new plans and ideas need to be investigated that are suitable for our national development. By analyzing encountered issues, combining the actual needs of the government, healthcare reform, and patients, this article proposes that "promoting healthy development of LDT projects and focusing on the organic combination of patients′ interest protection and innovation support" is an important direction for LDT management, around which the new idea for LDT project management is proposed, that is, LDT management model targeting product registration. The core of this management model is to target product registration and to ensure low service fees for patients and continuous real-time data monitoring. Benefit and risk analysis demonstrate that this management model can to a larger extent balance the realistic demands of patients, medical institutions, in vitro diagnostics companies, and government management departments, which benefits promoting the perfection and development of LDT projects in our country.
RÉSUMÉ
Objective To explore the impact of predictive nursing intervention under the guidance of the"5S"management model on the rehabilitation effect and pulmonary infection rate of hypertensive intracerebral hemorrhage patients.Methods A total of 120 patients with hypertensive intracerebral hemorrhage who were treated at the Second Affiliated Hospital of Wenzhou Medical University from January 2022 to January 2023 were selected as the research subjects.Patients were divided into a predictive nursing intervention group and a conventional nursing group using a random number table method,with 60 patients in each group.The routine nursing group received routine care,while the predictive nursing intervention group received predictive nursing intervention guided by the"5S"management model.The modified Rankin scale(mRS)was used to evaluate the patient's neurological function.The mini-mental state examination(MMSE)was used to evaluate the cognitive function of patients.The differences of mRS and MMSE scores between two groups of patients with different nursing interventions were compared,and the incidence of complications,hospital stay,and disability rate were recorded between both groups.Results After the intervention,the cognitive function score of the predictive nursing intervention group was significantly higher than before the intervention,while the neurological function score was significantly lower than before the intervention.After intervention,the cognitive function score of the predictive nursing intervention group was significantly higher than that of the conventional nursing group(28.02±2.03 vs.24.57±2.25,P＜0.05).The neurological function score was significantly lower than that of the conventional nursing group(1.55±0.67 vs.2.20±0.48,P＜0.05).The hospitalization time and disability rate in the predictive nursing intervention group were significantly lower than those in the conventional nursing group[hospitalization time(days):14.94±6.02 vs.25.33±7.03,disability rate:8.33%(5/60)vs.23.33%(14/60),both P＜0.05].The incidence of pressure injury,lung infection,and urinary system infection was significantly lower than that of the conventional nursing group[pressure injury:1.67%(1/60)vs.10.00%(6/60),lung infection:1.67%(1/60)vs.11.67%(7/60),urinary system infection:0%(0/60)vs.6.67%(4/60),all P＜0.05].Conclusions Under the guidance of the"5S"management model,predictive nursing can significantly improve postoperative cognitive and neurological dysfunction in patients with hypertensive cerebral hemorrhage,reduce disability rates,shorten hospital stay,and reduce the incidence of complications such as pulmonary infections.It has good clinical application prospects.
RÉSUMÉ
Objective To explore the application of management model based on risk prediction model in hospitalized schizophrenics.Methods 500 schizophrenics hospitalized in the Seventh People's Hospital of Wenzhou from August 2020 to August 2022 were selected and analyzed retrospectively.334 patients were selected,and according to the modified overt aggression scales(MOAS)score after discharge,they were divided into 105 cases of violence behavior group and 229 cases of non violence behavior group.The influencing factors were analyzed and multi-factor regression analysis was carried out to establish the risk prediction model and verify the clinical prediction value of 166 cases with violence behavior.Results The age,family economic status,parenting style,treatment status,intelligence,hospitalization mode,occupation,previous violence,delusion,mental symptoms and irritability of patients in violence behavior group were significantly worse than those in non-violence behavior group,and the difference was statistically significant(P<0.05);Cox multivariate analysis showed that treatment status,intelligence,hospitalization mode,previous violence behavior,delusion,mental symptoms and irritability were independent risk factors for violence behavior in patients with schizophrenia(P<0.05).The area under the receiver operating characteristic(ROC)curve of the risk prediction model for predicting violence behavior in hospitalized schizophrenic patients was 0.941(95%CI:0.051-0.142,P<0.05).When the positive rate of the critical value for predicting the occurrence of violence was≥93.98%,the specificity was 0.915 and the sensitivity was 0.964.Conclusion The risk prediction model based on the treatment status,intelligence,hospitalization style,previous violence behavior,delusion,mental symptoms and irritability can effectively predict the occurrence of violence in schizophrenic inpatients,and has high distinctiveness and sensitivity,which has important guiding significance for clinical intervention.
RÉSUMÉ
Objective:To focus on the publicity of medical research in medical colleges and universities in the new era, analyze the current practices and problems, and think how to promote scientific and technological innovation in medical colleges and universities.Methods:Through case analysis and data statistics, suggestions were put forward for medical colleges and universities to further promote medical research publicity by using the example of Peking University Health Science Center.Results:Strengthening medical scientific research publicity is part of the national development strategy as well as the high-quality development of medical colleges and universities.Peking University Health Science Center does well in meeting the new development requirements and makes solid progress from the perspective of the content, topics, characters and platforms of scientific research publicity, but there is still room for improving management, popularizing fundamental research achievements and raising social impact.Conclusions:Scientific research publicity is an important aspect of scientific research management. It is suggested to promote the role of scientific research publicity in scientific research management of medical colleges and universities from the aspects of improving management mode, strengthening correct orientation, improving content quality, establishing brand thinking, and making good use of integrated communication, so as to promote the innovative and high-quality development of medical research, and better serve the national scientific and technological development and construction of Healthy China.
RÉSUMÉ
Day surgery can effectively improve the utilization of medical resources. In October 2015, an obstetrics and gynecology hospital established a gynecological day surgery center to centrally manage gynecological day surgery and continuously optimize the management process. In July 2019, the hospital established an intelligent information platform for gynecological daytime surgery managemen. Based on this platform, the " evaluation-appointment-hospitalization-follow-up-chronic disease management" information management process was implemented, the " pre hospital-in hospital-post hospital" full process medical quality and safety monitoring was carried out to form a centralized closed-loop management mode for gynecological day surgery led by gynecologists. Under this management mode, the number of gynecological day surgeries in the hospital has increased from 2 866 cases in 2019 to 4 065 cases in 2021, providing convenient medical services and personalized chronic disease management services, and ensuring the quality and safety of gynecological day medical care, for reference for promoting the high-quality development of day surgeries in specialized hospitals.
RÉSUMÉ
China’s chronic disease management suffers from problems such as unclear institutional function， insufficient information technology application， and weak regulation support. On the basis of current chronic disease management condition in China， this paper proposes to apply the concept of “people-centered” integrated health management to community chronic disease management and discusses the content and procedure of establishing an integrated community-based chronic disease management model driven by massive databases. The model innovatively combines technology integration， data integration and service integration， and can accurately and efficiently realize the "people-centered" full-course health management of various chronic diseases. Shanghai has provided integrated community-based chronic disease management service for 1.98 million citizens through applying this model. The model warrants further effectiveness and economic evaluation. This study provides precious experience for the development of chronic disease prevention and treatment in China.
RÉSUMÉ
Objective:To solve the dilemma between the traditional ethics review management model and the fast development of biomedical research involving human subject, and to effectively summarize the practical experience to improve the efficiency of ethics review.Methods:A series of measures, such as reorganizing the ethics committee, adjusting the operating procedures of the office and optimizing the process of joint review were reviewed and summarized. The successful experience of relevant measures is systematically shared in practice.Results:The practice proved that these measures effectively guaranteed the fast development of clinical trials and research in our hospital during the past two years.Conclusions:The author hopes to strengthen the discussion and exchange with professionals in the industry through the successful practical experience of our hospital, and contribute to the improvement of the level of ethical management in China.
RÉSUMÉ
Objective:To investigate the effects of Manchester Pain Management Model (MPMM) on postoperative pain and joint function for patients undergoing rotator cuff repair surgery.Methods:A total of 66 patients undergoing rotator cuff repair surgery from February 2017 to October 2020 in the First People′s Hospital of Hefei were divided into experimental group and control group by random digits table method, with 33 cases in each group. The control group received routine nursing; based on the routine care, the experimental group implemented MPMM-based intervention. The degree of pain and shoulder function of the two groups were assessed by Visual Analogue Scale (VAS) and Constant-Murley Scale (CMS).Results:During the study period, 1 case in the experimental group was lost, 32 cases in the final experimental group and 33 cases in the control group. There was no significant difference in the score of VAS and CMS before surgery between the two groups ( P>0.05). At 1 day, 3 days, 3 weeks and 6 weeks after surgery, VAS scores in the experimental group were 5.47 ± 1.72, 4.63 ± 1.16, 3.25 ± 0.78, 1.81 ± 0.52, lower than those scores in the control group 6.42 ± 1.03, 5.45 ± 1.54, 4.30 ± 0.64, 2.39 ± 0.47, the differences were statistically significant ( t values were 2.36-3.11, all P<0.05). At 3, 6, 12 weeks after surgery, CMS scores in the experimental group were 57.09 ± 4.32, 67.75 ± 4.60, 81.94 ± 4.18, higher than those scores in the control group 52.27 ± 5.39, 64.24 ± 3.76, 78.91 ± 4.36, the differences were statistically significant ( t=3.97, 3.37, 2.89, all P<0.01). Conclusions:MPMM can effectively alleviate the postoperative pain and promote the recovery of joint function in patients undergoing rotator cuff repair surgery.
RÉSUMÉ
Combined with the relevant policies promulgated by the state, the paper elaborates three basic modes of prescription refill management for chronic diseases: community model, pharmacy model, and distribution model. Then from multiple perspectives including the internal strengths and weaknesses of chronic disease management reform, as well as external opportunities and threats, the paper uses the SWOT analysis method to analyze the feasibility of establishing and popularizing the management of refilled prescriptions for chronic diseases during the COVID-19 epidemic and the advantages and disadvantages of carrying out this management mode. At the same time, medical institutions, doctors and patients are required to change the concept of chronic disease management mode in the context of COVID-19 prevention and control. On the premise of ensuring the safety of patients’ medication and the safety of national medical insurance funds during this period, we should promote the implementation of prescription refills for chronic diseases.
RÉSUMÉ
RESUMO Com o crescimento da população urbana e consequente alteração do uso e da ocupação do solo nas bacias hidrográficas, as inundações têm ficado cada vez mais frequentes. O presente trabalho teve como objetivo verificar os efeitos do emprego de técnicas compensatórias na sub-bacia hidrográfica Ribeirão do Santa Rita, localizada no município de Fernandópolis, São Paulo, Brasil. Foram analisados a vazão de pico e o tempo de resposta de diversos cenários, com o intuito de verificar o potencial de atenuação das inundações. A metodologia utilizada empregou o Storm Water Management Model (SWMM) para propagar o escoamento, e o software de Sistema de Informação Geográfica (SIG) para obter as características da bacia em estudo e os locais de potencial emprego das técnicas. Foi simulada a instalação de diversas técnicas compensatórias, isoladamente e em conjunto, para a configuração urbana de 2017. Mediante os hidrogramas gerados por cada cenário, constatou-se que os melhores resultados ocorreram em eventos com tempo de retorno menor. A atenuação da vazão de pico chegou a 33,72% utilizando-se trincheiras de infiltração, 31,38% para pavimentos permeáveis, 31,08% empregando jardins de chuva e 12,20% com telhados verdes. O aumento no tempo de resposta foi de até 16 minutos. No cenário com todas as técnicas compensatórias, a redução foi de até 37,29% da vazão de pico e o aumento do tempo de resposta foi de 18 minutos. Portanto, as técnicas compensatórias podem reduzir a vazão de pico e aumentar o tempo de resposta da sub-bacia, mitigando as ocorrências de inundações.
ABSTRACT With the growth of the urban population and the consequent alteration of land use and occupation in the watersheds, floods have become more frequent. This paper aimed to verify the effects of the use of compensatory techniques in the watershed Ribeirão do Santa Rita, located in the city of Fernandópolis, São Paulo, Brazil. Peak flow and response time of various scenarios were analyzed in order to verify the potential for flood mitigation. The methodology used Storm Water Management Model (SWMM) to propagate the flow, with the support of the Geographic Information Systems (GIS) to obtain the characteristics of the studied watersheed and the places of potential use of the techniques. The installation of several compensatory techniques was simulated, separately and together, for the 2017 urban configuration. Upon the hydrographs generated by each scenario, it was found that the best results occurred in events with shorter return time. Peak flow attenuation reached 33.72% using infiltration trenches, 31.38% for pours pavements, 31.08% using rain gardens, and 12.20% with green roofs. The increase in lag time was up to 16 minutes. In the scenario with all compensatory techniques, the reduction in peak flow was up to 37.29% and the response time increased by 18 minutes. Therefore, compensatory techniques can reduce peak flow and increase the response time of the sub-basin, consequently mitigating the occurrences of floods.
RÉSUMÉ
To enhance primary and secondary stroke prevention, the Stroke Prevention and Control Project committee of the National Health Commission launched since October 2017 a nationwide training program for cerebrocardiac health advisors in the country. The authors introduced the standardized training system for such advisors, and the health management plan for stroke patients, in an effort to provide full-course health management scheme for stroke patients, and explore a stroke management model led by cerebrocardiac health advisors. Such efforts were designed to promote effective implementation of integrated prevention and control strategies for stroke, and provide a reference for the clinical practice of cerebrocardiac health advisors in a comprehensive and in-depth manner.
RÉSUMÉ
Objective:To explore the effect of nurse-led management model in adherence of patients with obstructive sleep apnea hypopnea syndrome (OSAHS) who underwent non-invasive mechanical ventilation.Methods:92 patients with severe OSAHS diagnosed by polysomnography(PSG) and treated with non-invasive mechanical ventilation in Tianjin medical university general hospital from September 2019 to August 2020 were enrolled. The patients were divided into intervention group (45 cases) and control group (47 cases) by random number table. Then, basing on routine treatment and subsequent visit, the patients in intervention group received regular telephone follow-up interviews within one week of ventilator purchasing, and the interview was based on a standard telephone follow-up manuscript designed by Duffy and lasted for six months. The patients in control group received routine nursing treatment and regular subsequent visit, and were not followed up by telephone, but were encouraged to have telephone consultation. The Epworth sleepiness scale(ESS) scores of the two groups before and after the intervention and the compliance of non-invasive mechanical ventilation of the two groups after the intervention were compared.Results:After the intervention, the ESS scores of the two groups were lower than those before the intervention ( P<0.001), and the ESS scores of the intervention group were lower than those of the control group ( P<0.001). After the intervention, the compliance of noninvasive mechanical ventilation in the intervention group was better than that in the control group ( P<0.001). Conclusions:The nurse-led management model in combination with telephone follow-up can improve the sleepiness of patients and the adherence of using non-invasive mechanical.
RÉSUMÉ
Objective:To examine the relationship between conflict management model, perceived social support and psychological distress in psychiatric nurses, and to analyze the mediating effect of conflict management model in the relationship between perceived social support and psychological distress in psychiatric nurses.Methods:In November 2019, a total of 208 nurses in Shandong Mental Health Center were investigated with General Demography Questionnaire, Nurses' Interpersonal Conflict Handling Form Scale, Kessler Psychological Distress Scale and Perceived Social Support Scale.Results:The total score of psychological distress of psychiatric nurses was 22.74±7.71, and the level of psychological distress was negatively correlated with the integrated conflict management model and perceived social support ( r values were -0.329--0.266, P<0.001). The most commonly used conflict management model of psychiatric nurses was "integration". The integrated conflict management model had a partial mediating effect in perceived social support and psychological distress, and the mediating effect accounted for 20.2% of the total effect. Conclusions:Psychological distress of psychiatric nurses is at a moderate to severe level, and integrated conflict management model and perceived social support play an important role in reducing psychological distress of psychiatric nurses. Nursing administrators should carry out relevant intervention studies to improve nurse-patient conflict and guide nurses to adopt integrated conflict management model to reduce psychological distress and improve mental health level.
RÉSUMÉ
Objective:To explore the application of integrated medical-nursing management model for clinical nursing teaching in neonatology department.Methods:A total of 28 undergraduate nursing students having internship in neonatology department from August 2018 to February 2020 were enrolled in the study, among which 15 nursing students from August 2018 to May 2019 were selected as the control group, and 13 nursing students from August 2019 to February 2020 were selected as the observation group. The control group was given traditional teaching, and the observation group was given integrated teaching of medical care. The theoretical scores, nursing operation, comprehensive quality, total scores and teaching satisfaction of the two groups were compared. SPSS 19.0 was used for t test. Results:The theoretical scores of the observation group and the control group were (96.31±0.85) points and (88.47±1.92) points, respectively. Nursing operation scores of observation group and control group were (95.18±2.06) points and (93.15±2.13) points. Comprehensive quality of observation group and control group were (96.23±1.48) points and (90.47±1.88) points. The total scores of the observation group and the control group were (96.83±1.27) points and (91.20±1.31) points, respectively. All the differences were statistically significant ( P<0.05). Ther were significant differences between the two groups in terms of teaching satisfaction including teaching methods, contents, teachers' satisfaction and total satisfaction( P<0.05). Conclusion:In the clinical nursing teaching of neonatology department, the integrated medical-nursing management model is helpful to improve the clinical comprehensive quality and teaching satisfaction of undergraduate nursing students.
RÉSUMÉ
Based on the GAPS(goal, analyze, problem, solution) management model, the authors analyzed the problems existing in the practice of prescription audit and the strategies of continuous optimization. Multi-disciplinary team(MDT) and evidence-based practice were applied to help the continuous optimization of prescription audit practice and promote the rational drug use management of medical institutions. Through the establishment of accurate control process, the personalized management of prescription dosage of chronic diseases, perioperative drugs, special grade antibiotics and auxiliary drugs was realized. The practice of prescription audit based on the GAPS management model, on the one hand, could improve the quality and efficiency of prescription audit, gradually improve the qualified rate of prescription, strengthen clinical use intervention and promote rational drug use; On the other hand, it could reflect the value of pharmacists′ professional technicians, provide patients with more high-quality pharmaceutical care, and gradually realize the prescription audit mode of " improving quality, controlling cost and increasing efficiency" .
RÉSUMÉ
RESUMO A remoção da cobertura vegetal e a impermeabilização de grandes áreas somadas à ineficiência dos serviços básicos de saneamento, contribuem para o aumento das cargas poluidoras pontuais e difusas que são transportadas superficialmente pelas águas pluviais, causando impactos negativos ao sistema de drenagem. Como o despejo ilegal de efluentes domésticos em redes de drenagem é uma realidade observada em todo o país, principalmente no meio urbano, hoje, a maior preocupação dos gestores e estudiosos é voltada às fontes pontuais de poluição e, apesar da importância, as fontes difusas têm recebido pouca atenção. Este trabalho objetivou modelar, utilizando o programa Storm Water Management Model (SWMM), a qualidade das águas pluviais a partir da avaliação do acúmulo de poluentes na superfície do solo em períodos secos e da lavagem durante eventos de precipitação na Bacia Hidrográfica Riacho do Prado, inserida no perímetro urbano da cidade de Campina Grande, Paraíba. Oito pontos no canal de drenagem foram monitorados, analisando-se as variáveis demanda bioquímica de oxigênio (DBO), demanda química de oxigênio (DQO) e fósforo total (FT), além da determinação da vazão. Os resultados obtidos nas simulações do comportamento dos poluentes em escala temporal para o evento medido do dia 08 de junho de 2018 foram condizentes com os valores observados nas análises laboratoriais, confirmando a eficiência dos resultados para as outras simulações realizadas. Os dias antecedentes sem chuva e a intensidade da precipitação se mostraram importantes na análise da carga poluente.
ABSTRACT Removal of vegetation cover and the expansion of impermeable land, together with the inefficiency of basic sanitation services, contribute to the increase of point and diffuse pollutant loads drained by rainwater, causing negative impacts at drainage system. As the illegal discharging of domestic sewage in drainage canals is a reality observed throughout the country, especially in urban areas, today the main concern of managers and researchers is directed to the point sources of pollution and, despite the importance, diffuse sources have received little attention. This work aims to model the rainwater quality using the Storm Water Management Model (SWMM) from the evaluation of buildup pollutants on the soil surface in dry periods and the washoff during precipitation events in the Riacho do Prado watershed located in the urban area of Campina Grande, Paraíba. Eight points were monitored at the drainage canal, in which the variables BOD5, COD, and total phosphorus were analyzed, in addition to flow determination. The results obtained on the simulations of behavior of pollutants in time scale for the actual event of 06/08/2018 were in agreement with the values observed at laboratory analyses, confirming the efficiency of results for the other simulations. The previous days without rain and the intensity of precipitation were important in the analysis of the pollutant load.
RÉSUMÉ
Resumen Se muestran los resultados del diseño y validación de un Modelo de Gestión de Capital Intelectual (CI) para la calidad de IES, Colombia 2014-2016. Investigación aplicada, de carácter mixta. El abordaje cualitativo fue a partir de la confrontación de la teoría con las condiciones específicas del objeto abordado (sus características y necesidades) lo que permitió el diseño del modelo. El abordaje de los datos cuantitativos fue estadístico. Se diseñaron siete encuestas las cuales fueron validadas por expertos. Fue denominado Modelo Sistémico-Dinámico de Gestión del Capital Intelectual para la Calidad de Instituciones de Educación Superior (SIDIGCIES), su diseño estuvo fundamentado en tres teorías: la Teoría de las Organizaciones Inteligentes de Senge, la Teoría de las Capacidades Dinámicas en el Mundo Empresarial de Teece, Pisano y Shuen, y la Teoría de Creación del Conocimiento de Nonaka y Takeuchi. También se tuvieron en cuenta los lineamientos del Consejo Nacional de Acreditación (CNA) de Colombia tanto para programas como instituciones. Está estructurado por cuatro Subsistemas - Dinámicos: Talento Humano, Investigación e Innovación, Académico Administrativo y Reconocimiento Social. La validación del modelo en un programa de Medicina mostró la pertinencia de SIDIGCIES, con las exigencias establecidas a nivel nacional e internacional para la acreditación de programas y de instituciones. Se logró el diseño de 92 indicadores para la medición distribuidos en cada uno de los subsistemas y de siete instrumentos para cada uno de los actores del proceso de enseñanza-aprendizaje debidamente validados, contando de esta manera con herramientas fiables de medición de la gestión del capital intelectual.
Abstract The results of the design and validation of an Intellectual Capital (CI) management model for the quality of IES, Colombia 2014-2016 are shown. Applied research, mixed-nature. The qualitative approach was from the confrontation of the theory with the specific conditions of the object addressed (its characteristics and needs) which allowed the design of the model. The quantitative data approach was statistical. The population corresponds to the educational actors (teachers, students, administrative and management) of the medicine program, a total of 2139. The sampling was stratified and to determine the size of each of the stratum, took into account the population variances of the same and opted to use the criterion of Neyman's Affixation. For data analysis, they were presented in frequency distribution tables, with range and confidence interval measurements at 95 % (CI-95 %). Also, to observe the relationship between the variables (aspects) and the actors, a simple correspondence analysis was performed. All information was processed in the R-CRAN program. Seven surveys were designed which were validated by experts in higher education, who qualified coherence with the objectives of the study, the shape of the instrument and the clarity of the questions. The analysis of theories on intellectual capital allowed the design of the systemic-dynamic model of management of intellectual capital for the quality of institutions of higher education-SIDIGCIES, is based on three theories: Theory of dynamic capacities in the business world, of Teece, Pisano and Shuen; And, Theory of knowledge creation of Nonaka and Takeuchi. The guidelines of the National Accreditation Council (CNA) of Colombia were also taken into account for both programs and institutions. It is structured by four dynamic subsystems: human talent, research and innovation, academic administration and Social recognition. Its name is due to the way the management of intellectual capital in the IES must work, which requires an interconnected system, whose relationship is developed in a dynamic and non-static way when it is constantly moving, constantly improving and Adjustments, in constant internal interaction in each one of its elements and with the external medium. It is precisely the continuous interaction between the members of the Organization and other external agents in a careful way, which leads to the creation of new knowledge. Around the dynamic subsystems the elements that make possible the promotion and distribution of knowledge are undulating, they are: tacit knowledge, explicit knowledge, organizational knowledge and inter-organizational knowledge. In turn, the dynamic subsystems are influenced by four elements that directly affect their integral behavior and the achievement of the objectives of the IES. Without them, is not possible effective management of intellectual Capital; these are: Financial condition, national and international context, ethical-Legal aspects and physical infrastructure and material resources. The validation of the model in a medical program showed the relevance of SIDIGCIES, with the national and international requirements established for the accreditation of programs and institutions. We achieved the design of 92 indicators for measurement, distributed in each of the subsystems with this is possible a comprehensive analysis of their reality and not fractionally. Seven instruments were also designed for the actors of the teaching-learning process duly validated, counting in this way with reliable tools of measurement of the management of the CI SIDIGCIES, that allows the systematic and interdisciplinary study, oriented to identify the intellectual resources to share, employ, keep and protect them at the individual, organizational, social and global levels. It is a tool that will orient the proper management of the CI, will motivate the recognition of the value of the human talent for the production of the intangibles that there are produced, towards the recognition of the quality by the society and the State.