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1.
Environ Technol ; : 1-26, 2024 Jul 17.
Artigo em Inglês | MEDLINE | ID: mdl-39016207

RESUMO

Carbon Capture, Utilization and Storage (CCUS) is an indispensable technology for achieving a net-zero emission society. The offshore CCUS project is still in its infancy. To promote its sustainable development, developing a comprehensive framework for investment decision-making is very crucial. First, a comprehensive evaluation criteria system is established. Second, in order to characterize the ambiguity and uncertainty of information in the process of making decisions, the interval-valued fermatean fuzzy set (IVFFS) is introduced, and the extended variance method of IVFFS is proposed to systematically calculate the weights of experts. Then, the power weighted average (PWA) operator based similarity measure of IVFFSs is developed to aggregate different expert information. Meanwhile, the fuzzy-weighted zero-inconsistency (FWZIC) method and the method based on the removal effects of criteria (MEREC) are used to determine the criteria weights. In addition, considering the interactions between the criteria, we introduce the Hamacher operator into the measurement of alternatives and ranking according to the compromise solution (MARCOS) method to select the optimal alternative in the interval-valued fermatean fuzzy (IVFF) environment. The suggested framework is then used to analyse a case study. After that, sensitivity and comparative analyses are conducted to confirm its robustness and viability. This study creates a practical investment framework for offshore CCUS projects, identifies a number of investment-sensitive criteria and provides management insights. The proposed framework expands the methods and applications in the field of decision-making and provides a scientific approach for investment decision-making in offshore CCUS projects, which can be a useful reference for managers.

2.
Sci Rep ; 14(1): 15088, 2024 Jul 02.
Artigo em Inglês | MEDLINE | ID: mdl-38956079

RESUMO

Crude oil, the backbone of modern industry, holds unparalleled significance as a global energy cornerstone. Unlocking its potential hinges on effective pretreatment techniques, ensuring purity, and maximizing efficiency. This study extends the established Spherical Fuzzy Set paradigm to explore the domain of Disc Spherical Fuzzy Sets (D-SFSs) in critical decision-making for crude oil preparation. Investigating D-SFSs within the Aczel Alsina norm, the research employs comparison rules, conversion rules, and distance metrics. Primary operations of the Aczel Alsina norm in D-SFSs are examined, laying the groundwork for introducing unique aggregation operations within this framework. The paper's primary aim is to propose a hybrid method, termed MEREC-SWARA-MARCOS-D-SFSs Multiple Attribute Group Decision Making, which integrates the aforementioned aggregation procedures. A case study on crude oil pretreatment validates the effectiveness of the proposed method. Furthermore, a comprehensive comparison with CoCoSo underscores the reliability of the method. This study represents a significant stride in enhancing decision-making by providing a robust framework to tackle complex situations, particularly in the critical domain of crude oil pretreatment.

3.
Foods ; 13(14)2024 Jul 18.
Artigo em Inglês | MEDLINE | ID: mdl-39063356

RESUMO

Against the backdrop of global warming, intensifying regional conflicts, deglobalization, and the spread of diseases, global food security is facing severe challenges. Studying the food security situation in China and the United States in depth can provide practical experience for formulating food security policies for countries around the world and promoting global food security governance. On the basis of a meticulous review of the evolving connotations of food security, this study adopts six dimensions-quantity security, quality security, circulation security, economic security, ecological resource security, and policy security-as breakthrough points to construct a framework consisting of food security evaluation indicator system comprising 29 specific indicators. The CRITIC-MEREC-MARCOS model is applied to evaluate the status of food security in China and the United States from 2000 to 2022, while the obstacle degree model (ODM) model is utilized to identify factors impeding food security between the two countries. The results indicate that the level of food security in China has shown slight fluctuations initially, followed by a steady upward trend. The gap with the United States is continuously narrowing. However, significant differences between China and the United States still exist in terms of economic security, ecological resource security, and policy security. Furthermore, due to the limited productivity of agricultural labor, scarcity of water and soil resources, and low efficiency in the use of fertilizers and pesticides, China's food security is subject to economic and environmental constraints. The restrictions imposed by economic security and ecological resource security on China's food security are showing an increasing trend year by year. For the United States, with the obstruction of grain exports and the increasing frequency of drought disasters, the impact of circulation security and ecological resource security on food security is becoming increasingly prominent. In the future, China and the United States should join hands to address challenges, actively promote international cooperation in food security, and drive sustainable development for humanity.

4.
Med Anthropol ; 43(3): 262-276, 2024 04 02.
Artigo em Inglês | MEDLINE | ID: mdl-38446092

RESUMO

Based on a multi-sited ethnography conducted over 14 months in northern Santiago, I examine how the introduction of a series of health policies and the global mental health agenda has interacted with and impacted Haitian migrants in the context of a postdictatorship neoliberal Chile (1990-2019). Specifically, I explore the interactions between health and social institutions, mental health practitioners, psy technologies, and Haitian migrants, highlighting migrants' subjectivation processes and everyday life. I argue that Haitian migrants engage with heterogeneous subjectivation processes in their interactions with health and social institutions, challenging normative values of integration into Chilean society. These processes are marked not only by the presence of, or exposure to, psy interventions and mental health discourses but also by the degree of compatibility between a psychiatric and neurological language and Haitians' ideals and moral frameworks.


Assuntos
Migrantes , Humanos , Chile , Haiti , Antropologia Médica , Saúde Mental
5.
Acta ortop. bras ; 32(3): e269705, 2024. tab, graf
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-1568749

RESUMO

ABSTRACT Objective: Tibial plateau fractures are common intra-articular fractures that pose classification and treatment challenges for orthopedic surgeons. Objective: This study examines the value of 3D printing for classifying and planning surgery for complex tibial plateau fractures. Methods: We reviewed 54 complex tibial plateau fractures treated at our hospital from January 2017 to January 2019. Patients underwent preoperative spiral CT scans, with DICOM data processed using Mimics software. 3D printing technology created accurate 1:1 scale models of the fractures. These models helped subdivide the fractures into seven types based on the tibial plateau's geometric planes. Surgical approaches and simulated operations, including fracture reduction and plate placement, were planned using these models. Results: The 3D models accurately depicted the direction and extent of fracture displacement and plateau collapse. They facilitated the preoperative planning, allowing for precise reconstruction strategies and matching intraoperative details with the pre-printed models. Post-surgery, the anatomical structure of the tibial plateau was significantly improved in all 54 cases. Conclusion: 3D printing effectively aids in the classification and preoperative planning of complex tibial plateau fractures, enhancing surgical outcomes and anatomical restoration. Level of Evidence IV, Prospective Study.


RESUMO Objetivo: As fraturas do planalto tibial são fraturas intra-articulares comuns de classificação e tratamento desafiadores aos cirurgiões ortopédicos. Objetivo: Este estudo investiga o uso de impressão 3D para classificar e planejar a cirurgia de fraturas complexas do planalto tibial. Métodos: 54 fraturas complexas do planalto tibial tratadas em nosso hospital de janeiro de 2017 a janeiro de 2019 foram revisadas. Os pacientes foram submetidos a tomografias computadorizadas em espiral pré-operatórias, com dados DICOM processados usando o software Mimics. A tecnologia de impressão 3D gerou modelos precisos em escala 1:1 das fraturas. Estes modelos ajudaram a subdividir as fraturas em sete tipos com base nos planos geométricos do planalto tibial. As abordagens cirúrgicas e as operações simuladas, incluindo a redução da fratura e a colocação de placa, foram planejadas utilizando estes modelos. Resultados: Os modelos 3D representaram com precisão a direção e a extensão da deslocação da fratura e do colapso do planalto. Os modelos facilitaram o planejamento pré-operatório, viabilizando estratégias de reconstrução precisas e a correspondência dos detalhes intraoperatórios com os modelos pré-impressos. Após a cirurgia, a estrutura anatômica do planalto tibial melhorou significativamente em todos os 54 casos. Conclusão: A impressão 3D ajuda na classificação e no planejamento pré-operatório de fraturas complexas do planalto tibial, melhorando os resultados cirúrgicos e a restauração anatômica. Nível de Evidência IV, Estudo Prospectivo.

6.
Comput Biol Med ; 169: 107888, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38157778

RESUMO

This research delves into the significance of influenza outbreaks in public health, particularly the importance of accurate forecasts using weekly Influenza-like illness (ILI) rates. The present work develops a novel hybrid machine-learning model by combining singular value decomposition with kernel ridge regression (SKRR). In this context, a novel hybrid model known as H-SKRR is developed by combining two robust forecasting approaches, SKRR and ridge regression, which aims to improve multi-step-ahead predictions for weekly ILI rates in Southern and Northern China. The study begins with feature selection via XGBoost in the preprocessing phase, identifying optimal precursor information guided by importance factors. It decomposes the original signal using multivariate variational mode decomposition (MVMD) to address non-stationarity and complexity. H-SKRR is implemented by incorporating significant lagged-time components across sub-components. The aggregated forecasted values from these sub-components generate ILI values for two horizons (i.e., 4-and 7-weekly ahead). Employing the gradient-based optimization (GBO) algorithm fine-tunes model parameters. Furthermore, the deep random vector functional link (dRVFL), Ridge regression, and gated recurrent unit neural network (GRU) models were employed to validate the MVMD-H-SKRR-GBO paradigm's effectiveness. The outcomes, assessed using the MARCOS (Measurement of alternatives and ranking according to compromise solution) method as a multi-criteria decision-making method, highlight the superior accuracy of the MVMD-H-SKRR-GBO model in predicting ILI rates. The results clearly highlight the exceptional performance of the MVMD-H-SKRR-GBO model, with outstanding precision demonstrated by impressive R, RMSE, IA, and U95 % values of 0.946, 0.388, 0.970, and 1.075, respectively, at t + 7.


Assuntos
Influenza Humana , Humanos , Influenza Humana/epidemiologia , Surtos de Doenças , Saúde Pública , Algoritmos , Redes Neurais de Computação
7.
Heliyon ; 9(9): e19691, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37809631

RESUMO

This study focuses on the spatial analysis of leisure land uses in metropolitan Tehran, specifically examining spatial equality. The combination of the Measurement of Alternatives and Ranking according to Compromise Solution method and Geographic Information System is employed to evaluate leisure needs based on multiple criteria. These criteria encompass recreational, entertainment, tourism, social services, cultural services, religious, sports factors, as well as parks and green spaces. The objectives of this research are to draw attention to recreation-related challenges in Tehran, provide insights for urban planners, understand the city's spatial status, ensure equitable facility distribution, and propose solutions aligned with residents' preferences for improved service provisions. The final map resulting from the MARCOS method reveals significant disparities in leisure facility accessibility between privileged and deprived districts. Notably, residents in the northern and central districts experience better living conditions compared to other areas. This study highlights the diverse needs of residents across districts, underscoring the importance of tailored service provisions. The findings hold implications for the Ministry of Interior, the Management and Planning Organization, and the Municipality of Tehran, guiding their planning strategies to enhance recreational spaces and promote spatial equality. By utilizing the research outcomes, these organizations can contribute to the improvement of leisure facilities and the overall well-being of Tehran's residents.

8.
J Lesbian Stud ; : 1-4, 2023 Jun 02.
Artigo em Inglês | MEDLINE | ID: mdl-37265098

RESUMO

A reflection piece-on rethinking the return of a Martial Law dictator in the form of his namesake, the newly elected president of the Philippines; the gamut of conversations on (un)covered facts, post-truth, appearances, interpolations, populism, revisionism and transformations, as well as the power of (trans)national media and images entangled with participatory publics; and how might a younger generation and/or transgender poet, such as myself, who did not experience first-hand the atrocities of military rule and learned them only through dominant narratives, might create and/or open capacious spaces for empathic opacity, new understandings, and possible coalitions and resistances within a historical moment concurrent with a present and/or imagined dystopia-expressed as a suit of three poems: To write another eye; Now is no longer the time for poets; Requisite condemnation.

9.
Rev. colomb. psicol ; 32(1): 21-30, Jan.-June 2023. graf
Artigo em Espanhol | LILACS-Express | LILACS | ID: biblio-1394970

RESUMO

Resumen Las comunidades que enfrentan experiencias de violencia extrema sufren daños en su estructura social, que afectan relaciones interpersonales, sentimientos de integración social e identidades personales. Propusimos el concepto de instalación del trauma como construcción sociopolítica y eje de asignación de sentido, que permite a las comunidades explicar lo desconcertante. La instalación consiste en el andamiaje de recursos, materiales y simbólicos, que ofrecen interpretaciones situacionales de una experiencia; nos enfocamos en elementos simbólicos, específicamente en marcos discursivos, que son soportes de significación y organizan contenidos con el fin de comprender eventos. En esta investigación analizamos marcos discursivos de dos comunidades que enfrentaron situaciones de violencia extrema (masacres), con el objetivo de estudiar términos de instalación y elaboración del trauma colectivo. Identificamos marcos discursivos genéricos y específicos, que posibilitaron la construcción comunitaria de una narrativa del trauma. El concepto de instalación del trauma sirve para revisar estrategias de contención psicosocial ante eventos que alteran el tejido social de una comunidad.


Abstract Communities that experience extreme violence suffer damage in their social structure. This affects interpersonal relationships, feelings of social integration, and personal identities. In this article, we propose the concept of installation of trauma as both a sociopolitical construction and a strategy of meaning that allows a community to elaborate traumatic events. The installation consists of the scaffolding of resources, both material and symbolic, that offer situational interpretations of an experience. Focusing on symbolic elements, specifically on discursive frames, or structures of meaning with communicative purposes, we analyze the discursive frames of two communities that faced events of extreme violence (massacres), with the aim of studying the terms of installation and elaboration of collective trauma. This helped identify generic and specific discursive frames that allowed the community the construction of the trauma narrative. The concept of trauma installation serves to study psychosocial holding strategies in communities facing tragedy.

10.
Ann Oper Res ; : 1-32, 2023 Jan 28.
Artigo em Inglês | MEDLINE | ID: mdl-36743351

RESUMO

The selection and prioritization of suitable strategies to address the challenges to the successful operation and implementation of the bus rapid transit (BRT) system is a common problem faced by practitioners and decision-makers. Recent research has widely discussed the issue, but such assessments have remained limited in the city of Dar es Salaam, Tanzania context, where there are mobility difficulties. The present study addresses this research gap and identifies the most critical challenges to BRT implementation and operation, and recommends the most appropriate strategy for overcoming them. Seven strategies are defined. To prioritize these strategies, five criteria are determined. An integrated multi-criteria decision-making model is introduced. Improved Fuzzy Step-Wise Weight Assessment Ratio Analysis based on the Bonferroni operator was used to determine the importance of the criteria. Measurement of alternatives and ranking according to compromise solution was applied to assess and rank the strategies. The results indicate that "frequent flooding at the Jangwani bridge bus terminal" and "long waiting time at bus stops" are the most critical challenges while the fourth alternative "strengthening the operation and management" is the appropriate strategy to be implemented for successful operation and implementation of the BRT system. After that, a five-phase sensitivity analysis is performed to observe the robustness of the proposed approach. The results indicate the flexibility and applicability of the proposed approach can address real-life problems. The proposed methodology in this work can be instrumental in assisting mass transit operators with the successful implementation and operation of the BRT system.

11.
Neural Comput Appl ; 35(6): 4549-4567, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36311168

RESUMO

There are a lot of elements that make road safety assessment situations unpredictable and hard to understand. This could put people's lives in danger, hurt the mental health of a society, and cause permanent financial and human losses. Due to the ambiguity and uncertainty of the risk assessment process, a multi-criteria decision-making technique for dealing with complex systems that involves choosing one of many options is an important strategy of assessing road safety. In this study, an integrated stepwise weight assessment ratio analysis (SWARA) with measurement of alternatives and ranking according to compromise solution (MARCOS) approach under a spherical fuzzy (SF) set was considered. Then, the proposed methodology was applied to develop the approach of failure mode and effect analysis (FMEA) for rural roads in Cosenza, southern Italy. Also, the results of modified FMEA by SF-SWARA-MARCOS were compared with the results of conventional FMEA. The risk score results demonstrated that the source of risk (human) plays a significant role in crashes compared to other sources of risk. The two risks, including landslides and floods, had the lowest values among the factors affecting rural road safety in Calabria, respectively. The correlation between scenario outcomes and main ranking orders in weight values was also investigated. This study was done in line with the goals of sustainable development and the goal of sustainable mobility, which was to find risks and lower the number of accidents on the road. As a result, it is thus essential to reconsider laws and measures necessary to reduce human risks on the regional road network of Calabria to improve road safety.

12.
Environ Sci Pollut Res Int ; 30(12): 34135-34157, 2023 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-36508096

RESUMO

Circular supply chain management (CSCM), which incorporates circular thinking into supply chain management, promotes supply chain sustainability by offering a novel and compelling viewpoint. In the CSCM, supplier selection is crucial in establishing a competitive edge among businesses by decreasing environmental degradation and related supply chain expenses. This paper aims to propose a novel two-phase group decision-making approach, which combines the picture fuzzy Analytical Hierarchical Process (PF-AHP) and grey Measurement of Alternatives and Ranking According to Compromise Solution (MARCOS-G) model to select railway material suppliers within the scope of circular economy perspective. In group decision-making, a picture fuzzy number-based approach aggregates individual decision makers'(DMs) opinions and provides a lower level of computing complexity and a higher level of performance. The PF-AHP has been used to produce the weights of the criteria, and the MARCOS-G technique has been used to rank the suppliers and choose the most appropriate one. The results and verification of the novel method are carried out throughout a comprehensive sensitivity analysis. For this purpose, 50 scenarios with changes in the weight values of criteria were developed. In the validation analysis, a comparison with other grey COPRAS, TOPSIS, ARAS and WASPAS methods were performed. Due to the ranking results obtained from Spearman's correlation analyses, the MARCOS-G is almost consistent and it can be seen that the A4 remains the top supplier in all 50 scenarios.


Assuntos
Tomada de Decisões , Lógica Fuzzy , Comércio
13.
Rev. bioét. (Impr.) ; 31: e3014PT, 2023.
Artigo em Português | LILACS | ID: biblio-1441196

RESUMO

Resumo Nanotecnologia é a utilização de materiais na escala nanométrica, em que estes adquirem características próprias. A área de pesquisa e desenvolvimento de novos nanomedicamentos é uma das mais promissoras atualmente, todavia essas partículas necessitam de avaliação particular e ainda não há consenso referente às testagens específicas a serem seguidas, o que dificulta a formação de uma legislação que garanta a segurança e eficácia destes medicamentos, além de um processo de registro mais eficaz. Assim, é necessária uma abordagem bioética da nanotecnologia e sua utilização em medicamentos, visando garantir que o progresso científico não acarrete impactos irreversíveis. Diante dessa problemática, busca-se promover uma discussão nanoética referente ao processo de pesquisa e desenvolvimento de nanomedicamentos, por meio de estudo qualitativo, exploratório-descritivo e de caráter analítico, utilizando revisão bibliográfica, análise documental e dados quantitativos disponíveis como técnicas de pesquisa.


Abstract Nanotechnology consist of using materials at the nanoscale, in which they acquire specific characteristics. Nanodrug research and development is one of the most promising fields today; however, these particles require particular evaluation. Moreover, studies lack consensus on which specific tests to follow, thus hindering the elaboration of legislation that ensure their safety and efficacy, as well as a more effective registration process. Thus, a bioethical approach to nanotechnology and its use in drug development is necessary to ensure scientific progress without irreversible impacts. Given this scenario, this article proposes a nanoethics discussion regarding nanodrug research and development by means of a qualitative, exploratory and descriptive analysis, based on literature review, documental analysis and quantitative data available.


Resumen La nanotecnología utiliza materiales nanométricos, en que estos adquieren características propias. El área de investigación y desarrollo de nuevas nanomedicinas es una de las más prometedoras en la actualidad, sin embargo, estas partículas requieren de una evaluación particular y aún no existe consenso en cuanto a las pruebas específicas que seguir, lo que dificulta establecer una legislación que garantice la seguridad y eficacia de estos medicamentos, además de un proceso de registro más efectivo. Por lo tanto, se necesita un enfoque bioético de la nanotecnología y su uso en medicamentos para garantizar que el avance científico no tenga impactos irreversibles. Ante esta problemática, se pretende promover el debate sobre la nanoética en el proceso de investigación y desarrollo de nanomedicinas a partir de un estudio cualitativo, exploratorio-descriptivo y analítico, que utiliza como técnicas de investigación la revisión bibliográfica, el análisis de documentos y los datos cuantitativos disponibles.


Assuntos
Toxicologia , Marcos Regulatórios em Saúde
14.
Rev. bras. educ. espec ; 29: e0220, 2023. tab, graf
Artigo em Português | LILACS-Express | LILACS | ID: biblio-1441226

RESUMO

RESUMO Neste artigo, objetivou-se revisitar a história da Revista Brasileira de Educação Especial (RBEE), com um olhar voltado às construções expressas na organização e na estruturação da revista, no decorrer de três décadas de existência. Para isso, percorreram-se as publicações da RBEE de 1992 a 2021, de modo a coletar, organizar e analisar dados sistematizados por meio de unidades de análise. Metodologicamente, o trabalho foi organizado em dois momentos: inicialmente, foram objetos de estudo os sumários, os títulos, os editoriais, as erratas, os informes, as avaliações e os prêmios da revista; em um segundo momento, os títulos das pesquisas publicadas receberam atenção e suas expressões foram sistematizadas para a criação de nuvens de palavras. Desses movimentos, desprendeu-se a criação de três unidades de análise, as quais foram organizadas respeitando marcos históricos evidenciados na RBEE: I) Fase da Criação, a qual contemplou o período de 1992 até 2004, marcado pelo início da institucionalização da RBEE; II) Fase da Expansão, que envolveu o período de 2005 até 2012, no qual se visualizou a manutenção da periodicidade, assim como a indexação da RBEE no sistema Scientific Electronic Library Online (SciELO); III) Fase de Consolidação, a qual compreendeu o período de 2013 até 2021, caracterizado, sobretudo, pela internacionalização da Revista e pelo alcance do Qualis Capes A1 em Educação.


ABSTRACT In this article, the aim was to revisit the history of the Revista Brasileira de Educação Especial [Brazilian Journal of Special Education] (RBEE), with a focus on the constructions expressed in the organization and structuring of the Journal, over its three decades of existence. For this, we went through the publications of the RBEE from 1992 to 2021, in order to collect, organize and analyze systematized data through units of analysis. Methodologically, the work was organized in two moments: initially, the Journal's contents, titles, editorials, errata, reports, evaluations and awards were objects of study; in a second moment, the titles of the published studies received attention and their expressions were systematized to create word clouds. From these movements, we created three units of analysis, which were organized respecting the historical landmarks evidenced in the RBEE: I) Creation Phase, which covered the period from 1992 to 2004, marked by the beginning of the institutionalization of RBEE; II) Expansion Phase, which involved the period from 2005 to 2012, in which we visualized the maintenance of the periodicity, as well as the indexing of the RBEE in the Scientific Electronic Library Online (SciELO) system; III) Consolidation Phase, which comprised the period from 2013 to 2021, mainly characterized by the internationalization of the Journal and the reach of Qualis CAPES A1 in Education.

15.
Cad. saúde colet., (Rio J.) ; 31(2): e31020270, 2023. tab, graf
Artigo em Português | LILACS-Express | LILACS | ID: biblio-1439791

RESUMO

Resumo Introdução Trazemos à cena a Atenção Básica e o Núcleo Ampliado de Saúde da Família (NASF), equipe multiprofissional que proporciona suporte qualificado para os outros profissionais da Estratégia da Saúde da Família. Objetivo Descrever a trajetória de uma década de NASF (2008-2018) e sua expansão neste período. Método Análise de conteúdo de documentos produzidos pelo Ministério da Saúde (MS), entre janeiro a setembro de 2008. Os achados foram organizados em uma linha cronológica, com análise das ferramentas de trabalho mais frequentes e dados de implantação. Resultados Existem onze Portarias, treze materiais escritos e sete vídeos com conteúdo de suporte técnico-pedagógico para práticas. Ainda que exposto às sucessivas transformações legais, houve uma expansão considerável em 10 anos de existência, com ampliação de equipes e inserção de 19 categorias profissionais, apresentando múltiplas possibilidades de atuação. Os documentos apontam para atuação do NASF através do apoio matricial, embora a atual Política Nacional de Atenção Básica não o reconheça. Conclusão Conhecer a trajetória do NASF é relevante para compreendermos as mudanças que ocorreram e as propostas que surgirão. Uma década é pouco tempo para consolidar uma prática inovadora, em um país cujos direcionamentos por meio das mudanças normativas podem caminhar em uma velocidade bem maior.


Abstract Background We bring to the scene the Primary Health Care and the Support Center for Family Health (NASF) in Brazil, a multi-professional team that provides qualified support to other professionals in the Family Health Strategy. Objective Describe the trajectory of a decade of NASF (2008-2018) and its expansion in this period. Method: Content analysis of documents produced by the Ministry of Health, between January and September 2008. The results were organized in a chronological line, with analysis of the most frequent work tools and implementation data. Results There are 11 ordinances, 13 written materials, and 7 videos as technical and pedagogical support for Core Actions practices. Although exposed to successive legal changes, there has been a considerable expansion in these 10 years of existence, not only in the number of teams, but also in the insertion of 19 professional categories and their multiple possibilities of action. The documents point to NASF's strategy of action through matrix support, although the current National Primary Care Policy does not recognize it. Conclusion Knowing the trajectory of NASF is relevant for understanding the changes that have occurred and the proposals that will arise. A decade is little time to consolidate an innovative practice in a country whose direction through normative changes can move at a much greater speed.

16.
Materials (Basel) ; 15(24)2022 Dec 16.
Artigo em Inglês | MEDLINE | ID: mdl-36556808

RESUMO

The life of metal forming dies and the efficiency of tooling industries depends on the mechanical and wear properties of tool steel. These properties can be further improved by depositing the ceramic coating on heat-treated tool steel. Numerous coating materials with various excellent features are already available commercially; however, the selection of the best coating material is still an immense challenge for users. Compared to various studies related to material selection problems in the contrasting area of utilization, remarkably, little research work has been done in tooling industries. In the present work, we have identified eight coating materials (alternatives) and nine evaluation criteria under the consultation of an expert in the tooling application and tribological field. To deal with this coating material selection problem, an integrated fuzzy-multi attributed decision-making method is proposed which comprises best worst method and fuzzy-Measurement Alternatives and Ranking according to the Compromise Solution method. This integrated fuzzy- multi attributed decision-making method is used to evaluate the alternatives, and the obtained results were scrutinized via utilizing various sensitivity analysis procedures. In the first phase of analysis, seven scenarios of criteria weight change were used, which was derived by the best-worst method; dynamic matrices are used in the second phase of analysis. In the third and fourth phases, obtained ranks were compared with those obtained by different weight calculation methods and ranking methods, respectively. In the present study, AlCrN/TiAlN coating (alternative Cm5) was found to be the best coating material based on the results obtained after sensitivity analysis. Further, in this study, we have proposed a novel method that helps to solve the coating material selection problem or any kind of selection complications.

17.
Ciênc. Saúde Colet. (Impr.) ; 27(9): 3399-3407, set. 2022.
Artigo em Português | LILACS-Express | LILACS | ID: biblio-1394223

RESUMO

Resumo Este artigo pretende focar três preocupações da saúde pública do século XIX em São Paulo para demonstrar que os grandes marcos legislativos ou as importantes epidemias do período - tratados como decisivos pela historiografia - tiveram pouca ou nenhuma importância sobre os processos sociais que impulsionaram mudanças longe da capital. As três preocupações paulistanas que serão tratadas são a prisão, o cemitério e o comércio de víveres. Por se tratar de um raciocínio bastante divergente do que hoje se entende como saúde pública, o artigo iniciará com uma discussão acerca do pensamento sobre salubridade no século XIX, e também sobre o anacronismo que muitas vezes permeia os estudos a esse respeito. Em seguida, se focará sobre a prisão, que era uma questão de primeira ordem quanto à saúde pública no século XIX, e mais ainda em São Paulo (e possivelmente em todo o Brasil), onde havia um grande trânsito entre o interior das prisões e o espaço urbano. Logo após, será tratada a questão dos cemitérios, que se apresentava também como um tema muito importante de saúde pública, mas que esbarrava no poder eclesiástico e por isso gerava tensão. Por fim, a questão dos víveres, que era em São Paulo o item menos consoante com as demandas modernas de saúde.


Abstract In this article, I intend to focus on three public health concerns of the nineteenth century in São Paulo, to demonstrate that the great legislative milestones or important epidemics of the period - regarded by historiographers as decisive - had little to no importance on the social processes that drove changes away from the capital. The three concerns I will be addressing are the prison, the cemetery, and the food trade. Because this is a very divergent reasoning from what is now understood as public health, I will begin with a discussion about the concept of health in the nineteenth century, and also about the anachronism that often permeates studies on this topic. Then, I will focus on the prison, which was a first order issue regarding public health in the nineteenth century, and even more so in São Paulo (and possibly throughout Brazil), where there was a great traffic between the interior of the prisons and the urban space. After that, I will tackle the issue of cemeteries, which was a very important public health topic, but one that generated tension, since it ran into ecclesiastical power. And finally, the issue of food, which was, in São Paulo, the item least consonant with modern demands of health.

18.
Ann Oper Res ; : 1-46, 2022 Jul 08.
Artigo em Inglês | MEDLINE | ID: mdl-35821664

RESUMO

Hazardous healthcare waste (HCW) management system is one of the most critical urban systems affected by the COVID-19 pandemic due to the increase in waste generation rate in hospitals and medical centers dealing with infected patients as well as the degree of hazardousness of generated waste due to exposure to the virus. In this regard, waste network flow would face severe problems without taking care of hazardous waste through disinfection facilities. For this purpose, this study aims to develop an advanced decision support system based on a multi-stage model that was combined with the random forest recursive feature elimination (RF-RFE) algorithm, the indifference threshold-based attribute ratio analysis (ITARA), and measurement of alternatives and ranking according to compromise solution (MARCOS) methods into a unique framework under the Fermatean fuzzy environment. In the first stage, the innovative Fermatean fuzzy RF-RFE algorithm extracts core criteria from a finite set of initial criteria. In the second stage, the novel Fermatean fuzzy ITARA determines the semi-objective importance of the core criteria. In the third stage, the new Fermatean fuzzy MARCOS method ranks alternatives. A real-life case study in Istanbul, Turkey, illustrates the applicability of the introduced methodology. Our empirical findings indicate that "Pendik" is the best among five candidate locations for sitting a new disinfection facility for hazardous HCW in Istanbul. The sensitivity and comparative analyses confirmed that our approach is highly robust and reliable. This approach could be used to tackle other critical multi-dimensional problems related to COVID-19 and support sustainability and circular economy. Supplementary Information: The online version contains supplementary material available at 10.1007/s10479-022-04822-0.

19.
Environ Sci Pollut Res Int ; 29(59): 89625-89642, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-35857161

RESUMO

Healthcare waste management is regarded as the most critical concern that the entire world is currently and will be confronted with in the near future. During the COVID-19 pandemic, the significant growth in medical waste frightened the globe, prompting it to investigate safe disposal methods. Plastics are developing as a severe environmental issue as a result of their increased use during the COVID-19 pandemic which has triggered a global catastrophe and prompted concerns about plastic waste management. One of the biggest challenges in this circumstance is the disposal of discarded PPE kits. The purpose of this research is to find a viable disposal treatment procedure for enhanced personal protective equipment (PPE) (facemasks, gloves, and other protective equipment) and other single-use plastic medical equipment waste in India during the COVID-19 crises, which will aid in effectively reducing their increasing quantity. To analyse the PPE waste disposal problem in India, we used the fuzzy Measurement Alternatives and Ranking according to the Compromise Solution (MARCOS) technique, which included the dual hesitant q-rung orthopair fuzzy set. The fuzzy Best Worst Method (BWM), which is compatible with the existing MCDM approaches, is used to establish the criteria weights. Sensitivity and comparative analyses are utilised to confirm the stability and validity of the proposed strategy.


Assuntos
COVID-19 , Resíduos de Serviços de Saúde , Humanos , Equipamento de Proteção Individual , Incerteza , Pandemias , Lógica Fuzzy , Plásticos
20.
Expert Syst Appl ; 205: 117711, 2022 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-35677841

RESUMO

The COVID-19 pandemic has cast a shadow on the global economy. Since the beginning of 2020, the pandemic has contributed significantly to the global recession. In addition to the health damages of the pandemic, the economic impacts are also severe. The consequences of such effects have pushed global supply chains toward their breaking point. Industries have faced multiple obstacles, threatening the fragile flow of raw materials, spare parts, and consumer goods. Previous studies showed that supply chain barriers have multi-faceted impacts on industries and supply chains, which demand appropriate measures. In this regard, seven major barriers that directly impact industries have been identified to determine which industry is most affected by the COVID-19 pandemic. This paper utilized a hybrid multi-criteria decision-making (MCDM) approach under a neutrosophic environment using trapezoidal neutrosophic numbers to rank those barriers. The Analytical Network Process (ANP) quantifies the effects and considers the interrelationships between the determined barriers (criteria) involved in decision-making. Subsequently, the Measurement Alternatives and Ranking according to the COmpromise Solution (MARCOS) method was adopted to rank six industries according to the impact of those barriers. Results show that the lack of inventory is the largest barrier to influencing industries, followed by the lack of manpower. Sensitivity analysis is performed to detect the change in the rank of industries according to the change in the relative importance of the barriers.

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