André Lucirton Costa

An analysis of BPM lifecycles: from a literature review to a framework proposal

– Business process management (BPM) is an emerging research theme in management. BPM lifecycles are models that systematize the steps and activities that should be followed for conducting BPM projects. The theoretical and empirical studies present differences regarding the number of steps and activities that should be carried out for promoting BPM. Using the BPM lifecycle model of the Association of Business Process Management Professionals (ABPMP) – an entity that proposes a common body of knowledge on BPM, as a parameter, this paper conducts a literature review to investigate lifecycle models within the academic-scientific ambit, identify convergences and variations and analyze the alignment between business strategy and processes in BPM activities in these models. The purpose of this paper is to propose a framework that deals with alignment between strategy and business processes in an explicit manner. , – A literature review was conducted aimed at prospecting papers about the BPM lifecycle. For such, the Scopus, Google Schoolar and Science Direct databases were accessed. The selection process was structured in two steps: the first filtered studies based on a reading of the title, abstract and key words; the second step consisted of selecting papers based on a complete reading of those papers resulting from the first step and from the references they contained. , – Seven BPM lifecycle models were selected and analyzed. A comparison was presented between the model steps and the model proposed by ABPMP. The particularities of each model were identified and the study suggests an alignment of these models with the BPM lifecycle proposed by ABPMP, in particular with the analysis, design and modeling, implementation and monitoring and control steps. Four models do not include the planning step, whereas four others do not incorporate refining. The majority of models studied projects the automation of business processes. This study reinforces that ABPMPs BPM lifecycle is a reference model, observing that the activities in the other models studied are projected in it. However, it was observed that in the ABPMP model as well as the models studied, there is little emphasis on organization strategy and on defining process architecture. Thus, this study suggests the incorporation of activities proposed by Burlton (2010) as an additional instrument for the ABPMP BPM lifecycle model to align strategy to processes in BPM projects. For such, a framework was proposed that deals with alignment between strategy and business process in an explicit manner. , – This study presents a typology of BPM lifecycle models, with common characteristics and peculiarities, and it analyzes the alignment between processes and strategy in the models’ activities. This study can assist professionals in the adoption of a model for implementing BPM projects and for continuous improvement.

The association between periodontal disease and seizure severity in refractory epilepsy patients

PURPOSE Periodontal diseases are common in most populations and affect people at all socioeconomic levels. Evidence suggests that patients with epilepsy actually have higher risks of dental disease and increased oral health needs, but the frequency and consequences of poor controlled seizures on dental and periodontal health have not been reported before. We aimed to assess the impact of seizure frequency on periodontal status and oral hygiene in a sample of epilepsy patients. METHODS One hundred and nine consecutive patients treated for epilepsy at the outpatient clinic of our University Hospital were invited to take part in an oral examination to determine their periodontal disease status, together with a control group. In addition, seizure frequency and use of medication were documented. RESULTS In logistic regression model, patients were significantly more susceptible to bad oral hygiene, gingivitis and periodontitis that controls (p<0.001); seizure frequency was significantly related to bad oral hygiene (p=0.010), gingivitis (p<0.001) and periodontitis (p<0.001). Tooth brushing habits and presence of caries were associated with oral health in patients group. CONCLUSION Our study found a significant positive correlation between periodontal disease and seizure severity. Epilepsy patients need to focus more on their oral health and quality of oral hygiene.

Um modelo para avaliação de sistemas de informação do SUS de abrangência nacional: o processo de seleção e estruturação de indicadores

Os processos de gestao do Sistema Unico de Saude (SUS) sao apoiados por um conjunto de sistemas de informacao de abrangencia nacional, com funcionalidades para as areas epidemiologicas, ambulatoriais, hospitalares e administrativas. Este artigo propoe um modelo para avaliacao de sistemas de informacao em saude que possa ser aplicado aos sistemas do SUS. E descrito o processo de pesquisa, analise e classificacao dos indicadores de avaliacao para o modelo. Os indicadores foram obtidos por meio de pesquisa em bases bibliograficas e classificados segundo os atributos de qualidade da norma ISO/IEC 25010, adotada como modelo de qualidade no estudo. Como resultado, 66 indicadores foram identificados e mapeados, abrangendo todas as caracteristicas de qualidade do modelo. Este trabalho podera contribuir como mais uma referencia para estudos que envolvam processos de avaliacao da qualidade de softwares em saude e auxiliar na normatizacao de planos de avaliacao e monitoramento de qualidade de sistemas e dados em saude publica no Brasil e em projetos de melhoria de softwares. P a l av r a s - c h av e : gestao em saude; Sistema Unico de Saude; sistema de informacao; avaliacao da qualidade.

Brazil's Image Abroad: How Can the Public and Private Sector Partnership Improve Marketing Strategies?

Brazil needs both theoretical and empirical studies to help strengthen its image through complementary business strategies by the public and private sectors. The aim of this study is to analyse the relationship between the image of Brazil and its culture and to suggest marketing communication strategies for appropriate promotional efforts abroad. This is a conceptual paper based on the analysis of relevant literature and available data on the tourism market. The suggestions are made based on five categories of Brazils image: paradise Brazil, the fragile sex of Brazil, the Brazil of the Brazilian, the country of carnival, and exotic and mystical place. Using the combined work of the public and private sectors along with a communication plan for tourist destinations, negative associations can be re-assessed and improved. By reflecting on and analysing the past, future academic studies can focus on ways to improve tourism, while tourism companies and public policies that will attract international tourism to Brazil can be developed.

Cervical vertebrae maturation index estimates on cone beam CT: 3D reconstructions vs sagittal sections

OBJECTIVES The aim of this study was to evaluate the performance of CBCT three-dimensional (3D) reconstructions and sagittal sections for estimates of cervical vertebrae maturation index (CVMI). METHODS The sample consisted of 72 CBCT examinations from patients aged 8-16 years (45 females and 27 males) selected from the archives of two private clinics. Two calibrated observers (kappa scores: ≥0.901) interpreted the CBCT settings twice. Intra- and interobserver agreement for both imaging exhibition modes was analyzed by kappa statistics, which was also used to analyze the agreement between 3D reconstructions and sagittal sections. Correlations between cervical vertebrae maturation estimates and chronological age, as well as between the assessments by 3D reconstructions and sagittal sections, were analyzed using gamma Goodman-Kruskal coefficients (α = 0.05). RESULTS The kappa scores evidenced almost perfect agreement between the first and second assessments of the cervical vertebrae by 3D reconstructions (0.933-0.983) and sagittal sections (0.983-1.000). Similarly, the agreement between 3D reconstructions and sagittal sections was almost perfect (kappa index: 0.983). In most divergent cases, the difference between 3D reconstructions and sagittal sections was one stage of CVMI. Strongly positive correlations (>0.8, p < 0.001) were found not only between chronological age and CVMI but also between the estimates by 3D reconstructions and sagittal sections (p < 0.001). CONCLUSIONS Although CBCT imaging must not be used exclusively for this purpose, it may be suitable for skeletal maturity assessments.

OS SISTEMAS DE INFORMAÇÃO DO SUS: UMA PERSPECTIVA HISTÓRICA E AS POLÍTICAS DE INFORMAÇÃO E INFORMÁTICA.

O Sistema Unico de Saude (SUS) e apoiado por um conjunto de sistemas de informacao em seus processos administrativos, ambulatoriais, hospitalares, epidemiologicos e nas diversas acoes do Ministerio da Saude. Esse artigo apresenta uma revisao de bibliografia contextualizando a criacao do Datasus como um dos eventos de estruturacao do SUS, enumera as principais politicas implementadas em informatica, descreve o portfolio de aplicacoes e discute tres caracteristicas dessas aplicacoes que demandam projetos de melhoria: a integracao entre as aplicacoes e seus bancos de dados, a cobertura de eventos de saude e o apoio a gestao.

The promotion of BPM and lean in the health sector: main results

Given the complexity and difficulties of the health sector, the question that this study attempts to answer is as follows: what are the main results of studies on business process management (BPM) and lean in the health sector? The purpose of this paper is to analyze the results of studies that address the promotion of BPM and lean in the health sector.,To conduct a survey of published studies using the BPM and lean approach in healthcare, a search was performed in the Scopus, Web of Science, and PubMed databases in two steps. The first step consisted of the collection and analysis of data related to the BPM approach in the health sector, based on a survey of published articles on this topic. The second step consisted of the collection and analysis of data related to the use of lean in the same sector, based on the survey of systematic reviews published in major databases.,The main results of the studies that address the promotion of BPM and lean in the health sector are as follows: a reduced length of hospitalization, increased patient satisfaction, increased patient efficiency and safety, a reduction in the time of notification of infection, help with organizational change, understanding the end-to-end process, increased motivation, understanding the importance of some handoffs for patient safety, improvements in quality indicators in the emergency department, and improvements in the organization’s focus on high-level processes. By contrast, a single study showed difficulties in promoting management focused on processes in which decisions are unique and difficult to model.,The results may help in the identification of research gaps in the promotion of BPM and lean healthcare and in the development of relevant research. In addition, by understanding how health organizations are promoting management focused on processes and the results obtained with this approach, managers from other organizations, especially in this sector, can reflect and develop similar actions that seek to improve the quality of services offered, increase productivity and customer satisfaction, and reduce costs, errors, and waiting times.

Um método e um programa para a formação e logística de equipes de trabalho

Este artigo apresenta um metodo para a formacao e logistica de equipes de trabalho. O metodo proposto resolve um modelo matematico em variaveis binarias 0/1, desenvolvido com base no modelo de designacao generalizada, de forma a minimizar o custo do vale-transporte e constituir equipes com um numero predefinido de agentes. O programa correspondente foi escrito em Excel-Solver e testado numa empresa prestadora de servicos terceirizados presente em mais de 200 cidades brasileiras.

DIMENSÕES DE VALORES PESSOAIS INSTRUMENTAIS E TERMINAIS: UM ESTUDO COMPARATIVO ENTRE BRASIL E TAILÂNDIA

Este artigo buscou identificar quais sao as semelhancas entre dimensoes de valores de tailandeses e brasileiros. Atraves do metodo de pesquisa descritiva, foi aplicado um questionario contendo valores pessoais instrumentais e terminais baseados na Rokeach Value Survey em amostras de estudantes brasileiros e tailandeses. Por meio de uma analise fatorial e da ordenacao das dimensoes encontradas foram buscadas semelhancas entre as estruturas de valores dos brasileiros e tailandeses. Como resultado, foi verificado que as dimensoes de valores instrumentais sao agrupadas de maneira semelhante nos dois paises e de forma parcialmente semelhante com relacao aos valores terminais. No entanto, com relacao a ordenacao das dimensoes, em ambos os casos, os resultados obtidos nao foram semelhantes. Apesar das diferencas encontradas, tracos evidenciados na analise da amostra tailandesa como a busca do prazer e excitacao pela vida estao intimamente ligados a cultura e cotidiano do brasileiro.

Management of professional football (soccer) clubs: proposal of a specific governance model for the sector

Os clubes de futebol nacionais, de modo geral, enfrentam problemas de gestao e financeiros. As boas praticas de governanca podem ser uma resposta para esses problemas ao colaborar com sua reconstrucao administrativa e financeira. Entretanto, adaptacoes se fazem necessarias nesse processo, devido as especificidades do setor. O presente trabalho propos um modelo especifico de boas praticas de governanca adequado as caracteristicas organizacionais e ao contexto ambiental dos clubes de futebol profissional. Foi realizada uma pesquisa de carater qualitativo, exploratorio, aplicado e interdisciplinar. O levantamento bibliografico serviu de base para a construcao do modelo de governanca proposto, por meio do metodo comparativo. Apos, ocorreu a submissao do modelo a especialistas. Os dados coletados nesse processo foram objeto de uma analise de conteudo, quando foram realizados ajustes no modelo. O modelo elaborado sugere que, por meio da adaptacao de praticas tradicionais de governanca, um modelo especifico para o setor e viavel, tendendo a possuir algumas dimensoes e praticas comuns as dos principais codigos de governanca. Os resultados sugerem a adequabilidade e a aplicabilidade do modelo, de forma que esse possa servir como subsidio para um eventual marco normativo regulatorio que compreenda aspectos relacionados a governanca dos clubes de futebol profissional.