Objective To estimate the reporting rates of coronavirus disease 2019 (COVID-19) cases for Brazil as a whole and states. Methods We estimated the actual number of COVID-19 cases using the reported number of deaths in Brazil and each state, and the expected case-fatality ratio from the World Health Organization. Brazil’s expected case-fatality ratio was also adjusted by the population’s age pyramid. Therefore, the notification rate can be defined as the number of confirmed cases (notified by the Ministry of Health) divided by the number of expected cases (estimated from the number of deaths). Results The reporting rate for COVID-19 in Brazil was estimated at 9.2% (95%CI 8.8% - 9.5%), with all the states presenting rates below 30%. São Paulo and Rio de Janeiro, the most populated states in Brazil, showed small reporting rates (8.9% and 7.2%, respectively). The highest reporting rate occurred in Roraima (31.7%) and the lowest in Paraiba (3.4%). Conclusion The results indicated that the reporting of confirmed cases in Brazil is much lower as compared to other countries we analyzed. Therefore, decision-makers, including the government, fail to know the actual dimension of the pandemic, which may interfere with the determination of control measures.
Objective To analyse the measures adopted by countries that have shown control over the transmission of coronavirus disease 2019 (COVID-19) and how each curve of accumulated cases behaved after the implementation of those measures. Methods The methodology adopted for this study comprises three phases: systemizing control measures adopted by different countries, identifying structural breaks in the growth of the number of cases for those countries, and analyzing Brazilian data in particular. Results We noted that China (excluding Hubei Province), Hubei Province, and South Korea have been effective in their deceleration of the growth rates of COVID-19 cases. The effectiveness of the measures taken by these countries could be seen after 1 to 2 weeks of their application. In Italy and Spain, control measures at the national level were taken at a late stage of the epidemic, which could have contributed to the high propagation of COVID-19. In Brazil, Rio de Janeiro and São Paulo adopted measures that could be effective in slowing the propagation of the virus. However, we only expect to see their effects on the growth of the curve in the coming days. Conclusion Our results may help decisionmakers in countries in relatively early stages of the epidemic, especially Brazil, understand the importance of control measures in decelerating the growth curve of confirmed cases.
Originated in the Toyota Production System, the concept of lean production has become widely disseminated and broadly applied in the industry. When considering lean and six sigma principles in logistics, companies have obtained advantages in terms of cost and quality, which encouraged scientific researches for improvements in the topic. To study the current state of the art on Lean Logistics (LL) and Six Sigma Logistics (SSL), in the national and international level, a systematic review of lean and six sigma logistics were performed, aiming to evaluate theoretical and practical applications, in order to classify the current literature and propose studies to address research opportunities. For this purpose, a review protocol was created to guide and structure the review. As results, it was identified that Transportation has been the main logistic operational drive component in which LL has being applied. The most frequent type of waste considered was Motion and most of the studies were practical applications. Finally, this study found considerable research opportunities for future studies.
Among all existing inventory replenishment models, this research was dedicated to the Joint Replenishment Problem (JRP), which consists in the replenishment of multiple items simultaneously, aiming total cost reduction. Literature has presented several optimal and approximated solutions to this problem, with different applications and techniques, which results in a large quantity of solution proposals. Therefore, this research aimed to map existing solutions to the problem in 2006-2015 in order to provide a guide for interested parts in JRP and to update previous reviews. Hence, systematic review was used to assess papers from that period interval. From a total of 128 papers, a general trend for seeking JRP extensions and practical applications was verified. Furthermore, the heuristic and metaheuristic methods were the most used and considered the most suitable due to their simplicity in understanding and application. KeywordsInventory management. Multi-product. Joint replenishment problem. Systematic review.
The changes in the civil construction context, and consequently the production management of constructions, require a different profile engineer, which demands more refined skills from those professionals, such as innovation, focus on customer, production planning and control, quality management systems knowledge, sustainability and a humanist vision. The main objective of this paper is to show the efficiency of using the Problem Based Learning methodology adapted to the organizational context. The research strategy adopted was the Research-Action, in which the research team aimed the improvement of the way professionals understand and solve problems. The results involved the development of abilities related to the organizational context, as well as the individual, collective and organizational learning skills, highlighting problems and possible solutions for the company. Through increasing these skills, it was possible to stimulate a humanistic and sustainable vision, customer-focused, and a better quality management system. In addition, problems in this system were presented, which stated the necessity of creating an environment which enables the exchange of information among its sectors.
IntroductionFew community-based interventions addressing the transmission control and clinical management of COVID-19 cases have been reported, especially in poor urban communities from low-income and middle-income countries. Here, we analyse the impact of a multicomponent intervention that combines community engagement, mobile surveillance, massive testing and telehealth on COVID-19 cases detection and mortality rates in a large vulnerable community (Complexo da Maré) in Rio de Janeiro, Brazil.MethodsWe performed a difference-in-differences (DID) analysis to estimate the impact of the multicomponent intervention inMaré,before (March–August 2020) and after the intervention (September 2020 to April 2021), compared with equivalent local vulnerable communities. We applied a negative binomial regression model to estimate the intervention effect in weekly cases and mortality rates inMaré.ResultsBefore the intervention,Marépresented lower rates of reported COVID-19 cases compared with the control group (1373 vs 1579 cases/100 000 population), comparable mortality rates (309 vs 287 deaths/100 000 population) and higher case fatality rates (13.7% vs 12.2%). After the intervention,Marédisplayed a 154% (95% CI 138.6% to 170.4%) relative increase in reported case rates. Relative changes in reported death rates were −60% (95% CI −69.0% to −47.9%) in Maré and −28% (95% CI −42.0% to −9.8%) in the control group. The case fatality rate was reduced by 77% (95% CI −93.1% to −21.1%) inMaréand 52% (95% CI −81.8% to −29.4%) in the control group. The DID showed a reduction of 46% (95% CI 17% to 65%) of weekly reported deaths and an increased 23% (95% CI 5% to 44%) of reported cases inMaréafter intervention onset.ConclusionAn integrated intervention combining communication, surveillance and telehealth, with a strong community engagement component, could reduce COVID-19 mortality and increase case detection in a large vulnerable community in Rio de Janeiro. These findings show that investment in community-based interventions may reduce mortality and improve pandemic control in poor communities from low-income and middle-income countries.
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