RESUMOA segregação adequada dos Resíduos de Serviços de Saúde (RSS) reduz a contaminação dos resíduos comuns, os riscos à saúde ocupacional e permite recuperar os materiais recicláveis. A segregação eficiente depende do treinamento e da conscientização dos colaboradores envolvidos na geração dos RSS. Portanto, o objetivo do presente estudo foi desenvolver um modelo de avaliação, capacitação e mensuração da segregação dos resíduos comuns, em especial do papel reciclável, no setor administrativo do Hospital Cândido Fontoura, localizado na cidade de São Paulo. Foi realizado o acompanhamento da rotina de manejo dos resíduos comuns e do papel reciclável, de junho a outubro (2014). Foi realizada a capacitação por meio de palestras e orientação diária para a sensibilização dos colaboradores sobre a importância do descarte adequado dos resíduos. Os resultados foram obtidos através da segregação e pesagem dos resíduos de papel reciclável e resíduos comuns. Foram consideradas três amostras: antes da sensibilização (Antes); depois da sensibilização (Depois); com monitoramento diário no setor (Acompanhado). O período de avaliação por amostra foi de nove dias (n = 9). Foi aplicado o teste estatístico (análise de variância) Kruskal-Wallis (α < 0,05) para os pesos das amostras, as quais foram consideradas significativamente diferentes (p = 0,0034). A amostra Antes (6,2 ± 2,9 kg) apresentou maior massa. Não houve diferença significativa entre massas das amostras Após (3,0 ± 1,7 kg) e Acompanhado (2,8 ± 1,5 kg), sendo consideradas semelhantes. O montante de papel reciclável evoluiu inversamente ao resíduo comum, de 3,7 ± 0,2 kg (Antes) para 6,7 ± 3,1 kg (Acompanhado), demonstrando a efetividade e correta reciclagem de RSS.Palavras-chave: Resíduos de Serviços de Saúde, reciclagem, resíduo comum, papel reciclável.
PurposeThe purpose of this paper is to present the results of research aimed at collecting the data necessary for preparing personalised content of e‐learning courses. Its aim is to show how the information describing individual learning styles can be linked to the rules of creating tailored online courses.Design/methodology/approachThe paper gives a brief explanation of how personalization is understood for the purpose of research carried out by the author and what are the psychological backgrounds of the applied approach. It presents also a KS‐TIW questionnaire, based on Howard Gardner's multiple intelligence theory.FindingsAs it is not possible to define infinite number of different course models corresponding to every single learner a concept of defining several learner profiles which would represent various types of learning preferences is described.Practical implicationsThe final part of the paper shows how the data concerning one's learning preferences can be transferred into particular type of learning content with special emphasis on a form of learning content delivery and type of activities planned for individual learner.Originality/valueThis research goes one step further than typical approach to personalization in e‐learning, which is usually understood either by freedom of choosing the time and the place of learning or by adapting the layout of virtual learning environment (VLE) to one's individual needs. Quite rarely the solutions offered in VLE's enable the learner to choose among the forms and methods the learning content is delivered.
Environmental contamination due to the disposal of expired or obsolete drugs is a concern, since there is no specific Brazilian legislation, regarding disposal by the final consumer, thus reflecting the need for reverse logistics of medicines, after their consumption. The objective of this study was to survey the knowledge of pharmacists regarding their role in the reverse logistics of medicines and to understand the contribution of reverse logistics, aimed at the appropriate disposal of Group B waste, on a voluntary basis, by the population, in the municipality of São Paulo. A survey conducted through interviews with a hundred and sixty-one pharmacists demonstrated that 35% have partial knowledge of the postconsumer reverse logistics of their place of work and 16.8% have complete knowledge of the environmental harm resulting from the contamination of medicinal waste. The pharmacists also reported (10%) that there should be an educational plan for clients, and 50% of them agreed that incentives and disclosure, regarding the importance of reverse logistics for medicines, should be provided to consumers.
Surgical explants are metal devices that had been implanted surgically implanted and and that after withdrawal from patients follow a differentiated destination of the other hospital waste, since they must be submitted to the sterilization process to be considered no biological risk waste. The present study aimed to implement a system for the management of the waste disposal from surgical explants, after a diagnosis made using the Environmental Management Accounting (EMA) System evaluation tool, considering the preparation stages of the materials, from the generation of the waste to its final disposal. For the implementation of the management system, tools were used to control, to prepare the flow, and to train employees, whose methods were prepared jointly with those responsible for the technical areas involved and, finally, after the explant was considered useless, it was sent to a company specializing in the treatment of explants, for the reverse manufacturing. Future studies should be made to extend the analysis to other health care facilities, as well as conduct a more in-depth analysis of the eco-efficiency of the hospital process. With the measures implemented, it was seen that there was a 45% increase to 100% of the eco-efficiency in operations related to the destination of this type of waste, because of the management of disposal and application of reverse manufacturing.
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