Objective: This article aims to analyze the relationship between eco-innovation, sustainable awareness, environmental strategy, organizational performance and environmental impact, in the face of 210 respondents from Northeast Brazil.Methodology: The methodology used was a quantitative and descriptive research, through a survey applied to 210 respondents, analyzed using descriptive statistics, statistical tests and multiple linear regression.Originality: Original with respect to the constructs developed for the research, where three constructs (eco-innovation, sustainable awareness and organizational performance) were adapted from the literature and two (environmental strategy and environmental impact) were developed by the researchers, as it is a model that has no empirical validation in the studied environment (Northeast Brazil). Understanding the relationships between the constructs is relevant, which are paramount for companies, for reducing the environmental impact and consequently improving the quality of life of people and the planet.Results: The results show that the most important relationship occurred with the factors that influence the reduction of the environmental impact, which presents as predictors, issues associated with the environmental strategy to reduce the degradation of natural habitats and long-term sustainability.Theoretical Contributions: The study statistically validated the Constructs and scales of research, so this Framework can be used by other researchers, as well as contributing to the advancement of academic studies related to the researched themes.
A trajetória reflexiva que segue está apoiada numa revisão de literatura. O foco da análise volta-se para o tripé Interdisciplinaridade, Formação Continuada e Serviço Social considerando queisso traz subsídios para o profissional envolvido com ações no âmbito da saúde. Entretanto, considera-se também bastante pertinente, enquanto elementos complementares à análise, a exposição de algumas ideias referentes à conceituação da palavra, resgate histórico, motivações para se refletir e agir interdisciplinarmente, reflexos destas atitudes dentro dos ambientes acadêmicos, societário, e por fim sobre os desafios que se colocam aos que desejam trilhar por este caminho.
Pacientes submetidos a operações do trato gastrointestinal são complexos e frequentemente recebem medicamentos via sondas enterais (SE). O objetivo desse estudo foi analisar o perfil e fatores associados às limitações da administração via SE de medicamentos prescritos para pacientes submetidos a operações do trato gastrointestinal e parede abdominal. Para tal, analisou-se todas as prescrições eletrônicas de pacientes sob uso de nutrição enteral (NE) em pós-operatório em um hospital universitário geral (01/05 a 05/12/2017). Medicamentos prescritos para administração via SE foram identificados e realizou-se uma revisão da literatura acerca de limitações para sua administração por esta via. Determinou-se a prevalência dessas limitações e fatores associados por meio de análises uni (qui-quadrado de Pearson) e multivariada (regressão logística - nível de significância estatística de 5%). Foram analisadas 341 prescrições de 40 pacientes. Identificou-se 725 medicamentos prescritos via SE (44 medicamentos diferentes). Na revisão, recuperou-se 33 artigos para construção de uma base de dados, que permitiu a identificação de 188 limitações quanto à administração via SE entre os medicamentos prescritos, e uma prevalência de pelo menos uma limitação de 57,5% (n=23), que mostrou-se associada positivamente à idade igual ou superior a 60 anos (OR 4,67; IC95% 1,07-20,40). Devido à escassez de referências voltadas para administração de medicamentos via SE, esse estudo configura uma importante ferramenta para o cuidado farmacoterapêutico ao paciente sob uso de NE. O número de limitações identificado foi reduzido, mas sua associação com idade avançada e a gravidade da população estudada reforçam a importância da priorização de seu manejo.
This article's aim is to analyze the space, place and gender relations in Native American culture in the novel Ceremony, by Leslie Marmon Silko, and the concepts discussed by Doreen Massey, Jody Berland, Alison Blunt and Gillian Rose. The novel, whose focus is on the healing process of a Native American young man, a World War II veteran, shows how the space, place and gender relations in the Native American culture differ from the ones we see in the patriarchal family structure common to the western culture. In this way, I intend to discuss this difference between the spaces and places occupied by women and man in both cultures.Keywords: Native American Literature, gender, place, space.In order to discuss gender we have to take into consideration different aspects that influence gender relations such as space and place, as argues Doreen Massey. For Massey (1994), space cannot be regarded as static; it is rather "inherently dynamic", because of its relationship with time and social relations.Massey (1994) states that space should be viewed as "space-time" and that "what is at issue is not social phenomena in space but both social phenomena and space as constituted out of social relations, that the spatial is social relations 'stretched out'" (p. 2). Massey goes on saying that "since social relations are inevitably and
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