Industry 4.0, the new production paradigm, has been arousing the interest of researchers around the world, due to its potential for improvements for companies, however little has been studied of its potential in the construction industry. This paper aims to identify which enabling technologies of Industry 4.0 can be applied to improve job security in civil construction. The methodology adopted was literature review, followed by field study / research with interviews with specialists, to identify the possibility of improving work safety in civil construction, through the technologies of Industry 4.0. The results of this research showed that the main technologies listed were: (1st) 3D printing and drone, (2nd) Augmented Reality and Wearable sensors, (3rd) safety vest, (4th) Virtual Reality, (5th) Bionic exoskeleton, (6th) Building Information Modeling (BIM), Radio Frequency Identification (RFID), helmet with sensors and smart helmets, (7th) Internet of Things (IoT) and finally, (8th) concrete mixer truck. The theoretical and practical contribution of this work is given by the presentation of technologies from Industry 4.0 that can maximize work safety in the construction industry, mitigating accidents at work, thus collaborating for the management of technology and innovation.

Although Industry 4.0 has received much attention in recent years due to the possibility of increasing companies’ productivity, the implementation process is complex. The aim of this study is to present a holistic model for implementing Industry 4.0 based on cleaner production as a fundamental tool for the development of production systems that meet the Sustainable Development 04026-002Goals (SDGs), and social stakeholders that cooperate with this implementation process, helping to develop sustainable infrastructure, processes and technologies to increase the sustainable transformation of these companies towards Industry 4.0. The method used was literature research, and the Delphi technique was used to ask specialists to contribute with their experience to evaluate and propose improvements to the model, in the form of a consensus. The model contributes to the Sustainable Development Goals 9, 12 and 15. This holistic and sustainable model is a contribution to theory and practice, helping executives, technicians, entrepreneurs and those involved with Industry 4.0 to base the implementation process in the needs and specificities of each company, avoiding the “one fits all” models, considering the peculiarities of each company and the complexity of the implementation process in a more efficient and collaborative digital production ecosystems base, seeking to reduce inequalities, through the joint effort of social stakeholders to find ways to restore and/or improve social harmony, impacted by Industry 4.0.

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O absenteísmo às consultas de pediatria no serviço público tem comprometido o atendimento à demanda, acarretando o desequilíbrio do sistema de agendamento devido à reutilização do fluxo de atendimento. Em pediatria, na maioria dos casos atendidos, necessita de controle mensal, o não comparecimento à consulta interfere na resposta do diagnóstico, no esquema terapêutico e na qualidade de vida dessas crianças. O Serviço Social promove o retorno à consulta evitando que se permaneça muito tempo sem atendimento médico ou sem medicação. Buscou-se, como solução, alertas de controle (red flags) no sistema de agendamento desencadeando providências em engajar a mãe no comparecimento às consultas. O trabalho foi desenvolvido na especialidade de Neonatologia de Recém Nascido de Alto Risco (NRNAR) onde a taxa de absenteísmo no mês de abril estava em 38%, e após a implantação dos alertas de controle no mês de maio, reduziu para 11%. Fica visível a redução do absenteísmo mediante a utilização dos alertas de controle pelo sistema de agendamento, e a intervenção de equipe multiprofissional para conscientização da mãe visando a fidelização dessa clientela.

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Purpose To promote access to their services, health-care companies provide various communication channels to their customers (beneficiaries) to enable the receipt of requests, such as authorization for examinations, procedures and hospitalizations. Under the approach of innovation studies, the management of customer relationship channels for health-care companies is characterized as a knowledge-intensive business service (KIBS). The purpose of this study is presenting innovation as a strategy to increase customer service productivity, as well as the monitoring of the quality of the service, the generation of health information for beneficiaries and compliance with the regulation set by the Brazilian National Health Agency (ANS). Design/methodology/approach The study is characterized as an applied research, as it proposes solutions to problems faced by supplemental health-care companies using the strategy of action research, i.e. an independent, social research with an empirical basis. Findings The result of this study shows that a computerized health-care system can increase productivity by 21.96%, and it presents an innovative solution for health-care companies to guarantee the process of meeting the demands and requests of their beneficiaries, ensuring the compliance with ANS regulations. Practical implications These results can be replicated to other healthcare companies and contribute to those seeking innovation, increased productivity and quality improvements in their services. Originality/value This work was also motivated by the lack of lstudies in the areas of health-care companies in Brazil.

Os indicadores sociais e econômicos influenciam o processo saúde doença, o que ressalta a importância de relacionar as condições socioeconômicas ao gerenciamento dos serviços de saúde e às condições de saúde da população. Diante disso o presente estudo tem como objetivo avaliar a relação entre variáveis socioeconômicas e a condição de saúde bucal da população brasileira, considerando os levantamentos nacionais de saúde bucal realizados em 1986, 1996, 2003 e 2010. Os indicadores de qualidade de vida avaliados foram expectativa de vida; PIB (Produto Interno Bruto) per capita e escolaridade. Análises como esta se tornam importantes, para que seja interpretado de maneira macro, a situação do país para entendermos o papel das políticas públicas na saúde, além de refletir na importância da informação e acesso a serviços para controle de doenças que podem ser prevenidas, como é o caso da cárie.

IntroductionEpidemiological data show that the signs and symptoms of temporomandibular disorder (TMD) start becoming apparent from 6 years of age, and during adolescence these signs and symptoms are similar to those of adults. The present study aims to estimate the direct costs for treatment of chronic muscle pain with photobiomodulation therapy, occlusal splint and placebo in patients with TMD; to evaluate the effectiveness of photobiomodulation therapy and occlusal splint for treatment of muscle pain in patients with TMD; to analyse the cost-effectiveness of the two proposed treatments for pain; and to describe and compare the results of the analyses of these treatments.Methods and analysisThis is a prospective trial of clinical and economic analyses that will include 135 patientswith TMD aged between 15 years and 25 years, randomly assigned to a treatment group: G1 (photobiomodulation), G2 (occlusal splint) and G3 (placebo). The analyses will be based on the cost of each treatment during the 12-month period. The outcome of the analysis of effectiveness will be pain, measured periodically by means of clinical examination of Research Diagnostic Criteria for Temporomandibular Disorders. The cost-effectiveness ratio will be calculated using, as end points, pain and the ratio of the differences in costs between the groups studied. The evaluation of the impact of the treatment on quality of life will be determined by applying the adapted EuroQol-5D.Ethics and disseminationThis protocol has been ethically approved by the local medical ethical committee, protocol number 2.014.339. Results will be submitted to international peer-reviewed journals and presented at international conferences.Trial registration numberNCT03096301.