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  1 / 1101 MEDLINE  
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[PMID]:28958314
[Au] Autor:Walters C; Webb PJ
[Ti] Título:Maximizing Efficiency and Reducing Robotic Surgery Costs Using the NASA Task Load Index.
[So] Source:AORN J;106(4):283-294, 2017 Oct.
[Is] ISSN:1878-0369
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Perioperative leaders at our facility were struggling to meet efficiency targets for robotic surgery procedures while also maintaining the satisfaction of the surgical team. We developed a human resources time and motion study tool and used it in conjunction with the NASA Task Load Index to observe and analyze the required workload of personnel assigned to 25 robotic surgery procedures. The time and motion study identified opportunities to enlist the help of nonlicensed support personnel to ensure safe patient care and improve OR efficiency. Using the NASA Task Load Index demonstrated that high temporal, effort, and physical demands existed for personnel assisting with and performing robotic surgery. We believe that this process could be used to develop cost-effective staffing models, resulting in safe and efficient care for all surgical patients.
[Mh] Termos MeSH primário: Redução de Custos
Eficiência
Procedimentos Cirúrgicos Robóticos/economia
Procedimentos Cirúrgicos Robóticos/normas
Estudos de Tempo e Movimento
United States National Aeronautics and Space Administration
Carga de Trabalho
[Mh] Termos MeSH secundário: Pessoal Técnico de Saúde
Seres Humanos
Segurança do Paciente
Admissão e Escalonamento de Pessoal
Procedimentos Cirúrgicos Robóticos/psicologia
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171020
[Lr] Data última revisão:
171020
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:170930
[St] Status:MEDLINE


  2 / 1101 MEDLINE  
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[PMID]:28880301
[Au] Autor:Lallensack R
[Ti] Título:Budget battle looms for US science programmes.
[So] Source:Nature;549(7670):17, 2017 09 05.
[Is] ISSN:1476-4687
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Orçamentos/legislação & jurisprudência
Tempestades Ciclônicas/economia
Ciência/economia
United States Government Agencies/economia
United States Government Agencies/legislação & jurisprudência
[Mh] Termos MeSH secundário: Apoio à Pesquisa como Assunto/economia
Apoio à Pesquisa como Assunto/legislação & jurisprudência
Ciência/legislação & jurisprudência
Ciência/organização & administração
Estados Unidos
United States National Aeronautics and Space Administration/economia
United States National Aeronautics and Space Administration/legislação & jurisprudência
[Pt] Tipo de publicação:NEWS
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170908
[St] Status:MEDLINE
[do] DOI:10.1038/nature.2017.22548


  3 / 1101 MEDLINE  
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[PMID]:28749968
[Au] Autor:Kovacs GTA; Shadden M
[Ad] Endereço:Department of Electrical Engineering, Stanford University, Stanford, California, United States of America.
[Ti] Título:Analysis of age as a factor in NASA astronaut selection and career landmarks.
[So] Source:PLoS One;12(7):e0181381, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:NASA's periodic selection of astronauts is a highly selective process accepting applications from the general population, wherein the mechanics of selection are not made public. This research was an effort to determine if biases (specifically age) exist in the process and, if so, at which points they might manifest. Two sets of analyses were conducted. The first utilized data requested via the Freedom of Information Act (FOIA) on NASA astronaut applicants for the 2009 and 2013 selection years. Using a series of multinomial and logistic regressions, the data were analyzed to uncover whether age of the applicants linearly or nonlinearly affected their likelihood of receiving an invitation, as well as their likelihood of being selected into the astronaut program. The second used public data on age at selection and age at other career milestones for every astronaut selected from 1959 to 2013 to analyze trends in age over time using ordinary least-squares (OLS) regression and Pearson's correlation. The results for the FOIA data revealed a nonlinear relationship between age and receiving an interview, as well as age and selection into the astronaut program, but the most striking observation was the loss of age diversity at each stage of selection. Applicants younger or older than approximately 40 years were significantly less likely to receive invitations for interviews and were significantly less likely to be selected as an astronaut. Analysis of the public-source data for all selections since the beginning of the astronaut program revealed significant age trends over time including a gradual increase in selectee age and decreased tenure at NASA after last flight, with average age at retirement steady over the entire history of the astronaut program at approximately 48 years.
[Mh] Termos MeSH primário: Astronautas
Mobilidade Ocupacional
Seleção de Pessoal
United States National Aeronautics and Space Administration
[Mh] Termos MeSH secundário: Fatores Etários
Distribuição de Qui-Quadrado
Feminino
Seres Humanos
Modelos Logísticos
Masculino
Probabilidade
Voo Espacial
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170929
[Lr] Data última revisão:
170929
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170728
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0181381


  4 / 1101 MEDLINE  
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[PMID]:28569829
[Au] Autor:Reardon S; Tollefson J; Witze A; Ross E
[Ti] Título:Trump budget would slash science programmes across government.
[So] Source:Nature;546(7656):19-20, 2017 05 23.
[Is] ISSN:1476-4687
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Orçamentos/legislação & jurisprudência
Apoio à Pesquisa como Assunto/economia
Apoio à Pesquisa como Assunto/legislação & jurisprudência
Ciência/economia
Ciência/legislação & jurisprudência
United States Government Agencies/economia
United States Government Agencies/legislação & jurisprudência
[Mh] Termos MeSH secundário: Centers for Disease Control and Prevention (U.S.)/economia
Seres Humanos
National Institutes of Health (U.S.)/economia
Estados Unidos
United States Environmental Protection Agency/economia
United States Food and Drug Administration/economia
United States National Aeronautics and Space Administration/economia
[Pt] Tipo de publicação:NEWS
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170602
[St] Status:MEDLINE
[do] DOI:10.1038/nature.2017.22036


  5 / 1101 MEDLINE  
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[PMID]:28541338
[Au] Autor:Popkin G
[Ti] Título:Earth-observing companies push for more-advanced science satellites.
[So] Source:Nature;545(7655):397, 2017 05 23.
[Is] ISSN:1476-4687
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Terra (Planeta)
Ciências da Terra/economia
Ciências da Terra/instrumentação
Setor Privado/economia
Imagens de Satélites/economia
Imagens de Satélites/instrumentação
[Mh] Termos MeSH secundário: Agricultura/economia
Radar/instrumentação
Pesquisa/economia
Pesquisa/instrumentação
Estados Unidos
United States National Aeronautics and Space Administration/economia
Tempo (Meteorologia)
[Pt] Tipo de publicação:NEWS
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170914
[Lr] Data última revisão:
170914
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170526
[St] Status:MEDLINE
[do] DOI:10.1038/545397a


  6 / 1101 MEDLINE  
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[PMID]:28332539
[Au] Autor:Reardon S; Tollefson J; Witze A; Ross E
[Ti] Título:US science agencies face deep cuts in Trump budget.
[So] Source:Nature;543(7646):471-472, 2017 03 16.
[Is] ISSN:1476-4687
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Orçamentos/legislação & jurisprudência
National Institutes of Health (U.S.)/economia
Ciência/economia
Ciência/legislação & jurisprudência
United States Environmental Protection Agency/economia
United States National Aeronautics and Space Administration/economia
[Mh] Termos MeSH secundário: Animais
Seres Humanos
Júpiter
Planetas Menores
National Institutes of Health (U.S.)/organização & administração
Ciência/tendências
Estados Unidos
[Pt] Tipo de publicação:NEWS
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170804
[Lr] Data última revisão:
170804
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170324
[St] Status:MEDLINE
[do] DOI:10.1038/nature.2017.21652


  7 / 1101 MEDLINE  
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[PMID]:28282284
[Au] Autor:Milford JB; Knight D
[Ad] Endereço:a Department of Mechanical Engineering , University of Colorado Boulder , Boulder , CO , USA.
[Ti] Título:Increasing the Use of Earth Science Data and Models in Air Quality Management.
[So] Source:J Air Waste Manag Assoc;67(4):431-444, 2017 Apr.
[Is] ISSN:2162-2906
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In 2010, the U.S. National Aeronautics and Space Administration (NASA) initiated the Air Quality Applied Science Team (AQAST) as a 5-year, $17.5-million award with 19 principal investigators. AQAST aims to increase the use of Earth science products in air quality-related research and to help meet air quality managers' information needs. We conducted a Web-based survey and a limited number of follow-up interviews to investigate federal, state, tribal, and local air quality managers' perspectives on usefulness of Earth science data and models, and on the impact AQAST has had. The air quality managers we surveyed identified meeting the National Ambient Air Quality Standards for ozone and particulate matter, emissions from mobile sources, and interstate air pollution transport as top challenges in need of improved information. Most survey respondents viewed inadequate coverage or frequency of satellite observations, data uncertainty, and lack of staff time or resources as barriers to increased use of satellite data by their organizations. Managers who have been involved with AQAST indicated that the program has helped build awareness of NASA Earth science products, and assisted their organizations with retrieval and interpretation of satellite data and with application of global chemistry and climate models. AQAST has also helped build a network between researchers and air quality managers with potential for further collaborations. IMPLICATIONS: NASA's Air Quality Applied Science Team (AQAST) aims to increase the use of satellite data and global chemistry and climate models for air quality management purposes, by supporting research and tool development projects of interest to both groups. Our survey and interviews of air quality managers indicate they found value in many AQAST projects and particularly appreciated the connections to the research community that the program facilitated. Managers expressed interest in receiving continued support for their organizations' use of satellite data, including assistance in retrieving and interpreting data from future geostationary platforms meant to provide more frequent coverage for air quality and other applications.
[Mh] Termos MeSH primário: Poluição do Ar/prevenção & controle
Ciências da Terra
Modelos Teóricos
[Mh] Termos MeSH secundário: Poluentes Atmosféricos
Clima
Seres Humanos
Ozônio/normas
Material Particulado/normas
Estados Unidos
United States National Aeronautics and Space Administration
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Air Pollutants); 0 (Particulate Matter); 66H7ZZK23N (Ozone)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170714
[Lr] Data última revisão:
170714
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170311
[St] Status:MEDLINE
[do] DOI:10.1080/10962247.2016.1248303


  8 / 1101 MEDLINE  
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[PMID]:28128261
[Au] Autor:Scudellari M
[Ti] Título:Big science has a buzzword problem.
[So] Source:Nature;541(7638):450-453, 2017 01 25.
[Is] ISSN:1476-4687
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Metas
Ciência/métodos
Ciência/organização & administração
Terminologia como Assunto
[Mh] Termos MeSH secundário: Pesquisa Biomédica/tendências
Seres Humanos
Oncologia/tendências
National Institutes of Health (U.S.)/economia
Neoplasias
Neurociências/tendências
Física/economia
Medicina de Precisão/tendências
Ciência/economia
Ciência/tendências
Estados Unidos
United States National Aeronautics and Space Administration/economia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170616
[Lr] Data última revisão:
170616
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170128
[St] Status:MEDLINE
[do] DOI:10.1038/541450a


  9 / 1101 MEDLINE  
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[PMID]:28095954
[Au] Autor:Romoser AA; Scully RR; Limero TF; De Vera V; Cheng PF; Hand JJ; James JT; Ryder VE
[Ti] Título:Predicting Air Quality at First Ingress into Vehicles Visiting the International Space Station.
[So] Source:Aerosp Med Hum Perform;88(2):104-113, 2017 Feb 01.
[Is] ISSN:2375-6314
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: NASA regularly performs ground-based offgas tests (OGTs), which allow prediction of accumulated volatile pollutant concentrations at first entry on orbit, on whole modules and vehicles scheduled to connect to the International Space Station (ISS). These data guide crew safety operations and allow for estimation of ISS air revitalization systems impact from additional pollutant load. Since volatiles released from vehicle, module, and payload materials can affect crew health and performance, prediction of first ingress air quality is important. METHODS: To assess whether toxicological risk is typically over or underpredicted, OGT and first ingress samples from 10 vehicles and modules were compared. Samples were analyzed by gas chromatography and gas chromatography-mass spectrometry. The rate of pollutant accumulation was extrapolated over time. Ratios of analytical values and Spacecraft Maximum Allowable Concentrations were used to predict total toxicity values (T-values) at first entry. Results were also compared by compound. RESULTS: Frequently overpredicted was 2-butanone (9/10), whereas propanal (6/10) and ethanol (8/10) were typically underpredicted, but T-values were not substantially affected. Ingress sample collection delay (estimated by octafluoropropane introduced from ISS atmosphere) and T-value prediction accuracy correlated well (R2 = 0.9008), highlighting the importance of immediate air sample collection and accounting for ISS air dilution. DISCUSSION: Importantly, T-value predictions were conservative 70% of the time. Results also suggest that T-values can be normalized to octafluoropropane levels to adjust for ISS air dilution at first ingress. Finally, OGT and ingress sampling has allowed small leaks in vehicle fluid systems to be recognized and addressed.Romoser AA, Scully RR, Limero TF, De Vera V, Cheng PF, Hand JJ, James JT, Ryder VE. Predicting air quality at first ingress into vehicles visiting the International Space Station. Aerosp Med Hum Perform. 2017; 88(2):104-113.
[Mh] Termos MeSH primário: Medicina Aeroespacial
Poluição do Ar em Ambientes Fechados/análise
Ar/análise
Astronave
[Mh] Termos MeSH secundário: Aldeídos/análise
Butanonas/análise
Cromatografia Gasosa
Etanol/análise
Cromatografia Gasosa-Espectrometria de Massas
Gases/análise
Seres Humanos
Modelos Lineares
Voo Espacial
Estados Unidos
United States National Aeronautics and Space Administration
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Aldehydes); 0 (Butanones); 0 (Gases); 3K9958V90M (Ethanol); 6PT9KLV9IO (methylethyl ketone); AMJ2B4M67V (propionaldehyde)
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170309
[Lr] Data última revisão:
170309
[Sb] Subgrupo de revista:IM; S
[Da] Data de entrada para processamento:170119
[St] Status:MEDLINE
[do] DOI:10.3357/AMHP.4702.2017


  10 / 1101 MEDLINE  
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[PMID]:27955899
[Au] Autor:Hickey E; Pham-Hung E; Nosikova Y; Halvorsen F; Gritti M; Schwartz S; Caldarone CA; Van Arsdell G
[Ad] Endereço:Division of Cardiovascular Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada. Electronic address: edward.hickey@sickkids.ca.
[Ti] Título:NASA Model of "Threat and Error" in Pediatric Cardiac Surgery: Patterns of Error Chains.
[So] Source:Ann Thorac Surg;103(4):1300-1307, 2017 Apr.
[Is] ISSN:1552-6259
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: We introduced the National Aeronautics and Space Association threat-and-error model to our surgical unit. All admissions are considered flights, which should pass through stepwise deescalations in risk during surgical recovery. We hypothesized that errors significantly influence risk deescalation and contribute to poor outcomes. METHODS: Patient flights (524) were tracked in real time for threats, errors, and unintended states by full-time performance personnel. Expected risk deescalation was wean from mechanical support, sternal closure, extubation, intensive care unit (ICU) discharge, and discharge home. Data were accrued from clinical charts, bedside data, reporting mechanisms, and staff interviews. Infographics of flights were openly discussed weekly for consensus. RESULTS: In 12% (64 of 524) of flights, the child failed to deescalate sequentially through expected risk levels; unintended increments instead occurred. Failed deescalations were highly associated with errors (426; 257 flights; p < 0.0001). Consequential errors (263; 173 flights) were associated with a 29% rate of failed deescalation versus 4% in flights with no consequential error (p < 0.0001). The most dangerous errors were apical errors typically (84%) occurring in the operating room, which caused chains of propagating unintended states (n = 110): these had a 43% (47 of 110) rate of failed deescalation (versus 4%; p < 0.0001). Chains of unintended state were often (46%) amplified by additional (up to 7) errors in the ICU that would worsen clinical deviation. Overall, failed deescalations in risk were extremely closely linked to brain injury (n = 13; p < 0.0001) or death (n = 7; p < 0.0001). CONCLUSIONS: Deaths and brain injury after pediatric cardiac surgery almost always occur from propagating error chains that originate in the operating room and are often amplified by additional ICU errors.
[Mh] Termos MeSH primário: Procedimentos Cirúrgicos Cardíacos/efeitos adversos
Procedimentos Cirúrgicos Cardíacos/estatística & dados numéricos
Erros Médicos/efeitos adversos
Erros Médicos/estatística & dados numéricos
[Mh] Termos MeSH secundário: Fatores Etários
Criança
Seres Humanos
Modelos Estatísticos
Avaliação de Processos (Cuidados de Saúde)
Medição de Risco
Fatores de Risco
Estados Unidos
United States National Aeronautics and Space Administration
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170522
[Lr] Data última revisão:
170522
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161214
[St] Status:MEDLINE



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