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Journal articles on the topic "Performance - Dental centers"
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Ali, Dena A. "Patient satisfaction in Dental Healthcare Centers." European Journal of Dentistry 10, no. 03 (July 2016): 309–14. http://dx.doi.org/10.4103/1305-7456.184147.
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ABSTRACT Objectives: This study aimed to (1) measure the degree of patient satisfaction among the clinical and nonclinical dental services offered at specialty dental centers and (2) investigate the factors associated with the degree of overall satisfaction. Materials and Methods: Four hundred and ninety-seven participants from five dental centers were recruited for this study. Each participant completed a self-administered questionnaire to measure patient satisfaction with clinical and nonclinical dental services. Analysis of variance, t-tests, a general linear model, and stepwise regression analysis was applied. Results: The respondents were generally satisfied, but internal differences were observed. The exhibited highest satisfaction with the dentists’ performance, followed by the dental assistants’ services, and the lowest satisfaction with the center's physical appearance and accessibility. Females, participants with less than a bachelor's degree, and younger individuals were more satisfied with the clinical and nonclinical dental services. The stepwise regression analysis revealed that the coefficient of determination (R2 ) was 40.4%. The patient satisfaction with the performance of the dentists explained 42.6% of the overall satisfaction, whereas their satisfaction with the clinical setting explained 31.5% of the overall satisfaction. Conclusion: Additional improvements with regard to the accessibility and physical appearance of the dental centers are needed. In addition, interventions regarding accessibility, particularly when booking an appointment, are required.
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Machado, Flávia Christiane de Azevedo, Janmille Valdevino Silva, and Maria Ângela Fernandes Ferreira. "Factors related to the performance of Specialized Dental Care Centers." Ciência & Saúde Coletiva 20, no. 4 (April 2015): 1149–63. http://dx.doi.org/10.1590/1413-81232015204.00532014.
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The Specialized Dental Care Centers (SDCC) have the mission to expand access to public medium complexity dental care and support the primary health care actions at this level of complexity. However, it is necessary to ensure the quality of services and to evaluate such services continuously to identify weaknesses and strengths that support the processes of leadership/management. Nevertheless, there is a dearth of studies on the assessment of oral health in specialized care that may indicate which factors should be investigated. Therefore, this integrated literature review sought to explore the plethora of publications on the evaluation of SDCC in the LILACS and MEDLINE data bases in October 2013 to identify factors possibly related to the performance of such health services. Thus, 13 references were included in this review pointing to forms of organization and management of work processes related to the creation of healthcare networks (operation of regulation centers and setting up of health consortiums). They include the contextual characteristics of the places where SDCCs are located (population size, Family Health Strategy coverage, Municipal Human Development Index, governance, governing capacity) were factors that influenced the SDCCs performance.
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Cortellazzi, Karine Laura, Edna Cesar Balbino, Luciane Miranda Guerra, Fabiana de Lima Vazquez, Jaqueline Vilela Bulgareli, Glaucia Maria Bovi Ambrosano, Antonio Carlos Pereira, and Fábio Luiz Mialhe. "Variables associated with the performance of Centers for Dental Specialties in Brazil." Revista Brasileira de Epidemiologia 17, no. 4 (December 2014): 978–88. http://dx.doi.org/10.1590/1809-4503201400040015.
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The aim of this study was to evaluate the performance of the Centers for Dental Specialties (CDS) in the country and associations with sociodemographic indicators of the municipalities, structural variables of services and primary health care organization in the years 2004-2009. The study used secondary data from procedures performed in the CDS to the specialties of periodontics, endodontics, surgery and primary care. Bivariate analysis by χ2 test was used to test the association between the dependent variable (performance of the CDS) with the independents. Then, Poisson regression analysis was performed. With regard to the overall achievement of targets, it was observed that the majority of CDS (69.25%) performance was considered poor/regular. The independent factors associated with poor/regular performance of CDS were: municipalities belonging to the Northeast, South and Southeast regions, with lower Human Development Index (HDI), lower population density, and reduced time to deployment. HDI and population density are important for the performance of the CDS in Brazil. Similarly, the peculiarities related to less populated areas as well as regional location and time of service implementation CDS should be taken into account in the planning of these services.
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Cejudo, Jose E., Akhilanand Chaurasia, Ben Feldberg, Joachim Krois, and Falk Schwendicke. "Classification of Dental Radiographs Using Deep Learning." Journal of Clinical Medicine 10, no. 7 (April 3, 2021): 1496. http://dx.doi.org/10.3390/jcm10071496.
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Objectives: To retrospectively assess radiographic data and to prospectively classify radiographs (namely, panoramic, bitewing, periapical, and cephalometric images), we compared three deep learning architectures for their classification performance. Methods: Our dataset consisted of 31,288 panoramic, 43,598 periapical, 14,326 bitewing, and 1176 cephalometric radiographs from two centers (Berlin/Germany; Lucknow/India). For a subset of images L (32,381 images), image classifications were available and manually validated by an expert. The remaining subset of images U was iteratively annotated using active learning, with ResNet-34 being trained on L, least confidence informative sampling being performed on U, and the most uncertain image classifications from U being reviewed by a human expert and iteratively used for re-training. We then employed a baseline convolutional neural networks (CNN), a residual network (another ResNet-34, pretrained on ImageNet), and a capsule network (CapsNet) for classification. Early stopping was used to prevent overfitting. Evaluation of the model performances followed stratified k-fold cross-validation. Gradient-weighted Class Activation Mapping (Grad-CAM) was used to provide visualizations of the weighted activations maps. Results: All three models showed high accuracy (>98%) with significantly higher accuracy, F1-score, precision, and sensitivity of ResNet than baseline CNN and CapsNet (p < 0.05). Specificity was not significantly different. ResNet achieved the best performance at small variance and fastest convergence. Misclassification was most common between bitewings and periapicals. For bitewings, model activation was most notable in the inter-arch space for periapicals interdentally, for panoramics on bony structures of maxilla and mandible, and for cephalometrics on the viscerocranium. Conclusions: Regardless of the models, high classification accuracies were achieved. Image features considered for classification were consistent with expert reasoning.
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Ritter, André V., John S. Preisser, Chaitanya P. Puranik, Yunro Chung, James D. Bader, Daniel A. Shugars, Sonia Makhija, and William M. Vollmer. "A Predictive Model for Root Caries Incidence." Caries Research 50, no. 3 (2016): 271–78. http://dx.doi.org/10.1159/000445445.
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This study aimed to find the set of risk indicators best able to predict root caries (RC) incidence in caries-active adults utilizing data from the Xylitol for Adult Caries Trial (X-ACT). Five logistic regression models were compared with respect to their predictive performance for incident RC using data from placebo-control participants with exposed root surfaces at baseline and from two study centers with ancillary data collection (n = 155). Prediction performance was assessed from baseline variables and after including ancillary variables [smoking, diet, use of removable partial dentures (RPD), toothbrush use, income, education, and dental insurance]. A sensitivity analysis added treatment to the models for both the control and treatment participants (n = 301) to predict RC for the control participants. Forty-nine percent of the control participants had incident RC. The model including the number of follow-up years at risk, the number of root surfaces at risk, RC index, gender, race, age, and smoking resulted in the best prediction performance, having the highest AUC and lowest Brier score. The sensitivity analysis supported the primary analysis and gave slightly better performance summary measures. The set of risk indicators best able to predict RC incidence included an increased number of root surfaces at risk and increased RC index at baseline, followed by white race and nonsmoking, which were strong nonsignificant predictors. Gender, age, and increased number of follow-up years at risk, while included in the model, were also not statistically significant. The inclusion of health, diet, RPD use, toothbrush use, income, education, and dental insurance variables did not improve the prediction performance.
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ISLICIK, SEMİH, and CEMRE EDA YAR. "Kamu Ağız ve Diş Sağlığı Merkezlerinin Coğrafi Bölgelere Göre Finansal Performanslarının Değerlendirilmesi - Assessment of Financial Performance of Public Oral and Dental Health Centers by Geographical Regions." Journal of Business Research - Turk 10, no. 2 (May 29, 2018): 184–209. http://dx.doi.org/10.20491/isarder.2018.425.
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Halawani, Ragheb, Khalid Aboalshamat, Ruba Alwsaidi, Sultana Sharqawi, Rawan Alhazmi, Zahra Abualsaud, Amal Alattallah, and Maha Alamri. "Awareness and Practices of Dental Students and Dentists Regarding Infection Control in Prosthodontic Clinics." Open Dentistry Journal 14, no. 1 (May 16, 2020): 184–90. http://dx.doi.org/10.2174/1874210602014010184.
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Background: Patient safety is a priority for achieving higher quality health care standards and human error> reduction. Objective: The aim of this study was to evaluate the level of appropriate infection control practices in a prosthodontic clinic in Jeddah, Saudi Arabia. Methods: This cross-sectional study included 460 dental students and dentists recruited from five centers. Data were collected by self-administered questionnaires> composed of 25 questions. The questionnaires> assessed infection control practices in prosthodontic clinics, including wearable barriers, disinfection measures among patients, disinfection of laboratory submissions, and proper infection control. Other questions assessed sources of knowledge, self-evaluation of knowledge, implementation, and satisfaction with knowledge application. Results: Total correct answers for proper practice (16 questions) had a mean of 12.5 with a standard deviation of 2.8. The most commonly practiced procedure was wearing a mask (99.8%) and the least was sterilizing the facebow before its use by the patient (53.7%). Participants from governmental colleges (m = 13.67, SD = 2.17) had significantly higher scores than participants from private colleges (m = 12.35, SD = 2.9), p <0.001. Only 2.8% had never attended a lecture, and only 13.8% had never had hands-on training for infection control. Despite 49.1% evaluating themselves as having very poor to poor knowledge, 90.7% had fair to very good valuation of their infection control implementations, and 87.6% were satisfied with their knowledge and performance levels. Conclusion: Dental students and dentists have high levels of adequate infection control practices in the prosthodontic clinic despite the moderate level of their satisfaction with their knowledge.
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Moore, David L., Lili Ding, Gang Yang, and Stephen Wilson. "Impact of Instituting General Anesthesia on Oral Sedation Care in a Tertiary Care Pediatric Dental Clinic." Anesthesia Progress 66, no. 4 (December 1, 2019): 183–91. http://dx.doi.org/10.2344/anpr-66-02-02.
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Tertiary pediatric medical centers disproportionately care for low-income, underserved children with significant dental needs. Long wait times for hospital operating room treatment increase tooth loss rather than restoration. Oral sedation has commonly been provided to avoid the long waits for operating room treatment. However, this can be challenging with young, anxious patients. High failure rates and repeat visits for oral sedation have resulted in continued waiting for definitive dental services in the operating room. The Division of Dentistry requested the Department of Anesthesiology to create a general anesthesia program in the dental clinic to increase the use of anesthesia services but align the cost of the anesthetic with the revenue stream. Our aim was to objectively measure the performance of a dental clinic anesthesia service by comparing the percentage of case completions, percentage of complete radiographs, and number of serious adverse events to clinic-based oral sedations. We were also interested in total number of cases completed. We retrospectively studied data regarding an in-office general anesthesia (IOGA) program for dentistry and compared it to oral sedations before and after instituting the IOGA program. Patients received either a general endotracheal anesthetic or nonintubated total intravenous general anesthesia. Successful case completion increased from 88.6% (oral sedation) to 99.5% (IOGA). One hundred percent of IOGA cases had complete radiographs, as opposed to 63.4% for oral sedation. This was an increase from 53.5% from the previous 2 years with oral sedation. Serious adverse event rate was 0% (0/508) for oral sedation and 0.2% (1/418) for IOGA. Comparing 2 years before and after IOGA revealed a decrease in oral sedations from 930 to 508, whereas IOGA increased from 0 to 418 cases. Anesthesia services in dental clinic increased complete dental care and complete radiographs, reduced failed sedations, and were performed safely.
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Alrasheedi, Khaled Falah, Mohammed AL-Mohaithef, Hanan H. Edrees, and Sriram Chandramohan. "The Association Between Wait Times and Patient Satisfaction: Findings From Primary Health Centers in the Kingdom of Saudi Arabia." Health Services Research and Managerial Epidemiology 6 (January 1, 2019): 233339281986124. http://dx.doi.org/10.1177/2333392819861246.
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Background: It is no doubt that longer wait times can affect patient care and patients’ willingness to seek health-care services. Not only does this disrupt the continuity of treatment and care, but it also negatively impacts patient outcomes. During the past few years, the concept of patient satisfaction has become a vital component in assessing the delivery and efficiency of care. Patient satisfaction is a performance indicator that measures the extent to which patient is content and satisfied with the level of care provided by health-care institutions and providers. Therefore, this research examined association between the wait times and patient satisfaction in selected primary health-care centers in Al Qassim region in the Kingdom of Saudi Arabia. Methodology: A patient satisfaction questionnaire was administered to 850 patients, which collected patient perceptions on the delivery of care at health-care centers in Al Qassim City. Outcome measures included wait times for: registration and payment, seeing the physician, performing radiation and assays, and dispensing the medications. Results: The response rate was 72.94% (n = 620). The study found that 27.90% of the participants stated that the wait time to see the physician ranged between 21 and 30 minutes. Overall patients were mainly dissatisfied for wait times in relation to medication dispensation, vital signs measurement, dental consultations, and radiological investigation. The study found a positive association between the patient satisfaction and their education, marital status, and job. A significant regression equation was established between the patient satisfaction and age-group and literacy. Conclusion: The study advocated the need for recent technology, sufficient staffing, and patient-centered friendly methods to reduce wait times.
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Gajic-Stevanovic, Milena, Jovana Aleksic, Neda Stojanovic, and Slavoljub Zivkovic. "Health care system of the Republic of Serbia in the period 2004-2012." Serbian Dental Journal 61, no. 1 (2014): 36–44. http://dx.doi.org/10.2298/sgs1401036g.
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Introduction. The backbone of Serbian health system forms the public healthcare provider network with 355 institutions and around 112,000 employees, owned and controlled by the Ministry of Health and financed mainly by the Republican Health Insurance Fund. The law recognizes private practice that was not included, till recently, in the public funding scheme. New Health Insurance Law (2005) decreased the number of entitlements in the basic health service package. It abolished the right to dental health care for adults (exceptions are: children, older than 65, pregnant women and emergency cases) as well as the right to compensate travel expenses. The aim of this study was to evaluate the effects of health care system of the Republic of Serbia and indicate parameters that determine the state of health of the population, on the ground of data obtained by the Institute of Public Health of Serbia. Results. In the period 2004-2012, cardiovascular diseases represented the main cause of illness in Serbia (50%). In 2012 digestive system diseases were on the second place. Neoplasm and nervous system diseases were on the third place. From 2007 to 2012 there was slight decline in the birth rate and number of deaths, but the death rate increased from 13.9 to 14.2. Health care system in Serbia is funded through the combination of public finances and private contributions. Primary care is provided in 158 health care centres and health care stations, secondary and tertiary care services are offered in general hospitals, specialized hospitals, clinics, clinico-hospital centers and clinical centres. Conclusion. A significant but not satisfactory progress has been achieved in the field of health status indicators as the most important outcome of the final performance of the health system. The transition of public health care system in Serbia since the communist period to present and slow integration with European Union is unfinished process.
Dissertations / Theses on the topic "Performance - Dental centers"
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Hall, Scott F. "An analysis of the budget formulation and execution process in United States Naval Dental Centers and performance measure utilization in the process." Thesis, Monterey, California. Naval Postgraduate School, 2002. http://hdl.handle.net/10945/4048.
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The purpose of this research is to examine the Planning, Programming, and Budgeting process within the Naval Dental Centers (NDCs) as well as their particular budget formulation and execution procedures. Since there has been no extensive research done concerning budgeting and Naval Dental Centers, this thesis stands as a small-scale representative of budgetary processes in this small but vital section of the military. Moreover, the lack of dental readiness among personnel of operational commands recently debated in Congress during the summer of 2002 illustrates the critical nature of this topic. To analyze the topic in depth the followingpoints, among others, concerning budgetary policies of Naval Dental Centers must be examined; how do NDCs fit in the overall budgeting process of the Navy, how do NDCs formulate and execute budgets, what are their core missions, how do marks and reclamas affect the process, what factors affect the disparity between the funding NDCs request and what they actually receive, what performance measures are compiled and what role do they play in the budgeting process. The specific goal of this study is to provide prospective NDC comptrollers with the insight into procedures, technicalities, and peculiarities of a Medical Service Corps comptroller's job in a Naval Dental Center command.
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Ecarma, Roberto F. Hall Scott F. "An analysis of the budget formulation and execution process in United States Naval Dental Centers and performance measure utilization in the process /." Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 2002. http://library.nps.navy.mil/uhtbin/hyperion-image/02Dec%5FEcarma%5FHall.pdf.
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Balbino, Edna Cezar 1957. "Variáveis associadas ao desempenho de centros de especialidades odontológicas." [s.n.], 2011. http://repositorio.unicamp.br/jspui/handle/REPOSIP/290874.
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Orientador: Fábio Luiz MialheDissertação (mestrado profissional) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba
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Resumo: No Brasil, no que se refere à atenção secundária em saúde bucal, particularmente aos Centros de Especialidades Odontológicas, pouco se tem estudado sobre o tema e a necessidade de melhor estruturar a atenção em Saúde Bucal indica a realização de pesquisas avaliativas. Indicadores sensíveis ao processo saúde/doença, influenciados pelas desigualdades sociais, revelam profundas diferenças nos padrões das doenças e também no padrão de utilização dos serviços de saúde, com prejuízo àquelas de maior risco social. O objetivo do presente foi estudar o desempenho dos CEO no cumprimento de metas de produção de procedimentos clínicos especializados, identificando possiveis associações entre o desempenho dos centros e suas variáveis estruturais, variáveis contextuais dos municípios e formas de organização da atenção básica.. O estudo utilizou dados secundários da produção de procedimentos relizados nos Centros de Especialidades Odontológicas, implantados no Brasil no período de 2004 a 2009, nas especialidades de periodontia especializada, endodontia e cirurgia oral menor. A análise estatística foi realizada através da análise bivariada pelo teste de Qui-quadrado para verificar a associação entre a variável dependente (Desempenho do CEO) com as independentes. No que se refere ao Cumprimento Global das Metas, observou-se que a maioria dos CEO apresentaram desempenho considerado péssimo/ruim. Em relação à cobertura da Estratégia Saúde da Família e Saúde Bucal na Estratégia Saúde da Família observou-se que os municípios com maiores coberturas apresentaram desempenho péssimo/ruim. Além disso, os resultados da análise estatística também mostraram que quanto menor o IDHM e menor a densidade demográfica dos municípios, pior o desempenho dos CEO. Concluíu-se que a implantação de serviços odontológicos especializados e o estabelecimento de fluxos de referência e contra-referência não se constituem em garantia de acesso à atenção especializada. Há a necessidade de se repensar os fluxos e aprofundar conhecimentos de forma a melhorar o acesso à esse nivel de atenção
Abstract: In Brazil, with regard to secondary attention in oral health, particularly in specialized dental centers (SDC), little has been studied in this field and the need to better organize oral health care, indicates the completion of the evaluation studies. Indicators of the health-disease process, influenced by social inequalities, reveal profound differences in disease patterns and also in the pattern of use of health services, with prejudice to those of higher social risk. The objective of this research was to evaluate the performance of the SDC in reaching production targets in specialized clinical procedures, identifying possible associations between performance of the SDC and SDC structural variables, contextual municipality variables and form of organization of primary care. This study used secondary data from the production of procedures implemented by the SDC, implemented in Brazil in the period 2004 to 2009, in the dental specialties of Periodontics, Endodontics, and minor oral surgery. Statistical bivariant analysis was performed using Qhi-square test to verify the association between the dependent variable (SDC performance) and independent variables. With regard to Global Compliance Goals, this study concluded that the overall SDC performance was very poor/poor. With regard to coverage in the Family Health Strategy and Oral Health Care within this strategy, it also concluded that the SDC performance was very poor/poor in municipalities with larger population coverage. Furthermore, the statistical analysis results also showed that the lower the HDIM and population density in municipalities, the lower the SDC performance. It was concluded that the implantation of specialized dental services and the establishment of reference flows and cross-reference does not constitute a guarantee of access to specialized care. There is a need to rethink flows and deepen knowledge in order to improve access to this level of attention
Mestrado
Odontologia em Saude Coletiva
Mestre em Odontologia em Saúde Coletiva
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Filgueira, Ana Carolina Cavalcanti. "Performance evaluation of public policy center dental specialties in the region cariri - ce." Universidade Federal do CearÃ, 2012. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=9333.
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nÃo hÃThe aim of this study aimed to evaluate the performance of specialized dental clinics that have Ordinance Qualification Program Smiling Brazil located in the Region Cariri (CearÃ, Brazil) in 2010. We used the data recorded in the database of the Department of the SUS (DATASUS), information from SIA / SUS. After collection, the information was imported into the program TAB for Windows - TabWin - developed by DATASUS in order to allow for rapid tabs on DBF files that constitute the basic components of information systems of the SUS. An indicator called Global Compliance Goals (CGM) developed by E FIGUEREDO GÃES, 2009, was used to evaluate the performance of the services performed by CEOs. Data analysis was built a table with the number of procedures by specialty (subgroup) for each Specialty Dental Center (EOC). We calculated the average monthly procedures performed by CEO and the ratio of the average number of procedures performed monthly and the target unit of each evaluated according to the type of procedure. The efficacy of the CEO was obtained by the average of this ratio. Still, graphs were made of the number of procedures performed and advocated for the Centers. Of the seven CEOs studied, measurement of the CGM, it was found that 42.85% of the specialized obtained, poor performance, fulfilling only one of the four goals set by Ordinance 600/2006 of the Ministry of Health The only CEO who has fulfilled all goals, achieving optimal performance was the municipality of Farias Brito. In contrast, the center located in the city of Crato failed to execute the goals of the procedures in any branch of dentistry, not reaching a score (poor performance). It was found that the AB Specialty (Primary) all centers achieved the targets except the CEO Barbalha and Crato where 9% and 11%, respectively, certain procedures have not occurred. In the surgery procedure, it is emphasized that only the CEO of Farias Brito has achieved the number of attendances defined for it (1.36 times the expected number). Of those who did not reach the target the most critical situation was the CEO who left Old Mission to achieve 89% (71 cases) of the surgeries. It was concluded that the performance of specialized dental clinics of Cariri in 2010 is unsatisfactory as production proposed by the Ministry of Health.
O presente estudo visa avaliar o desempenho dos Centros de Especialidades OdontolÃgicas que possuem Portaria de HabilitaÃÃo do Programa Brasil Sorridente localizados na RegiÃo do Cariri (CearÃ, Brasil) no ano de 2010. Utilizou-se os dados registrados no banco de dados do Departamento de InformÃtica do SUS (DATASUS), informaÃÃes do SIA/SUS. ApÃs coleta, as informaÃÃes foram importadas para o programa TAB para Windows â TabWin - desenvolvido pelo DATASUS com a finalidade de permitir a realizaÃÃo de tabulaÃÃes rÃpidas sobre os arquivos DBF que se constituem nos componentes bÃsicos dos sistemas de informaÃÃes do SUS. Um indicador denominado Cumprimento Global de Metas (CGM) desenvolvido por FIGUEREDO E GÃES, 2009, foi usado para avaliar o desempenho dos serviÃos executados pelos CEOs. Para anÃlise dos dados foi construÃda uma tabela com o nÃmero de procedimentos segundo a especialidade (subgrupo) para cada Centro de Especialidade OdontolÃgico (CEO). Calculou-se a mÃdia de procedimentos mensais realizados pelos CEOs e a razÃo entre o nÃmero mÃdio de procedimentos realizados e a meta mensal de cada unidade avaliada, de acordo com o tipo de procedimento. A avaliaÃÃo da eficÃcia dos CEOs foi obtida atravÃs desta razÃo entre a mÃdia. Ainda, foram confeccionados grÃficos do nÃmero de procedimentos realizados e preconizados para os Centros. Dos 7 CEOs estudados, medido o CGM, constatou-se que 42,85% dos Centros de Especialidades obtivera, desempenho ruim, cumprindo apenas 1 das 4 metas preconizadas pela Portaria 600/2006 do MinistÃrio da SaÃde. O Ãnico CEO que cumpriu a totalidade das metas, alcanÃando desempenho Ãtimo foi o do MunicÃpio de Farias Brito. Em contrapartida, o centro localizado na cidade do Crato nÃo conseguiu executar as metas dos procedimentos de nenhuma especialidade odontolÃgica, nÃo alcanÃando pontuaÃÃo alguma (desempenho pÃssimo). Verificou-se que na Especialidade AB (AtenÃÃo BÃsica) todos os centros atingiram as metas exceto o CEO de Barbalha e do Crato em que 9% e 11%, respectivamente, dos procedimentos determinados nÃo ocorreram. Jà no procedimento CIRURGIA, ressalta-se que apenas o CEO de Farias Brito conseguiu realizar o nÃmero de atendimentos definidos para ele (1,36 vezes o nÃmero esperado). Dos que nÃo atingiram a meta a situaÃÃo mais crÃtica foi o CEO MissÃo Velha que deixou de realizar 89% (71 casos) das cirurgias. PÃde-se concluir que o desempenho dos 5 Centros de Especialidades OdontolÃgicas da regiÃo do Cariri no exercÃcio de 2010 està insatisfatÃrio quanto a produÃÃo proposta pelo MinistÃrio da SaÃde.
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Fryzlewicz, John M. "Analysis of measures of performance and continuous improvement at the Naval Dental Center Pearl Harbor, Hawaii." Thesis, Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 2000. http://handle.dtic.mil/100.2/ADA386398.
Full textBooks on the topic "Performance - Dental centers"
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Fryzlewicz, John M. Analysis of measures of performance and continuous improvement at the Naval Dental Center Pearl Harbor, Hawaii. Monterey, Calif: Naval Postgraduate School, 2000.
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Ltd, ICON Group. CASTLE DENTAL CENTERS, INC.: International Competitive Benchmarks and Financial Gap Analysis (Financial Performance Series). 2nd ed. Icon Group International, 2000.
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An Analysis of the Budget Formulation and Execution Process in United States Naval Dental Centers and Performance Measure Utilization in the Process. Storming Media, 2002.
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Analysis of Measures of Performance and Continuous Improvement at the Naval Dental Center Pearl Harbor, Hawaii. Storming Media, 2000.
Find full textBook chapters on the topic "Performance - Dental centers"
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Bhardwaj, Akashdeep, and Sam Goundar. "Comparing Single Tier and Three Tier Infrastructure Designs against DDoS Attacks." In Research Anthology on Combating Denial-of-Service Attacks, 541–58. IGI Global, 2021. http://dx.doi.org/10.4018/978-1-7998-5348-0.ch028.
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With the rise in cyber-attacks on cloud environments like Brute Force, Malware or Distributed Denial of Service attacks, information security officers and data center administrators have a monumental task on hand. Organizations design data center and service delivery with the aim of catering to maximize device provisioning & availability, improve application performance, ensure better server virtualization and end up securing data centers using security solutions at internet edge protection level. These security solutions prove to be largely inadequate in times of a DDoS cyber-attack. In this paper, traditional data center design is reviewed and compared to the proposed three tier data center. The resilience to withstand against DDoS attacks is measured for Real User Monitoring parameters, compared for the two infrastructure designs and the data is validated using T-Test.
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Mazer, Sharon. "Real Men Don’t Wear Shirts." In Professional Wrestling, 85–106. University Press of Mississippi, 2020. http://dx.doi.org/10.14325/mississippi/9781496826862.003.0004.
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Professional wrestling’s play of masculinity is profoundly carnivalesque as it affirms and mocks, celebrates and critiques prevailing definitions of what it is to be a “real” man in contemporary American culture. Because it is centered on, and always returns to, the display of male bodies, and because the action is both a simulation and a parody of violence between men, the performance is always highly ambivalent and profoundly transgressive, at once hypervisible and hypermasculine. As professional wrestlers mask their profound dependence upon and cooperation with each other in the ring, so too they perform a denial of intimacy, even as their performances are exceptionally, provocatively intimate. Despite its apparent social subversiveness, in the end, professional wrestling affirms the dominant culture; it is always a performance by men, for men, about men. Both its ethos and its aesthetics are explicitly centered on the idea of masculinity at once essential and performed.
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Lootens, Tricia. "Antislavery Afterlives: Changing the Subject / Haunting the Poetess." In The Political Poetess. Princeton University Press, 2016. http://dx.doi.org/10.23943/princeton/9780691170312.003.0002.
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This chapter examines mid- to late-Victorian attempts at self-distancing from triumphalist (and literalist) early antislavery promises, focusing in particular on how the themes of haunting, displacement, and denial threaded through many later Victorians' patriotic invocations of liberating empire. Drawing on emerging pedagogical and scholarly revolutions in studies of nineteenth-century British relations to slavery, the chapter considers histories of disciplinary reticence dating back in part to the Victorians themselves. It also discusses the increasingly iconic histories of the 1840 World Anti-Slavery Convention and J.M.W. Turner's painting Slave Ship as well as Elizabeth V. Spelman's Fruits of Sorrow and her notion of “changing the subject.” Finally, it explores the discipline termed “ethical refocalization” by turning to three parallel scenes of interrupted Poetess performance, in Germaine de Staël's Corinne, or Italy; Elizabeth Barrett Browning's Aurora Leigh, and George Eliot's Spanish Gypsy.
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Aridoss, Manimaran. "Defensive Mechanism Against DDoS Attack to Preserve Resource Availability for IoT Applications." In Securing the Internet of Things, 1429–42. IGI Global, 2020. http://dx.doi.org/10.4018/978-1-5225-9866-4.ch065.
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The major challenge of Internet of Things (IoT) generated data is its hypervisor level vulnerabilities. Malicious VM deployment and termination are so simple due to its multitenant shared nature and distributed elastic cloud features. These features enable the attackers to launch Distributed Denial of Service attacks to degrade cloud server performance. Attack detection techniques are applied to the VMs that are used by malicious tenants to hold the cloud resources by launching DDoS attacks at data center subnets. Traditional dataflow-based attack detection methods rely on the similarities of incoming requests which consist of IP and TCP header information flows. The proposed approach classifies the status patterns of malicious VMs and ideal VMs to identify the attackers. In this article, information theory is used to calculate the entropy value of the malicious virtual machines for detecting attack behaviors. Experimental results prove that the proposed system works well against DDoS attacks in IoT applications.
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Inglis, Tom. "Love and sex: McGahern’s personal and detached reflections." In John McGahern. Manchester University Press, 2017. http://dx.doi.org/10.7228/manchester/9781526100566.003.0009.
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While social scientists provide description and explanation of the institutions, discourses and long-term processes of social change that structure culture, McGahern gives his readers a sense of what it was like to live in Catholic Ireland in the latter half of the twentieth century. He reveals the ways in which people were constrained by their culture but also the ways that they constructed themselves and negotiated cultural mores. His work delves into their ways of being and representing themselves, their strategies of action and performance of identity. The Pornographer provides key insights into the shift from rural to urban society and the decline in the importance of the Catholic Church in everyday life. This chapter explores how McGahern reveals what it was like to make love and have sex in Ireland during the shift from a Catholic culture of self-denial to a modern urban, cosmopolitan culture of self-fulfilment and self-indulgence. It also examines the gap between the critical reflection of the novelist and the lack of critical reflection and insight into this clash of cultures in his own life, as revealed in Memoir.
Conference papers on the topic "Performance - Dental centers"
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Ghaednia, Hossein, Sreekanta Das, Rick Wang, and Richard Kania. "Effect of Dent Depth on the Burst Pressure of NPS30 X70 Pipes With Dent-Crack Defect." In 2014 10th International Pipeline Conference. American Society of Mechanical Engineers, 2014. http://dx.doi.org/10.1115/ipc2014-33071.
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Pipeline is the common mode for transporting oil, gas, and various petroleum products. Buried linepipe can be exposed to various external interferences and corrosive environment and as a result, damage in the form of dent or corrosion or crack or gouge or combination of any of these damages can form in the pipe wall. Such damage or combined damages can reduce the pressure capacity of the pipeline. A defect combining dent and crack, often known as dent-crack defect, can develop in the wall of a buried oil and gas linepipe. This combined defect may lead to a leak or a rupture in the pipe wall and hence, the pipeline operator becomes concerned about the performance and safety of the pipeline when a dent-crack defect is detected in the field pipeline. A long-term research program is currently underway at the Centre for Engineering Research in Pipelines, University of Windsor to study the influence of various parameters such as dent depth and operating line pressure on the pressure capacity or burst strength of 30 inch diameter and X70 grade pipes with D/t of about 90. From the study completed so far, it has been found that the dent depth of 8% with crack depth of 4 mm or more can reduce the pressure capacity by 32%. This paper discusses the test specimens, test setup, test procedure, test results, and data obtained from finite element analyses.
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Kirkpatrick, Steven W., Robert A. MacNeill, Francisco Gonzalez, and Przemyslaw Rakoczy. "Side Impact Testing and Analyses of Unpressurized Tank Cars." In 2015 Joint Rail Conference. American Society of Mechanical Engineers, 2015. http://dx.doi.org/10.1115/jrc2015-5813.
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There has been significant research in recent years to analyze and improve the impact behavior and puncture resistance of railroad tank cars. Ultimately, the results of this work will be used by the Government regulatory agencies in the United States and Canada to establish performance-based testing requirements and to develop methods to evaluate the crashworthiness and structural integrity of different tank car designs. This paper describes results of recent side impact testing and corresponding analyses using detailed finite element analyses (FEA). The test and analyses were performed to evaluate the side impact puncture performance of DOT-111 tank cars. The tank car was filled with water to approximately 97 percent of the volume. The tank was then sealed but not pressurized. The tank car was impacted at the Transportation Technology Center, Inc. by a 297,125-pound ram car with 12-by 12-inch ram head fitted to the ram car impacted the tank center. The analyses were on overall good agreement with the measured impact response. The lading was found to play a more significant role in the impact response than in previous testing and analyses of pressure tank cars. This is not surprising considering the reduced structural stiffness of the tanks compared to thicker pressure tank cars and the reduced effective stiffness from the initially unpressurized tank at impact. The smaller outage volume also contributes to a dramatic increase in the tank pressure as the dent formation reduces the tank volume and compresses the contents of the tank.
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C. S. Almeida, Gabriel, Rafael S. Salles, and Adelson S. Carvalho. "Implementação de Controladores Híbridos PID-Fuzzy: Análise de Desempenho em uma Planta de Nível." In Congresso Brasileiro de Automática - 2020. sbabra, 2020. http://dx.doi.org/10.48011/asba.v2i1.1046.
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Este trabalho apresenta a implementação e testes de controladores PID com escalonamento de ganhos utilizando lógica fuzzy. Os testes descritos foram realizados na Planta Experimental de Nível do laboratório de Controle do Instituto Federal Fluminense Campus Campos Centro. Para o escalonamento de ganhos do PID foram utilizadas duas abordagens diferentes: a primeira abordagem foi proposta por Campos e Saito (2004) e utiliza a referência do sistema como entrada; a segunda proposta por Zhao, Tomizuka e Isaka (1993) utiliza o erro e a variação do erro como entrada do sistema fuzzy. Para melhor elaboração dos controladores foi realizada uma caracterização do sistema a partir de técnicas de identificação e um mapeamento das regiões de operação do sistema. A partir dos resultados obtidos, uma análise de desempenho dos controladores foi elaborada com o intuito de verificar suas respectivas performances e compará-los a fim de identificar o melhor controlador dentre os testados para a aplicação.
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Jacobsen, Karina, and Michael Carolan. "Results of a Conventional Fuel Tank Blunt Impact Test." In 2015 Joint Rail Conference. American Society of Mechanical Engineers, 2015. http://dx.doi.org/10.1115/jrc2015-5759.
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The Federal Railroad Administration’s Office of Research and Development is conducting research into passenger locomotive fuel tank crashworthiness. A series of impact tests is being conducted to measure fuel tank deformation under two types of dynamic loading conditions — blunt and raking impacts. This program is intended to result in a better understanding of design features that improve the puncture resistance of passenger locomotive fuel tanks. One reason for performing this program is to aid in development of appropriate standards for puncture resistance to be applied to alternatively-designed fuel tanks, such as on diesel multiple unit (DMU) passenger rail equipment. This paper describes the results of the third blunt impact test of retired F-40 locomotive fuel tanks. The test setup was designed for the Transportation Technology Center (TTC) in Pueblo, Colorado, to impart blunt impacts to the bottom of each fuel tank specimen. The specimens tested to date are from FRA-owned retired F-40 passenger locomotives. To conduct the test, each tank was emptied of fluid and mounted on a crash wall with the bottom surface exposed. A rail cart modified with a “rigid” indenter measuring 12 inches by 12 inches, was released to impact the bottom of fuel tank at a target impact speed. The first two tests, conducted on October 8 and 9, 2013, were designed to impact the center of two different tank designs. Tests were conducted at impact speeds of 4.5 and 6.2 mph and caused maximum residual dents of 5 inches and 1.5 inches, respectively. On August 20, 2014 the test of fuel tank 234 was conducted to impact the tank off-center between two baffles. Force-deformation measurements were collected for each tank during the three tests. The series of tests provide information regarding the influence of tank design on puncture resistance. In the test of tank 234, the target impact speed was 12.5 mph, and the actual impact occurred at 11.2 mph. The test resulted in a residual dent depth of approximately 9 inches, and buckling of several internal baffles. The impact did not result in puncture of the tank. Following the test, the tank was cut open to permit examination of the baffles. This examination revealed a different baffle geometry than was modeled based on pre-test measurements. Finite element analysis (FEA) was used to predict the behavior of the tank during the test. The FE model of the tank required several material properties to be defined in order to capture puncture behavior. The combination of metal plasticity, ductile failure, and element removal would permit the model to simulate puncture for this tank. Following the test, the tank was cut open, revealing a different baffle arrangement than had been initially thought. The post-test FE model was then updated to include the actual baffle arrangement of tank 234. With the actual baffle arrangement included in the model, the FE results are in fairly good agreement with the test. Additional changes to the ductile failure criterion were also made in the post-test model. The objective of this research program is to establish the baseline puncture resistance of current passenger locomotive fuel tanks under dynamic impact conditions and to develop performance requirements to ensure an appropriate level of puncture resistance in alternative fuel tank designs, such as DMU fuel tanks.
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González Martínez, Felip. "Protoacciones artísticas en la Valencia del primer franquismo(1939-1959): prácticas locales bajo el desconocimiento global." In III Congreso Internacional de Investigación en Artes Visuales :: ANIAV 2017 :: GLOCAL. Valencia: Universitat Politècnica València, 2017. http://dx.doi.org/10.4995/aniav.2017.5823.
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Esta intervención se centra, en sacar a la luz y dotar un valor plástico aquellas acciones artísticas que, materializadas por artistas y agrupaciones de arte, orbitaron en la Valencia del primer franquismo (1939-1959). Acciones que, independientemente de su naturaleza y singularidad, deberían formar parte de la historia universal de la performance, desde el filtro de la intrahistoria artística de la ciudad de Valencia. Se pretende rescatar y analizar todas las posibles experiencias prácticas del mundo de la acción artística que, debido a su indefinición formal y desconocimiento conceptual, no fueron percibidas, artísticamente hablando, a los ojos de los artistas, la crítica de arte y la historia del arte. En este contexto, se ha de recuperar y enfatizar las propias acciones artísticas per se del conjunto de propuestas, que participaron en los inicios del arte moderno valenciano. De forma más descriptiva, se tratarían de gestos, actitudes, sucesos y situaciones desarrollados en contextos activistas de rebeldía, en las aulas o cercanías de la Escuela Superior de Bellas Artes de San Carlos, en exposiciones o eventos públicos, en tertulias artísticas y literarias, etc. Y, en general, de prácticas más azarosas y aventureras que, debido al estancamiento cultural autárquico del franquismo, poco tuvieron que ver con la tradición performática de los artistas futuristas, dadaístas o constructivistas. Finalmente, es necesario entender, enfatizar y, a su vez, reivindicar la idiosincrasia y el valor plástico de cada acción artística, enmarcados dentro de la marginalidad local de la ciudad de Valencia, del aislamiento cultural de la España franquista de los años 40 y 50, y de la coincidencia de premisas en las performances y los happenings desarrollados en los Estados Unidos de América y en Japón.http://dx.doi.org/10.4995/ANIAV.2017.5823
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Martín Fuentes, Daniel. "Maisons Jaoul, confort higrotérmico y su percepción en la arquitectura de tipología unifamiliar de Le Corbusier." In LC2015 - Le Corbusier, 50 years later. Valencia: Universitat Politècnica València, 2015. http://dx.doi.org/10.4995/lc2015.2015.1005.
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Resumen: Se realiza un estudio completo, teórico, empírico, numérico y perceptual, de las Maisons Jaoul de Le Corbusier intentando esclarecer su comportamiento higrotérmico y climático. Con ello se pretende conocer en detalle la realidad de esta obra emblemática de la arquitectura doméstica del siglo XX. De la contraposición de los datos obtenidos en las dos viviendas de volumetría y compacidad prácticamente iguales, pero con una orientación ortogonal se extraen conclusiones reveladoras que no hacen más que afianzar la condición excepcional de las Maisons Jaoul dentro de la obra del arquitecto. Todo ello, tamizado por la percepción de los actuales habitantes de las viviendas. Abstract: Trying to achieve a better understanding of the higrothermic performance of The Maisons Jaoul of Le Corbusier, they are studied from different approaches: theoretical, empiric, numeric and perceptual. The aim is to understand profoundly this emblematic building of the domestic architecture of the XX century. For that, the study analyses the project, but also compares and contrasts a series of data coming from the two houses which have a very similar volume and compactness but orthogonal orientation to finally take account of the perception of the actual inhabitants. Conclusions are revealing and strengthen the idea of how exceptional the Maisons Jaoul are in the architect's production. Palabras calve: Le Corbusier; Maisons Jaoul; Confort higrotérmico; bioclimatismo, sostenibilidad. Keywords: Le Corbusier; Maisons Jaoul; Hygrothermal comfort; bioclimatic, sustainability. DOI: http://dx.doi.org/10.4995/LC2015.2015.1005
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Bonfim, Carolina Felice. "Cuerpo-tesis - La condensación del discurso a través del cuerpo." In III Congreso Internacional de Investigación en Artes Visuales :: ANIAV 2017 :: GLOCAL. Valencia: Universitat Politècnica València, 2017. http://dx.doi.org/10.4995/aniav.2017.5874.
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Mi trabajo se fundamenta en procesos artísticos basados en prácticas de alteridad que convierten el cuerpo del artista en un “cuerpo-archivo”, es decir, es a partir del cuerpo donde se condensa el conocimiento inmaterial proveniente de la relación con el Otro. Por una parte, mi interés por el archivo surge tras trabajar como archivista para museos y centros de arte, cuya práctica fue basada en la documentación, indexación, catalogación, conservación e investigación de campo. Por otra parte, el cuerpo siempre ha representado el punto de partida de mi práctica artística, aunque las piezas generadas no se limitan al ámbito de la performance. Dentro de esta noción de archivo relacionado con el cuerpo, hace falta resituar su interpretación, ya que, en este caso, esta noción tendría que ser tratada bajo el concepto de "archivo como campo expandido", cuyos límites parecen más amplios y sobrepasan su autorreferencialidad. Esta definición abre, por consiguiente, el espectro creativo para pensar que el cuerpo archiva gestos, ritmos, movimientos y componentes afectivos asociados a la performatividad. Como artista e investigadora en formación, procuro, en mi transcurso actual, llevar estos dos campos –cuerpo y archivo- a un cuestionamiento más profundo, articulando práctica artística con la investigación académica, es decir, tratar de identificar y de analizar los conocimientos y las experiencias que influyeron en mi desarrollo artístico, al cual considero, en parte, como una reacción espontánea e intuitiva a mi realidad cotidiana. Este póster plantea presentar algunos esquemas que indican la construcción de este cuerpo-archivo que también puede ser entendido como cuerpo-tesis. http://dx.doi.org/10.4995/ANIAV.2017.5874
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Ghaednia, Hossein, Jamshid Zohrehheydariha, Sreekanta Das, Rick Wang, and Richard Kania. "Out-of-Roundness in NPS30 X70 Pipes Subjected to Concentrated Lateral Load." In 2014 10th International Pipeline Conference. American Society of Mechanical Engineers, 2014. http://dx.doi.org/10.1115/ipc2014-33107.
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Pipeline is the common mode for transporting oil, gas, and various petroleum products. Structural integrity of oil and gas transmission pipelines is often threatened by external interferences such as concentrated load, impact load, and external pressure. These external interferences can cause ‘mechanical damage’ leading to structural failure in onshore and offshore linepipes. Lateral load is applied as a concentrated load on a small area of pipe segment and can cause local buckling, bend, dent, or out-of-roundness in the pipe. As an example, a concentrated load in buried onshore linepipe can occur if a segment of the linepipe rests on a narrow rock tip or even a narrow hard surface. Such concentrated lateral load may or may not cause immediate rupture or leak in the linepipe; however, it may produce out-of-roundness with or without a dent in the pipe cross section, which can be detrimental to the structural and/or operational integrity of the pipeline. Hence, the pipeline operator becomes concerned about the performance and safety of the linepipe if a pipe section is subject to a sustained concentrated load. A research work using full-scale tests and finite element method (FEM) was undertaken at the Centre for Engineering Research in Pipelines (CERP), University of Windsor to study the influence of various internal pressures and diameter-to-thickness ratios on the out-of-roundness of 30 in diameter (NPS 30) and X70 grade pipes with D/t of 90 when subjected to a stroke-controlled concentrated load. This paper discusses the test specimens, test setup, test procedure, test results, and FEM results obtained from this study.
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Yoon, Sungho. "The Effect of the Degree of Reaction on the Leakage Loss in Steam Turbines." In ASME Turbo Expo 2012: Turbine Technical Conference and Exposition. American Society of Mechanical Engineers, 2012. http://dx.doi.org/10.1115/gt2012-69602.
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The degree of reaction selected in designing steam turbines is of paramount importance. There has been competition between 50% reaction and impulse turbines over a century. It is therefore important to understand the effect of the degree of reaction on aerodynamic performance. In particular, a change in the degree of reaction affects the leakage flow substantially in both the stationary and rotating blades due to a change in the blade loading. The effect of the degree of reaction on the efficiency loss, due to leakage flows, is systematically investigated in this paper using analytical models. It is shown that the appropriate way to understand the efficiency loss, due to leakage flows, is to estimate the kinetic energy dissipation rather than the leakage mass flow rate, as demonstrated by Yoon et al. [1]. In order to estimate the efficiency loss due to leakage flows, the well-known Denton model [2] is extended by considering the velocity triangles in a repeating turbine stage. The extended model is compared with experimental data, at different degrees of reaction, and shows good agreement with measurements. It is shown that a reduction in the degree of reaction, at a fixed flow coefficient and a fixed work coefficient, results in an increase in the efficiency loss across the stationary blade, but a decrease in that across the rotating blade. However, the efficiency loss, across the stationary blade hub, is estimated to be smaller than the efficiency loss across the rotating blade tip. A stationary blade can be better sealed than a rotating blade by applying multiple seals and using a leakage path with a low radius. The efficiency loss, due to the tip leakage flow, is substantially influenced by the choice of the tip configuration. Shrouded blades show several aerodynamic advantages over unshrouded blades in reducing the tip leakage efficiency loss. Employing multiple seals over the shroud decreases the tip leakage mass flow rate significantly. Moreover, as the degree of reaction approaches zero, the tip leakage mass flow rate over the shroud becomes small, since the axial pressure drop across the rotating blade becomes small. In unshrouded blades, a reduction in the degree of reaction is shown to increase the leakage mass flow rate over the tip, because the circumferential pressure difference between the blade pressure side and blade suction side generally increases when the pitch-to-chord ratio remains unchanged.