Search

The constant search for quality and its management are topics observed, discussed and studied in all areas. Defining what is quality is something subjective independent of the area where it is being applied and of numerous definitions found in the literature. The objective of this work was to demonstrate the advantages and possible disadvantages in obtaining the ONA qualification seal in a health service, making their contributions in a quality system. A qualitative approach was use and the method was a single case study in an institution characterized as a Compounding Center, Specialized in the preparation of parenteral nutrition and chemotherapeutic preparations. Data collection was performed through a semi-structured interview with the main managers of the institution. To evaluate the data and compile the results, content analysis was used, where grouping the questions by similarity were created categories. At the end of the work, it was observed that although the audit to obtain the ONA qualification seal has a focus on all processes, more emphasis was given by the managers in the elaboration of the process sheet, where it was possible to evaluate the complex interrelation between the departments. [ABSTRACT FROM AUTHOR]

This study analyzes possible climatic connections that establish the subtropical anticyclone of the North Atlantic (NASH) between two regions of the Atlantic Ocean. The fundamental importance of NASH is widely known by the scientific community. The condition of its large center of action in the regions around the Atlantic Ocean is the key part in the general atmospheric circulation between tropics, subtropical limits and the mid-latitudes. We have used monthly measures of the atmospheric pressure of San Fernando-Cádiz (Spain), as a reference point of the Southwest area of the Iberian Peninsula, and of San Juan (Puerto Rico) and Guantánamo (Cuba), as reference points for the north of the Caribbean Sea. The analysis also includes the monthly values of the North Atlantic Oscillation (NAO) index. The climatic registers that have been used correspond to a sequence of fifty-four years between 1956 and 2009. The results of the correlations show four months of the year (February, June, August and October) with significant positive statistical values between the atmospheric pressures of San Juan-Guantánamo and San Fernando-Cádiz. They also show three months equally important between the pressures of San Juan-Guantánamo and the NAO index (January, February and March). Este estudio analiza las posibles conexiones climáticas que establece el anticiclón subtropical del Atlántico Norte (NASH, por sus siglas en inglés) entre las regiones del suroeste de la península ibérica y el norte del mar Caribe. Es ampliamente conocido por la comunidad científica el papel fundamental que juega el NASH, por su condición [End Page 121] de gran centro de acción, en las regiones que rodean el océano Atlántico, siendo éste una pieza clave en la circulación atmosférica general entre el trópico, el ámbito subtropical y las latitudes medias. Para este análisis se han utilizado las medias mensuales de presión atmosférica de San Fernando-Cádiz (España), como punto representativo del suroeste de la península ibérica, y de San Juan (Puerto Rico) y Guantánamo (Cuba), como puntos de referencia del norte del mar Caribe. Además, se han incluido en el análisis los valores mensuales del índice de la Oscilación del Atlántico Norte (NAO). Los registros climáticos que se han empleado corresponden a series de cincuenticuatro años, comprendidos entre 1956 y 2009. Los resultados de las correlaciones muestran cuatro meses del año (febrero, junio, agosto y octubre) con valores positivos estadísticamente significativos entre las presiones atmosféricas de San Juan-Guantánamo y San Fernando-Cádiz, y tres meses con correlaciones igualmente significativas entre las presiones de San Juan-Guantánamo y el índice NAO (enero, febrero y marzo). Cette étude analyse les liens climatiques observés entre les régions du sud-ouest de la péninsule ibérique et le nord de la mer des Caraïbes. Le rôle que joue l'anticyclone des Açores (NASH en anglais) sur les régions qui entourent l'océan Atlantique est bien connu de la communauté scientifique, et reste un facteur essentiel dans la circulation atmosphérique générale entre les zones tropicales, subtropicales et les latitudes médianes. Pour cette analyse, les moyennes mensuelles de pression atmosphérique de San Fernando-Cádiz (Espagne) ont été choisies comme repère de la zone sud-ouest de la péninsule ibérique, et celles de San Juan (Porto Rico) et Guantánamo (Cuba) ont été retenues comme points de référence pour le nord de la mer des Caraïbes. L'analyse inclut également les valeurs mensuelles de l'Oscillation nord-atlantique (ONA). Les relevés climatiques utilisés ont été réalisés sur cinquante-quatre ans, entre 1956 et 2009. Les résultats de ces corrélations montrent que quatre mois de l'année (février, juin, août et octobre) enregistrent des valeurs positives dont les statistiques sont significatives entre les pressions atmosphériques de San Juan-Guantánamo et San Fernando-Cádiz. Trois autres mois (janvier, février et mars) ont également montré des corrélations significatives entre les pressions atmosphériques de San Juan-Guantánamo et l'ONA. [End Page 122] [ABSTRACT FROM AUTHOR]

To advance understanding of hydroclimatological processes, this paper links spatiotemporal variability in gridded European precipitation and large-scale mean sea-level pressure (MSLP) time series (1957–2002) using monthly concurrent correlation. Strong negative (positive) correlation near Iceland and (the Azores) is apparent for precipitation in northwest Europe, confirming a positive North Atlantic Oscillation (NAO) association. An opposing pattern is found for southwest Europe, and the Mediterranean in winter. In the lee of mountains, MSLP correlation is lower reflecting reduced influence of westerlies on precipitation generation. Importantly, European precipitation is shown to be controlled by physically interpretable climate patterns that change in extent and position from month to month. In spring, MSLP–precipitation correlation patterns move and shrink, reaching a minimum in summer, before expanding in the autumn, and forming an NAO-like dipole in winter. These space–time shifts in correlation regions explain why fixed-point NAO indices have limited ability to resolve precipitation for some European locations and seasons. Editor Z.W. Kundzewicz; Associate editor A. Montanari Citation Lavers, D., Prudhomme, C., and Hannah, D.M., 2013. European precipitation connections with large-scale mean sea-level pressure (MSLP) fields. Hydrological Sciences Journal, 58 (2), 310–327. [ABSTRACT FROM AUTHOR]