Purpose: This article is focused on the premise that applying Lean tools in transport and logistic services can contribute to reduce the costs, stocks, lead time and simultaneously contributing to major financial achievements. The objective is to create a model that allows the analysis and deployment of a Lean project in Logistic and Transport services.  Methodology: Facing the lack of information about the deployment and the results of the Lean tools in Logistic and transport services in Portugal we used as case study one example of a Portuguese company that deployed Lean tools on their services and it will show that the tools and Lean principles can be used to improve quality and efficiency by using the company existing resources, reducing causalities in the service provided and in all logistic process. Findings: Lean tools provide efficiency in the services, allowing the increasing of the existing capacity in the company, provide a continuous improvement process. Even with low investments sustaining Lean projects can produce large improvement in efficiency of the processes and in the company profits. Research Limitation: The data available about the subject in Portugal was the major limitation to the study.

IntroductionPsycho-Oncology (PO) is a specific psychiatric approach to cancer patients. The main psychiatric disorders observed are delirium and adjustment disorders (AD) and the most frequent treatments used are pharmacologic and psychotherapeutic.With regard to the type of cancer, the most frequent in Portugal are breast, digestive and prostate.ObjectiveAnalyze the activity of PO in a district general hospital in Portugal.AimsDemonstrate that the main core in PO is similar in the world.MethodsProspective longitudinal study, during one year.ResultsThe sample had 130 patients (369 evaluations), mainly male, with the mean age of 64.22 years. The most frequent psychiatric diagnoses were delirium (56 cases; 43%) and AD (44; 34%) and the main interventions used were pharmacologic and psycho-education. The most common frequent cancers were digestive (54; 42%), urologic (16; 12%) and breast (15; 11%). This high frequency of urologic cancer was interpreted as a consequence of the sample and its geographic location, but it was also a reflection of the large number of requests made by this specialty. The majority of cancers had an advanced stage (84% vs 16%) that can be explained by the sample but also by health culture in Portugal, which is reflected in the inpatient services: Oncology (51; 39%) and Palliative Care (25; 19%).ConclusionsThe type of psychiatric disorders and treatments offered in PO is preserved around the world. The authors propose to do more studies, namely if the relation with others specialties affects psychiatric treatment of the patient.Disclosure of interestThe authors have not supplied their declaration of competing interest.

The information assumes in the transport industry a central role in supporting the economic activities. Firms today are faced with very low commercial margins due to the instability of fuel prices and increased competition. In this economic operating scenario, only proper information management provides a real knowledge of the activities efficiency and allows the maintenance of the competitive advantage of economic organizations. Data flow diagrams are valuable tools for the identification and articulation of the organizational processes and the different information needs. In this sense, for their simplicity data flow diagrams are important management tools that can be used by managers to identify and optimize the developed processes and activities. This study sought to highlight, through the use of diagrams of data streams, the importance of this analysis in the study of how the company fits its activities and how should face frame through a perspective based on information. The schematic representation of these two analytical perspectives, the first based on an internal perspective and the other base on an outside perspective, shows the significant difference from the potential results to management.