Behavioral sciences applied to acute care teams: a research agenda for the years ahead by a European research network.

BACKGROUND: Multi-disciplinary behavioral research on acute care teams has focused on understanding how teams work and on identifying behaviors characteristic of efficient and effective team performance. We aimed to define important knowledge gaps and establish a research agenda for the years ahead of prioritized research questions in this field of applied health research. METHODS: In the first step, high-priority research questions were generated by a small highly specialized group of 29 experts in the field, recruited from the multinational and multidisciplinary "Behavioral Sciences applied to Acute care teams and Surgery (BSAS)" research network - a cross-European, interdisciplinary network of researchers from social sciences as well as from the medical field committed to understanding the role of behavioral sciences in the context of acute care teams. A consolidated list of 59 research questions was established. In the second step, 19 experts attending the 2020 BSAS annual conference quantitatively rated the importance of each research question based on four criteria - usefulness, answerability, effectiveness, and translation into practice. In the third step, during half a day of the BSAS conference, the same group of 19 experts discussed the prioritization of the research questions in three online focus group meetings and established recommendations. RESULTS: Research priorities identified were categorized into six topics: (1) interventions to improve team process; (2) dealing with and implementing new technologies; (3) understanding and measuring team processes; (4) organizational aspects impacting teamwork; (5) training and health professions education; and (6) organizational and patient safety culture in the healthcare domain. Experts rated the first three topics as particularly relevant in terms of research priorities; the focus groups identified specific research needs within each topic. CONCLUSIONS: Based on research priorities within the BSAS community and the broader field of applied health sciences identified through this work, we advocate for the prioritization for funding in these areas.

Mediação remota das afecções do corpo: reflexões sobre virtualidade e corporeidade / The remote mediation of body affections: reflections on virtuality and corporeity / La mediación a distancia de los afectos del cuerpo: reflexiones sobre la virtualidad y la corporeidad

Este ensaio teórico se propõe a pensar o corpo sob a ótica da pluralidade e das afecções, para compreender como o trabalho da psicologia na modalidade remota atinge a corporeidade e a sua potência de existir. Tais questões foram evocadas num Grupo de Escuta e Acolhimento na modalidade remota. O olhar teórico parte da concepção espinosana das afecções, articulada com a noção de cuidado de si. A solidão relatada nos grupos foi tomada como analisador para refletir sobre o enfraquecimento da produção do encontro. Isso nos levou a pensar os impactos da perda do corpo na presença on-line, a (im)possibilidade do encontro com a diferença e sobre o papel da virtualidade na atualidade do modelo econômico liberal aplicado à psicologia. É necessário considerar as possibilidades de atuação e mediação que não se abstenham perante as demandas da atualidade, mas que reconheçam também os perigos dos aparelhos de captura. (AU)

This theoretical study proposes to think about the body from the plurality and the affections' perspectives, in an attempt to understand how the psychology works, on the virtual modality, reaches corporeity and the expansion of its power to exist. These questions were raised from a Group for Listening and Welcoming Services o the virtual modality. The theoretical perspective starts from Spinoza's conception of the affections, articulated with the notion of self-care. The loneliness reported on the group was our analyzer, in an attempt to reflect about the encounter's weakening. This led us to reflect about the impacts of the body's loss on the online presence, the (im)possibility of encountering the difference and the role of virtuality in the liberal economic model applied to psychology. It is necessary to cover the possibilities of action that do not abstain from present time demands, but also to recognize the dangers of capture devices. (AU)

Este ensayo teórico propone pensar el cuerpo desde la perspectiva de las afecciones, intentando comprender cómo el trabajo de la psicología en la modalidad a distancia alcanza la corporeidad y su potencia de existir. Tales interrogantes surgieron en la experiencia de un Grupo de Escucha y Acogida en la modalidad a distancia. Orientó el trabajo la concepción Spinozista de los afectos, articulada con la noción de cuidado de sí. La soledad relatada en los grupos fue el analizador para reflexionar sobre la producción del encuentro y nos llevó a pensar en los impactos de la pérdida del cuerpo en la presencia online, la (im)posibilidad de encontrar la diferencia y a reflexionamos sobre la virtualidad en el modelo económico liberal aplicado a la psicología. Es necesario abarcar las posibilidades de acción que no se abstengan de las exigencias de hoy, pero que también reconozcan los peligros de los dispositivos de captura. (AU)

Cultural Considerations for Patient and Community Education in Global Health: A Qualitative Study in Lesotho.

Background: In global health, international nongovernmental organizations (NGOs) frequently hire, train, and partner with host-country clinicians who manage public outreach and patient care. Purpose and Research Design: We conducted a general interpretivist study of Basotho clinicians hired by NGOs and academic affiliates in Lesotho to identify cultural barriers and facilitators to community and patient education. Data Collection and Analysis: We conducted 13 interviews involving 16 participants (one physician, one nutritionist, 14 nurses). Using an inductive and iterative approach, we analyzed interview transcripts through the lens of social cognitive theory and identified 15 themes. Results: Major findings highlighted: 1) patient and community learners may view Basotho clinicians as authority figures; 2) family and community power dynamics affect healthcare access for vulnerable patient groups; and 3) village leaders may refuse community education when excluded from problem-solving and early planning. Conclusions: Although local clinicians and community members may identify with the same cultural group, clinicians can encounter cultural barriers to patient and community education.

Construction of the prognostic model for small-cell lung cancer based on inflammatory markers: A real-world study of 612 cases with eastern cooperative oncology group performance score 0-1.

OBJECTIVES: This research aimed to explore the relationship between pre-treatment inflammatory markers and other clinical characteristics and the survival of small-cell lung cancer (SCLC) patients who received first-line platinum-based treatment and to construct nomograms for predicting overall survival (OS) and progression-free survival (PFS). METHODS: A total of 612 patients diagnosed with SCLC between March 2008 and August 2021 were randomly divided into two cohorts: a training cohort (n = 459) and a validation cohort (n = 153). Inflammatory markers, clinicopathological factors, and follow-up information of patients were collected for each case. Cox regression was used to conduct univariate and multivariate analyses and the independent prognostic factors were adopted to develop the nomograms. Harrell's concordance index (C-index) and time-dependent receiver operating characteristic curve were used to verify model differentiation, calibration curve was used to verify consistency, and decision curve analysis was used to verify the clinical application value. RESULTS: Our results showed that baseline C-reactive protein/albumin ratio, neutrophil/lymphocyte ratio, NSE level, hyponatremia, the efficacy of first-line chemotherapy, and stage were independent prognostic factors for both OS and PFS in SCLC. In the training cohort, the C-index of PFS and OS was 0.698 and 0.666, respectively. In the validation cohort, the C-index of PFS and OS was 0.727 and 0.747, respectively. The nomograms showed good predictability and high clinical value. Also, our new clinical models were superior to the US Veterans Administration Lung Study Group (VALG) staging for predicting the prognosis of SCLC. CONCLUSIONS: The two prognostic nomograms of SCLC including inflammatory markers, VALG stage, and other clinicopathological factors had good predictive value and could individually assess the survival of patients.

Pistas para pensar o cuidado no contexto hospitalar / Clues to think about care in the hospital context / Pistas para pensar el cuidado en el contexto hospitalario

O objetivo deste artigo é dar voz a reflexões produzidas entre psicólogas, estudantes de psicologia e professoras e/ou trabalhadoras da saúde durante e após o desenvolvimento de uma experiência cartográfica de cuidado compartilhado, suscitada por rodas de conversa com cuidadores de pacientes internados em um hospital geral no interior do estado do Espírito Santo. Diante do trabalho realizado com as rodas, nos foi possível pensar e repensar a nossa atuação, colocando em análise as práticas da psicologia hospitalar, e como podemos reinventá-las diariamente, principalmente quando nos colocamos disponíveis para as modulações do campo e para os desvios das rotas planejadas. O caminho teórico-metodológico cartográfico, a partir de leituras esquizoanalíticas, possibilitou que colocássemos em xeque o lugar engessado do especialista, além de fortalecer a possibilidade do trabalho com grupos em uma emergência hospitalar. (AU)

The aim of this article is to give voice to reflections produced by psychologists, psychology students, teachers and/or health area workers, during and after the development of a cartographic experience of shared care, raised by circles of conversation with caregivers of patients admitted to a general hospital in the countryside of the state of Espírito Santo. Given the work done with the coterie, it was possible for us to think and rethink our performance, analyzing the practices of hospital psychology, and how we can reinvent them daily, especially when we are available for field modulations and deviations of the planned routes. The theoretical-methodological cartographic path, based on schizoanalytic readings, enabled us to put the specialist's plastered place in check, in addition to strengthening the possibility of working with groups in a hospital emergency. (AU)

El objetivo de este artículo es dar voz a las reflexiones producidas por psicólogas, estudiantes de psicología y maestras y/o trabajadoras de la salud durante y después del desarrollo de una experiencia cartográfica de atención compartida, generada por círculos de conversación con cuidadores de pacientes hospitalizados en un hospital general del interior dela província de Espírito Santo. Dado el trabajo realizado con las ruedas, nos fue posible pensar y repensar nuestro desempeño, analizando las prácticas de la psicología hospitalaria y cómo podemos reinventarlas diariamente, especialmente cuando estamos disponibles para modulaciones y desviaciones de campo. La ruta cartográfica teórico-metodológica, basada en lecturas esquizoanalíticas, nos permitió poner a prueba el lugar enlucido del especialista, además de fortalecer la posibilidad de trabajar con grupos en una emergencia hospitalaria. (AU)

Corpo e processos formativos em tempos de pandemia / Body and formative processes in pandemic times / Cuerpo y procesos formativos en tiempos de pandemia

Este artigo discute processos formativos partindo da análise do corpo e do movimento nas artes performativas para pensar um ethos de aprendizagem inventiva. As limitações impostas pela pandemia da COVID-19 compuseram o debate, tornando a investigação uma análise de experiência, na medida em que as pesquisadoras envolveram seu corpo e seu conhecimento, focalizando seu próprio processo formativo em meio ao isolamento social e ao uso das mídias digitais. Utilizou-se a pesquisa-intervenção para acompanhar os processos de transformação aos quais as pesquisadoras estavam sujeitas na medida em que investigavam. Indica-se novos modos de aprender, lançando mão do dispositivo grupal num ethos de aprendizagem inventiva. (AU)

This article discusses formative processes starting from the analysis of the body and movement in the performing arts to think about na ethos of inventive learning. The limitations imposed by the COVID-19 pandemic made up the debate, making the investigation ananalysis of experience, as the researchers involved their bodies and their knowledge, focusing on his own training process amid social isolation and the use of digital media. Research-intervention was used to accompany the transformation processes to which there searchers were subjected as they investigated. New ways of learning are indicated, using the group device in an ethos of inventive learning. (AU)

Este artículo analisa los processos formativos a partir del análisis del cuerpo y el movimento em las artes de performances para pensar en un ethos de aprendizaje inventivo. Las limitaciones impuestas por la pandemia COVID-19 compusieron el debate, convirtiendo la investigación en un análisis de la experiencia, ya que los investigadores involucraron sus cuerpos y sus conocimientos, enfocándose em su próprio processo de formación em médio del aislamiento social y el uso de médios digitales. La investigación de intervención se utilizo para monitorear los processos de transformación a los que estaban sujetos los investigadores mientras investigaban. Se indican nuevas formas de aprendizaje, haciendo uso del dispositivo grupal em um ethos de aprendizaje inventivo. (AU)

Biochemical Markers of Musculoskeletal Health and Aging to be Assessed in Clinical Trials of Drugs Aiming at the Treatment of Sarcopenia: Consensus Paper from an Expert Group Meeting Organized by the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO) and the Centre Académique de Recherche et d'Expérimentation en Santé (CARES SPRL), Under the Auspices of the World Health Organization Collaborating Center for the Epidemiology of Musculoskeletal Conditions and Aging.

In clinical trials, biochemical markers provide useful information on the drug's mode of action, therapeutic response and side effect monitoring and can act as surrogate endpoints. In pharmacological intervention development for sarcopenia management, there is an urgent need to identify biomarkers to measure in clinical trials and that could be used in the future in clinical practice. The objective of the current consensus paper is to provide a clear list of biochemical markers of musculoskeletal health and aging that can be recommended to be measured in Phase II and Phase III clinical trials evaluating new chemical entities for sarcopenia treatment. A working group of the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO) proposed classifying biochemical markers into 2 series: biochemical markers evaluating musculoskeletal status and biochemical markers evaluating causal factors. For series 1, the group agreed on 4 biochemical markers that should be assessed in Phase II or Phase III trials (i.e., Myostatin-Follistatin, Brain Derived Neurotrophic Factor, N-terminal Type III Procollagen and Serum Creatinine to Serum Cystatin C Ratio - or the Sarcopenia Index). For series 2, the group agreed on 6 biochemical markers that should be assessed in Phase II trials (i.e., the hormones insulin-like growth factor-1 (IGF-I), dehydroepiandrosterone sulphate, and cortisol, and the inflammatory markers C-reactive protein (CRP), interleukin-6 and tumor necrosis factor-α), and 2 in Phase III trials (i.e., IGF-I and CRP). The group also proposed optional biochemical markers that may provide insights into the mode of action of pharmacological therapies. Further research and development of new methods for biochemical marker assays may lead to the evolution of these recommendations.

A new attempt of applying hybrid team-based and case-based learning approach in dental materials science: Does it work?

INTRODUCTION: Limited studies have been conducted on the use of a hybrid team-based learning (TBL) and case-based learning (CBL) approach in dental education. The present study aims to evaluate students' experience of the hybrid TBL-CBL in learning dental materials science subjects. METHODS: All second-year undergraduate Bachelor of Dental Surgery (BDS) students were invited to participate in a TBL-CBL session. These participants were randomly allocated to six different groups of 10-12 students, and the session was conducted by one lecturer as the facilitator. A 23-item questionnaire assessing four domains (perceptions of effectiveness, teacher, team interaction and learning environment) was administered at the end of the TBL-CBL session. RESULTS: The response rate was 91.9% (n = 68). Mean scores for the questionnaire items ranged from 4.13 to 4.60 suggesting a positive perception among the students towards the hybrid TBL-CBL approach. Regarding the open-response questions, students emphasised that the TBL-CBL session was effective for team interaction and group discussions. However, students wished to have a better venue for future sessions. CONCLUSION: Positive perceptions of the students encourage future educators to consider the use of TBL-CBL approach in teaching dental materials science and to avoid the reliance on standalone conventional lectures. Future research could consider examining its effects on students' academic achievement as well as the perspectives of teachers regarding its adoption in different dental specialities.

Applying persuasive messages to reduce public outdoor smoking: A pseudo-randomized controlled trial.

Despite efforts to create dedicated smoking areas and no-smoking signs, many smokers continue to light their cigarettes in front of public building entrances-leading to concerns over health consequences for non-smokers passing by. To increase compliance with no-smoking requests, behavioral interventions that tap into habitual and automatic processes seem promising. A pseudo-randomized controlled trial was conducted to assess the differential impact of seven behavioral interventions based on Cialdini's principles of persuasion. Over a period of 9 weeks, the number of smokers was counted (total n = 17,930 observations) in front of a German University Medical Center. Relative to a baseline and a control condition, interventions based on the principles of reciprocity, scarcity, and authority were most effective in reducing the number of observed smokers in front of the building entrance (41.5%, 45.7%, and 52.1% reduction rates, respectively). Having observed smokers' behavior in vivo, this study provides substantial evidence for the impact of persuasive strategies on outdoor smoking. In the future, this knowledge should be used to protect non-smokers from second-hand smoke by increasing the use of designated smoking areas, leave to another place to smoke, or not smoke at all.

When is sensory consumption immoral?

Although humans are hard-wired to pursue sensory pleasure, they show considerable heterogeneity in their moral evaluations of sensory pleasure. In some societies, sensory pleasure is pursued without any moral inhibition, but in other societies, it is considered to be immoral and actively suppressed. This research investigates the moral motives behind the suppression of sensory consumption. Is the suppression of sensory consumption caused by the moral motive to promote social justice or the moral motive to promote social order? We test these two competing accounts through country-level archival data and seven preregistered controlled experiments. We find robust evidence that the social-order emphasizing binding moral foundations (authority, loyalty, and purity; Haidt, 2007) suppress sensory consumption. Consequently, individuals and societies that adhere to the binding values are less likely to consume sensory products such as alcohol, tobacco, soda, fragrances, and sex toys. These effects are mediated by prescriptive moral beliefs and feelings of shame. We also identify several moderators of the moral suppression of sensory consumption. Binding values do not suppress sensory consumption after moral licensing. The effects of binding values on sensory consumption attenuate when the products are framed as status-affirming. Finally, while binding values suppress sensory consumption that is personal, they do not suppress sensory consumption that is shared. Altogether, our findings show that social-order emphasizing moral beliefs in society can inhibit the pursuit of pleasure and change consumption patterns in the economy. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Tiros na escola: algumas referências para a psicologia na assistência à comunidade escolar / School shotting: some references for psychology in school comunity support / Tíros em la escuela: algunas referencias para la psicología em la asistencia à comunidad escolar

A atuação em situações de emergências e desastres apresentam-se como um dos grandes desafios na atuação dos profissionais da Psicologia, demandando intervenções singulares, desde o primeiro contato com as vítimas e o com entorno afetado pelo ocorrido, passando pelo trabalho interdisciplinar e interinstitucional junto aos órgãos públicos de segurança, justiça, assistência e saúde. O presente artigo tem como objetivo apresentar, por meio da experiência na assistência às vítimas na Escola Estadual Raul Brasil, as particularidades e adversidades enfrentadas durante o primeiro semestre de intervenções emergenciais que antecederam a contratação de psicólogos por parte do poder público municipal para continuidade das ações. Por meio de relatos de experiência em intervenções psicológicas, obtidos em diferentes instituições para a assistência às vítimas, este trabalho também visa apresentar alternativas que possam servir de referências para a intervenção do psicólogo e da psicóloga em situações de emergências e desastres, especialmente ocorridas na comunidade escolar. Observou-se que a realização do trabalho interdisciplinar e interinstitucional somado à participação da direção da escola no planejamento das ações e a realização de plantões psicológicos e rodas de conversa junto à comunidade escolar foram fundamentais para a assistência às vítimas do ocorrido.(AU)

Timely response to emergency and disaster situations is a major challenge for Psychology professionals and require particular interventions, from initial contact with the victims and the affected environment to interdisciplinary and interinstitutional collaboration with public security, justice, assistance and health agencies. Based on the experience of providing assistance to the victims of the State School Raul Brasil, this paper presents the adversities and specificities faced during the first semester of emergency interventions implemented before psychologists were hired by municipal officials for the continuity of care. By analyzing experience reports on psychological interventions obtained from different institutions for victim assistance, this paper proposes alternatives to be used as reference for psychological intervention in emergency and disaster situations, especially those experienced by the school community. Interdisciplinary and interinstitutional collaboration with the school board for planning actions and offering psychological services and conversation circles for the school community was fundamental to assist the victims.(AU)

La actuación en situaciones de emergencias es uno de los grandes desafíos a los profesionales de la psicología, pues demanda intervenciones singulares desde el primer contacto con las víctimas y con el contexto afectado por lo ocurrido, pasando por la interdisciplinaridad e interinstitucionalidad junto a los organismos públicos de seguridad, justicia, asistencia y salud. Este artículo tiene como objetivo presentar, por medio de la experiencia de la asistencia a las víctimas del colegio estadual Raul Brasil (en São Paulo, Brasil), las particularidades y adversidades enfrentadas durante el primer semestre de las intervenciones de emergencia que antecedieron la contratación de psicólogos por parte del municipio para continuidad de las acciones. Por medio de reportes de experiencia en intervenciones psicológicas, obtenidos en diferentes instituciones para la asistencia a las víctimas, este estudio también pretende presentar alternativas que puedan servir de referencia en la intervención de psicólogos y psicólogas en situaciones de emergencia y desastres, especialmente ocurridas en la comunidad escolar. Se verificó que la realización del trabajo interdisciplinar e interinstitucional, la participación de la dirección del colegio en la implementación de acciones y la realización de guardias psicológicas y círculos de conversación con la comunidad escolar fueron fundamentales para una asistencia a las víctimas.(AU)

A relação entre arte e vida em vigotski: uma análise conceitual / The relationship between art and life in vygotsky: a conceptual analysis / La relación entre arte y vida en vigotski: un análisis conceptual

Este trabalho teve como objetivo analisar a relação entre arte e vida segundo Vigotski. Para isso, foi realizada uma análise conceitual dos capítulos 1, 7, 9, 10 e 11 da Psicologia da Arte, do capítulo 13 da Psicologia Pedagógica e do texto O significado histórico da crise da Psicologia: Uma investigação metodológica. A pesquisa conceitual consiste na análise semântica dos principais conceitos de uma teoria com o intuito de elucidar seus sentidos ocultos ou confusos e desvendar possíveis contradições e ambiguidades no quadro teórico. Podemos observar que a arte é um fenômeno dialético tanto em sua criação como em seus efeitos. A influência da vida, isto é, da realidade sócio-histórica, na criação artística é indireta, pois ela é sempre mediada pelo psiquismo particular do artista. Já o efeito da arte sobre a vida possibilita que o ser humano se conscientize de sua realidade social e se engaje para mudá-la. A arte é, portanto, transformadora, pois reorganiza o psiquismo e possibilita uma mudança nas condições materiais dos seres humanos.(AU)

This study aims to analyze the relationship between art and life according to Vygotsky. Therefore, a conceptual analysis of chapters 1, 7, 9, 10, and 11 of Psychology of Art, chapter 13 of Educational Psychology and the text The Historical meaning of the Crisis of Psychology: A Methodological Investigation was carried out. Conceptual research consists of the semantic analysis of the main concepts of a theory to elucidate its hidden or confused meanings and to reveal possible contradictions and ambiguities in the theoretical framework. Results show that art is a dialectical phenomenon both in its creation and its effects. The influence of life, that is, of socio-historical reality, on artistic creation is indirect since it is always mediated by the artist's particular psyche. The effect of art on life, on the other hand, allows human beings to become aware of their social reality and engage to change it. Art is, therefore, transformative, as it reorganizes the psyche and enables a change in the material conditions of human beings.(AU)

Este proyecto tuve como objetivo analizar la relación entre el arte y la vida, según Vigotski. Para esto, fue realizado un análisis de los capítulos 1, 7, 9, 10 y 11 de Psicología del arte, del capítulo 13 de Psicología Pedagógica y del texto Él significado histórico de la crisis de la Psicología: una investigación metodológica. La pesquisa conceptual consiste en la analice semántica de los conceptos de una teoría, para aclarar sus significados ocultos o confusos y desvendar contradicciones y ambigüedades em el cuadro teórico. Pudimos observar que, el arte es un fenómeno dialéctico en su creación tanto como en sus efectos. La influencia de la vida, esto es, de la realidad socio-histórica, en la creación artística es indirecta, pues es mediada por el psiquismo particular de lo artista. Así, el efecto del arte sobre la vida habilita que lo ser humano adquiera conciencia de su realidad social y que se comprometa a cambiarla. El arte, consiguientemente, transformadora, pues reorganiza lo psiquismo y habilita un cambio en las condiciones materiales de los seres humanos.(AU)

Panorama institucional do trabalho grupal com homens autores de violência contra mulher no Brasil / Institutional overview of group work with men perpetrators of violence against women in Brazil

Resumo A Lei Maria da Penha prevê o atendimento aos homens autores de violência em centros de reabilitação traduzidos, na prática, em atividades grupais. Este artigo apresenta um panorama nacional destas ações, realizado por meio de revisão de literatura, pesquisa bibliográfica e documental. Os grupos foram identificados através de buscas nas bases LILACS/BVS, MEDLINE/PUBMED, COCHRANE LIBARY, EMBASE, Biblioteca Digital Brasileira de Teses e Dissertações (BDTD), portal de periódicos da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Capes), mapeamento e listagem nacional das iniciativas com homens autores de violência já publicadas e pesquisa web. Dos 309 grupos identificados, 271 responderam o questionário enviado por meio eletrônico nos meses de abril e maio de 2021. Os resultados possibilitaram traçar um panorama que evidenciou as instituições atuantes; a forma de encaminhamento dos homens; a existência do trabalho em rede e aproximação dos movimentos sociais; informações sobre a equipe facilitadora; objetivos; metodologia de avaliação e os principais resultados e dificuldades destacados pelos grupos. Hiatos também foram confirmados como a ausência de política pública nacional que acolha e impulsione as organizações locais; a falta de formação continuada da equipe de facilitação; a ausência ou pouco aporte financeiro e, principalmente; a fragilidade na avaliação e monitoramento das atividades.

Abstract The Maria da Penha Law assists male perpetrators of violence in rehabilitation centers translated, in practice, into group activities. This study offers a national overview of these actions by conducting a literature review and bibliographical and documental research. Groups were identified by searches on LILACS/VHL, MEDLINE/PUBMED, COCHRANE LIBRARY, EMBASE, the Brazilian Digital Library of Theses and Dissertations (BDTD), and the Coordination for the Improvement of Higher Education Personnel's (CAPES) journal portal, published maps and national listing of initiatives with male perpetrators of violence, and a web search. Of the 309 groups identified, 271 answered an electronically sent questionnaire from April to May 2021. Results draw an overview showing the active institutions; the way men are referred to them; the existence of networking and approximation to social movements; information about facilitating teams; goals; evaluation methodology; and the main results and difficulties highlighted by these groups. This study also confirmed gaps, such as the absence of a national public policy that welcomes and encourages local organizations; facilitators' lack of ongoing training; the absence or scarcity of financial contribution; and especially the fragile evaluation and monitoring of activities.

Análise intertransferencial no manejo de grupo operativo com funcionários de um hospital psiquiátrico / Intertransferential analysis on the management of an operative group with employees of a psychiatric hospital / Análisis intertransferencial en la gestión de un grupo operativo con empleados de un hospital psiquiátrico

Este trabalho tem o objetivo de relatar a experiência de coordenação e observação de grupo operativo de perspectiva psicanalítica. Foram realizados doze encontros, semanalmente, com monitores de recreação em uma instituição psiquiátrica do interior do Estado de São Paulo. Foi possível compreender os benefícios na condução do movimento grupal a partir da análise das intertransferências. As reflexões entre coordenador e observador após as sessões contribuíram para pensar as próprias resistências ao grupo, permitindo melhor manejo e compreensão simbólica da relação coordenação e grupo.

This paper aims to report the experience of coordination and observation of an operative group from a psychoanalytic perspective. Twelve weekly meetings were held with recreation monitors in a psychiatric institution in the interior of the state of São Paulo. It was possible to understand the benefits in the conduction of group movement from the analysis of the intertransferences. The reflections between coordinator and observer after the sessions contributed to think about their own resistances to the group, allowing better management and symbolic understanding of the relationship between coordination and group.

Este estudio pretende informar de la experiencia de coordinación y observación de un grupo operativo desde una perspectiva psicoanalítica. Se realizaron doce reuniones semanales con monitores de recreación en una institución psiquiátrica del interior del estado de São Paulo. A partir del análisis de las intertransferencias fue posible comprender los beneficios en la conducción del movimiento grupal. Las reflexiones entre el coordinador y el observador después de las sesiones contribuyeron a pensar en las propias resistencias del grupo, permitiendo una mejor gestión y comprensión simbólica de la relación entre coordinación y grupo.

Acolhimento psicológico infantojuvenil na Rede de Atenção Psicossocial (RAPS) / Children and teenager's psychological welcoming in the psychosocial care network / Acogida psicológica infantil-juvenil en la Red de Atención Psicosocial

O texto discute a implantação da estratégia de acolhimento para crianças e adolescentes, protagonizada por três psicólogas, entre 2014 e 2018, em um município do norte do Paraná. Valendo-se do acolhimento em grupo, foi possível distinguir a demanda direcionada à Psicologia, traçar estratégias adequadas a cada caso e identificar outros profissionais e setores importantes para um cuidado integral. Com isso, extinguiu-se a fila de espera para atendimento psicológico, fornecendo-se uma resposta imediata a todos os casos e possibilitando desdobramentos, inclusive no âmbito da rede intersetorial. Conclui-se que a experiência relatada aponta caminhos para a efetivação do cuidado em saúde mental, bem como indica o desafio de intervir de forma contextualizada e territorializada ante o público infantojuvenil. (AU)

This paper discusses the implementation of the children and teenager's welcoming, performed by three psychologists, between 2014 and 2018, in a municipality from the north of Paraná state, Brazil. Realizing groups for welcoming, it was possible to distinguish the demand directed to Psychology, to trace appropriate strategies for each case and to identify other professionals and important sectors to integral care. As a result, the waiting list for psychological care was extinguished, providing an immediate response to all casesand making possible other developments, including the intersectoral network. It is concluded that the reported experience points to ways for effective mental health care and it indicates the challenge of intervening in a contextualized and territorialized way towards children and adolescents. (AU)

El texto analisa la implementación de la estrategia de acogida para niños y adolescentes, realizada por tres psicólogas, entre 2014 y 2018, em um municipio del Paraná, en Brasil. Utilizando la recepción grupal, fue possible distinguir la demanda dirigida a la Psicología, delinear estratégias adecuadas para cada caso y identificar profesionales y sectores importantes para una atención integral. Com esto, la lista de espera para la atención psicológica se extinguió, proporcionando una respuesta inmediata a todos los casos y permitiendo desarrollos, dentro de la red intersectorial. Se concluye que la experiencia relatada apunta formas de efectuar la atención em salud mental y indica el desafío de intervenir de manera contextualizada y territorializada hacia la niñez y la adolescência. (AU)

Intervenções educativas como possibilidade de prevenção da depressão de idosos em um conjunto habitacional / Educational interventions as a possibility to prevent depression in the elderly in a housing project

Objetivo: Descrever intervenções educativas como possibilidade de prevenção da depressão em idosos residentes em um conjunto habitacional. Métodos: O estudo desenvolveu-se em quatro etapas­diagnóstico situacional da realidade; planejamento; implementação; e avaliação das ações realizado no ano de 2018­, alicerçadas no método da pesquisa-ação e analisadas por meio do processo metodológico do Discurso do Sujeito Coletivo. Resultados: Após realização do diagnóstico situacional, foram implementadas quatro intervenções educativas. A primeira intervenção buscou trabalhar a construção de conhecimentos acerca da sintomatologia depressiva. A segunda, abordou a espiritualidade como estratégia preventiva e protetora. A terceira, teve como objetivo expor os problemas enfrentados nas relações interpessoais e os caminhos possíveis para promover ajuda e superação da depressão. A quarta intervenção utilizou a arte terapia como estratégia de prevenção da depressão. Conclusão: As intervenções educativas possibilitaram espaço para participação e discussão dos idosos acerca da depressão, tornando-os ativos no processo de aprendizagem, o que resultou em encontros enriquecedores para a construção do conhecimento individual e coletivo estimulando à atitude preventiva da depressão. Descritores: Educação em Saúde. Idoso. Depressão. Processos Grupais.

Objective: To describe educational interventions as a possibility of preventing depression in elderly people living in a housing project. Methods: The study was developed in four stages ­situational diagnosis of reality; planning; implementation; and evaluation of actions carried out in 2018 ­, based on the action-research method and analyzed through the methodological process of the Collective Subject Discourse. Results: After carrying out the situational diagnosis, four educational interventions were implemented. The first intervention sought to work on the construction of knowledge about depressive symptoms. The second addressed spirituality as a preventive and protective strategy. The third aimed to expose the problems faced in interpersonal relationships and the possible ways to promote help andovercome depression. The fourth intervention used art therapy as a depression prevention strategy.Conclusion: The educational interventions provided space for the participation and discussion of the elderly about depression, making them active in the learning process, which resulted in enriching meetings for the construction of individual and collective knowledge, stimulating a preventive attitude towards depression.Descriptors:Health Education. Elderly. Depression. Group Processes.

The effectiveness of online team-based learning in introduction to medical ethics education for medical students at a medical college of Nepal: a pilot study.

BACKGROUND: The effectiveness of online classes is always a concern, and it can be overcome by opting for active learning strategies like team-based learning (TBL). This study was conducted to find out the effectiveness of online TBL as an active learning strategy. We also aimed to explore the satisfaction and perception of students toward TBL. METHODS: This is a mixed-method study conducted among 29 third-year Bachelor of Medicine and Bachelor of Surgery (MBBS) students of Gandaki Medical College using purposive sampling method in the duration of January to September 2021. Three two hours online TBL sessions were used for teaching introduction to medical ethics. The individual readiness assurance test (IRAT) scores were compared to the group readiness assurance test (GRAT) scores to evaluate the effect of TBL through cooperative learning. Learner reactions and satisfaction of students towards TBL were assessed using a validated questionnaire comprising of a five-point Likert scale. An open-ended question asking the participants to describe their overall experience of the TBL sessions was also included to explore their perceptions towards TBL. The data were collected using Google form and exported to Microsoft Excel and the quantitative data were then analyzed using Statistical Package for Social Sciences (SPSS) version 16.0. To check the normal distribution of the data, Kolmogorov Smirnov and Shapiro-Wilk test were used. Non-parametric tests were used for the non-normally distributed data. P value of < 0.05 was regarded as significant. Thematic analysis was conducted for the qualitative data. RESULTS: The median GRAT scores were significantly higher (p = 0.006 in TBL 1 and 0.001 in TBL 2) than IRAT scores. Learner reactions toward TBL sessions were positive as shown by the mean scores which were in the range of 3.59 to 4.66. Five themes were generated from the codes: "effective learning method", "positive experience", "gained knowledge", "expression of gratitude" and "the way of conduction of the sessions". CONCLUSION: Online TBL in medical ethics was effective as a teaching learning tool in our setting. The students were satisfied with the learning process and rated the learning strategy positively.

Dietitians' perspectives on challenges and prospects for group-based education to adults with type 1 diabetes - a qualitative study.

BACKGROUND: Type 1 diabetes (T1DM) is an autoimmune disorder which can have short- and long-term adverse effects on health. Dietitians in diabetes offer specialist evidence-based advice to people with T1DM and provide education in either individual or group settings. The purpose of this study was to explore dietitians' perception of, and role in, group-based education as well as prospects for development. METHODS: This was a qualitative descriptive study conducted in Sweden using a convenience sampling of dietitians working in adult diabetes care. Semi-structured interviews were conducted with participants and data were analysed using a content analysis approach. RESULTS: Ten dietitians with a median experience of 14.5 years in diabetes care were interviewed. The informants were all appreciative of facilitating group-based education and perceived that it was beneficial for people with T1DM to be part of group processes, but the informants did also suggest that there were challenges for their professional role. The main challenges reported was to adjust the level of depth and complexity to the information provided and the lack of ability to individualize the education-sessions in a heterogenous group. None of the dietitians reported performing pre-assessment or follow-up audits on the group-based education. CONCLUSION: There was a great engagement from the dietitians, but they identified a lack of framework that address challenges regarding group-based education. The dietitians experienced examples of person-centred care while facilitating group-based education, which may benefit people with T1DM. Based on the results, it would be valuable to explore the pedagogic training level of Swedish dietitians and potential barriers in their ability to facilitate group-based education. We suggest that a framework for group-based education should be explored together with patient representatives to optimize the care given to ensure cost-effectiveness, optimize clinical outcomes, quality of life and equally accessible care for people with T1DM.

A 75-Year-Old Female Smoker with Advanced Small-Cell Lung Cancer and Eastern Cooperative Oncology Group Performance Status 2 who Responded to Combination Immunochemotherapy with Atezolizumab, Etoposide, and Carboplatin.

BACKGROUND Atezolizumab is an immune checkpoint inhibitor used as first-line treatment with carboplatin and etoposide chemotherapy for advanced small cell lung cancer. Immunochemotherapy treatment decisions can be affected by patients' physical ability. Because of the exclusion of patients with an Eastern Cooperative Oncology Group Performance Status (ECOG PS) ≥2 from clinical trials, treatment outcome evidence in this group is limited. CASE REPORT We present the case of a 75-year-old woman with an ECOG PS of 2 admitted with respiratory symptoms and diagnosed with advanced small-cell lung cancer. After managing exacerbation of COPD and decompensated heart failure, atezolizumab with carboplatin and etoposide was administered. After 2 cycles of immunochemotherapy, deterioration of health was observed, including anemia and thrombocytopenia. Because of the good response in imaging tests and restored balance of the patient condition, immunochemotherapy was continued. After 4 cycles of combined treatment, complete regression was achieved. No another adverse effects were observed. The patient was qualified for maintenance therapy with atezolizumab. In follow-up CT scan after 2 cycles of atezolizumab, progression was observed and patient was qualified for second-line treatment. CONCLUSIONS This report presents the case of an older patient with advanced small cell lung cancer and an ECOG status of 2 who responded to combined immunochemotherapy with atezolizumab, etoposide, and carboplatin. Adverse effects observed during immunotherapy were not a reason for discontinuation of the therapy. The assessment of the effectiveness of immunotherapy in patients with ECOG PS ³2 is difficult owing to the insufficient representation of this group in clinical trials.