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1.
Recurso na Internet em Português | LIS - Localizador de Informação em Saúde | ID: lis-LISBR1.1-47417

RESUMO

A SBD, atualmente, congrega mais de 9.400 mil associados. São dermatologistas que têm colaborado com a especialidade por meio de estudos originais, em especial na área das doenças infectocontagiosas e tropicais, o que só comprova que a dermatologia brasileira continua dando importante contribuição à ciência e ao desenvolvimento da dermatologia mundial.


Assuntos
Sociedades , Dermatologia , Hanseníase
2.
Recurso na Internet em Português | LIS - Localizador de Informação em Saúde | ID: lis-LISBR1.1-47402

RESUMO

A Sociedade Brasileira de Hansenologia (SBH) é uma organização médica sem fins lucrativos. Foi fundada em 19 de novembro de 1948. É realizadora do Congresso Brasileiro de Hansenologia (a cada três anos) e Simpósio Brasileiro de Hansenologia (realizado nos anos intermediários). É mantida com recursos apurados entre parceiros e patrocinadores do Simpósio e Congresso e recursos advindos do pagamento das anuidades dos sócios. Podem associar-se à entidade médicos hansenologistas e das áreas de dermatologia, infectologia, clínica médica, neurologia, ortopedia, oftalmologia, medicina de família e comunidade e medicina preventiva e social. É filiada à Associação Médica Brasileira.


Assuntos
Hanseníase , Sociedades
3.
RECIIS (Online) ; 14(1): 212-224, jan.-mar. 2020.
Artigo em Português | LILACS | ID: biblio-1087309

RESUMO

A pegação masculina em espaços públicos da cidade é um fenômeno plural, rico em experiências instauradoras de práticas e modos de ocupar o mundo dissidentes da heteronorma. Não por acaso, foi submetido a muitos registros de infâmia. Dos antigos crimes jurídico-religiosos de sodomia forjados na Europa, que colonizaram, inclusive, os prazeres nas Américas, até sua inscrição patológico-criminal apoiada pela ciência do século XIX, a pegação tornou-se um atentado ao pudor, uma afronta à moral pública. Contudo, as figuras anônimas homoeróticas que circulam oscilantes pela urbe, instauradoras de territórios de prazer em meio ao espaço público, nos ajudam a entender, através de seus rastros, muitas vezes captados pelos aparelhos de poder, justamente suas histórias de repressão.


The cruising gay men in public spaces of the city is a plural phenomenon, rich in experiences instituting dissident practices and lifestyle of the heteronormativity. It is not by chance that this phenomenon was subjected to many registers of infamy. From the ancient juridical religious sodomy crimes established in Europe that even colonized the pleasures in the Americas to their pathological criminal inscription supported by nineteenth-century science, the cruising gay men became an indecent assault, an affront to the public moral principles. However, the anonymous homoerotic figures that circulate around the city, establishing pleasure territories in the midst of public space, help us to understand through their traces often captured by the power apparatus, precisely their stories of repression.


La práctica del cruising en los espacios públicos de la ciudad es un fenómeno plural, rico en experiencias que establecen prácticas y formas de ocupar el mundo disidentes de la heteronorma. No por casualidad, el fenómeno fue sometido a muchos registros de infamia. Desde los antiguos crimenes jurídico-religiosos de sodomía, establecidos en Europa y que incluso colonizaron los placeres en las Américas, hasta la inscripción criminal patológica apoyada por la ciencia del siglo XIX, la práctica del cruising se convirtió en un atentado contra el pudor, una afrenta a la moral pública. Sin embargo, las figuras anónimas homoeróticas que circulan alrededor de la ciudad, estableciendo territorios de placer en el espacio público, nos ayudan a comprender, a través de sus rastros, a menudo capturadas por los aparatos del poder, precisamente sus historias de represión.


Assuntos
Humanos , Comportamento Sexual , Parceiros Sexuais , Homossexualidade/história , Sexualidade , Sexo sem Proteção , Sociedades , Cidades , Prazer
4.
Acta colomb. psicol ; 22(2): 319-341, July-Dec. 2019. tab
Artigo em Inglês | LILACS | ID: biblio-1019287

RESUMO

Abstract The objective of the present study was to analyze the psychometric properties (evidences of validity and reliability) of the ENCAO in employees of a private company of the hydrocarbon sector in Metropolitan Lima. A sample of 384 participants was evaluated, of whom 64 % were women and 36% men, aged between 19 and 56 years (M = 29.57 years, SD = 7.33). As evidences of validity related to the internal structure, an exploratory factorial analysis (EFA) and a confirmatory factorial analysis (CFA) were carried out, resulting in a structure of four related factors (Organizational Learning and Culture, Social Learning, Group Learning and Strategic Individual Learning) with the 21 items on the scale that explained 60.33 % of the total variance and with adequate goodness of fit indexes (x 2 = 371.6, x 2/df = 2.03, CFI = .99, RMSEA = .041). As a source of external validity, moderate correlations (between .31 and .46) were obtained with the variable Job Satisfaction. The Cronbach alpha coefficients of the four factors obtained ranged between .60 and .84. It is concluded that the ENCAO and its derived scores are a valid and reliable measure to measure organizational learning in the evaluated labor sector.


Resumo O objetivo do presente estudo foi analisar as propriedades psicométricas (evidências de validade e confiabilidade) da ENCAO em trabalhadores de uma empresa privada do setor de hidrocarbonetos na região metropolitana de Lima, no Peru. Para isso, avaliou-se uma amostra de 384 participantes, 64 % mulheres e 36 % homens, com idades compreendidas entre 19 e 56 anos (M= 29.57 anos, DP = 7.33). Como evidências de validade relacionada à estrutura interna, realizou-se uma análise fatorial exploratória (AFE) e uma análise fatorial confirmatória (AFC) com as quais foi encontrada uma estrutura de quatro fatores relacionados (formação e cultura organizacional, aprendizagem social, aprendizagem grupal e aprendizagem estratégica individual) com os 21 itens da escala, os quais explicaram o 60.33 % da variância total e obtiveram adequados índices de bondade de ajuste (x 2 = 371.66; x 2 /gl = 2.03; CFI = .99; RMSEA = .041). Como fonte de validade externa foram obtidas correlações moderadas (entre .31 e .46) com a variável satisfação laboral. Os coeficientes alfa de Cronbach dos quatro fatores oscilaram entre .60 e .84. Conclui-se que a ENCAO e suas pontuações derivadas são uma medida válida e fiável para medir a aprendizagem organizacional no setor laboral avaliado.


Resumen El objetivo del presente estudio fue analizar las propiedades psicométricas (evidencias de validez y confiabilidad) de la ENCAO en trabajadores de una empresa privada del sector de hidrocarburos en Lima Metropolitana. Para esto, se evaluó a una muestra de 384 participantes, 64 % mujeres y 36 % hombres, con edades entre los 19 y los 56 años (M= 29.57 años, DE = 7.33). Como evidencias de validez de la estructura interna del instrumento, se realizó un análisis factorial exploratorio (AFE) y un análisis factorial confirmatorio (AFC), donde se encontró una estructura de cuatro factores relacionados (formación y cultura organizacional, aprendizaje social, aprendizaje grupal y aprendizaje estratégico individual) con los 21 ítems de la escala, los cuales explicaron el 60.33 % de la varianza total y obtuvieron adecuados índices de bondad de ajuste (x 2 = 371.66; x 2 /gl = 2.03; CFI = .99; RMSEA = .041). Como fuente de validez externa se obtuvieron correlaciones moderadas (entre .31 y .46) con la variable satisfacción laboral. Los coeficientes alfa de Cronbach de los cuatro factores oscilaron entre .60 y .84. Se concluye que la ENCAO y sus puntuaciones derivadas son una medida válida y fiable para medir el aprendizaje organizacional en el sector laboral evaluado.


Assuntos
Humanos , Masculino , Feminino , Adulto , Sociedades , Reprodutibilidade dos Testes , Análise Fatorial
5.
Ágora (Rio J. Online) ; 22(3): 264-272, set.-dez. 2019. graf
Artigo em Inglês | LILACS, Index Psicologia - Periódicos técnico-científicos | ID: biblio-1043573

RESUMO

ABSTRACT: In this article we aim at updating the status of the capitalist's discourse as first introduced by Jacques Lacan in the early 1970s, in light of the permeating trend of neoliberalism towards unlimited extension in our present-day societies. After examining the written logic of discourses proposed by Jacques Lacan, we will present the four discourses and their latest corollary: the capitalist's discourse. We will then submit and discuss the syntagm of "discourse of neoliberalism", by comparing it as a variant of the capitalist's discourse. Finally, we will present neoliberalism as a reinforced Master's discourse, so as to call it the "hypermodern Master's discourse".


Resumo: Neste artigo, pretendemos atualizar o estatuto do discurso capitalista tal como introduzido por Jacques Lacan no início dos anos 1970, à luz da tendência permeável do neoliberalismo em direção à extensão ilimitada em nossas sociedades atuais. Após examinar a lógica escrita dos discursos proposta por Jacques Lacan, apresentaremos os quatro discursos e seu último corolário: o discurso do capitalista. Em seguida, apresentaremos e discutiremos o sintagma do "discurso do neoliberalismo", comparando-o como uma variante do discurso do capitalista. Por fim, apresentaremos o neoliberalismo como um discurso de Mestre reforçado, de modo a chamá-lo de "discurso do Mestre hipermoderno".


Assuntos
Humanos , Sociedades , Capitalismo , Internacionalidade
6.
Ágora (Rio J. Online) ; 22(3): 353-361, set.-dez. 2019. graf
Artigo em Português | LILACS, Index Psicologia - Periódicos técnico-científicos | ID: biblio-1043574

RESUMO

RESUMO: Este artigo aborda as manifestações da histeria na contemporaneidade, retomando os conceitos de corpo e sintoma como construções subjetivas do sujeito psíquico, nos constructos de Freud e Lacan. Do corpo, nas neuroses clássicas, ao corpo nas neuroses hoje, surge a questão da diferença na apresentação dos sintomas neuróticos. Propomos o conceito de histeria rígida de Lacan para compreender os sintomas histéricos apresentados hoje, como formações do agenciamento de gozo do corpo pelo registro real, afastando-se das histerias clássicas freudianas de ordenamento simbólico. Esta modalidade histérica requer um tratamento clínico orientado pelo real, exigindo outras posições de escuta.


Abstract: This article addresses the manifestations of hysteria in the contemporary world retaking the concepts of body and symptom, as subjective constructions of the psychic subject, in the constructs of Freud and Lacan's theories. From the body, in the classic neuroses, to the body in the neuroses today, the question arises of the difference in the presentation of the neurotic symptoms. We propose the concept of Lacan's rigid hysteria to understand the hysterical symptoms presented today as formations of agency of enjoyment of the body by the real record, moving away from the classic Freudian hysteria of symbolic ordering. This hysterical modality requires a clinical treatment guided by the real registry, requiring other listening positions.


Assuntos
Psicanálise , Sociedades , Histeria , Sinais e Sintomas , Corpo Humano
7.
J Int Soc Sports Nutr ; 16(1): 50, 2019 Nov 07.
Artigo em Inglês | MEDLINE | ID: mdl-31699159

RESUMO

Background In this Position Statement, the International Society of Sports Nutrition (ISSN) provides an objective and critical review of the literature pertinent to nutritional considerations for training and racing in single-stage ultra-marathon. Recommendations for Training. i) Ultra-marathon runners should aim to meet the caloric demands of training by following an individualized and periodized strategy, comprising a varied, food-first approach; ii) Athletes should plan and implement their nutrition strategy with sufficient time to permit adaptations that enhance fat oxidative capacity; iii) The evidence overwhelmingly supports the inclusion of a moderate-to-high carbohydrate diet (i.e., ~ 60% of energy intake, 5-8 g·kg- 1·d- 1) to mitigate the negative effects of chronic, training-induced glycogen depletion; iv) Limiting carbohydrate intake before selected low-intensity sessions, and/or moderating daily carbohydrate intake, may enhance mitochondrial function and fat oxidative capacity. Nevertheless, this approach may compromise performance during high-intensity efforts; v) Protein intakes of ~ 1.6 g·kg- 1·d- 1 are necessary to maintain lean mass and support recovery from training, but amounts up to 2.5 g.kg- 1·d- 1 may be warranted during demanding training when calorie requirements are greater; Recommendations for Racing. vi) To attenuate caloric deficits, runners should aim to consume 150-400 Kcal·h- 1 (carbohydrate, 30-50 g·h- 1; protein, 5-10 g·h- 1) from a variety of calorie-dense foods. Consideration must be given to food palatability, individual tolerance, and the increased preference for savory foods in longer races; vii) Fluid volumes of 450-750 mL·h- 1 (~ 150-250 mL every 20 min) are recommended during racing. To minimize the likelihood of hyponatraemia, electrolytes (mainly sodium) may be needed in concentrations greater than that provided by most commercial products (i.e., > 575 mg·L- 1 sodium). Fluid and electrolyte requirements will be elevated when running in hot and/or humid conditions; viii) Evidence supports progressive gut-training and/or low-FODMAP diets (fermentable oligosaccharide, disaccharide, monosaccharide and polyol) to alleviate symptoms of gastrointestinal distress during racing; ix) The evidence in support of ketogenic diets and/or ketone esters to improve ultra-marathon performance is lacking, with further research warranted; x) Evidence supports the strategic use of caffeine to sustain performance in the latter stages of racing, particularly when sleep deprivation may compromise athlete safety.


Assuntos
Carboidratos da Dieta/administração & dosagem , Ingestão de Energia , Necessidades Nutricionais , Corrida/fisiologia , Fenômenos Fisiológicos da Nutrição Esportiva , Atletas , Desempenho Atlético , Comportamento Competitivo , Proteínas na Dieta/administração & dosagem , Humanos , Resistência Física , Corrida/classificação , Sociedades
8.
Br Dent J ; 227(7): 595-596, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31605068

RESUMO

Since 1949 the British Society of Periodontology (BSP) has been working hard to research, debate and involve themselves in all issues that affect its members. The aim of the BSP is to raise public, patient, dental and medical professionals' awareness of periodontology. Last year's president of the BSP, Dr Penny Hodge, here explains the structure, role and activities of the society.


Assuntos
Periodontia , Sociedades , Humanos
9.
Schmerz ; 33(5): 471-474, 2019 Oct.
Artigo em Alemão | MEDLINE | ID: mdl-31571060

RESUMO

The treatment of any causal, procedure-specific and/or concomitant acute pain is an essential quality feature in any surgical subspecialty. An interdisciplinary and interprofessional pain therapy aims for an immediate improvement of the patients' quality of life, a reduction of the risk of postoperative morbidity and mortality in the medium term, prevention of any pain chronification in the long run as well as a reduction of hospitalization and sick leave. The "Agreement of the Professional Association of German Anesthesiologists and the Professional Association of German Surgeons for the Organization of Postoperative Pain Therapy" exists since 1992. In view of the continuously developing scientific evidence, updated guideline recommendations and interprofessionally designed treatment pathways, these agreements have been adapted to the current requirements and structural conditions of the German healthcare system. Thus, both aforementioned professional associations promote an up to date version of an "Agreement for the Organization of Pain Therapy for Surgical Patients", a precise recommendation and a manual for the acting partners in order to realize the abovementioned goals.


Assuntos
Anestesiologistas , Manejo da Dor , Dor Pós-Operatória , Cirurgiões , Alemanha , Humanos , Manejo da Dor/normas , Dor Pós-Operatória/tratamento farmacológico , Qualidade de Vida , Sociedades
11.
BMJ ; 366: l5691, 2019 09 26.
Artigo em Inglês | MEDLINE | ID: mdl-31558436
12.
West J Emerg Med ; 20(5): 810-817, 2019 Aug 14.
Artigo em Inglês | MEDLINE | ID: mdl-31539339

RESUMO

INTRODUCTION: Sudden cardiac death is a rare cause of death in young athletes. Current screening techniques include history and physical exam (H and P), with or without an electrocardiogram (ECG). Adding point of care cardiac ultrasound has demonstrated benefits, but there is limited data about implementing this technology. We evaluated the feasibility of adding ultrasound to preparticipation screening for collegiate athletes. METHODS: We prospectively enrolled 42 collegiate athletes randomly selected from several sports. All athletes were screened using a 14-point H and P based on 2014 American College of Cardiology (ACC) and American Heart Association (AHA) guidelines, ECG, and cardiac ultrasound. RESULTS: We screened 11 female and 31 male athletes. On ultrasound, male athletes demonstrated significantly larger interventricular septal wall thickness (p = 0.002), posterior wall thickness (p <0.001) and aortic root breadth (p = 0.002) compared to females. Based on H and P and ECGs alone and a combination of H and P with ECG, no athletes demonstrated a positive screening for cardiac abnormalities. However, with combined H and P, ECG, and cardiac ultrasound, one athlete demonstrated positive findings. CONCLUSIONS: We believe that adding point of care ultrasound to the preparticipation exam of college athletes is feasible. This workflow may provide a model for athletic departments' screening.


Assuntos
Atletas , Morte Súbita Cardíaca/prevenção & controle , Cardiopatias/diagnóstico , Programas de Rastreamento/métodos , Sociedades , Estudantes , Universidades , Adolescente , Morte Súbita Cardíaca/epidemiologia , Ecocardiografia , Eletrocardiografia , Feminino , Cardiopatias/epidemiologia , Humanos , Incidência , Masculino , Esportes , Estados Unidos/epidemiologia , Adulto Jovem
13.
Schmerz ; 33(5): 408-414, 2019 Oct.
Artigo em Alemão | MEDLINE | ID: mdl-31444575

RESUMO

BACKGROUND AND METHODS: An online questionnaire about cannabis medication (CAM) was sent to German pain therapists 1 year after the introduction of the new act "Amendment to drug and other regulations" of 06.03.2017. RESULTS: A total of 120 pain therapists participated. Information on 1560 treated patients was analyzed. Only in the case of Dronabinol and Sativex® did at least 50% of physicians feel well informed. Requests for the coverage of costs were sent to the statuary health insurance companies for 1521 patients. These requests had already been decided for 1265 patients (83%) at the time of the questionnaire. A total of 457 requests (36.1%) were denied, including 28 requests from palliative care patients. Most of the pain therapists (67.5%) were well informed about Dronabinol, but less so about the other CAM. CONCLUSION: The study shows an information deficit in knowledge and handling of selected CAM among physicians. Given the high rejection rate, there may also be a knowledge gap on the side of the health insurances. From a certain number of patients upwards, the non-interventional accompanying survey required by law was deemed to be barely practicable from both a time and an economical point of view.


Assuntos
Cannabis , Manejo da Dor , Dor , Medicina Paliativa , Padrões de Prática Médica , Inquéritos e Questionários , Alemanha , Humanos , Internet , Dor/tratamento farmacológico , Manejo da Dor/estatística & dados numéricos , Medicina Paliativa/estatística & dados numéricos , Padrões de Prática Médica/estatística & dados numéricos , Sociedades
17.
Nature ; 571(7765): 326, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-31312066
18.
BMC Public Health ; 19(1): 858, 2019 Jul 02.
Artigo em Inglês | MEDLINE | ID: mdl-31266477

RESUMO

BACKGROUND: When microorganisms (such as bacteria or viruses) are highly exposed to antimicrobial drugs, they can develop the capacity to defeat the drugs designed to eradicate them. Long-term accumulation of adaptations to survive drug exposure can lead to the development of antimicrobial resistance (AMR). The success of antibiotics has led to their widespread overuse and misuse in humans, animals and plants. MAIN TEXT: AMR is a global concern and solutions are not vertical actions in a single buy business model. Even if a transectoral approach is key, there is a lack of multi-disciplinary partnerships that allow for strategic cooperation between different sectors such as the pharmaceutical industry, agro-alimentary complex, patient care and education, NGOs and research and development. Global public health voices should lead this integration to align the progress of existing AMR successes. Maintaining the public's trust in preventive medicine, health systems and food production safety, together with public health driven, non-profit drug development, is a key factor. In its "Call for integrated action on AMR", signed by about 70 national and international organizations the World Federation of Public Health Associations (WFPHA) called "on all governments, the private sector, non-governmental organizations, health professionals, public and private research organizations, and all stakeholders to ensure that public health remains at the centre of all policy and scientific endeavours in the field of antimicrobial resistance". CONCLUSIONS: The "Global Charter for the Public's Health", developed by the WFPHA in association with WHO, is proposed in this article as a tool for implementation of complex public health actions such as AMR.


Assuntos
Resistência Microbiana a Medicamentos , Saúde Global , Saúde Pública , Sociedades/organização & administração , Organização Mundial da Saúde/organização & administração , Humanos
19.
J Wound Ostomy Continence Nurs ; 46(4): 306-308, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31274860

RESUMO

Enterocutaneous fistulas (ECF) and enteroatmospheric fistulas (EAF) pose significant quality-of-life concerns for patients, and management challenges for the interprofessional healthcare team. In 2009, the Canadian Association for Enterostomal The developed best practice recommendations for the management of ECF. Over time, evidence and practice evolve, and the Nurses Specialized in Wound, Ostomy and Continence Canada performed a comprehensive review of the literature and revised the practice recommendation document. The revised recommendations provide evidence-based management guidance for ECF and EAF in the adult population whether in acute care, community/home care, or long-term/residential settings, and are specifically created for nurses. The revised recommendations include organizational support, assessment, nutrition, pharmaceutical management, education, and local fistula management. This article serves as an executive summary for this clinical resource; the full guideline is available at http://nswoc.ca/ecf-best-practices/.


Assuntos
Fístula Intestinal/terapia , Cicatrização/fisiologia , Humanos , Fístula Intestinal/enfermagem , Guias de Prática Clínica como Assunto , Higiene da Pele/enfermagem , Sociedades/tendências , Especialidades de Enfermagem/métodos , Especialidades de Enfermagem/tendências , Cicatrização/efeitos dos fármacos
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