170 resultados para malaise


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Purpose: Although oral fluoropyrimidine pro-drugs are increasingly being administered in preference to intravenous nucleoside analogues in cancer chemotherapy, their activation in malignant liver tissue may be insufficient. OGT 719 (1-galactopyranosyl-5-fluorouracil) is a novel nucleoside analogue, preferentially localized in hepatocytes and hepatoma cells via the asialoglycoprotein receptor. The aim of this study was to assess the systemic bioavailability of this rationally designed drug in 16 patients with advanced solid cancers. Method: Crossover pharmacokinetic study of oral (400 or 800 mg) and intravenous (250 mg/m 2) OGT 719. Results: Linear pharmacokinetics and oral bioavailability of approximately 25% were observed at the dose levels used in this study. Like other 5-FU prodrugs, considerable interpatient variability was observed in bioavailability following oral dosing. The mean half-life for oral doses was 4 h. OGT 719 was well tolerated. No objective tumour responses were demonstrated. Conclusion: The systemic bioavailability and half-life of oral OGT 719 are sufficient to merit dose escalation studies with frequent daily dosing. Subsequent efficacy studies should be performed in patients with primary and secondary liver malignancies.

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Purpose: Although oral fluoropyrimidine pro-drugs are increasingly being administered in preference to intravenous nucleoside analogues in cancer chemotherapy, their activation in malignant liver tissue may be insufficient. OGT 719 (1-galactopyranosyl-5-fluorouracil) is a novel nucleoside analogue, preferentially localized in hepatocytes and hepatoma cells via the asialoglycoprotein receptor. The aim of this study was to assess the systemic bioavailability of this rationally designed drug in 16 patients with advanced solid cancers. Method: Crossover pharmacokinetic study of oral (400 or 800 mg) and intravenous (250 mg/m 2) OGT 719. Results: Linear pharmacokinetics and oral bioavailability of approximately 25% were observed at the dose levels used in this study. Like other 5-FU prodrugs, considerable interpatient variability was observed in bioavailability following oral dosing. The mean half-life for oral doses was 4 h. OGT 719 was well tolerated. No objective tumour responses were demonstrated. Conclusion: The systemic bioavailability and half-life of oral OGT 719 are sufficient to merit dose escalation studies with frequent daily dosing. Subsequent efficacy studies should be performed in patients with primary and secondary liver malignancies.

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Like many cautionary tales, The Hunger Games takes as its major premise an observation about contemporary society, measuring its ballistic arc in order to present graphically its logical conclusions. The Hunger Games gazes back to the panem et circenses of Ancient Rome, staring equally cynically forward, following the trajectory of reality television to its unbearably barbaric end point – a sadistic voyeurism for an effete elite of consumers. At each end of the historical spectrum (and in the present), the prevailing social form is Arendt’s animal laborans. Consumer or consumed, Panem’s population is (with the exception of the inner circle) either deprived of the possibility of, or distracted from, political action. Within the confines of the Games themselves, Law is abandoned or de‐realised: Law – an elided Other in the pseudo‐Hobbesian nightmare that is the Arena. The Games are played out, as were gladiatorial combats and other diversions of the Roman Empire, against a background resonant of Juvenal’s concern for his contemporaries’ attachment to short term gratification at the expense the civic virtues of justice and caring which are (or would be) constitutive of a contemporary form of Arendt’s homo politicus. While the Games are, on their face, ‘reality’ they are (like the realities presented in contemporary reality television) a simulated reality, de‐realised in a Foucauldian set design constructed as a distraction for Capitol, and for the residents of the Districts, a constant reminder of their subservience to Capitol. Yet contemporary Western culture, for which manipulative reality TV is but a symptom of an underlying malaise, is inscribed at least as an incipient Panem, Its public/political space is diminished by the effective slavery of the poor, the pre‐occupation with and distractions of materiality and modern media, and the increasing concentration of power/wealth into a smaller proportion of the population.

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The noble idea of studying seminal works to ‘see what we can learn’ has turned in the 1990s into ‘let’s see what we can take’ and in the last decade a more toxic derivative ‘what else can’t we take’. That is my observation as a student of architecture in the 1990s, and as a practitioner in the 2000s. In 2010, the sense that something is ending is clear. The next generation is rising and their gaze has shifted. The idea of classification (as a means of separation) was previously rejected by a generation of Postmodernists; the usefulness of difference declined. It’s there in the presence of plurality in the resulting architecture, a decision to mine history and seize in a willful manner. This is a process of looking back but never forward. It has been a mono-culture of absorption. The mono-culture rejected the pursuit of the realistic. It is a blanket suffocating all practice of architecture in this country from the mercantile to the intellectual. Independent reviews of Australia’s recent contributions to the Venice Architecture Biennales confirm the malaise. The next generation is beginning to reconsider classification as a means of unification. By acknowledging the characteristics of competing forces it is possible to bring them into a state of tension. Seeking a beautiful contrast is a means to a new end. In the political setting, this is described by Noel Pearson as the radical centre[1]. The concept transcends the political and in its most essential form is a cultural phenomenon. It resists the compromised position and suggests that we can look back while looking forward. The radical centre is the only demonstrated opportunity where it is possible to pursue a realistic architecture. A realistic architecture in Australia may be partially resolved by addressing our anxiety of permanence. Farrelly’s built desires[2] and Markham’s ritual demonstrations[3] are two ways into understanding the broader spectrum of permanence. But I think they are downstream of our core problem. Our problem, as architects, is that we are yet to come to terms with this place. Some call it landscape others call it country. Australian cities were laid out on what was mistaken for a blank canvas. On some occasions there was the consideration of the landscape when it presented insurmountable physical obstacles. The architecture since has continued to work on its piece of a constantly blank canvas. Even more ironic is the commercial awards programs that represent a claim within this framework but at best can only establish a dialogue within itself. This is a closed system unable to look forward. It is said that Melbourne is the most European city in the southern hemisphere but what is really being described there is the limitation of a senseless grid. After all, if Dutch landscape informs Dutch architecture why can’t the Australian landscape inform Australian architecture? To do that, we would have to acknowledge our moribund grasp of the meaning of the Australian landscape. Or more precisely what Indigenes call Country[4]. This is a complex notion and there are different ways into it. Country is experienced and understood through the senses and seared into memory. If one begins design at that starting point it is not unreasonable to think we can arrive at an end point that is a counter trajectory to where we have taken ourselves. A recent studio with Masters students confirmed this. Start by finding Country and it would be impossible to end up with a building looking like an Aboriginal man’s face. To date architecture in Australia has overwhelmingly ignored Country on the back of terra nullius. It can’t seem to get past the picturesque. Why is it so hard? The art world came to terms with this challenge, so too did the legal establishment, even the political scene headed into new waters. It would be easy to blame the budgets of commerce or the constraints of program or even the pressure of success. But that is too easy. Those factors are in fact the kind of limitations that opportunities grow out of. The past decade of economic plenty has, for the most part, smothered the idea that our capitals might enable civic settings or an architecture that is able to looks past lot line boundaries in a dignified manner. The denied opportunities of these settings to be prompted by the Country they occupy is criminal. The public realm is arrested in its development because we refuse to accept Country as a spatial condition. What we seem to be able to embrace is literal and symbolic gestures usually taking the form of a trumped up art installations. All talk – no action. To continue to leave the public realm to the stewardship of mercantile interests is like embracing derivative lending after the global financial crisis.Herein rests an argument for why we need a resourced Government Architect’s office operating not as an isolated lobbyist for business but as a steward of the public realm for both the past and the future. New South Wales is the leading model with Queensland close behind. That is not to say both do not have flaws but current calls for their cessation on the grounds of design parity poorly mask commercial self interest. In Queensland, lobbyists are heavily regulated now with an aim to ensure integrity and accountability. In essence, what I am speaking of will not be found in Reconciliation Action Plans that double as business plans, or the mining of Aboriginal culture for the next marketing gimmick, or even discussions around how to make buildings more ‘Aboriginal’. It will come from the next generation who reject the noxious mono-culture of absorption and embrace a counter trajectory to pursue an architecture of realism.

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A 34-year-old female patient with a three year history of generalized granuloma annulare was treated systemically with dapsone (DADPS). Six weeks after the onset of treatment, the patient developed an extensive tonsillitis of the base of the tongue with fever and malaise. Routine laboratory work showed a leukocytopenia with agranulocytosis. Further investigation revealed a marked decrease of the enzyme activity of N-acetyltransferase 2, which plays an important role in dapsone metabolism. Treatment included the cessation of dapsone, antibiotic coverage, and G-CSF leading to the rapid improvement of symptoms and normalization of leukocyte counts. Dapsone-induced angina agranulocytotica is a rare event and is interpreted as an idiosyncratic reaction. Depending on genetic polymorphisms of various enzymes, dapsone can be metabolized to immunologically or toxicologically relevant intermediates. Because of the risk of severe hematologic reactions, dapsone should only be employed for solid indications and with appropriate monitoring. [Article in German]

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Context Older oncology patients have unique needs associated with the many physical, psychological,and social changes associated with the aging process. The mechanisms underpinning and the impact of these changes are not well understood. Identification of clusters of symptoms is one approach that has been used to elicit hypotheses about the biological and/or psychological basis for variations in symptom experiences. Objectives The purposes of this study were to identify and compare symptom clusters in younger (<60 years) and older ($60 years) patients undergoing cancer treatment. Methods. Symptom data from one Australian study and two U.S. studies were combined to conduct this analysis. A total of 593 patients receiving active treatment were dichotomized into younger (<60 years) and older ($60 years) groups. Separate exploratory factor analyses (EFAs) were undertaken within each group to identify symptom clusters from occurrence ratings of the 32 symptoms assessed by the Memorial Symptom Assessment Scale. Results In both groups, a seven-factor solution was selected. Four partially concordant symptom clusters emerged in both groups (i.e., mood/cognitive, malaise, body image, and genitourinary). In the older patients, the three unique clusters reflected physiological changes associated with aging, whereas in the younger group the three unique clusters reflected treatment-related effects. Conclusion The symptom clusters identified in older patients typically included a larger and more diverse range of physical and psychological symptoms. Differences also may be reflective of variations in treatment approaches between age groups. Findings highlight the need for better understanding of variation in treatment and symptom burden between younger and older adults with cancer.

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A prospective study was conducted of fathers' transition to parenthood from mid-pregnancy to 6 weeks postpartum. The subjects were 198 fathers from Greece (Athens) and 142 from Britain (Bristol). Social class, age and parity distributions were similar between the two populations. The culture and social structure experienced by each varied widely, however, and was a focus of interest. Two major themes in fatherhood across the two populations were explored: first, the father's instrumental role in provision of emotional and practical support to his partner and care for his child; and second the father's emotional reaction to his partner's pregnancy, the birth of his child and early parenthood. In both cultures fathers reported that they took an active instrumental role in supporting their partner and in participating in childcare. Markedly more British fathers attended the delivery. There were no overall differences in the degree to which fathers participated in childcare though the nature of this participation varied. British fathers more commonly took on housework duties. During their partner's pregnancy Greek fathers experienced significantly higher malaise than their British counterparts and also reported feeling that they had less social support. Common to many fathers in both cultures during this time were fears that their partner might change or be damaged by the pregnancy. After the birth, there was no difference in emotional well-being between the Greek and British fathers. Reactions to fatherhood and enjoyment of the child were similar for the two cultures also. Patterns of correlation between variables both within and across the antenatal and postnatal time periods were, for the most part, similar for the two cultures. Social support, however, was found to relate to father's emotional and instrumental reaction to parenthood only in the case of the British sample. Findings are discussed in terms of each culture's point on the continuum of social change.

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OBJECTIVE To determine whether the apparent additional and exceptional stresses associated with bearing and parenting twins affect the emotional wellbeing of mothers. SETTING--Great Britain, 1970-5. DESIGN Cohort study of 13,135 children born between 4 April and 11 April 1970. Mothers of all children, both singletons and twins, were interviewed by health visitors (providing demographic data) and completed a self report measure of emotional well-being (the Rutter malaise inventory) when the child was 5 years of age. The malaise scores of mothers of twins were compared with those of all mothers of singletons and then with those of mothers categorised by the age spacing of their children (only one child, widely spaced, or closely spaced), taking account of maternal age, social class, and whether the study child had a disability, by using logistic regression. SUBJECTS 139 mothers of twins--122 pairs of twins and 17 twins whose cotwin had died--and 12,573 controls, who were mothers of singletons. RESULTS A significantly higher proportion of mothers of twins at 5 years had malaise scores indicative of depression than mothers of singletons at the same age. Mothers who had borne twins, one of whom had subsequently died, had the highest malaise scores and were three times more likely than mothers of singletons to experience depression. Both mothers of twin pairs and mothers of singletons closely spaced in age were at significantly higher risk of experiencing depression than mothers of children widely spaced in age or mothers of only one child (p less than 0.0001). Odds ratios indicated that the risk of depression in mothers of twins was higher than that in mothers of closely spaced singletons. CONCLUSION Mothers of twins are more likely to experience depression. This suggests a relation between the additional and exceptional stresses that twins present and the mother's emotional wellbeing.

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Migraine is a complex neurological disorder with a well-documented genetic basis. Migraine is a product of allelic variation in genes of neurological, vascular and hormonal origin interacting with environmental triggers. Presentation can include attacks of head pain with symptoms of nausea, emesis, photophobia, phonophobia, and occasionally, visual sensory disturbances, known as aura. Migraine pain is difficult to ignore, associated with a deep sense of malaise and manifests as a throbbing, pulsatile headache, localized to one side of the head that intensifies with physical activity and that can last from 4-72 hours. Migraine is diagnosed according to criteria developed by the International Headache Society (IHS) and is subdivided into two main types based on the occurrence of aura symptoms that may be present in the early stages of the headache: migraine with aura (MA) and migraine without aura (MO). The majority (about 70%) of migraineurs are diagnosed with the MO subtype whilst the remaining 30% experience MA accompanied by neurological symptoms that manifest as fully reversible, visual, sensory and/or dysphasic speech disturbances in conjunction with their headache. Glutamate is the primary excitatory neurotransmitter in the central nervous system (CNS) and over-excitation of glutamate receptors is regarded as a contributing factor, through various mechanisms, to the pathology of migraine. In this chapter we present an overview of the pathophysiology and co-morbidity of migraine with other psychiatric disorders and discuss the role of the glutamatergic system in migraine, its molecular components as potential drug targets, in addition to the current treatments and progress of modulators of glutamatergic signaling.

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A fibromialgia é uma síndrome reumática que atinge cerca de 2% da população brasileira, sendo 90% dos pacientes do gênero feminino. Os principais sintomas são dor crônica generalizada, depressão, desânimo e fadiga acentuada, provocando dificuldades sociais e afetivas cotidianas. Objetivo: O objetivo principal deste estudo foi apreender e interpretar sentidos e significados que mulheres com fibromialgia atribuem às práticas terapêuticas corporais realizadas no Projeto de Extensão: Tratamento Multidisciplinar para Pacientes Portadores de Fibromialgia realizado na Universidade do Estado do Rio de Janeiro (UERJ). Todas as mulheres foram diagnosticadas em ambulatórios públicos e privados e depois se inscreveram voluntariamente no tratamento gratuito disponibilizado. Nossa principal hipótese de estudo procura relacionar o adoecimento dessas mulheres com o regime social de trabalho, que aumenta o sofrimento e, por conseguinte, provoca somatização do mal-estar gerado. Métodos: Trata-se de um estudo socioantropológico com campo etnográfico, no qual foram observadas as práticas corporais semanais nos anos 2009-2010. Também foram realizadas fotografias e entrevistas em profundidade com todas as mulheres que participavam regularmente das práticas corporais. De igual modo, realizamos entrevistas por computador e por telefone com mulheres diagnosticadas por fibromialgia em diversas cidades brasileiras. Resultados: Foi possível compreender que estar em um local onde podem se relacionar com outras pessoas com os mesmos sinais e sintomas e que compartilhar situações de sofrimento semelhantes contribui para construção de uma identidade de grupo baseada no cuidado e no acolhimento. Assim, elas constroem coletivamente valores de cuidado com o corpo e com a saúde. Conclusões: A participação assídua no tratamento oferecido aumenta a qualidade de vida e a vitalidade de mulheres com fibromialgia, contribuindo para a promoção da saúde não apenas na sua dimensão físico-orgânica, mas em sua totalidade sócio-afetiva.

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Em publicações recentes, alguns psicanalistas, tendo como base a sua clínica, suscitaram um debate sobre a clínica na contemporaneidade e a necessidade de mudanças na teoria psicanalítica, ao sublinharem questões tais como: novos sintomas, declínio da função paterna, inutilidade do diagnóstico estrutural, não constituição do sujeito do inconsciente e predominância do discurso do capitalista, laço social anômalo que comandaria ao gozo ao invés de oferecer um viés para sua regulação. A fim de verificar a pertinência dessas formulações, nosso estudo retoma construções fundamentais da psicanálise lacaniana, em especial a categoria de sujeito. Primeiro abordamos produções no campo da filosofia e sociologia que discutem a especificidade de nossa época, particularmente sob a noção de pós-modernidade, que após análise desses trabalhos, não consideramos oportuna. Retomamos a atualidade dos escritos de Freud sobre o mal-estar na civilização e da proposição lacaniana do trabalho da psicanálise com o sujeito do inconsciente, categoria que se impõe à clínica. Procuramos desenvolver as elaborações da teoria que versam sobre a constituição do sujeito, verificando sua importância para a prática clínica e a inadequação das propostas que pregam a inoperância dessa categoria de trabalho. Por fim, discutimos as noções de estrutura clínica e discursos. Consideramos a proposta dos discursos como laços sociais uma formulação teórica mais adequada pra pensar as especificidades da clínica na contemporaneidade, em que o laço social se exerce predominante pela via do discurso universitário. Concluímos pela aposta no sujeito do inconsciente, ressaltando a necessidade de oferecimento de uma escuta que permita à clínica operar sobre ele.

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Visamos nessa dissertação analisar como o sujeito da psicanálise funciona como obstáculo ao higienismo. Esse discurso se reapresenta através da nova tentativa de medicalização das condutas humanas, discurso que submete as questões clínicas, políticas e sociais à uma causa orgânica usando para isso uma nova roupagem neurogenética. Para tecer as redes conceituais e ideológicas que o higienismo está articulado, utililiza-se de uma pesquisa histórico-epistemológica. Pretende-se desenvolver como a proposta ética da Psicanálise se apresenta como obstáculo a esses discursos, pois visa à responsabilização de um sujeito não a uma biologia ou uma norma moral. E por se referir ao sujeito, à psicanálise irá apontar o tratamento para outra direção: para direção em que surge em primeiro plano não mais um biopoder em que pretende estabelecer uma norma, mas justamente àquilo que não é redutível a nenhuma norma. Analisa-se, através de Koyré, como a postura intelectual científica rompe com o saber ligado ao senso comum e as ideologias. Aponta-se como esses novos discursos não passam, na verdade, de um cientificismo. A ciência por ser fundada a partir de um modo matematizado de operar com o real, expele do seu campo de operação o sujeito. Nesse sentido, o sujeito é condição e resíduo da atividade científica. Argumenta-se a partir da obra de Lacan que essa foi a condição para que a psicanálise pudesse operar com o sujeito. Esse sujeito não pode ser outro que não o sujeito falante. Destaca-se a especificidade da idéia de estrutura em psicanálise e a leitura que Lacan faz do estruturalismo através dos estudos de história da ciência de Koyré. Para tanto, trabalha-se a constituição do sujeito demonstrando que o significante desempenha sua materialidade constitutiva, que, como tal, não se refere a uma cronologia ou a uma existência empírica. O sujeito não é, portanto, da ordem do natural, não tem um estatuto biológico, mas, sim, lógico.

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A presente dissertação de mestrado pretende abordar as vicissitudes do discurso do capitalista sobre o sujeito. Para tanto, toma como ponto de partida a afirmação de Lacan, em suas palestras em Saint-Anne sobre O saber do psicanalista, de que o que caracteriza o discurso do capitalista é a foraclusão da castração. A partir dessa colocação representada no matema do discurso do capitalista pelo desaparecimento da disjunção entre produto e verdade, bem como pela ausência de um vetor entre agente e Outro, o que demonstra que esse discurso não promove laço social , percorre-se algumas questões que reverberam sobre o sujeito, dentre as quais se destaca: se o sujeito não existe fora do laço social, que sorte de efeitos a ele resulta por freqüentar um discurso que se apresenta como dominante na contemporaneidade em que a castração está foracluída e, portanto, também o liame social? Tendo em vista que a Verwerfung é o que opera no discurso do capitalista, lança-se a hipótese de que a esquizofrenização no nível do discurso resulte na propagação do que Helene Deutsch convencionou chamar de como se. Esse fenômeno surgiria como uma suplência imaginária a que recorreria o sujeito como estabilização face aos efeitos decorrentes da foraclusão da castração no discurso do capitalista. Trata-se de um discurso psicotizante que, ao contrário dos quatro discursos apresentados por Lacan no seminário O avesso da psicanálise, não promove laço social. Se discurso é o que faz laço social e Freud, em 1930, anunciara que a principal fonte de sofrimento de que padece o homem é a relação com os demais, o mal-estar na civilização é o mal-estar dos laços sociais. Logo, os quatro discursos participam do mal-estar na civilização. Ao contrário destes, o discurso do capitalista, na tentativa de eliminar o mal-estar, foraclui o laço social. Por promover o gozo ao invés da renúncia à pulsão, o discurso do capitalista acaba por instigá-la. E, como toda pulsão é pulsão de morte, não é outra coisa senão o empuxo mortífero ao gozo que o discurso do capitalismo produz. A potência que o discurso do capitalista adquiriu na contemporaneidade é analisada a partir de sua íntima relação com o discurso da ciência. A partir de algumas colocações de Hannah Arendt acerca da banalidade do mal presente em um sistema totalitário como o nazista, cogita-se a hipótese de que a aliança entre os discursos do capitalista e da ciência resulte no surgimento de uma nova forma de totalitarismo: o totalitarismo de consumo.

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O objetivo do estudo foi compreender como as demandas em saúde mental na atenção básica estão sendo identificadas e encaminhadas pelos profissionais envolvidos nas equipes de saúde da família no município do Rio de Janeiro. Especificamente, buscamos compreender como estes profissionais, em uma equipe multidisciplinar, agem no cotidiano da atenção considerando a fluidez nos conceitos de bem-estar / mal-estar mental e como eles lidam com sinais e sintomas que não se resumem a quadros fisiológicos, mas estão estreitamente relacionados às questões sociais e territoriais. Em entrevistas em grupo com cinco equipes, identificou-se mecanismos de diagnóstico operados por estes profissionais para negociar o enquadramento da demanda como mental e, então, escolher e oferecer encaminhamento a esta. Foram tomados como referenciais de análise e discussão os conceitos de nominalismo dinâmico e looping effect, de Ian Hacking, e os conceitos de enactment e lógica do cuidado, de Annemarie Mol. Diante das considerações, percebeu-se que as noções sobre saúde mental nesta esfera de atenção vão sendo negociadas a partir da mobilização de conhecimentos não oficiais, porém já circulantes, entre os profissionais da equipe. Os profissionais operam manobras de conhecimento de acordo com o acervo teórico/prático e de experiência pessoal, sempre de alguma forma referendado ou muitas vezes "traduzido" pelo escopo da biomedicina. Consequentemente, as ações engendradas tem como base um padrão classificatório e biomédico, ainda que adaptado às singularidades locais e às formas de cuidado possíveis para cada equipe. Tais dados sinalizam que, mesmo supostamente humanizada, interdisciplinar, territorializada e menos medicalizada, as ações na atenção básica, no que se referem à saúde mental, se balizam pelo paradigma do conhecimento científico biomédico. Este é visto ainda como referência para os profissionais e é necessário para explicar e atuar sobre os diversos tipos de demanda.

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Recentemente as tecnologias digitais de informação e comunicação vêm promovendo alterações na forma como os mapas são produzidos, o que pode ser uma fonte de renovação na educação geográfica em tempos de cibercultura. Nos últimos anos, aplicativos e sites voltados para o mapeamento on-line tornaram-se mais uma forma de expressão da cultura digital. Esta dissertação consiste em uma investigação acerca das possíveis mediações das cartografias multimídias e colaborativas, construídas através de interfaces da internet, em processos de ensino e aprendizagem de geografia. Os mapas colaborativos digitais são representações cartográficas produzidas de forma interativa, descentralizada e em rede. Eles permitem a inserção colaborativa de conteúdos hipermidiáticos (textos, fotos, vídeos) georreferenciados e constituem uma forma alternativa e potencialmente subversiva de produção cartográfica. A pesquisa realizada com alunos do nono ano de uma escola da Rede Municipal de Itaboraí se deu a partir do desenvolvimento de um projeto de mapeamento da região onde os alunos vivem. Os resultados revelaram que estas práticas cartográficas podem contribuir para a superação do atual mal-estar na relação entre jovens e a cultura escolar, bem como favorecer a construção de práticas pedagógicas comprometidas com a formação de cidadãos críticos e engajados.