Medicina defensiva: uma prática necessária?

We discuss the reasons why Defensive Medicine is widely used in Brazil and worldwide. The Defensive Medicine is characterized by excessive use of complementary tests, the use of supposedly safer therapeutic procedures, the frequent referral of patients to other specialists and by the refusal to care for critically ill patients and with greater potential for complications. This is a practice that aims to defend the doctor from legal suits. The way the processes are conducted by the judiciary certainly contributes to the consolidation of this foolish practice. The slow pace of justice in our country, associated with the unpreparedness of judges and legal experts in the analysis of cases, leads to an emotional exhaustion of the parties involved. Furthermore, poor training of doctors in our country values the use of sophisticated diagnostic and treatment methods, rather than a thorough clinical examination and appropriate communication with the patient. Besides inefficient in protecting the doctor, Defensive Medicine has severe consequences to the patient and to society, since it generates an additional invaluable cost to medical practice, determines greater suffering to the patient and causes deterioration of the doctor-patient relationship, which has always been marked by trust, respect and personhood.

Prática diária dos agentes comunitários de saúde: dificuldades e limitações da assistência

This qualitative study aimed to identify difficulties experienced by Community Health Agents (CHA) in the course of daily practice of care. Data were collected from semi-structured interviews with twelve CHA from four Basic Health Units in a city of the state of São Paulo, Brazil. From an analysis of the speech of subjects, we found that the deficiency of health services, the workload of the nurses responsible for the team and the service rejection by users make it difficult to implement the health actions. This research emphasizes the limitations expressed by the health agents, and points towards the necessity of an evolving discussion of this theme, seeking strategies that enable the consolidation of community health principles.

A circulação do discurso da Amway: do controle à prática discursiva

In this paper, we intend to contribute to the debate about the circulation of the discourses. To do that, we analyze aspects regarding the circulation of Amway's discourse, a North-American network sales company that has been working in Brazil for a while. Precisely, we analyze the conditions of this circulation at the time it was more intensively, ie, in the 90s, when there were thousands of people in several parts of the country selling the company's products or consuming them. This study has been based on French Discourse Analysis with focus on both Michel Foucault's insights on the control mechanisms of discourse and Maingueneau's reformulated notion of discursive practice. The analysis reveals that Amway's discourse displays features of a doctrine, and, as a discursive practice, it cannot be conceived of as separated from the subjects who convey it, nor from its hierarchical organization, nor from the events that the company promotes and those which are promoted under its name. In these terms, the analysis shows how the discourse is not only a set of texts, but also concerns to the institutional network related to the social group that the enunciation of discourse presupposes and makes it possible.

O uso de textos polêmicos em sala de aula: formação e prática docente

The purpose of this article is twofold. First, it examines how Discourses, socially accepted ways of speaking, listening, writing, and reading that illustrate individuals' memberships in specific social groups (Gee, 2008), could influence teachers' use or censorship of polemic text in the classroom. Second, this article presents a review of the research literature about teachers' inclusion of culturally diverse themes in their classrooms. For example, it describes professors' use of children´s books about racism with new teachers. It also outlines suggestions for guiding discussions that respect students' heritage, build critical literacy, and support culturally responsive teaching pedagogies.

A prática coral juvenil transitando em ambientes formais e não formais: perspectivas aplicadas à educação musical

Pós-graduação em Música - IA

Mediação familiar: diálogo interdisciplinar

Pós-graduação em Serviço Social - FCHS

Teoria e prática no serviço social: subsídios para a reflexão sobre o exercício profissional do assistente social

Pós-graduação em Serviço Social - FCHS

O designer e a prática profissional na indústria automobilística no Brasil

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

A proposta de ensino por investigação e o processo de formação inicial de professores de ciências: reflexões sobre a construção de um modelo didático pessoal

Pós-graduação em Educação para a Ciência - FC

Prática docente e a resolução de problemas matemáticos no contexto de mudança curricular do Estado de São Paulo: utopias e desafios

Pós-graduação em Educação para a Ciência - FC

Cantar em português: um estudo sobre a abordagem articulatória como recurso para a prática do canto

Pós-graduação em Música - IA

Questões sociocientíficas na prática docente: ideologia, autonomia e formação de professores

Pós-graduação em Educação para a Ciência - FC

Farmacovigilância: da teoria à prática

Pós-graduação em Ciências Farmacêuticas - FCFAR

Mapeamento das evidências das revisões sistemáticas do Grupo Anestesiologia da Colaboração Cochrane: entendendo seu valor para a prática clínica

Pós-graduação em Anestesiologia - FMB