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.

O consentimento informado: Qual o seu real valor na prática médica?

Trata-se de um artigo que comenta sobre a real importância do Termo de Consentimento Informado na prática médica. Este documento tem sido cada vez mais usado como uma prática defensiva, a fim de constituir provas para defesa de um eventual processo judicial de responsabilidade médica, desvirtuando assim a idéia original, que seria a de respeitar a autonomia do paciente e delimitar a responsabilidade médica. O documento tem como objetivo mostrar que o médico cumpriu com seu dever de informar. Seu grande valor reside nos casos onde existam riscos de danos irreversíveis ao paciente. Conclui-se, porém, que um prontuário bem elaborado onde se inclui o registro das informações que foram transmitidas, bem como o grau de participação dos pacientes e seus familiares nas decisões terapêuticas, também deve ter valor ético e jurídico semelhante do TCI.

Cut, sindicato orgânico e reforma da estrutura sindical

Pós-graduação em Ciências Sociais - FFC

Potencial alelopático de extratos e frações de Neea theifera Oerst. (Nyctaginaceae) sobre sementes e plântulas de Lactuca sativa

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Efeito do odor de predador nas respostas de estresse na tilápia-do-Nilo

Pós-graduação em Ciências Biológicas (Zoologia) - IBB

Glândula de defesa do milípede Urostreptus atrobrunneus: estrutura e conteúdo

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Reféns na Cidadela Inimiga:a relação universidade-movimentos sociais na América Latina

This article discusses the recent historical contingencies that placed the universitary left on the defensive and, simultaneously, the attempts of approach of some researchers-extensionists with social movements. To put in historical perspective the discussion of the relation between universities and social movements in historical perspective, we rescued the Córdoba reform (argentine university reform of 1918), the teachings of Latin American classic authors, and we produced an overview about the Reform and the long cycle of educational counter-reform in Latin America. Regarding the relation between universities and social movements, we focus on the analysis of experiences in the fields of popular habitation, agroecology and recovered factories, once we believe that these experiences bring advances in self-management, decommodification, intellectual-social movements, etc. However, these are by no means free of contradictions.

Avaliação do estado emocional associado à catalepsia causada pela administração intraperitoneal de haloperidol

Haloperidol is a dopamine receptor antagonist used to treat schizophrenia. When systemically administered in rodents, haloperidol induces catalepsy, a state of immobility very similar to that seen in Parkinson's disease. It is known that many of Parkinson's disease symptoms are dependent on the emotional state since patients are still able to respond to external triggers such as loud noise or visual signaling. Recent data highlighted the importance of glutamatergic neurotransmission in the inferior colliculus (IC) on the cataleptic state induced by haloperidol in rats. Given the importance of IC in the brain aversion system and its connections to motor pathways, and based on the clinical reports of the emotional influence on the motor aspect of Parkinson's disease, the objective of the present study was to evaluate the emotional aspect related to catalepsy induced by intraperitoneal administration of haloperidol. To this end, we analysed ultrasonic vocalizations (UVs) of 22 kHz (indicative of aversion) in rats during the tests of catalepsy, open field and contextual conditioned fear. Systemic administration of haloperidol affected the motor activity, inducing catalepsy and decreasing exploratory activity in the open field. There were no UVs of 22 kHz resulting from treatment with haloperidol in catalepsy or open field tests. In the contextual conditioned fear test, haloperidol increased freezing when administered before the test, but decreased freezing on test day when administered before training. In this same test, haloperidol decreased the UVs on the day it was administered (training or test). The catalepsy induced by systemic administration of haloperidol seems to have also affected the motor aspect of UVs. In this way, it was not possible to clarify the existence of an aversive emotional state associated haloperidol induced catalepsy

O processo de ensino aprendizagem da educação no trânsito por meio da construção de um personagem heróico

This research project aims to study the relationship between the myths and the automobile, the contributions to the literature of fairy tales and the possible contributions of the heroes of fairy tales can bring to the process of teaching and learning defensive behavior in traffic. Traffic is a phenomenon so common to modern societies that often do not pay attention to their relevance as synonymous with social space and contains diversity of people and behaviors. To counter the image of fatalistic accidents and transgressions, will support us in the virtues of the hero figure to culminate in a collective tale in which children want to rethink their behavior, becoming citizens, with a more preventative and better quality of life. The research will be held in four rooms of elementary school in a city public school that serves children from families of the urban popular classes. The research will seek to analyze how the design of transit for the children and what the increase attributed to the theme, after the establishment of a collective story

Redução bacteriana via terapia fotodinâmica

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Desempenho tático de jogadores de futebol: comparação entre equipes vencedoras e perdedoras em jogo reduzido

The aim of study was to verify what tactical behaviors differ winner from loser teams in small sized games in youth soccer players. The tactical performance of winners and losers teams was compared through of System of Tactical Assessment in Soccer (FUT-SAT). Three thousand eight hundred and eight tactical actions were carried out by seventy-two youth soccer players from the under-11 (n=12), under-13 (n=12), under-15 (n=30) and under-17 (n=18) categories of Portuguese teams. Twenty four teams were composed to analyze, each team carried out one match (12 match analyzed). Each team was composed by three line players with goalkeeper which was not analyzed in test. The statistical analysis was performed thought the SPSS 17.0 software for Windows. A descriptive analyze and the KolmogorovSmirnov, Chi-square, Mann-Whitney U and T-Test tests to the independent samples was carried out, and the Cohen’s Kappa test to determining of the sample reability. Considering 76 variables analyzed, 12 presented significant differences among players of winners and loses teams. The players of the winner teams presented superiority in Macro-Category Action, in the Defensive tactical principles, Equilibrium and Defensive Unity. In the category Local of action in the Field, the winner teams presented superiority in the number of defensive actions performed in the defensive midfielder. In the category Result of the action, the variables Keep without the ball, Retrieving the ball possession and Shots on goal the winner teams presented higher results, while in variables Losing the ball possession and Suffering shot on goal the loser teams presented higher results. In the Performance Macro-Category, the superiority of the winners was showed by better Tactical Performance Index (TPI) in the Penetration principles, Offensive Unity, and in the Offensive phase of the game. The results demonstrated that the winner players presented superiority in both stages of the game.