432 resultados para Confusão


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Entre os diferentes ambientes da Mata Atlântica as áreas de maior altitude são o hábitat de algumas espécies de anfíbios anuros. Tais espécies devem ser investigadas, pois ambientes montanhosos e acidentados podem propiciar barreiras à dispersão de diversos anuros, podendo fazer com que cada população passe por processos independentes de evolução, podendo levar à especiação. Ischnocnema holti é um exemplo de espécie que encontra-se em áreas de altitude da Mata Atlântica. Trabalhos anteriores revelam que há divergência genética entre amostras de diferentes localidades em que tal espécie habita, onde muitas vezes existe uma confusão de identificação com I. lactea. Este estudo utilizou marcadores moleculares para estimar a divergência genética entre as populações atribuídas à espécie em estudo nas diferentes áreas de altitude em que esta se encontra, buscando-se contribuir à compreensão de como barreiras geográficas por altitude poderiam interferir nos padrões de diversidade desta região, além de esclarecer o conflito de identificação. Dentro do complexo de espécies I. lactea/holti observou-se sete clados genéticos que podem ser novas espécies. Os resultados obtidos no presente trabalho sugerem que os espécimes incluídos no clado II correspondem à espécie Ischnocnema holti e sua distribuição restringe-se à parte alta da Serra do Itatiaia, no município de Itamonte, estado de Minas Gerais. Já os exemplares dos clados I, III, IV, V, VI e VII provavelmente não correspondem à espécie I. holti, fazendo-se necessária uma maior amostragem para estabelecer em definitivo as relações e os limites específicos neste complexo de espécies. Para melhor entendimento deste complexo é necessária uma revisão taxonômica, sendo indispensáveis estudos com base em aspectos morfológicos, bioacústicos, ecológicos e genéticos... (Resumo completo, clicar acesso eletrônico abaixo)

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The spatial formation of Rio Claro city preserves several features of the problematic transition from the slave to remunerated labor in the late 20th, when the tacit ethnic bipolar sociability standard emerged, imprinting “black” and “white” forms to the city’s urban space. The ethnic social clubs José do Patrocínio and Tamoio, are two objects of ethnic groups’ exclusive use. Such ethnic social clubs indicate the existence of conflicts in their formation, as well as in their present existence, they are forms that preserve in themselves the codes and histories of the local black movement’s fight for their rights and for an autonomous place in the local society. In the present context the spaces are increasingly subjected to commercial interests and the spirits are embedded in confusion. What is the value of these spaces for the subjects who built them? The versions and narratives from oral accounts will allow us to understand the existing dimensions in the relation between the places and the memory, evidencing the importance of the patrimony and the patrimonial policies to the cities in the present historical period of geographic space globalization

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Eventos adversos a medicamentos (EAM) ainda são uma das principais limitações nos serviços de cuidados com a saúde, causando risco aos pacientes, além de grande impacto econômico. Assim, fazem-se necessários métodos de identificação de eventos adversos mais eficazes que a tradicional notificação espontânea, a qual revela apenas 5% do total de eventos. A utilização de critérios rastreadores (ou trigger tools), elaborados pelo Institute for Healthcare Improvement, tem se mostrado como a alternativa mais válida e eficiente para a triagem dos EAM. Com o objetivo principal de identificar os principais eventos adversos e medicamentos envolvidos, uma seleção de três critérios rastreadores foi utilizada, a saber: INR (razão normalizada internacional) > 6, WBC (contagem de leucócitos) < 3000/mm³ ou registros de episódios de sedação excessiva, letargia ou queda. Informações sobre os rastreadores foram coletadas e analisadas a partir dos prontuários de pacientes internados no Hospital Estadual Américo Brasiliense internados, de novembro de 2011 a janeiro de 2012 e maio a julho de 2012, a fim de se confirmar a ocorrência de evento adverso. Foram analisados prontuários referentes a 3318 hospitalizações, nas quais foram detectados 69 eventos adversos, 49 dos quais foram causados por apenas quatro das 12 classes de medicamentos envolvidos em algum EAM: anticoagulantes orais, relacionados ao rastreador INR>6 (eficácia = 0,75), sedativos e antipsicóticos, relacionados ao rastreador de sedação excessiva, letargia ou queda (eficácia = 0,52), e antivirais, relacionados ao rastreador WBC<3000 (eficácia = 0,48). Quando os rastreadores eram acionados e não estavam relacionados a EAM, os fatores de confusão mais recorrentes foram: torpor secundário ao quadro clínico, acidentes não relacionados ao medicamento e pacientes propositalmente em regime de sedação. Apesar de valores-limite menos radicais poderem aumentar a ...

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The language typology of speech rhythm has been investigated by many researchers in different languages. However, they have not reached a unanimous conclusion. Part of the misunderstanding is due to the methodology they used. In addition, there is some theoretical confusion on the definition of a syllable timed language. This paper refers to the last question, but without discussing others people works and theories. Instead, it points out some essential questions that have not been taken into consideration in the discussion.

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Dans cet article, nous présentons l'analyse des erreurs commises par rapport à l'épistémologie génétique et la psychologie de Jean Piaget. Nous nous appuyons sur un essai publié dans un périodique brésilien concernant la constitution du sujet d’enfance et la théorie de Piaget. Nous avons comme but d’aider à reprendre la «vraie» théorie de Piaget et de donner un aperçu aux lecteurs à fin de ne pas reproduire de telles erreurs ou être confrontés à de différents sens donnés à la même théorie. En ce qui concerne l'analyse, les auteurs du rapport disent que l'homme est le résultat de différents stades de développement et de ses phases. Cependant, en cherchant à expliquer comment les structures logiques deviennent nécessaires, Piaget a affirmé de ne pas rien avoir inventé. Il a conclu que la constitution des structures opératoires est le résultat de l'interaction du sujet avec le milieu, à condition qu'il dispose de certaines conditions prealables et qu’il soit capable d' établir ses rapports De cette manière, s'il a identifié des moments de la psychogenèse cognitive, il l’a fait grace à la constatation de que les sujets, dans cette interaction avec le milieu, finissaient par construire des manières qualitativement différentes de comprendre et gérer la réalité. Ainsi, Piaget n'a pas cherché de mettre les individus dans des phases ou périodes, artificiellement. Une autre erreur est celui de considérer que Piaget soit adepte de la dicotomie normalité/ anormalité. Ses préoccupations sont de nature épistémologique, et s'il est parvenu à formuler une psychologie, cela avait comme but de donner une base scientifique à sa théorie de la connaissance. Encore une autre confusion a lieu quand on affirme que Piaget a identifié les enfants aux peuples primitifs. Il a seulement dit que la nécessité d’entrer en relation avec le milieu est égale pour l'homme primitif comme pour celui d'aujourd'hui; par conséquent, le fonctionnement est le seul élément biologique considéré par Piaget, vu que tous les êtres vivants cherchent à s’adapter à la réalité. D’après cet angle, on constate que, de la même manière que l’homme primitif a été un enfant - comme ceux d’aujourd'hui - il a cherché à interagir avec le milieu à fin d'assurer sa survie. Il arrive que ses demandes étaient élémentaires du point de vue logico-mathématique, contrairement à nos jours. Une autre erreur consiste à dire qu'il a soupçonné ou admis que les processus de pensée reconnaissaient une organisation logique. Il ne s’agit pas de soupçon ni d'admission, mais d´une nécéssité. Faute de cette fondation, tout le bâtiment piagétien s’effondrerait. Nous concluons que le concept de progrès et l'état de l'intelligence sous-entendent la critique des auteurs. Malgré cela, et même pas sans admettre les explications formulées par Piaget, c’est le fait de que les censeurs doivent faire face à une vérité: indépendamment de la culture ou du moment historique, les enfants agissent toujours de la même manière, en cherchant à donner un sens à la réalité. Nous pouvons donc être d’accord ou en désaccord avec l'explication de Piaget. Cependant, il y a quelque chose qui ne doit pas être ignorée: la contribution apportée par Piaget vers la compréhension de la logique du fonctionnement mental.

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OBJECTIVE: to compare expenditure on primary health care services for men and women in Bauru-SP, Brazil. METHODS: cross-sectional study with a sample composed of randomly selected health service users' aged ≥50 years. Healthcare expenditure over the last 12 months was analyzed and stratified into: medical consultations, exams, medication and overall expenditure. RESULTS: 707 women and 256 men were assessed. Women had higher overall expenditures than men (median: R$128.1 versus R$108.6; p-value=0.027). Comparing females and males, being female was associated with higher medical consultation expenditure (27.6% versus 18.4%, respectively p-value=0.005) and exams (27.1% versus 19.5%, respectively p-value=0.022). After statistical adjustments (smoking, socioeconomic status, physical activity and overweight), being female was still associated with higher exam-related expenditure (Odds Ratio= 1.47; 95% confidence interval: 1.01-2.14). CONCLUSION: women have higher expenditure related to exams than men. Female obesity was associated with medical consultation higher expenditure.

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Objective: To determine the prevalence of low back pain and some related variables among adults of both genders. Methods: Was conduct a cross-sectional study of population-based in the urban area of Presidente Prudente, São Paulo. The sample consisted of 743 adult residents for over two years in this city. Low back pain, quality of sleep and physical activity were collected through face to face interview at the residence of respondents. Was used the chi-square test to analyze the association between variables, later was created tree multivariate models with hierarchical inclusion of confounding factors. Results: The prevalence of low back pain reported last year was 50.2% (95% CI: 46.6, 53.8), and the last week 32.3% (95% CI: 28.9, 35.6). Was association among low back pain and females (p-value = 0.031), older age, lower education, altered sleep and overweight, the adjusted model found that people over the age of 45 years (45 to 59.9 years, OR = 13.1 [1.72-98.5] and ≥ 60 years, OR = 9.10 [1.15-71.7]), with some alteration of sleep (OR = 3.21 [1.84-5.61]) and obese (OR = 2.33 [1:26 to 4:33]) seems to be a risk group for low back pain. Conclusion: The prevalence of low back pain is high and obese people aged over 45 years, with any sleep disturbance are a group at higher risk for low back pain.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Pós-graduação em Serviço Social - FCHS

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

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Currently, we can observe a significant increase in the disappointment of the world population about education, which raised doubts about the current school system and resulted in a forced increase of interest in an education reconstruction. The investigation process of this research based itself in the qualitative exploratory approach, since it allows the interpretation of the reality of the investigated environment, and it is concern about the process and not the quantification of data. Five professionals who work for the prefecture in the city of Bauru participated in this study and they graduated in the third module of the continuing education of the department of physical education from UNESP/Bauru, which occur in the second semester of 2010. The purpose of the present study was to identify the reasons why teachers who work for the prefecture in the city of Bauru look for the continuing education in physical education and explore their expectations and perception about the course. Considering the analysis presented in this study, we can observe that the search for continuing education based itself in issues such as: the confusion that exists between theory and practice, where the teachers exemplifies that, after their initial education, theory was not consistent with the real needs of their pedagogical practice; the entry of students younger and younger in the infant and fundamental education; the search for contents that answer the needs of psychomotor development of children between 2 and 5 years old and, at the same time, contents for the inclusion of children with special needs; as well as political pedagogical issues. Even though the reasons presented in this research for the teachers to justify the search for the continuing education in physical education were of distinct natures, at the end we observed that the teachers had their expectations fulfilled, demonstrating that the course of continuing education can be a space of dialog...

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

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Pós-graduação em Fisiopatologia em Clínica Médica - FMB

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Adolescence is a period of physical, biological and psychological changes as well as its time for reflection of the perspectives and social functions that are not defined yet. In addition to the characteristics of this period also included the family and socio-economic aspects such as parental separation, domestic violence, poverty, among others, yielding often, insecurity and confusion feelings, contributing to the case of depression in many cases, each increasingly recurrent and early at this stage in human development. The present study, thus, aimed to investigate the indicators of risk and vulnerability in adolescents to depression, especially those in social context, highlighting the social representation of the same against the disorder, since these guiding this research, the indication of factors contributing influence the etiology of depression in this period. Be consulted on the basis of VHL-PSI, articles related to depression in adolescence, published between the years 2004 to 2014. Observe that adolescents with negative perception of the social context in which the live, are more likely to develop depression, highlighting the importance of healthy social and family relationships for mental health.

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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)