A experiência de adolescentes portadores de diabetes Mellitus Tipo 1: seus significados e sentido

Worldwide, the diabetes mellitus is considered a serious problem of public health; it also involves high costs for its treatment and its complications. Even though the onset of diabetes mellitus type 1 is on 5% to 10% of the diabetic population, it is the most aggressive type of anifestation; furthermore, it is the commonest chronic disease in childhood and adolescence. Such data show the importance of understanding the development of this disease from the moment the individual perceives it, according to their experience, observing the complexity of the phenomenon thoroughly. This study aimed to comprehend the experience of the adolescent with onset of diabetes mellitus type 1 in order to learn how these young individuals perceive and reason their place in the world when they experience this illness. The methodological strategy was based on qualitative research of phenomenological inspiration. We applied the main ideas of heideggerian ontology and some concepts of existential phenomenological psychology to guide our reflexive path. The participants were 10 young individuals (06 female and 04 male), ages between 15 and 18, under treatment in the city of Recife, Pernambuco. The methodological resource was the narrative, which allowed us access to the adolescents experience. The comprehension of the reports was based on the heideggerian hermeneutics, whose priority is the interpretation of the meaning expressed by the participants speech. The results showed that factors such as social, family, economic and cultural context greatly influence the perception and the way the individuals deal with, perceive and reason their experience. We noticed that the diabetes type 1 may often represent a limitation, but it does not make it impossible to be part of the world with others. The data show a significant affective ambivalence regarding the content more directly related to the disease. This demonstrates the unique way which each one gives meaning and reasons their condition of existence. This research points out the need to understand the complexity of this phenomenon in a more complete manner, considering the adolescent in their timely and historical context. We believe we can encourage thinking that may become actions which are more fit to the reality researched regarding all the parties involved with the subject, such as health professionals, adolescents, family, support programs and public health policies

Cuidados paliativos e ser-para-morte: reflexões sobre um atendimento psicológico

Death is a theme that fascinates, though at the same time, frightens and uneasy the human being, despite the finitude being present at our daily lives. In each historical time, death has been represented in a peculiar way, from familiar death (at Middle Ages), to interdicted death (at contemporary times). Through this path it‟s possible to recognize several attitudes and stages front of death and the process of dying as possibilities of coping and the understanding of these occurrences. In other hand, the palliative care proposal came as a humanized attention, front of the human finitude, recognizing death as a part of the vital cycle. The Brazilian reality, in this context, still faces a lot of political, economic and social barriers that makes difficult the consolidation of palliative care at the death process in the Brazilian Health Care policies. Currently, according to the Brazilian Palliative Care Association, Brazil presents an average of 40 services with this proposal. Such data portray our inexpressive condition in relation to these cares when considering the territorial extension and population of our country. Considering this scenario is relevant think about death and the process of dying at contemporary times, at a health context in which palliative care, when trying to humanize the process of dying, bring to light the issue of human finitude and the beingtowards- death, as thought by the philosopher Martin Heidegger. According to him, the human being (Dasein) is constituted as a being-towards-death, once death is its most own potentiality-for-bein and its last possibility to be lived. In view of the ideas presented, the proposed study appears as a qualitative research of existential-phenomenological inspiration and aims to understand the experience of being-toward-death from the psychological care to a person out of possibilities of cure living on palliative cares. The psychological care happened at the patient‟s home, understanding the clinical process of being-with-the-other from the written reports of the psychology/researcher, by the accompanying sessions, configured as an experience report. These reports are focused on the experiences lived by the patient, as well as apprehended by the psychologist at the intersubjectivity relation and its own experience with Dasein and, therefore, being-toward-death. The reports were hermeneutically interpreted, from the senses that emerged in this process, considering the notion of being-toward-death proposed by Heidegger. Furthermore, it was important to dialogue with other authors that approached the studied theme. It is perceived, through brief and meaningful reflections about the clinical treatments started, that the experience of illness with no possibilities of cure makes the Dasein revises feelings and experiences that were marked at the temporality and historicity of existence. It is a stage of life in which the cultural dimension and the common sense of finitude, often gains ground in the human condition, taken in its ordinary sense, unlike the way it has been thought from an ontological and existential perspective of death. Thus, there are singulars and revealing paths in the palliative care scenery as possible ways for authenticity of being-toward-death

A militância em movimento: amizade e maquinação de modos de existência no MST

This study focuses on two issues, the process of subjectivity production and the exercise of friendship alongside political militancy in the Landless Rural Workers Movement (MST). Friendship is here understood as the social practice with the potential to question certain modes of socially formed relationships as well as their becoming a political exercise. The political militancy phenomenon is problematized based on the subjectivity production perspective. The objective of the study was to construct acartography of the subjectivity production processes with political activists of the MST and to highlight the points in which the exercise of friendship enhances the appearance of singularity in the context of this militancy. The cartography is a research method that permits the identification of macro political, as well as micro political forces that interfere in a psychosocial context, such as the MST. The participants were members of an MST group that participated in a Pedagogy course coordinated by the Department of Education of the Universidade Federal do Rio Grande do Norte. The other participants were militants involved in political formation activities at the social base, as well as in the other levels of the MST in the states of Rio Grande do Norte, Paraíba, Pernambuco, Ceará, Minas Gerais and Paraná. The results are linked to the oscillate incorporation of the landless identity model that occurs as a group of disciplinary strategies are put in practice in the political formation activities with militants, as well as the ways of model evation are formed. This occurs to the extent that new demands and forms of invested desires beyond the land object are incorporated in the MST. Such singular processes happen in three areas of the political exercise of friendship articulation: the masses, where there is a possibility for the MST to construct a new social collectivity; gender relations, where the socially destined space for women is redimensionized and; sexual diversity, which provokes the MST to follow its potential in questioning the actual hegemonic living modes. It is therefore considered that the MST has a great opportunity to become an important mediator of contemporary social and political struggles

Winckelmann, Lessing e Herder: estéticas do efeito?

Este artigo investiga, sob a perspectiva de uma estética do efeito, as origens da assim chamada estética da época de Goethe, segundo a obra de Lessing, Winckelmann e Herder. Pretende-se mostrar que há nestes autores tanto uma influência do parâmetro do efeito, suscitado pela obra de arte no espectador, quanto o apontamento para uma instância, por assim dizer crítica, idealista e especulativa de apreciação do fenômeno artístico.

Pós-graduação stricto sensu em anestesiologia: experiência de dez anos na UNESP

JUSTIFICATIVA E OBJETIVOS: O número de Programas de Pós-Graduação em Anestesiologia stricto sensu existente no país ainda é muito pequeno. Com a finalidade de incentivar a pós-graduação em Anestesiologia no Brasil, é apresentada a experiência acumulada em dez anos de atividades do programa da Universidade Estadual Paulista (UNESP). CONTEÚDO: O Programa de Pós-Graduação em Anestesiologia stricto sensu da UNESP foi credenciado pela CAPES, desde a sua criação em 1994, nos Cursos de Mestrado e Doutorado. O Programa é desenvolvido em três Áreas de Concentração: Risco e Proteção de Órgãos e Sistemas em Anestesia e Cirurgia; Qualidade e Segurança em Anestesiologia; e Modelos Clínicos e Experimentais em Terapia Antálgica, com as suas respectivas linhas de pesquisa, em número de 14. O número de alunos regulares do Programa é compatível com o número de orientadores (12), com proporção média de três alunos por orientador. Desde o seu início até setembro de 2004, ocorreram 45 Dissertações de Mestrado e 24 de Doutorado, perfazendo 69 defesas, a maioria com bolsas e financiamentos de Órgãos de Fomento à Pesquisa. Após a conclusão do doutorado, 65% dos alunos têm atividade de docência e pesquisa em instituições públicas e privadas do ensino universitário do país. A maioria das publicações do programa tem sido realizada em revistas nacionais com Qualis A, com menor número de publicações em revistas internacionais Qualis A ou B. O programa recebeu da CAPES o conceito 4,0 numa escala de 1 a 7, em suas três últimas avaliações. CONCLUSÕES: O programa tem se desenvolvido muito bem nos 10 anos de sua existência, alcançando os principais objetivos, como a formação de professores e pesquisadores na área de Anestesiologia para as instituições universitárias do país.

Periódicos de bioética. ¿Hay muchos? ¿Hay pocos? ¿Cuál es la situación?

This work presents a bibliometric profile of Bioethics Journal according to the following journal databases: MEDLINE, LILACS, The Philosopher' s Index, Ulrich's, SciELO and Qualis classification system (Brazil). We found that: from 38 titles indexed in MEDLINE, 25 (66%) still exist; the country with the highest number is the U. S. A (36%); most Bioethics journals appeared in the 1990's (47%), and 36% have less than 10 years of existence. From those that disappeared (34%), the average survival time was about 4 years. There are only 12 countries with indexed journals. In Brazil, from 3 Bioethics journals, only one is (partially) indexed. English is the preponderant language (45%). Only 3% of journals are monthly. LILACS has two additional publications (Acta Bioethica, Chile, and Revista Latino Americana, Colombia). SciELO has only Acta Bioethica. In Ulrich's database, there are eight additional publications. In "Qualis" classification system there are four journals.

Aesthetic Approach in Single Immediate Implant-Supported Restoration

The aim of this study was to analyze the main aspects that influence the aesthetics of single immediate implant-supported restorations through a literature review on the MEDLINE database. It was observed that immediate implant-supported restorations present clinical success with aesthetic predictability demonstrated by the literature. Proper patient selection and diagnostic and multidisciplinary planning are essential and should be associated to technical ability of professional and knowledge concerning the biology of peri-implant tissues. It is suggested that provisional restoration should be immediately inserted after implant fixation to guide healing of gingival tissues with a proper emergence profile besides psychologic comfort for a patient due to immediate aesthetic reestablishment.

A espacialização da fala no cinema

O artigo parte de uma simples constatação: é bastante insatisfatória, no presente estágio da pesquisa, a colocação do problema das relações entre imagens e palavras no universo fílmico. Trata-se, no entanto, de uma questão decisiva para a estética do cinema. em geral, as análises feitas valorizam apenas a função das imagens na gênese e no desenvolvimento das significações. A hipótese de trabalho que se apresenta aqui, vem propor, ao contrário, uma abordagem do complexo sígnico constituído pela fusão indissolúvel dos dois recursos expressivos, que forma assim um meio de comunicação específico, original e absolutamente novo. Esse caráter inédito exige uma investigação minuciosa e urgente, conjugando-se perspectivas filosóficas, semióticas e propriamente cinematográficas.

Marxismo e filosofia: algumas considerações sobre os textos políticos Merleau-Pontyanos do pós-guerra

A tentativa merleau-pontyana de aproximação do marxismo, empreendida nos idos do pós-guerra, é perpassada por constante ambigüidade. Não obstante o propósito do filósofo de se filiar à teoria de Marx, suas análises políticas revelam-se distantes de suas intenções. Concebendo a história como uma aventura que escapa a qualquer esquema racional, Merleau-Ponty questiona, desde seus primeiros escritos, a dialética marxista entre lógica e contingência na história. A tensão interna que dilacera os textos do autor nos anos 40, anunciando (e preparando) a recusa da teoria da revolução estampada mais tarde nas Aventuras da Dialética, permite indagar se esse desfecho dos anos 50 não teria sido, ao invés de um corte no interior da obra, o resultado necessário dessa tentativa problemática de aproximação do marxismo a partir de categorias que lhe são estranhas (próprias às filosofias da existência e à fenomenologia).

Ciclos clássicos num ambiente de racionalidade limitada

O presente trabalho toma como ponto de partida o modelo macrodinâmico de Richard M. Goodwin, apresentado no clássico artigo A Growth Cycle (1967). Neste modelo a interação entre distribuição de renda e acumulação de capital gera um ciclo de crescimento que oscila em torno de uma trajetória de crescimento equilibrado. O objetivo do presente trabalho é investigar a possibilidade de existência de ciclos goodwinianos com heterogeneidade de salários e de taxas de lucro. Essa análise é realizada considerando o processo de concorrência entre trabalhadores num ambiente de racionalidade limitada. Para formalizar o processo de concorrência entre trabalhadores foram utilizados dois recursos: (i) a alegoria das ilhas , que tem sido amplamente adotada na macroeconomia moderna, a fim de apreender situações de informação imperfeita; e (ii) os instrumentos analíticos desenvolvidos pela teoria dos jogos evolucionários aplicada a ambientes sociais. O modelo construído combina o modelo de Goodwin com uma formalização estilizada do fluxo de trabalho como um processo de imitação num ambiente de racionalidade limitada (dinâmica de replicação num contexto social). Neste modelo demonstra-se a possibilidade de o sistema econômico não convergir para um estado de equilíbrio de longo prazo e a possibilidade do sistema econômico convergir para um ciclo goodwiniano caracterizado por heterogeneidade de salários e de taxas de lucro.

Travestilidades nômades: a explosão dos binarismos e a emergência queering

Apresentamos neste artigo algumas problematizações a respeito da expressão travesti, que, não se apoiando em um modelo único de referência sexual e de gênero para sua efetivação, nos permitiria falar em processos de 'travestilização'. Esses processos se constituem através de dispositivos em que lineamentos duros, flexíveis e de fuga participam da criação de seus corpos, desejos e prazeres, transitando entre efeitos-consequências de discursos normativos e singularizadores. Sua circulação no mundo coloca em xeque as matrizes binárias heteronormativas do sistema sexo/gênero/desejo, que se desmancham diante de modos de subjetivação orientados por potências subversivas criadoras de novos campos possíveis de existencialização. Nessa perspectiva, queremos mostrar que as expressões sexuais e de gêneros das travestis formulam novas questões a respeito dos modelos identitários vigentes, demonstrando que a coerência e a inteligibilidade impostas pelos códigos heteronormativos precisam ser urgentemente revistas, de modo a questionar a respeito da ordem social que apresenta o gênero associado ao sexo reprodutivo, para ressignificar as expressões sexuais, gendradas e subjetivas, em sua processualidade histórica que explode os binarismos, despreza os universais e desmancha o absolutismo da ideia de verdade, enraizados nos sistemas binários de pensamentos sedentários, fechados, universais e a-históricos.

Lamé differential equations and electrostatics

The problem of existence and uniqueness of polynomial solutions of the Lamé differential equation A(x)y″ + 2B(x)y′ + C(x)y = 0, where A(x),B(x) and C(x) are polynomials of degree p + 1,p and p - 1, is under discussion. We concentrate on the case when A(x) has only real zeros aj and, in contrast to a classical result of Heine and Stieltjes which concerns the case of positive coefficients rj in the partial fraction decomposition B(x)/A(x) = ∑j p=0 rj/(x - aj), we allow the presence of both positive and negative coefficients rj. The corresponding electrostatic interpretation of the zeros of the solution y(x) as points of equilibrium in an electrostatic field generated by charges rj at aj is given. As an application we prove that the zeros of the Gegenbauer-Laurent polynomials are the points of unique equilibrium in a field generated by two positive and two negative charges. © 2000 American Mathematical Society.

Estética en prótesis removibles

Nowadays, aesthetics is very appreciated in the social context and a attractive smile is the object of desire in most of patients requiring prosthesis treatment. In case of removable prosthesis, total or partial, this feature is more significant since some or all teeth may be absents. Implants leading to a significant improvement in relation to function and comfort of removable prosthesis users, but the aesthetics of these prostheses had little attention in the current scientific literature. Thus, the aim of present article was to make a review of the literature on the aesthetic features related to rehabilitation with removable prostheses. In present study we found as significant factors for the aesthetics in removable partial and total prostheses: Selection of artificial teeth and their arrangement, characterization of acrylic resin basis and also the types and location of retainers for the removable partial prostheses. We conclude that the involvement and the aesthetic knowledge during the appropriate planning of this process is responsibility of the professional.

Condiciones generales de competencia en Panamá

Incluye Bibliografía

Importancia del diagnóstico precoz de los lipomas de células grandes en la región maxilofacial

Lipoma is a benign tumor composed of proliferation of mature fat cells interspersed by fibrous connective tissue, blood vessels and muscles, delimited by a thin capsule. Although it represents a mesenchymal neoplasm most common human body, are rare occurrences in the oral cavity. Presents clinical and histopathological variables that do not alter their prognosis. The pathogenesis is still uncertain, although some authors consider heredity and endocrine disorders as possible causes. Occurs with greater prevalence in obese people, although their metabolism is completely independent of the normal body lipid metabolism. The clinical diagnosis of oral lipoma is the view of a nodular mass, soft, asymptomatic, flat surface, without ulceration and limited growth. The continuing growth of the lesion may cause difficulty in chewing, speech, dental adaptation and change in facial aesthetics of the patient, requiring surgical excision of the lesion. The final diagnosis is by histopathological examination. Aims to present a literature review and clinical cases of a retrospective study of 61 cases of lipomas diagnosed in pathological service between 1978 and 2009, among the 10 573 reports during that same period. It emphasizes the special cases of large lipomas of the maxillofacial region, and the importance of early diagnosis of these lesions. A dental surgeon should be able to diagnose lipomas in an early stage in the maxillofacial area avoiding a massive growth of these lesions.