Pulmonary rehabilitation has demonstrated patients’ physiological and psychosocial improvements, symptoms reduction and health-economic benefits whilst enhances the ability of the whole family to adjust to illness. However, PR remains highly inaccessible due to lack of awareness of its benefits, poor referral and availability mostly in hospitals. Novel models of PR delivery are needed to enhance its implementation while maintaining cost-efficiency. We aim to implement an innovative community-based PR programme and assess its cost-benefit. A 12-week community-based PR will be implemented in (...) primary healthcare centres where programmes are not available. Healthcare professionals will be trained. 73 patients with CRD and their caregivers will compose the experimental group. The control group will include dyads age- and disease-matched willing to collaborate in data collection but not in PR. Patients/family-centred outcomes will be dyspnoea, fatigue, cough and sputum, impact of the disease, emotional state, number of exacerbations, healthcare utilisation, health-related quality of life and family adaptability/cohesion. Other clinical outcomes will be peripheral and respiratory muscle strength, muscle thickness and cross sectional area, exercise capacity, balance and physical activity. Data will be collected at baseline, at 12 weeks, at 3- and 6-months post-PR. Changes in the outcome measures will be compared between groups, after multivariate adjustment for possible confounders, and effect sizes will be calculated. A cost-benefit analysis will be conducted. This study will enhance patients access to PR, by training healthcare professionals in the local primary healthcare centres to conduct such programmes and actively involving caregivers. The cost-benefit analysis of this intervention will provide an evidence-based insight into the economic benefit of community-based PR in chronic respiratory diseases. The trial was registered in the ClinicalTrials. gov U.S. National Library of Medicine, on 10th January, 2019. (shrink)

Research has demonstrated that policing is a stressful occupation and has a negative impact on police officers’ mental and physical health, performance, and interactions with citizens. Mental health at the workplace has become a concern due to the costs of depression, anxiety, burnout, and even suicide, which is high among police officers.To ameliorate occupational health, it is crucial therefore to identify stress and burnout levels on a regular basis. However, the instruments frequently used to measure stress have not valorized the (...) specificity of policing tasks. This study aims: i) conducting a literature review, to identify questionnaires used to assess occupational stress and burnout among police officers; ii) to analyze the psychometric characteristics of a Portuguese version of Operational Police Stress Questionnaire (PSQ-Op); and, using the PSQ-op and other questionnaires, iii) to identify operational stress, burnout, and distress levels among Portuguese police officers. The literature review identified 108 studies, which use a multiplicity of questionnaires to measure burnout or occupational stress among police officers, but few studies use specific police stress questionnaires. Sample sizes were mostly below 500 participants and studies were mainly developed in the last decade in the USA and Brazil, but also in another 24 countries, showing the extent of the interest in this topic. This study applied to 2057 police officers from National Portuguese Police, a force policing urban centers, the PSQ-Op, as well the Spanish Burnout Inventory and the Kessler Psychological Distress Scale.The results show that the psychometric properties of the Portuguese version of PSQ-Op are adequate. Factorial analysis revealed two dimensions defined as social and work issues, which were associated with measures of distress and burnout.Fit indices suggested a second-order solution called operational police stress. Overall, and considering the scale range of each questionnaire, the results showed moderate values of operational stress, distress, and burnout. However, considering their cut-off points, 85% of the sample presented high operational stress levels, 11% critical values for burnout, and 28% high distress levels, with 55% of the sample at risk of psychological disorder. These results reinforce the need to prevent stress and to invest in police officers’ occupational health. (shrink)

Este texto realiza uma revisão de literatura em torno dos principais aspectos que envolvem a construção da cena dissensual em Jacques Rancière, evidenciando como a potência fabulativa da racionalidade ficcional produz momentos quaisquer que perturbam os encadeamentos consensuais de ações, gestos, existências e experiências. A partir da produção de intervalos e liminaridades, é possível reconfigurar temporalidades e espacialidades a fim de desestabilizar e desierarquizar as relações de dominação e propor outros imaginários. O momento qualquer suspende a ordem corriqueira do tempo, (...) redispõe o visível, as ações e as formas como as coisas e os seres aparecem, a maneira habitual de ocupar um espaço, a forma de identificar-se como indivíduo e de inscrever-se nas relações. Assim, a cena de dissenso, tomada como singularidade e como operação a partir da qual se pode produzir momentos de rêverie (devaneio fabulador) que fraturam imaginários consensuais, altera o modo como lemos, vemos e ouvimos o outro e o mundo a nosso redor. Argumentamos que a cena realiza uma desmontagem das explicações previsíveis, deslocando consensos e oferecendo um imaginário antihierárquico e no qual coexistem múltiplos tempos, espaços e existências. (shrink)

Rescue workers have a stressful and risky occupation where being engaged is crucial to face physical and emotional risks in order to help other persons. This study aims to estimate work engagement levels of rescue workers (namely comparing nurses, firefighters, and police officers) and to assess the validity evidence related to the internal structure of the Portuguese versions of the UWES-17 and UWES-9, namely, dimensionality, measurement invariance between occupational groups, and reliability of the scores. To evaluate the dimensionality, we compared (...) the fit of the three-factor model with the fit of a second-order model. A Portuguese version of the instrument was applied to a convenience sample of 3,887 rescue workers (50% nurses, 39% firefighters, and 11% police officers). Work engagement levels were moderate to high, with firefighters being the highest and nurses being the lowest engaged. Psychometric properties were evaluated in the three-factor original structure revealing acceptable fit to the data in the UWES-17, although the UWES-9 had better psychometric properties. Given the observed statistically significant correlations between the three original factors, we proposed a 2nd hierarchal structure that we named work engagement. The UWES-9 first-order model obtained full uniqueness measurement invariance, and the second-order model obtained partial (metric) second-order invariance. (shrink)

Objetivou-se estratificar fatores de risco para doenças cardiovasculares (DCV) em dez anos em jogadores de basquetebol em cadeiras de rodas. O percentual de risco cardiovascular foi estratificado pelos escores de Framingham (ERF) e de Risco Global (ERG). Dos treze jogadores avaliados, 38,46% apresentava sobrepeso e obesidade e 77%, alterações na porcentagem de gordura corporal e na circunferência abdominal. O ERF identificou 15,38% dos jogadores com risco intermediário para desenvolvimento de DCV e pelo ERG, 15,4% dos homens apresentava risco intermediário, 7,7% (...) alto risco por diabetes e 7,7% muito alto risco por doenças ateroscleróticas. Os resultados de composição corporal demonstram uma predisposição para desenvolvimento de DCV, sendo que o ERG identificou indivíduos com alto risco e muito alto risco. Conclui-se que a identificação dos fatores de risco é útil para que ocorra uma maior prevenção das DCV e aconselhamento adequado sobre adoção de hábitos de vida saudáveis por esses indivíduos. (shrink)

The disease brought about by the SARS-CoV-2, COVID-19 coronavirus has had an unprecedented global impact. Confinement to control the outbreak may have mental health consequences for the most vulnerable in the population, including adolescents. This study aims to describe and analyze the relationships between the stress variables, Emotional Intelligence and the intention to use cannabis in healthy adolescents, before and after the end of the COVID-19 pandemic containment stage. A comparative correlational study was carried out with validated self-completed questionnaires through (...) an online platform. The sample is made up of adolescents aged 13–17 from two different schools in Ponferrada. The analysis of correlation and differences between the groups indicate that confinement has had effects on the mental health of the adolescents, specifically on the emotional manifestations of stress. Furthermore, significant gender differences were found for stress values and Emotional Intelligence. However, no differences have been found for cannabis use intention. (shrink)

RESUMO Este texto delineia, a partir de Foucault, Fassin, Rancière e Butler, a existência de um enquadramento biopolítico de cidadãs e mulheres empobrecidas no contexto da implementação de políticas sociais. A reflexão aqui desenvolvida apresenta resultados parciais de projeto de pesquisa desenvolvido com apoio do CNPq, no qual são analisadas 150 imagens relacionadas ao Programa Bolsa Família, reunidas entre os anos de 2003 a 2015, publicadas nos veículos Folha de S. Paulo, Estado de S. Paulo, O Globo, Veja e IstoÉ. (...) O argumento central é que esse enquadramento envolve a produção de narrativas que traçam distinções entre modos de vida considerados “dignos” e outros não, ressaltando situações de vulnerabilidade da vida e da governamentalidade que formata cenas de aparência, preparando-as para definir cidadãos e grupos exemplares a partir de determinados parâmetros de consideração e apreciação. ABSTRACT From the perspectives of Foucault, Fassin, Rancière and Butler, this paper outlines the existence of a biopolitical framing in press pictures of impoverished women included in the Bolsa Familia social project. The present reflection is based on the partial results of a research project developed with the financial support of CNPq in which we analyze a total of 150 pictures related to the Bolsa Família Program. They were collected from the newspapers Folha de S. Paulo, O Estado de S. Paulo, O Globo, and the magazines Veja and IstoÉ from 2003 to 2015. We argue that the biopolitical framing involves the production of narratives that distinguish ways of life that are “dignified” from those that are not. It also highlights situations of vulnerability and governmentality that shape appearances and prepare them to define citizens and exemplary groups, using certain parameters for consideration and appreciation. (shrink)

Esses escritos compartilham experiências de entrada em campo etnográfico com pesquisas com crianças ciganas do acampamento Mathias, no município de Quissamã, estado do Rio de Janeiro. O estudo, ainda em andamento, se justifica pela urgência em respeitar o povo cigano e compreender suas demandas. Pretendemos também, como nossa pesquisa e através de nossa fotoetnografia miúda, ampliar espaços nos chamados Estudos das Infância. Urge que os grupos ciganos sejam vistos pelos seus valores, seus modos de vida e suas narrativas, incluindo as (...) narrativas das crianças. (shrink)

Estudos indicam que o estresse altera o sistema imune e pode influir na etiologia, progressão e severidade de doenças. A resiliência pode ser definida como a capacidade que algumas pessoas desenvolvem e as ajudam a passar por situações adversas na vida, a superá-las, e ainda a saírem fortalecidas ou..

Este artigo consiste numa análise interdisciplinar com o auxílio de teorias filosóficas, sociológicas e políticas sobre as contradições da democracia e sua relação com a opinião pública a partir de três perspectivas: num primeiro momento aborda os modelos normativos de democracia diagnosticados por Habermas em Inclusão do Outro, e sua proposta de procedimento deliberativo com vistas a superar os limites dos modelos liberal e republicano; depois de expor um diagnóstico basilar dos modelos democráticos, apresenta alguns pontos concernentes às contradições da (...) democracia contemporânea a partir das análises sociológicas e da ciência política de Charles Tilly. Num terceiro momento, aborda a democracia a partir do conceito hegeliano de opinião pública tendo em vista três componentes: a fenomenologia, a lógica e a política da opinião pública.Palavras-chave: Contradição; Democracia; Opinião Pública. (shrink)

Uma das abordagens que estuda o construto da motivação é a teoria da autodeterminação, que discrimina diferentes estilos motivacionais: desmotivação, motivação extrínseca e motivação intrínseca. Este estudoobjetivou identificar motivações de acadêmicos de um curso de Educação Física do estado São Paulo, Brasil, para participarem de uma capacitação em natação para pessoas com deficiência físicas, bem como a motivação para atuação como tutores desse mesmo grupo. Trata-se de um estudo qualitativo realizado por meio de entrevistas semiestruturadas. Participaram 20 acadêmicos do curso (...) de Educação Física,divididos em: capacitação teórica – CT e capacitação teórica associada a tutoria em natação adaptada-CTP. Após análise, as seguintes categorias e subcategorias foram estabelecidas: motivação extrínseca (objetivos ou ganhos futuros; decorrente de fatores externos e vinculada à recompensa ou punição) e desmotivação (sentimentos e percepções). Conclui-se que os principais fatores que motivaram os acadêmicos estiveram vinculados à motivação extrínseca. (shrink)

A noção de “interesse público” parece ter uma tradição antiga e profícua nos estudos políticos, em particular nas pesquisas sobre mídia, comunicação e política. No entanto, parece haver um aparente paradoxo entre a própria noção de “interesse” e a ideia de algo “público”: como uma ação ou decisão política pode contemplar a miríade de interesses de grupos e indivíduos diversos? Este artigo delineia alguns aspectos da noção de “interesse” no debate atual sobre comunicação política. Com base em uma pesquisa bibliográfica, (...) este artigo argumenta que, nas últimas décadas, as principais obras sobre o tema têm dedicado menos espaço à noção de 'interesse público' como uma entidade única em favor de uma visão mais nuançada e identitária cultural, noção que contempla a pluralidade de uma esfera pública repleta de novas formas de ativismo e demandas coletivas por espaço, igualdade e visibilidade. (shrink)

En redonnant vie au problème de la transformation des formes tout au long de l'itinéraire de la pensée de Sartre - de la "philosophie pure" à la "monographie historique concrète" -, cette étude essaie de reconstituer quelques moments du processus de gestation de la synthèse sartrienne entre Philosophie, Roman et Révolution. La "monographie historique concrète" aurait-elle chez Sartre la fonction de succédané pour la "Philosophie Traditionnelle" et pour le "Roman Traditionnel"? Ce qui semble conduire l'itinéraire sartrien - de L'être et (...) le néant à L'idiot de la famille -, c'est la recherche d'une forme philosophique, littéraire et historique qui présuppose, sous-jacente, une Théorie du Roman indissolublement liée à une Théorie de la Révolution, plus précisément, à une théorie de la temporalité révolutionnaire qui recèle en elle-même la marque décisive de l'expérience politique de la Guerre, de Occupation et de la Résistance.Reativando o problema da transformação das formas ao longo do itinerário do pensamento de Sartre-da "filosofia pura" à "monografia histórica concreta"-, o presente estudo procura reconstituir alguns momentos do processo de gestação da síntese sartriana entre Filosofia, Romance e Revolução. Teria a "monografia histórica concreta", para Sartre, a função de sucedâneo da "Filosofia Tradicional" e do "Romance Tradicional"? O que parece norteara trajetória sartriana - de L'Être et le Néant a L'Idiot de la famille - é a busca de uma forma filosófica, literária e histórica que pressupõe, subjacente, uma teoria do romance indissoluvelmente ligada a uma teoria da revolução, mais precisamente, a uma teoria da temporalidade revolucionária que encerra em si mesma a marca decisiva da experiência política da Guerra, da Ocupação e da Resistência. (shrink)

Cet article compare deux livres majeurs : La Symbolique du mal, de Paul Ricœur et La Littérature et le mal, de Georges Bataille. L’articulation de ces deux penseurs que tout semble opposer répond à l’espoir de dégager une forme de compatibilité productive entre eux à travers leur intérêt commun pour le langage du mal. On insistera tout d’abord sur Ricœur : c’est en reconnaissant que le dire de l’expérience du mal passe d’abord nécessairement par un langage symbolique qu’il nous permet (...) de penser l’insistance de Bataille sur la place de la littérature quant au mal. On montrera ensuite que l’affirmation par Bataille d’une lucidité littéraire moderne du mal, tout en permettant de confirmer les thèses de Ricœur au sujet du caractère à la fois historique et langagier de l’expérience du mal, nous conduit aussi à en formuler la principale conséquence : que le langage du mal, marqué du sceau de la créativité poétique, ne peut sans doute pas être tenu pour achevé. On soulignera enfin l’intérêt de cette approche pour interpréter, avec la littérature, les nouvelles expériences du mal aujourd’hui. (shrink)

The functional role of mirror neurons has been assessed in many different ways. They have been regarded, inter alia, as the core mechanism of mind reading, the mechanism of language understanding, the mechanism of imitation. In this paper we will discuss the thesis according to which MNs are a conceptual mechanism. This hypothesis is attractive since it could accommodate in an apparently simple way all the above-mentioned interpretations. We shall take into consideration some reasons suggesting the conceptualist characterization of MNs, (...) as well as some possible replies. We shall figure out how an argument for the conceptualist hypothesis could be deployed, focusing on the notion of off-line processes, which turns out to be the crucial property necessary to ascribe concept possession. Our conclusion will be that, despite of there being some evidence for the conceptualist account, the issue cannot be definitely settled, because there are both experimental shortages and conceptual difficulties. In particular, there are three distinct senses in which MNs can be regarded as a conceptual mechanism, but we shall argue that only one of these interpretations can be defended. (shrink)

This paper presents reasons against semantic relativism. Semantic relativism is motivated by intuitions that are presumed to raise problems for traditional or contextualist semantics in contested domains of discourse. Intuition-based arguments are those based on competent speakers’ putative intuitions about seeming faultless disagreement, eavesdropper, and retraction cases. I will organize the discussion in three parts. First, I shall provide a brief introduction to the intuition-based arguments offered in favor of semantic relativism. Second, I shall indicate that there are ways for (...) contextualism to explain the (appearance of) intuitions that support semantic relativism. Third, I shall review some experimental results and independent arguments that put into question the appeal of semantic relativism. (shrink)

Concepts stand at the centre of human cognition. We use concepts in categorizing objects and events in the world, in reasoning and action, and in social interaction. It is therefore not surprising that the study of concepts constitutes a central area of research in philosophy and psychology, yet only recently have the two disciplines developed greater interaction. Recent experiments in psychology that test the role of concepts in categorizing and reasoning have found a great deal of variation, across individuals and (...) cultures, in categorization behaviour. Meanwhile, philosophers of language and mind have investigated the semantic properties of concepts, and how concepts are related to linguistic meaning and linguistic communication. A key motivation behind this was the idea that concepts must be shared across individuals and cultures. With the dawn of experimental philosophy, the proposal that the experimental data from psychology lacks relevance to semantics is increasingly difficult to defend. -/- This volume brings together leading psychologists and philosophers to advance the interdisciplinary debate on the role of concepts in categorizing and reasoning, the relationship between concepts and linguistic meaning and communication, the challenges conceptual variation poses to communication, and the social and political effects of conceptual change. (shrink)

Resumo: A Kehre (viragem) no pensamento de Heidegger foi amplamente discutida e debatida. A introdução da noção de metontologia (Metontologie), em 1927, informou proveitosamente esse debate, uma vez que implica uma preocupação com o domínio ôntico, por parte de Heidegger, que não está presente em trabalhos anteriores. O fato de essa noção desaparecer logo após ser introduzida, porém, desafia sua contribuição para esse debate. Neste artigo, mostra-se que o desaparecimento da metontologia não significa o desaparecimento da preocupação de Heidegger com (...) o ôntico, mas o contrário. Começa-se apresentando a visão de Freeman de uma tensão entre o ôntico e o ontológico, no pensamento de Heidegger, em meados da década de 1920, que resulta na introdução da metontologia, em 1927. Mais tarde, evidencia-se que a explicação de McNeill para o desaparecimento da metontologia, como consequência da visão de Heidegger, de meados dos anos 30, de que a projeção a priori do ser é uma retirada do ser (Entzug des Seins), permite dizer que esse desaparecimento não acarreta uma repentina falta de preocupação de Heidegger com o ôntico. Ao considerar a análise de Heidegger de “o matemático”, em Die Frage nach dem Ding, finalmente, argumenta-se que a metontologia desaparece do pensamento de Heidegger, porque sua dependência da ontologia a impede de explicar sua crescente preocupação com o ôntico, de maneira adequada. (shrink)

In The Grammar of Society, first published in 2006, Cristina Bicchieri examines social norms, such as fairness, cooperation, and reciprocity, in an effort to understand their nature and dynamics, the expectations that they generate, and how they evolve and change. Drawing on several intellectual traditions and methods, including those of social psychology, experimental economics and evolutionary game theory, Bicchieri provides an integrated account of how social norms emerge, why and when we follow them, and the situations where we are (...) most likely to focus on relevant norms. Examining the existence and survival of inefficient norms, she demonstrates how norms evolve in ways that depend upon the psychological dispositions of the individual and how such dispositions may impair social efficiency. By contrast, she also shows how certain psychological propensities may naturally lead individuals to evolve fairness norms that closely resemble those we follow in most modern societies. (shrink)

In Norms in the Wild, distinguished philosopher Cristina Bicchieri argues that when it comes to human behavior, social scientists place too much stress on rational deliberation. In fact, she says, many choices occur without much deliberation at all. Two people passing in a corridor automatically negotiate their shared space; cars at an intersection obey traffic signals; we choose clothing based on our instincts for what is considered appropriate. Bicchieri's theory of social norms accounts for these automatic components of coordination, (...) where individuals react automatically to cues that focus their attention on what the norm is in that situation. Social norms thus act as rules for making choices in a social world where people expect others -- often unconsciously -- to follow the same rule. Some norms enable seamless social co-operation, while others are less beneficial to human flourishing.Bicchieri is famous for her interdisciplinary work on game theory and most recently her work on social norms, and Norms in the Wild represents her latest challenge to many of the fundamental assumptions of the social sciences. Bicchieri's work has broad implications not only for understanding human behavior, but for changing it for better outcomes. People have a strongly conditioned preference for following social norms, but that also means that manipulating their expectations can cause major behavioral changes. Bicchieri has been working recently with UNICEF and other NGO's to explore the applicability of her views to issues of human rights around the world. Is it possible to change social expectations around forced marriage, genital mutilations, and public health practices like vaccinations and sanitation? If so, how? What tools might we use? This short book explores how social norms work, and how changing them - changing preferences, beliefs, and especially social expectations - can potentially improve lives all around the world. It will appeal to an unusually broad range of readers including philosophers, psychologists and others in behavioral sciences, and anyone involved in public policy or at NGOs. (shrink)

The present paper considers controversial utterances that were erroneously taken as derogatory. These examples are puzzling because, despite the audiences’ error, many speakers retract and even apologise for what they didn’t say and didn’t do. In recent years, intuitions about retractions have been used to test semantic theories. The cases discussed here test the predictive power of theories of derogatory language and help us better understand what is required to retract a slur. The paper seeks to answer three questions: are (...) the cases considered genuine retractions? If the speakers didn’t derogate by using a slur, how are the cases retractions of derogatory acts? Do these examples support expressive accounts of slurs? I argue that the examples provide evidence for an expressivist account of slurs: a slurring utterance (defeasibly) makes a derogatory speech act where the speaker expresses a commitment to a morally questionable appraisal state, such as disgust or contempt for a target group. A retraction of a derogatory speech act requires undoing the enactment of that commitment, which can be achieved with a genuine apology. This helps explain the conduct of audiences who misunderstand what the speaker says, and the speakers’ reactions. -/- . (shrink)

The New Evil Demon Problem presents a serious challenge to externalist theories of epistemic justification. In recent years, externalists have developed a number of strategies for responding to the problem. A popular line of response involves distinguishing between a belief’s being epistemically justified and a subject’s being epistemically blameless for holding it. The apparently problematic intuitions the New Evil Demon Problem elicits, proponents of this response claim, track the fact that the deceived subject is epistemically blameless for believing as she (...) does, not that she is justified for so believing. This general strategy—which I call the “unjustified-but-blameless maneuver”—is motivated, in part, by the assumption that the distinction between epistemic justification and blamelessness is merely an extension of the familiar distinction between moral justification and blamelessness. In this paper, I consider three ways of drawing the distinction between justification and blamelessness familiar from the moral domain: the first in terms of a connection with reactive attitudes, the second in terms of the distinction between wrongness and wronging, and the third in terms of reasons-responsiveness. All three ways of drawing the distinction, I argue, make it difficult to see how an analogous distinction in the epistemic domain could help externalists explain away the intuitions which underwrite the New Evil Demon Problem. Motivating the unjustified-but-blameless maneuver, I conclude, is a much less straightforward task than its proponents tend to assume. (shrink)

Les études réunies et publiés dans ce volume sont d'abord concentrées sur les problèmes relatifs à la nature de l'âme en général, notamment par le biais d'une confrontation avec des penseurs antérieurs a Aristote ou qui leur sont contemporains - spécialement Platon et Xenocrate.

Embora a relação entre subjectividade e tempo seja fulcral para a fenomenologia, é-o sempre com o intuito de fundamentar ontologicamente a consciência na sua verdade A grande originalidade de Levinas consiste em abandonar o plano do cogito e, consequentem.