The National Medical Commission of India introduced the Competency Based Curriculum in Medical Education for undergraduate medical students in 2019 with a new module named Attitude, Ethics and Communication (AETCOM) across the country. There was a consensus for teaching medical ethics in an integrated way, suggesting dedicated hours in each phase of undergraduate training. The AETCOM module was prepared and circulated as a guide to acquire necessary competency in attitudinal, ethical and communication domains. This study was aimed to explore the (...) perceptions of students and medical teachers and identify the challenges in teaching and learning process of the newly implemented AETCOM module. It was a mixed method designed study with structured questionnaires for students and teachers at various medical schools in India. Based on the quantitative data, in-depth interviews with medical teachers were undertaken. Challenges were perceived by both students and teachers. The students had a mixed perception, facing difficulties in passive learning with scarce resource materials. Challenges identified by teachers were a lack of knowledge and skills required for teaching bioethics, the logistics of managing large numbers of students in the stipulated time frame, interdisciplinary integration—both horizontal and vertical, and assessment program in terms competency-based education. The study draws the attention of all stakeholders for a revision and efforts for further improvement in the teaching and assessment process, and setting a standard model in medical education in India. (shrink)

O presente artigo busca descrever um breve cenário da utilização ferramentas democráticas representativas e participativas na tomada de decisões públicas, considerando a ordem constitucional vigente no Brasil, em um momento de descrédito da sociedade em relação aos seus representantes. A partir desta contextualização buscou-se traçar, a partir de uma metodologia qualitativa, uma breve explanação acerca da participação social como uma forma complementar à representação. Por fim, foram descritos os dispositivos da Constituição de 1988 que permitem alguma forma de participação popular, (...) questionando a existência de um sistema de democracia semidireta com uma potencialidade significativa de aprimoramento democrático. (shrink)

Resumo: A acessibilidade como tema transversal à formação dos egressos da Universidade Federal do Pampa se faz presente tanto no projeto institucional da universidade quanto nos Projetos Pedagógicos dos Cursos. No entanto, embora tal intencionalidade constar nos documentos institucionais, a materialização de tal temática - para além da garantia dos requisitos legais de acessibilidade presentes nos instrumentos de avaliação do ensino superior - se mostra incipiente. No curso de Medicina, apesar do tema da diversidade e, da garantia de equidade sem (...) qualquer tipo de distinção, no atendimento da rede básica, compor as Diretrizes Curriculares Nacionais para a formação dos futuros médicos, a discussão sobre a temática da deficiência é recente, sendo atualmente impulsionada pela demanda de recursos para este público, em específico, na atenção básica de saúde, em função da pandemia da COVID-19. Neste artigo, apresentamos as práticas interdisciplinares que vêm sendo protagonizadas entre o Curso de Medicina e o Programa de Mestrado Profissional em Ensino de Ciências. Dentre estas práticas estão a produção de pranchas em Comunicação Alternativa Aumentativa (CAA) para apoio ao diagnóstico do COVID-19 em pacientes com deficiência; materiais instrucionais acessíveis sobre temas envolvendo a pandemia; curso de CAA para estudantes da área da saúde e formação de profissionais dos serviços de saúde para o atendimento de usuários com deficiência. Estas práticas e suas consequências para a formação dos estudantes de Medicina, constitui o objetivo deste trabalho. Palavras-chave: acessibilidade; formação médica; inclusão; educação especial Medical Education and Inclusive Processes: interdisciplinary teaching practices guided by the knowledge of special education Abstract: The accessibility, as transversal theme to the formation of the Pampa Federal University egresses, is present in the University institutional project as well in the Courses Pedagogical Projects. However, although such intentionality appears in the institutional documents, the materialization of such theme – apart from the guarantee of the accessibility legal requirements present in the evaluation instruments of the university education – is still incipient. Even in the medical course, in spite of the diversity theme and the guarantee of equality without any kind of distinction in the basic system assistance compose the National Curricular Guidelines to the education of the futures doctors, is recent the discussion about the disability theme, being nowadays stimulated by the demand of resources required for this specific type of public in the primary health care, arising from the COVID-19 pandemic. In this article, we present the interdisciplinary practices that have been executed in the Medical Course and Professional Master’s Degree on Sciences Teaching. Among these practices we have the production of boards in Augmentative Alternative Communication (AAC) for supporting the COVID-19 diagnosis in disabled patients; accessible instructional materials about themes concerning the pandemic; AAC courses for health area students and training of health services professionals for the assistance of disabled users. These practices and their consequences for the education of Medical students are the objective of the present work. Key-Words: accessibility; medical training; inclusion; special education Educación médica y procesos inclusivos: prácticas docentes interdisciplinarias guiadas por el conocimiento de la educación especial Resumen: La accesibilidad como tema transversal a la formación de los egresados ​​de la Universidad Federal de Pampa está presente tanto en el proyecto institucional de la universidad como en los Proyectos Pedagógicos de los Cursos. Sin embargo, aunque tal intencionalidad está incluida en los documentos institucionales, la materialización de tal tema, además de garantizar los requisitos legales de accesibilidad presentes en los instrumentos de evaluación de la educación superior, es aún incipiente. En el curso de medicina, a pesar del tema de la diversidad y la garantía de equidad sin ningún tipo de distinción, en la atención de la red básica, componiendo los Lineamientos Curriculares Nacionales para la formación de futuros médicos, la discusión sobre el tema de la discapacidad es reciente., siendo impulsado actualmente por la demanda de recursos para este público, específicamente, en la atención primaria de salud, debido a la pandemia de COVID-19. En este artículo presentamos las prácticas interdisciplinarias que se vienen dando entre el Curso de Medicina y el Programa de Maestría Profesional en Enseñanza de las Ciencias. Entre estas prácticas se encuentran la producción de tableros en Comunicación Aumentativa Alternativa (CAA) para apoyar el diagnóstico de COVID-19 en pacientes con discapacidad; materiales educativos accesibles sobre temas relacionados con la pandemia; Curso CAA para estudiantes del área de la salud y formación de profesionales de los servicios de salud para la asistencia a usuarios con discapacidad. Estas prácticas y sus consecuencias para la formación de los estudiantes de medicina, constituyen el objetivo de este trabajo. Palabras-clave: Accesibilidad; entrenamiento médico; inclusión; educación especial. Data de registro: 14/04/2021 Data de aceite: 01/12/2021. (shrink)

Existem muitas teorias sobre democracia. Na verdade, enquanto se fala de “teoria democrática” como se existisse um consenso acerca do que esta poderia significar, a partir do momento em que nos debruçamos sobre diferentes autores, apercebemo-nos de que há tantas teorias quanto há perspectivas sobre o tema. Neste artigo tenho como interlocutores Robert Dahl, Benjamin Barber, Robert Goodin e David Plotke. O artigo tem três momentos. No primeiro, desenho o contexto geral para uma reflexão crítica sobre democracia, partindo da análise (...) dos seus conceitos constitutivos, nomeadamente, os conceitos de representação, participação e deliberação. Este é o momento “estrutural”. De seguida, apoiando-me nos critérios ou virtudes de Dahl e no conceito de “democracia forte” de Barber, defendo que a instanciação dos vários modelos democráticos depende da importância que se confere a cada um dos critérios. Este é o momento de conteúdo. Dialogando com estes autores procuro identificar as implicações dos modelos representativo, participativo e deliberativo. Por último, procuro uma forma de redefinição da democracia mais positiva para o futuro, tendo o orçamento participativo como prática exemplar a seguir. (shrink)

Inicialmente, o texto indaga sobre o significado do exercício do filósofo social; pretende também localizar as origens do debate moderno sobre ‘subjetividade’ no pensamento filosófico e social. As idéias norteadoras de Kant, se situam na confluência e na disjunção entre razão (conhecimento) e subjetividade (moral). A partir dessa referência, o debate entre alguns pensadores considerados como pós-modernos (Badiou e Zizek), por um lado, e por outro Castoriadis que recusa esta nomenclatura, vão derivando idéias novas sobre ‘sujeito’ e ‘verdade’. Esse debate (...) não é sem conseqüências para a teoria sociológica que assume para si o desafio de introduzir a categoria de ‘sujeito’ em seus cânones (Touraine). As reflexões de Stengers servem também para questionar e aproximar as práticas da produção do conhecimento e dos discursos científicos. Finalmente, restam desafios para se pensar teorias e práticas sócio-ambientais à luz desses conceitos apresentados ao longo do texto. (shrink)

In romantic relationships, individual differences are determinant factors for relational quality. Specifically, romantic attachment and difficulties in emotional regulation influence each other and may have predictive potential for the perceived dyadic adjustment level. This paper aims to identify the developmental parallel between behavioral patterns built since childhood and the construction of the emotional regulation skills that characterize them. Our analysis was based on the attachment theory and the concepts of romantic relationship and DA. In this way, we sought to further (...) the understanding of relationship dynamics, beyond the usual focus on a single element and on associative relationships, and by exploring other effects among the different dimensions of relational functioning. In particular, we explored the predictive ability of emotional regulation patterns in discriminating between RA styles, and their impact on the quality of romantic relationships, in the anticipation of dyadic adjustment variations. (shrink)

Introduction: The present study aimed to investigate the effects of two high-intensity interval training shuttle-run-based models, over ten weeks on aerobic, anaerobic, and neuromuscular parameters, and the association of the training load and heart rate variability with the change in the measures in young futsal players. Methods: Eleven young male futsal players participated in this study. This pre-post study design was performed during a typical 10 weeks training period. HIIT sessions were conducted at 86% and 100% of peak speed of (...) the FIET. Additionally, friendly and official matches, technical-tactical and strength-power training sessions were performed. Before and after the training period, all players performed the FIET, treadmill incremental, repeated sprint ability, sprint 15-m, and vertical jump tests, and the HRV was measured. Training load was monitored using the session rating of perceived effort. Data analysis was carried out using Bayesian inference methods. Results: The HIIT86 model showed clear improvements for the peak oxygen uptake, peak speed in the treadmill incremental test, first and second ventilatory thresholds, RSA best and mean times, CMJ, and SJ. The HIIT100 model presented distinct advances in VO2peak, peak speed in the treadmill incremental test, RSA mean time, and CMJ. Between HIIT models comparisons showed more favorable probabilities of improvement for HIIT86 than HIIT100 model in all parameters. TL data and HIIT models strongly explained the changes in the RSA mean and best times, as well as HRV changes, and HIIT models explained positively VO2peak changes. All other changes in the parameters were low to moderately explained. Conclusion: The HIIT86 proved to be more effective for improving aerobic, RSA, and neuromuscular parameters than HIIT100 during a typical 10-week futsal training period. So, strength and conditioning specialists prescribing shuttle-run intermittent exercises at submaximal intensities can manage the individual acceleration load imposed on athlete increasing or decreasing either the set duration or the frequency of change of direction during HIIT programming. (shrink)

Introduction: All countries face the issue of choice in healthcare. Allocation of healthcare resources is clearly associated with the concept of distributive justice and to the existence of a right to healthcare. Nevertheless, there is still the question of whether this right should include all types of healthcare services or if it should be limited to selected types. It follows that choices must be made, priorities must be set and that efficiency of healthcare services should be maximum.

Using survey data collected from chief executives of nonprofit organizations and financial performance information, the current study examined the influence of the individual chief executive characteristics on their perception of organization performance. The study found that executives with internal Locus of Control, high collectivism values, and analytical decision styles have greater convergence between their perceptions of performance and a financial measure. The study findings also offer support for existing theories that suggest executive cognitions play a significant role in filtering information, (...) ultimately influencing the accuracy of perceptions and the effectiveness of strategic choices. (shrink)

The more we rely on digital assistants, online search engines, and AI systems to revise our system of beliefs and increase our body of knowledge, the less we are able to resort to some independent criterion, unrelated to further digital tools, in order to asses the epistemic reliability of the outputs delivered by them. This raises some important questions to epistemology in general and pressing questions to applied to epistemology in particular. In this paper, we propose an experimental method for (...) the assessment of GPT-3’s capacity to generate consistent and coherent sets of outputs. When several outputs to one and the same input are very repetitive they tend to be consistent with each other, that is they do not contradict each other. But consistency does not make the set of outputs as a whole more informative than the outputs considered individually. We argue that the less informative a set of outputs is, the less coherent it is. We establish a conceptual distinction between consistency and coherence in the light of what some epistemologists refer to as a coherence theories of truth and justification. While much attention has been given to GPT-3’s capacity to produce internally coherent individual outputs, we argue, instead, that more attention should be given to its capacity to produce consistent and coherent outputs generated on a single-input-multiple-outputs basis. (shrink)

Vico e Wittgenstein apresentam concepções diferentes a respeito da relação entre linguagem e mundo. Essa diferença resulta no modo como julgam a possibilidade da ética ser tratada dentro da linguagem, portanto, de possuir sentido. Enquanto Wittgenstein, no Tractatus Logico-Philosophicus, apresenta uma concepção da relação linguagem-mundo pautada no isomorfismo da forma lógica das sentenças com a forma lógica dos fatos, Vico, na Ciência Nova, a concebe por meio das experiências e condições de existência humanas, na qual a linguagem diz do mundo (...) através de relações metafóricas que estabelecem ligações entre o diverso. Por conta disso, o primeiro julga que sentenças éticas seriam desprovidas de sentido, pois não refletem a forma lógica de fato algum. Já o segundo, ao notar que elementos como as fábulas contribuem para dispor os homens favoravelmente para a vida civil, julga que cumprem efetivamente uma função ética. (shrink)

Evidence-Based Medicine (EBM) is defined as the conscious, and judicious use of current best evidence in making decisions about the care of individual patients. The greater the level of evidence the greater the grade of recommendation. This pioneering explicit concept of EBM is embedded in a particular view of medical practice namely the singular nature of the patient-physician relation and the commitment of the latter towards a specific goal: the treatment and the well being of his or her client. Nevertheless, (...) in many European countries as well as the United States, this integration of the best evidence from systematic research with clinical expertise and patient values appears to be re-interpreted in light of the scarcity of healthcare resources. The purpose of this paper is double. First, to claim that from an ethical perspective EBM should be a guideline to clinical practice; and second, that in specific circumstances EBM might be a useful tool in macro-allocation of healthcare resources. Methodologically the author follows Norman Daniels' theory of democratic accountability to justify this assumption. That is, choices in healthcare must be accountable by democratic procedures. This perspective of distributive justice is responsible for the scope and limits of healthcare services. It follows that particular entitlements to healthcare — namely expensive innovative treatments and medicines —may be fairly restricted as long as this decision is socially and democratically accountable and imposed by financial restrictions of the system. In conclusion, the implementation of EBM, as long as it limits the access to drugs and treatments of unproven scientific results is in accordance with this perspective. The use of EBM is regarded as an instrument to facilitate the access of all citizens to a reasonable level of healthcare and to promote the efficiency of the system. (shrink)

The link between leadership and mental health at the workplace is well established by prior research. However, most of the studies have addressed this relationship from a single-source perspective. The aim of this study was to examine how supervisor and employee ratings of health-oriented leadership correspond to each other and which sources are predictive for employee mental health. We assessed data within 99 teams containing 713 employees in 11 different companies in Southern Germany. Supervisors and their staff completed questionnaires on (...) the supervisors’ health-oriented staff-care dimensions awareness, value of health and health behavior and current mental distress. Hierarchical linear models revealed that supervisors’ self-ratings were significantly related to their employees’ ratings only on the health behavior dimension, but not on the health awareness and value of health dimensions. Also, supervisors rated themselves significantly higher on HoL compared to their employees. Employee ratings of HoL significantly predicted their own level of mental distress, whereas supervisor ratings of HoL did not predict employees’ mental distress at the team level. Supervisors’ self-ratings of HoL did not influence the relationship between employee ratings of HoL and their mental distress on an individual level. These results highlight the complex relationship between multisource assessments of HoL and employee mental health, emphasizing the importance of subjective perception for mental health. Future studies should investigate under which conditions supervisor and employee ratings correspond to each other and are predictive for mental health at the workplace. (shrink)

Este artigo tem por finalidade apresentar alguns aspectos relacionados à questão do corpo na filosofia de Michel Foucault. Para isso, a nossa investigação se dará em dois momentos: no primeiro momento analisaremos a relação do corpo com a medicina para percebermos como a visão deste saber sobre o corpo se modificou a partir do século XVII, veremos que há uma relação entre o olhar médico e o corpo em si. O segundo momento será dedicado a uma explicitação acerca da relação (...) entre poder e corpo; será possível notar que as práticas subjetivas são determinadas a partir de dispositivos culturais próprios de uma realidade cultural. No esteio disso, o poder disciplinar, que tem o seu ideal no panóptico, foi elemento preponderante para o projeto de domesticação dos corpos. Enfim, não é possível afirmar uma teoria sobre o corpo, no pensamento do filósofo francês, pois a sua investigação traz à tona a complexidade das estruturas culturais que determinam as diversas percepções a respeito desse corpo. (shrink)

As considerações que faremos neste artigo vai analisar como o metabolismo se torna um mecanismo que representa o primeiro gesto de liberdade da vida na filosofia de Hans Jonas. A centralidade da discussão está no fato de que a vida é um processo de manutenção de si onde a liberdade está presente desde as estruturas mais simples do organismo às mais desenvolvidas. O nosso objetivo é o de mostrar, a partir de uma análise das ideias de liberdade e necessidade, como (...) a vida se abre para uma transcendência ou, tecnicamente falando, para uma nova ontologia. (shrink)

O presente trabalho tem como objetivo compreender os desafios da cultura inclusiva para a Educação Física escolar tendo a interdisciplinaridade como proposta pedagógica. Num primeiro momento a Educação Física é apresentada como campo interdisciplinar de conhecimento por não ser uma ciência e sim uma área que tem como objeto as manifestações da cultura corporal de movimento. Posteriormente apresentamos a interdisciplinaridade como proposta pedagógica que nos permite um pensar mais complexo e dialógico. Ao final trazemos ao texto a interdisciplinaridade como ferramenta (...) para mediar as práxis de Educação Física levantando algumas reflexões a fim de contribuir com a cultura inclusiva. (shrink)

O artigo investiga a noção de corporeidade apresentada por Merleau-Ponty em O olho e o espírito. Na crítica aos modelos filosóficos constituídos pela filosofia reflexivas e seu modo de compreensão do corpo, Merleau-Ponty evidencia, ao longo de O olho e o espírito, a reflexividade corporal a partir da noção de estesiologia e suas consequências filosóficas. Enfatiza, no contexto de sua nova ontologia, o enigma do corpo e o delírio da visão, a partir da duplicidade do sentir. Aproximando-se da arte e (...) do gesto do pintor, o filósofo compreende o corpo no quiasma sensível e senciente e a visão como interrogação das coisas sensíveis do mundo. (shrink)

The development of neuropsychological assessment methods using virtual reality (VR) is a valid and promising option for the detection of cognitive impairment in the older people, focusing on activities composed of tasks of multiple demands. This study verified the association of age, schooling, and general cognitive status on the performance of neurologically healthy older adults in ECO-VR, a virtual reality task of multiple demands for neuropsychological assessment. A total of 111 older adults answered a sociodemographic questionnaire, the Mini Mental State (...) Examination, the Vocabulary subtest of the Wechsler Intelligence Scale for Adults (third edition), and the ECO-VR. Correlation analyses, multiple linear regression, and comparisons between groups (effects by age and schooling groups) were used to evaluate the results. The ECO-VR total score was significantly associated with age, years of education, MMSE, and Vocabulary subtest. The linear regression models identified that age was the main predictor for total score and rule breaking of ECO-VR. According to the univariate analysis, it was identified the main effect of age group and schooling group in the total ECO-VR score, but there was no interaction effect. The results are discussed in order to understand the role of sociodemographic characteristics in the performance of older adults in a virtual reality task of multiple demands. It was also verified the possibility use of virtual reality for neuropsychological assessment of older adults. (shrink)

Este artigo pretende caracterizar de forma geral os posicionamentos fisicalistas na filosofia da mente e indicar como a questão do livre-arbítrio surge e pode ser crucial para tal corrente de pensamento. Primeiramente pretende mostrar a diferença entre a posição reducionista e a não-reducionista e depois salientar suas potencialidades e dificuldades na abordagem da questão do livre-arbítrio. Enfim, mesmo que a questão ainda fique em aberto, verificar-se-á que o livre-arbítrio parece não encontrar espaço no cenário apresentado pelas correntes fisicalistas.

O livro analisa as obras dos principais filósofos que criaram as bases da filosofia da arte contemporânea.