29 research outputs found

    Saberes na graduação em administração : um estudo nas universidades federais do estado de Minas Gerais

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    Conforme censo da educação superior no Brasil de 2015, o curso de administração é um dos mais procurados no país. Esta pesquisa teve como objetivo investigar como surgem e são legitimados os saberes na graduação em administração das universidades federais mineiras. Na tentativa de responder a este objetivo, foi realizada uma caracterização do curso, investigados os saberes veiculados na matriz curricular e analisada a produção de verdades na graduação. A abordagem metodológica escolhida para este estudo foi a da pesquisa qualitativa por meio da técnica de análise de conteúdo. A produção dos dados foi feita mediante a análise de um conjunto de 13 (treze) projetos pedagógicos. Como resultados foram identificados os objetivos do pensamento crítico e reflexivo, do campo de atuação e da qualificação técnica, os perfis responsável e generalista e os métodos da transmissão, da prática e da construção do saber. Em relação aos saberes veiculados na matriz curricular, foram investigados os saberes de formação básica, nas funções organizacionais, das especificidades regionais e organizacionais, formação social, ambiental e ética e em pesquisa. Assim, com a análise das características do curso com os saberes veiculados nas matrizes curriculares foi possível analisar a produção de verdades na graduação. Os objetivos do campo de atuação, da qualificação técnica e o perfil generalista são as características que se relacionam com os saberes mais presentes na graduação, de modo que os objetivos econômicos ainda estão ocupando uma posição hegemônica na formação dos bacharéis em administração entre as universidades pesquisadas.According to a census of higher education in Brazil in 2015, the administration course is one of the most sought after in the country. This research had as objective to investigate how the knowledge and the knowledge in the administration graduation of the federal universities of Minas Gerais arise and are legitimized. In an attempt to respond to this objective, a course characterization was carried out, the knowledge conveyed in the curricular matrix was investigated and the production of truths at the undergraduate level was analyzed. The methodological approach chosen for this study was that of the qualitative research through the technique of content analysis. The data were produced through the analysis of a set of 13 (thirteen) pedagogical projects. As results, the objectives of critical and reflexive thinking, the field of performance and technical qualification, the responsible and generalist profiles and the methods of transmission, practice and knowledge construction were identified. In relation to the knowledge conveyed in the curricular matrix, the basic training knowledge in organizational functions, regional and organizational specificities, social, environmental and ethical training and research were investigated. Thus, with the analysis of the characteristics of the course with the knowledge conveyed in the curricular matrices, it was possible to analyze the production of truths in the undergraduate course. The objectives of the field of activity, the technical qualification and the generalist profile are the characteristics that are related to the most present knowledge in the undergraduate, so that the economic objectives are still occupying a hegemonic position in the formation of the bachelors in administration among the researched universities

    The influence of age at onset and duration of illness on long-term outcome in patients with obsessive-compulsive disorder: A report from the International College of Obsessive Compulsive Spectrum Disorders (ICOCS)

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    Please help populate SUNScholar with the full text of SU research output. Also - should you need this item urgently, please send us the details and we will try to get hold of the full text as quick possible. E-mail to [email protected]. Thank you.Journal Articles (subsidised)Geneeskunde en GesondheidswetenskappePsigiatri

    Pharmacological treatment strategies in obsessive compulsive disorder : a cross-sectional view in nine international OCD centers

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    Objective: It is unknown what next-step strategies are being used in clinical practice for patients with obsessivecompulsive disorder (OCD) who do not respond to first-line treatment. As part of a cross-sectional study of OCD, treatment and symptom information was collected. Method: Consecutive OCD out-patients in nine international centers were evaluated by self-report measures and clinical/structured interviews. OCD symptom severity was evaluated by the Yale Brown Obsessive Compulsive Scale (YBOCS) and Clinical Global ImpressionSeverity Scale (CGI-S). Clinical response to current treatment was evaluated by the CGI-Improvement Scale (CGI-I 64 2). Results: In total, 361 participants reported taking medication; 77.6% were taking a selective serotonin reuptake inhibitor; 50% reported use of at least one augmentation strategy. Antipsychotics were most often prescribed as augmenters (30.3%), followed by benzodiazepines (24.9%) and antidepressants (21.9%). No differences in OCD symptom severity were found between patients taking different classes of augmentation agents. Conclusions: Results from this international cross-sectional study indicate that current OCD treatment is in line with evidence-based treatment guidelines. Although augmentation strategies are widely used, no significant differences in OCD symptom severity were found between monotherapy and augmentation or between different therapeutic agents

    Manifesto for a European research network into obsessive-compulsive and related disorders.

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    Obsessive-compulsive and related disorders (O-CRDs) are highly disabling psychiatric illnesses of early-onset. They are responsible for considerable morbidity and socioeconomic burden. Existing treatments are usually only partially successful and there is an urgent need to understand the aetiological factors and neurobiological bases of the disorders in order to develop new and more effective strategies for prevention, early detection and effective treatment. Emerging data from the neurosciences supports the reconceptualisation of obsessive-compulsive disorder as a spectrum disorder, related to but different from the anxiety disorders and closely aligned with other less well understood psychiatric disorders characterised by compulsive acts such as body dysmorphic disorder, trichotillomania, skin-picking disorder, hoarding disorder; and possibly extending to tic disorders and other neurodevelopmental disorders such as autism. A new, O-CRDs research network, supported by the Networks Initiative of the European College of Neuropsychopharmacology and comprising leading figures in preclinical and clinical research, has been established. It aims to provide a European perspective on the current debate around internationally-accepted diagnostic criteria and treatment strategies for O-CRDs. Its objectives include; (1) identifying the key outstanding research questions that depend upon cross-centre collaborative investigation, (2) setting a research agenda that is likely to produce an impact on health-outcomes, and (3) strengthening existing projects and collaborative enterprises with these objectives in mind. This paper reviews some of these critical research priorities. By establishing shared multinational databases, collaborative research networks, multicentre studies and joint publications, it is hoped that progress will be achieved

    Childhood, adolescent and adult age at onset and related clinical correlates in obsessive-compulsive disorder: a report from the International College of Obsessive-Compulsive Spectrum Disorders (ICOCS).

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    OBJECTIVE: Many studies suggest that age at onset (AAO) is an important factor for clinically differentiating patients with juvenile and adult onset of obsessive-compulsive disorder (OCD). The present international study aimed to assess the prevalence of different AAO groups and compare related socio-demographic and clinical features in a large sample of OCD patients. METHODS: A total of 431 OCD outpatients, participating in the ICOCS network, were first categorised in groups with childhood (≤12 years), adolescent (13-17 years) and adult-onset (≥18 years), then in pre-adult and adult onset (≥18 years) and their socio-demographic and clinical features compared. RESULTS: Twenty-one percent (n = 92) of the sample reported childhood onset, 36% (n = 155) adolescent onset, and 43% (n = 184) adult onset. Patients with adult onset showed a significantly higher proportion of females compared with the other subgroups (χ(2 )=( )10.9, p< 0.05). Childhood- and adolescent-onset patients had been more frequently treated with cognitive behavioural therapy (CBT), compared to adult-onset patients (χ(2 )=( )11.5; p < 0.05). The pre-adult- versus adult-onset analysis did not show any additional significant difference. CONCLUSIONS: The present international multicentre study confirms that OCD onset occurs more frequently before adult age, with approximately one out of five patients showing childhood onset. Pre-adult onset was associated with higher rate of CBT, while adult onset was more prevalent in females

    Prevalence of suicide attempt and clinical characteristics of suicide attempters with Obsessive-Compulsive Disorder: a report from the International College of Obsessive-Compulsive Spectrum Disorders (ICOCS)

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    Objective: Obsessive-Compulsive Disorder (OCD) is associated with a variable risk of suicide but its prevalence and risk factors have not been extensively investigated. The present study was aimed to assess prevalence of suicide attempt (SA) and associated socio-demographic and clinical features in a large international sample of OCD patients. Methods: 425 OCD outpatients, recruited by the “international college of obsessive-compulsive spectrum disorders” (ICOCS) network, were assessed and categorized in groups with or without lifetime SA and their sociodemographic and clinical variables compared through Pearson Chi-squared and t tests. Logistic regression was performed to assess the impact of collected data on the SA variable. Results: 14.6% of the sample reported at least one lifetime SA. Patients with SA had significantly higher rates of comorbid psychiatric (60%vs17%, p<.001) and medical disorders (51%vs15%, p<.001) as well as previous hospitalizations (62%vs11%, p<.001), compared with patients with no SA. With respect to geographical differences, European and South African patients showed significantly higher rates of SA (40% and 39%, respectively) compared to North American and Middle-Eastern individuals (13% and 8%, respectively) (χ2=11.4, p<.001). Logistic regression did not show any statistically significant predictor of SA among selected independent variables. Conclusions: The present international multicenter study found a lifetime SA prevalence of approximately 15% in OCD patients, with higher rates of psychiatric and medical comorbidities and previous hospitalizations in patients with previous SA. Along with potential geographical influences, the presence of the above-mentioned features should recommend additional caution in the assessment of suicide risk in OCD patients

    Obsessive-compulsive disorder in the elderly: A report from the International College of Obsessive-Compulsive Spectrum Disorders (ICOCS)

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    Introduction: Obsessive-compulsive disorder (OCD) is a highly disabling condition, with frequent early onset. Adult/adolescent OCD has been extensively investigated, but little is known about prevalence and clinical characterization of geriatric patients with OCD (G-OCD >= 65 years). The present study aimed to assess prevalence of G-OCD and associated socio-demographic and clinical correlates in a large international sample. Methods: Data from 416 outpatients, participating in the ICOCS network, were assessed and categorized into 2 groups, age = 65 years, and then divided on the basis of the median age of the sample (age = 42 years). Socio-demographic and clinical variables were compared between groups (Pearson Chi-squared and t tests). Results: G-OCD compared with younger patients represented a significant minority of the sample (6% vs 94%, P <.001), showing a significantly later age at onset (29.4 +/- 15.1 vs 18.7 +/- 9.2 years, P <.001), a more frequent adult onset (75% vs 41.1%, P <.001) and a less frequent use of cognitive-behavioural therapy (CBT) (20.8% vs 41.8%, P <.05). Female gender was more represented in G-OCD patients, though not at a statistically significant level (75% vs 56.4%, P = .07). When the whole sample was divided on the basis of the median age, previous results were confirmed for older patients, including a significantly higher presence of women (52.1% vs 63.1%, P <.05). Conclusions: G-OCD compared with younger patients represented a small minority of the sample and showed later age at onset, more frequent adult onset and lower CBT use. Age at onset may influence course and overall management of OCD, with additional investigation needed. (C) 2017 Elsevier Masson SAS. All rights reserve
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