8 research outputs found

    Terapias voltadas para o tratamento do transtorno dissociativo de identidade

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    O transtorno dissociativo de identidade compreende uma condição psicológica complexa provavelmente causada por inúmeros fatores, envolvendo trauma grave na primeira infância, como abuso sexual, físico ou emocional repetitivo e extremo e repetitivo. Este estudo teve como objetivo identificar as terapias voltadas para o tratamento do transtorno dissociativo de identidade. Para isso, foi realizada uma revisão integrativa de literatura, selecionando fontes a partir das bases de dados Medline e Lilacs. A partir da análise qualitativa de dados, concluiu-se que há vários tipos de terapias para o tratamento de pessoas transtorno dissociativo de identidade, devendo essas serem aplicadas conforme cada realidade. Nos estudos, foram identificados os modelos de tratamento psicanalítico relacional, fásico, psicoativo e psicotraumatológico. Em todos esses, foram registrados resultados satisfatórios, tais como a diminuição na dissociação e o aumento do funcionamento adaptativo do paciente, revelando a possibilidade de desconstruir crenças solidamente cultivadas e trazendo esperança aos pacientes no sentido de amenizar ou superar esse transtorno e garantir uma boa interação social

    Os ESTADOS UNIDOS NO ACORDO DE PARIS: COMPROMISSOS, CONSEQUÊNCIAS E DESAFIOS: commitments, consequences and challenges

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    The United States is the second largest emitter of greenhouse gasses in the world, after China. Therefore, the contribution of the United States to the Paris Agreement is seen as an important gesture to contain global warming. In this sense, the objective of this research is to analyze to what extent the withdrawal of the United States from the Paris Agreement can derail the progress represented by the reduction in the emission of greenhouse gasses, proposed in the scope of the United Nations Framework Convention on the Change of the Climate (UNFCCC). From an exploratory perspective and with a qualitative methodological character, this debate covers issues related to the field of International Environmental Policy, specifically, in the context of the United States' performance in the Paris Agreement, a factor that triggers global challenges.Os Estados Unidos são o segundo maior emissor de gases de efeito estufa do mundo, logo  após a China. Por isso, a contribuição dos Estados Unidos no Acordo de Paris é vista como  um gesto importante para conter o aquecimento global. Nesse sentido, o objetivo desta pesquisa é analisar em que medida a saída dos Estados Unidos do Acordo de Paris pode prejudicar o progresso representado pela redução na emissão de gases do efeito estufa, proposta no âmbito da Convenção - Quadro das Nações Unidas sobre a Mudança do Clima (CQNUMC). A partir de uma perspectiva exploratória e com caráter metodológico qualitativo, este debate abrange as questões relacionadas ao campo da Política Ambiental Internacional, especificamente, no contexto da atuação dos Estados Unidos no Acordo de Paris, fator que desencadeia desafios globais

    Impulsionamento de Conteúdo na Internet e Desempenho Eleitoral no Legislativo Brasileiro: uma replicação

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    Este trabalho consiste em uma replicação da monografia “Campanha eleitoral online no Brasil em 2018: mais gasto com Internet ganha eleição?”, de Nunes (2018). A partir da constatação de que a pesquisa original não elimina devidamente os obstáculos para o estabelecimento de relações causais apresentados por Kellstedt e Whitten (2013), pretende-se, com esta replicação, a partir da utilização da técnica de regressão logística, confirmar ou contestar as inferências resultantes da obra analisada com base nos dados do Tribunal Superior Eleitoral para as eleições de 2018. Além disso, a presente pesquisa dialoga diretamente com as dimensões pedagógica, substantiva e de transparência, que são inerentes à replicabilidade, segundo Rocha et al. (2013), na medida em que implica no aprimoramento das técnicas a partir da replicação e na facilitação da aprendizagem, além da proteção contra erros honestos que podem vir a ocorrer. A partir da análise de 5035 casos, obtivemos o resultado estatisticamente significante de que há relação positiva entre Gastos com Impulsionamento de Conteúdo na Internet e Sucesso Eleitoral

    Effects of pre-operative isolation on postoperative pulmonary complications after elective surgery: an international prospective cohort study

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    We aimed to determine the impact of pre-operative isolation on postoperative pulmonary complications after elective surgery during the global SARS-CoV-2 pandemic. We performed an international prospective cohort study including patients undergoing elective surgery in October 2020. Isolation was defined as the period before surgery during which patients did not leave their house or receive visitors from outside their household. The primary outcome was postoperative pulmonary complications, adjusted in multivariable models for measured confounders. Pre-defined sub-group analyses were performed for the primary outcome. A total of 96,454 patients from 114 countries were included and overall, 26,948 (27.9%) patients isolated before surgery. Postoperative pulmonary complications were recorded in 1947 (2.0%) patients of which 227 (11.7%) were associated with SARS-CoV-2 infection. Patients who isolated pre-operatively were older, had more respiratory comorbidities and were more commonly from areas of high SARS-CoV-2 incidence and high-income countries. Although the overall rates of postoperative pulmonary complications were similar in those that isolated and those that did not (2.1% vs 2.0%, respectively), isolation was associated with higher rates of postoperative pulmonary complications after adjustment (adjusted OR 1.20, 95%CI 1.05-1.36, p = 0.005). Sensitivity analyses revealed no further differences when patients were categorised by: pre-operative testing; use of COVID-19-free pathways; or community SARS-CoV-2 prevalence. The rate of postoperative pulmonary complications increased with periods of isolation longer than 3 days, with an OR (95%CI) at 4-7 days or >= 8 days of 1.25 (1.04-1.48), p = 0.015 and 1.31 (1.11-1.55), p = 0.001, respectively. Isolation before elective surgery might be associated with a small but clinically important increased risk of postoperative pulmonary complications. Longer periods of isolation showed no reduction in the risk of postoperative pulmonary complications. These findings have significant implications for global provision of elective surgical care

    NEOTROPICAL XENARTHRANS: a data set of occurrence of xenarthran species in the Neotropics

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    Xenarthrans—anteaters, sloths, and armadillos—have essential functions for ecosystem maintenance, such as insect control and nutrient cycling, playing key roles as ecosystem engineers. Because of habitat loss and fragmentation, hunting pressure, and conflicts with domestic dogs, these species have been threatened locally, regionally, or even across their full distribution ranges. The Neotropics harbor 21 species of armadillos, 10 anteaters, and 6 sloths. Our data set includes the families Chlamyphoridae (13), Dasypodidae (7), Myrmecophagidae (3), Bradypodidae (4), and Megalonychidae (2). We have no occurrence data on Dasypus pilosus (Dasypodidae). Regarding Cyclopedidae, until recently, only one species was recognized, but new genetic studies have revealed that the group is represented by seven species. In this data paper, we compiled a total of 42,528 records of 31 species, represented by occurrence and quantitative data, totaling 24,847 unique georeferenced records. The geographic range is from the southern United States, Mexico, and Caribbean countries at the northern portion of the Neotropics, to the austral distribution in Argentina, Paraguay, Chile, and Uruguay. Regarding anteaters, Myrmecophaga tridactyla has the most records (n = 5,941), and Cyclopes sp. have the fewest (n = 240). The armadillo species with the most data is Dasypus novemcinctus (n = 11,588), and the fewest data are recorded for Calyptophractus retusus (n = 33). With regard to sloth species, Bradypus variegatus has the most records (n = 962), and Bradypus pygmaeus has the fewest (n = 12). Our main objective with Neotropical Xenarthrans is to make occurrence and quantitative data available to facilitate more ecological research, particularly if we integrate the xenarthran data with other data sets of Neotropical Series that will become available very soon (i.e., Neotropical Carnivores, Neotropical Invasive Mammals, and Neotropical Hunters and Dogs). Therefore, studies on trophic cascades, hunting pressure, habitat loss, fragmentation effects, species invasion, and climate change effects will be possible with the Neotropical Xenarthrans data set. Please cite this data paper when using its data in publications. We also request that researchers and teachers inform us of how they are using these data

    Erratum to: Guidelines for the use and interpretation of assays for monitoring autophagy (3rd edition) (Autophagy, 12, 1, 1-222, 10.1080/15548627.2015.1100356

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    Guidelines for the use and interpretation of assays for monitoring autophagy (3rd edition)

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