Communicational efforts for the construction of relationships in contemporary society: mediations and technology

This article aims to discuss the necessary alignment of communication efforts to build longlasting relationships between a organization and it public facing the ephemerality of the contemporary society. It begins with the historical and conceptual evolution of  Public Relations activity, highlighting, afterwards, the social and technological context in which we live, which features lead to a discussion about the integration of professionals’ skills from various fields of communication. Such integration enhances the construction of relational process, since it is an absolute necessity that translates changes and challenges over which we shed light with this article

Esforços comunicacionais para a construção de relacionamentos na contemporaneidade: mediações e tecnologia

Objetiva-se discutir o necessário alinhamento dos esforços comunicacionais para a construção de relacionamentos duradouros entre uma organização e seus públicos frente à efemeridade da sociedade contemporânea. Inicia-se com o histórico e evolução conceitual da atividade de Relações Públicas, evidenciando, a seguir, o contexto social e tecnológico no qual se vive, cujas características conduzem à discussão sobre a integração das competências dos profissionais dos vários campos da comunicação. Tal integração potencializa a construção do processo relacional, já que se trata de uma necessidade absoluta que traduz mutações e desafios sobre os quais se lança luz neste artigo

Diálogo: o alicerce para humanizar a comunicação organizacional na sociedade contemporânea

Com o surgimento das redes sociais digitais e a ampliação das oportunidades para a participação dos agentes sociais no desenvolvimento da sociedade, as organizações devem pensar em práticas de comunicação mais “humanizadas”, a fim de interagir com seus públicos de interesse, hoje, mais céticos e críticos no que tange às ações, reações e decisões corporativas. Desse desafio decorre o objetivo deste artigo: refletir sobre o diálogo como alternativa para humanizar a comunicação organizacional, de maneira a atender às necessidades e expectativas da sociedade e construir relacionamentos duradouros com os públicos contemporâneos

Concientización y participación: las relaciones públicas comunitarias en la construcción de la ciudadanía

Los procesos que constituyen la sociedade y las organizaciones carecen de la participación activa de los sujetos en la transformación de la realidad, considerando la necesidad de una consciencia sensible a las demandas sociales y que produzcan modos de pensar que llevan a la acción. Este artículo problematiza, a través de investigación bibliográfica, la formación de la consciencia del sujeto y los desafíos de las relaciones públicas comunitarias en el fomento de la participación de los actores sociales para la construcción de la ciudadanía, vislumbrando una sociedade más igualitaria y solidaria.Os processos que constituem a sociedade e as organizações carecem da ativa participação dos sujeitos na transformação da realidade, considerando a necessidade de uma consciência sensível às demandas sociais e que produzam modos de pensar que levem à ação. Este artigo discute, por meio de pesquisa bibliográfica, a formação da consciência do sujeito e os desafios das relações públicas comunitárias no fomento da participação dos atores sociais para a construção da cidadania, vislumbrando uma sociedade mais igualitária e solidária.The processes that establish the society and the organizations need the active participation of the subjects to change the reality, pursuant to the need for consciousness sensitive to the social demands and generating ways of thinking that lead to action. This article discusses, using bibliographic research, the development of the subject’s awareness and the challenges of community public relations in fostering the participation of social players in the construction of citizenship, foreseeing a more equitable and solidary society

Análise da visão crítica de segurança e sua relação com lesões de vias biliares / A study of the Critical Vision of Safety and it relation with bile duct lesion

INTRODUÇĀO: A Visão Crítica da Segurança (VCS) proposta por Strasberg é a técnica para identificação dos elementos críticos do triângulo de Calot durante a colecistectomia. Tal técnica foi adotada em diversas escolas em todo mundo e apesar de não estar comprovada a diminuição das taxas de lesão do ducto biliar (LDB), é fato que fatores como inexperiência e aplicação incorreta da técnica pode estar confrontando os dados. Tal possibilidade deve ser identificada se houver esperança de beneficio de sua utilização. OBJETIVO: analisar se os cirurgiões identificam os elementos do triangulo de Calot e se houve correlação com aumento de lesão de via biliar1,2. RESULTADOS: Apenas 68, de um total de 100 cirurgiões, responderam a pesquisa (68%).  Foi evidenciado que 56 (82.4%) dos cirurgiões afirmaram realizar colecistectomia laparoscópica de forma rotineira e 28 (42.4%) afirmaram que praticamente só realizam o procedimento por vídeo. Quando questionados sobre lesão de via biliar, 26 (38.2%) cirurgiões afirmaram já ter tido tal evento durante sua pratica e apenas 36 (52.9%) afirmaram conhecer a visão critica de segurança. CONCLUSĀO: A porcentagem de cirurgiões que identificaram de forma precisa os elementos do VCS foi baixa e os mesmos, apresentaram maior probabilidade de LDB.

Primary umbilical endometriosis

ABSTRACT Objective: to report the characteristics, evolution and outcome of patients with primary umbilical endometriosis. Methods: an observational and descriptive study of patients with primary umbilical endometriosis diagnosed between 2014 and 2017. The clinical variables evaluated were age, clinical picture, lesion characteristics, diagnostic methods, treatment and recurrence. Results: six patients diagnosed with primary umbilical endometriosis aged 28 to 45 years were operated on during the study period. They had lesions ranging from one to 2.5cm in diameter, violet in five patients and erythematous-violaceous in one. The duration of the symptoms until diagnosis ranged from one to three years and in all the cases studied the diagnosis was made through the clinical manifestations and confirmed by histopathological analysis. No case was associated with neoplastic alterations. All patients evaluated had pain and umbilical bleeding in the menstrual period. Conclusion: umbilical endometriosis is an uncommon disease and should be included in the differential diagnosis of women as umbilical nodules. The treatment of choice is the total exeresis of the lesion

Primary umbilical endometriosis

<div><p>ABSTRACT Objective: to report the characteristics, evolution and outcome of patients with primary umbilical endometriosis. Methods: an observational and descriptive study of patients with primary umbilical endometriosis diagnosed between 2014 and 2017. The clinical variables evaluated were age, clinical picture, lesion characteristics, diagnostic methods, treatment and recurrence. Results: six patients diagnosed with primary umbilical endometriosis aged 28 to 45 years were operated on during the study period. They had lesions ranging from one to 2.5cm in diameter, violet in five patients and erythematous-violaceous in one. The duration of the symptoms until diagnosis ranged from one to three years and in all the cases studied the diagnosis was made through the clinical manifestations and confirmed by histopathological analysis. No case was associated with neoplastic alterations. All patients evaluated had pain and umbilical bleeding in the menstrual period. Conclusion: umbilical endometriosis is an uncommon disease and should be included in the differential diagnosis of women as umbilical nodules. The treatment of choice is the total exeresis of the lesion.</p></div

Intrapancreatic accessory spleen

<div><p>ABSTRACT An asymptomatic 79-year-old woman, with incidental finding on abdominal ultrasound of a solid nodule in the tail of the pancreas. Magnetic resonance imaging showed a 12mm solid tumor. The suggested diagnosis was pancreatic neuroendocrine tumor. The pathological examination showed an intrapancreatic splenic tissue. This is a rare ectopic location of spleen tissue and it should be considered in the differential diagnosis of pancreatic solid tumors.</p></div

Giant esophageal epiphrenic diverticulum: presentation and treatment

<div><p>ABSTRACT Epiphrenic diverticulum is a rare disease associated with esophageal motor disorders that is usually asymptomatic and has a well-established surgical indication. We report a case of giant epiphrenic diverticulum in a 59-year-old symptomatic woman who was diagnosed after underwent complementary exams. Because of her symptoms, the surgical treatment was chosen, and esophageal diverticulectomy was performed along with laparoscopic cardiomyotomy and anterior partial fundoplication.</p></div

Inguinodynia in patients submitted to conventional inguinal hernioplasty

ABSTRACT Objective : to evaluate the incidence of chronic pain and its impact on the quality of life of patients submitted to inguinal hernioplasty using the Lichtenstein technique. Methods : this was a descriptive, cross-sectional study of patients operated under spinal anesthesia from February 2013 to February 2015 and who had already completed six postoperative months. We questioned patients about the presence of chronic inguinal pain and, if confirmed, invited them to a consultation in which we assessed the pain and its impact on quality of life. Results : out of 158 patients submitted to the procedure, we identified 7.6% as having inguinodynia. Of these, there was an impact on the quality of life in 25%. Conclusion : the incidence of inguinodynia after hernioplasty with repercussion in quality of life was similar to the one of found in the world literature