A IMPORTÂNCIA DAS RELAÇÕES AFETIVAS NO PROCESSO DE ENSINO E APRENDIZAGEM: UMA PERSPECTIVA INCLUSIVA

A afetividade, conjunto de fenômenos psíquicos que se manifestam em forma de emoções e sentimentos podem ser fundamentais nos processos de ensino e de aprendizagem. A emoção e o intelecto são dimensões inseparáveis do ser humano e essa indissociabilidade deve ser considerada no planejamento e desenvolvimento de atividades pedagógicas. Sendo assim, no decorrer deste artigo será exposta a importância das relações afetivas nos atendimentos pedagógicos realizados junto a Estudantes Público-Alvo da Educação Especial que frequentam o Centro de Promoção para Inclusão Digital, Escolar e Social (CPIDES) da Faculdade de Ciências e Tecnologia (FCT/UNESP). Por meio de uma revisão bibliográfica e com base nos resultados dos atendimentos realizados entre os períodos letivos de 2013 e 2014 foi possível concluir que a importância dada às relações afetivas durante os atendimentos contribuiu para a aprendizagem dos estudantes, considerando a forma como passaram a se relacionar e compreender os conteúdos abordados

Farmacovigilância em idosos: observações acerca da prática de polifarmácia / Pharmacovigilance in the elderly: observations about the practice of polypharmacy

A elevação da expectativa de vida nos tempos modernos trouxe desafios como o aumento de doenças crônico-degenerativas e a ampla utilização de medicamentos. O objetivo do artigo foi avaliar a prática de polifarmácia, categorizar os medicamentos utilizados e pesquisar o uso de medicamentos potencialmente inapropriados em idosos (PIM). O estudo incluiu 23 indivíduos maiores de 60 anos. A coleta de dados foi realizada através de entrevista oral, com aplicação de questionário padrão e tabulação dos dados na plataforma Excel. Dentre os 23 indivíduos, 15 (65,2%) estavam submetidos à polifarmácia. Os grupos terapêuticos mais utilizados foram relacionados ao aparelho cardiovascular, seguido do aparelho digestivo e metabólico e do sistema nervoso, sendo os anti-hipertensivos a classe medicamentosa mais utilizada (em 78,2 % dos entrevistados). Dentre os fármacos relatados, 14,4% foram considerados PIM e 52,2% da amostra faziam uso contínuo de pelo menos um PIM. Nota-se portanto a importância de um acompanhamento multiprofissional no manejo terapêutico do paciente idoso, que está submetido à práticas e à medicações que podem ser iatrogênicas

Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection

Objetos educacionais: ensino de matemática para estudantes público-alvo da educação especial

The Promotion Centre toward Digital Inclusion, School and Social (CPIDES), of Faculty of Science and Technology - FCT / UNESP of Presidente Prudente, develops actions and research on social and educational inclusion of people with disabilities, using as resources Technologies Digital of Information and Communication (TDIC). Activities related to the extension work presented in this article were developed in CPIDES for teaching mathematical concepts together with three EPAEE: D student with Down Syndrome (DS), the student JP, which has Disorder Attention Deficit Hyperactivity Disorder (ADHD) and Intellectual Disability (ID), and the student F with Intellectual Disability (ID). Were used together with these students Educational Objects (OE), which are interactive software, practical experiments, videos, images, sounds and maps that provide the formalization of mathematical concepts. Individual meetings were held weekly, aiming to develop general objectives seeking teaching the basics of mathematics through the OE that are common among the three , support for address the individual goals, which are the literacy and interpretation of problems beyond appreciation of the potential of each student so the activities were developed through the OE and educational games aimed at addressing the same concepts, seeking what is best suited to each student, focusing addition to teaching and learning, social interaction and autonomy.O Centro de Promoção para Inclusão Digital, Escolar e Social (CPIDES), da Faculdade de Ciência e Tecnologias – FCT/Unesp de Presidente Prudente, desenvolve ações e pesquisas sobre a inclusão social e escolar de pessoas com deficiência, usando como recursos as Tecnologias Digitais de Informação e Comunicação (TDIC). As atividades referentes ao trabalho de extensão apresentado neste artigo foram desenvolvidas no CPIDES para o ensino de conceitos matemáticos junto a três EPAEE: o estudante D, com Síndrome de Down (SD), o estudante JP, que possui Transtorno do Déficit de Atenção com Hiperatividade (TDAH) e Deficiência Intelectual (DI), e o estudante F com Deficiência Intelectual (DI). Foram utilizados junto a esses estudantes Objetos Educacionais (OE), que são softwares interativos, experimentos práticos, vídeos, imagens, sons e mapas que proporcionam a formalização de conceitos matemáticos. Foram realizados atendimentos individuais semanalmente, visando sempre desenvolver objetivos gerais que busca o ensino dos conceitos básicos da matemática por meio dos OE que são comuns entre os três, além de buscar sanar os objetivos individuais que são o auxilio a alfabetização, interpretação de problemas além da valorização da potencialidade de cada estudante desta forma as atividades foram desenvolvidas através dos OE e dos jogos pedagógicos que visam abordar os mesmos conceitos, buscando o que se adapta melhor a cada estudante, focando além de seu ensino e aprendizagem, o convívio social e autonomia

A global metagenomic map of urban microbiomes and antimicrobial resistance

We present a global atlas of 4,728 metagenomic samples from mass-transit systems in 60 cities over 3 years, representing the first systematic, worldwide catalog of the urban microbial ecosystem. This atlas provides an annotated, geospatial profile of microbial strains, functional characteristics, antimicrobial resistance (AMR) markers, and genetic elements, including 10,928 viruses, 1,302 bacteria, 2 archaea, and 838,532 CRISPR arrays not found in reference databases. We identified 4,246 known species of urban microorganisms and a consistent set of 31 species found in 97% of samples that were distinct from human commensal organisms. Profiles of AMR genes varied widely in type and density across cities. Cities showed distinct microbial taxonomic signatures that were driven by climate and geographic differences. These results constitute a high-resolution global metagenomic atlas that enables discovery of organisms and genes, highlights potential public health and forensic applications, and provides a culture-independent view of AMR burden in cities.Funding: the Tri-I Program in Computational Biology and Medicine (CBM) funded by NIH grant 1T32GM083937; GitHub; Philip Blood and the Extreme Science and Engineering Discovery Environment (XSEDE), supported by NSF grant number ACI-1548562 and NSF award number ACI-1445606; NASA (NNX14AH50G, NNX17AB26G), the NIH (R01AI151059, R25EB020393, R21AI129851, R35GM138152, U01DA053941); STARR Foundation (I13- 0052); LLS (MCL7001-18, LLS 9238-16, LLS-MCL7001-18); the NSF (1840275); the Bill and Melinda Gates Foundation (OPP1151054); the Alfred P. Sloan Foundation (G-2015-13964); Swiss National Science Foundation grant number 407540_167331; NIH award number UL1TR000457; the US Department of Energy Joint Genome Institute under contract number DE-AC02-05CH11231; the National Energy Research Scientific Computing Center, supported by the Office of Science of the US Department of Energy; Stockholm Health Authority grant SLL 20160933; the Institut Pasteur Korea; an NRF Korea grant (NRF-2014K1A4A7A01074645, 2017M3A9G6068246); the CONICYT Fondecyt Iniciación grants 11140666 and 11160905; Keio University Funds for Individual Research; funds from the Yamagata prefectural government and the city of Tsuruoka; JSPS KAKENHI grant number 20K10436; the bilateral AT-UA collaboration fund (WTZ:UA 02/2019; Ministry of Education and Science of Ukraine, UA:M/84-2019, M/126-2020); Kyiv Academic Univeristy; Ministry of Education and Science of Ukraine project numbers 0118U100290 and 0120U101734; Centro de Excelencia Severo Ochoa 2013–2017; the CERCA Programme / Generalitat de Catalunya; the CRG-Novartis-Africa mobility program 2016; research funds from National Cheng Kung University and the Ministry of Science and Technology; Taiwan (MOST grant number 106-2321-B-006-016); we thank all the volunteers who made sampling NYC possible, Minciencias (project no. 639677758300), CNPq (EDN - 309973/2015-5), the Open Research Fund of Key Laboratory of Advanced Theory and Application in Statistics and Data Science – MOE, ECNU, the Research Grants Council of Hong Kong through project 11215017, National Key RD Project of China (2018YFE0201603), and Shanghai Municipal Science and Technology Major Project (2017SHZDZX01) (L.S.

Make EU trade with Brazil sustainable

Brazil, home to one of the planet's last great forests, is currently in trade negotiations with its second largest trading partner, the European Union (EU). We urge the EU to seize this critical opportunity to ensure that Brazil protects human rights and the environment

Reduction of cardiac imaging tests during the COVID-19 pandemic: The case of Italy. Findings from the IAEA Non-invasive Cardiology Protocol Survey on COVID-19 (INCAPS COVID)

Background: In early 2020, COVID-19 massively hit Italy, earlier and harder than any other European country. This caused a series of strict containment measures, aimed at blocking the spread of the pandemic. Healthcare delivery was also affected when resources were diverted towards care of COVID-19 patients, including intensive care wards. Aim of the study: The aim is assessing the impact of COVID-19 on cardiac imaging in Italy, compare to the Rest of Europe (RoE) and the World (RoW). Methods: A global survey was conducted in May–June 2020 worldwide, through a questionnaire distributed online. The survey covered three periods: March and April 2020, and March 2019. Data from 52 Italian centres, a subset of the 909 participating centres from 108 countries, were analyzed. Results: In Italy, volumes decreased by 67% in March 2020, compared to March 2019, as opposed to a significantly lower decrease (p &lt; 0.001) in RoE and RoW (41% and 40%, respectively). A further decrease from March 2020 to April 2020 summed up to 76% for the North, 77% for the Centre and 86% for the South. When compared to the RoE and RoW, this further decrease from March 2020 to April 2020 in Italy was significantly less (p = 0.005), most likely reflecting the earlier effects of the containment measures in Italy, taken earlier than anywhere else in the West. Conclusions: The COVID-19 pandemic massively hit Italy and caused a disruption of healthcare services, including cardiac imaging studies. This raises concern about the medium- and long-term consequences for the high number of patients who were denied timely diagnoses and the subsequent lifesaving therapies and procedures

Impact of COVID-19 on Diagnostic Cardiac Procedural Volume in Oceania: The IAEA Non-Invasive Cardiology Protocol Survey on COVID-19 (INCAPS COVID)

Objectives: The INCAPS COVID Oceania study aimed to assess the impact caused by the COVID-19 pandemic on cardiac procedure volume provided in the Oceania region. Methods: A retrospective survey was performed comparing procedure volumes within March 2019 (pre-COVID-19) with April 2020 (during first wave of COVID-19 pandemic). Sixty-three (63) health care facilities within Oceania that perform cardiac diagnostic procedures were surveyed, including a mixture of metropolitan and regional, hospital and outpatient, public and private sites, and 846 facilities outside of Oceania. The percentage change in procedure volume was measured between March 2019 and April 2020, compared by test type and by facility. Results: In Oceania, the total cardiac diagnostic procedure volume was reduced by 52.2% from March 2019 to April 2020, compared to a reduction of 75.9% seen in the rest of the world (p&lt;0.001). Within Oceania sites, this reduction varied significantly between procedure types, but not between types of health care facility. All procedure types (other than stress cardiac magnetic resonance [CMR] and positron emission tomography [PET]) saw significant reductions in volume over this time period (p&lt;0.001). In Oceania, transthoracic echocardiography (TTE) decreased by 51.6%, transoesophageal echocardiography (TOE) by 74.0%, and stress tests by 65% overall, which was more pronounced for stress electrocardiograph (ECG) (81.8%) and stress echocardiography (76.7%) compared to stress single-photon emission computerised tomography (SPECT) (44.3%). Invasive coronary angiography decreased by 36.7% in Oceania. Conclusion: A significant reduction in cardiac diagnostic procedure volume was seen across all facility types in Oceania and was likely a function of recommendations from cardiac societies and directives from government to minimise spread of COVID-19 amongst patients and staff. Longer term evaluation is important to assess for negative patient outcomes which may relate to deferral of usual models of care within cardiology

International Impact of COVID-19 on the Diagnosis of Heart Disease

Background: The coronavirus disease 2019 (COVID-19) pandemic has adversely affected diagnosis and treatment of noncommunicable diseases. Its effects on delivery of diagnostic care for cardiovascular disease, which remains the leading cause of death worldwide, have not been quantified. Objectives: The study sought to assess COVID-19's impact on global cardiovascular diagnostic procedural volumes and safety practices. Methods: The International Atomic Energy Agency conducted a worldwide survey assessing alterations in cardiovascular procedure volumes and safety practices resulting from COVID-19. Noninvasive and invasive cardiac testing volumes were obtained from participating sites for March and April 2020 and compared with those from March 2019. Availability of personal protective equipment and pandemic-related testing practice changes were ascertained. Results: Surveys were submitted from 909 inpatient and outpatient centers performing cardiac diagnostic procedures, in 108 countries. Procedure volumes decreased 42% from March 2019 to March 2020, and 64% from March 2019 to April 2020. Transthoracic echocardiography decreased by 59%, transesophageal echocardiography 76%, and stress tests 78%, which varied between stress modalities. Coronary angiography (invasive or computed tomography) decreased 55% (p &lt; 0.001 for each procedure). In multivariable regression, significantly greater reduction in procedures occurred for centers in countries with lower gross domestic product. Location in a low-income and lower–middle-income country was associated with an additional 22% reduction in cardiac procedures and less availability of personal protective equipment and telehealth. Conclusions: COVID-19 was associated with a significant and abrupt reduction in cardiovascular diagnostic testing across the globe, especially affecting the world's economically challenged. Further study of cardiovascular outcomes and COVID-19–related changes in care delivery is warranted