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Da doutrina e do método em medicina legal. Ensaio epistemológico sobre uma ciência bio-psico-social; Doctrine and Method in Forensic Medicine. An Epistemological Essay on a Bio-Psycho-Social Science

Freire, Jose Jozefran Berto
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 24/04/2009 PT
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Este ensaio inicia-se com um sucinto painel a respeito de uma pesquisa bibliográfica sobre Medicina Legal que começa com Ambroise Paré em 1532 e chega ao ano de 2008; pesquisa esta que muito nos ajudou no planejamento desta Tese. É preciso que se diga que o conceito de Medicina Legal só aparece em 1621 com Paolo Zacchia (Quaestiones Medico Legales...). Nosso objetivo neste trabalho envolve diferentes aspectos teóricos dessa ciência. O primeiro é o de demonstrar que a Medicina Legal pode ser a ciência de uma classe no sentido da Lógica e que ela não seria, portanto, a exemplo da Medicina Clínica, uma ciência do indivíduo, como diz Gilles Granger em sua obra sobre Epistemologia já tornada célebre. O segundo aspecto teórico seria o de propor a Medicina Legal como uma ciência do freqüente aristotélico (hòs epì tò polú ws epi to polu - termo cunhado pelo helenista Porchat Pereira, enquanto conceito filosófico) graças ao qual situamos nossa ciência entre o acidental e o necessário e universal do pensamento lógico-matemático. Em terceiro lugar discorreremos sobre o fato de que os laudos médico-legais estão normalmente restritos a constatação empírica e, então, iremos demonstrar a também indispensável consideração das condições a priori da possibilidade de se estabelecer o visum et repertum...

A medicina de adolescentes no Estado de São Paulo de 1970 a 1990: uma dimensão histórica; Adolescent Medicine in the State of São Paulo from 1970 to 1990: a historical dimension

Queiroz, Ligia Bruni
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 04/05/2011 PT
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Observa-se relativa escassez de trabalhos especializados a respeito da reconstrução histórica da institucionalização da Medicina de Adolescentes e da Atenção à Saúde Integral dos Adolescentes, no Estado de São Paulo. Esta lacuna mostra-se ainda maior quando se trata de examinar a implantação desses serviços pioneiros no âmbito das universidades e a maneira como os profissionais responsáveis por esse pioneirismo se posicionavam diante das dificuldades e embates no contexto de suas instituições de ensino, à luz daquele momento histórico: meados da década de 1970, marcado pela ditadura militar no país. O presente trabalho tem como objetivo recuperar as origens da Medicina de Adolescentes em São Paulo, entre as décadas de 1970 a 1990. Trata-se de um estudo qualitativo, orientado pela análise dos documentos históricos produzidos ao longo das mencionadas décadas acerca da institucionalização da Medicina de Adolescentes e da construção histórico-cultural do adolescente, e pela obtenção de depoimentos dos responsáveis pela implantação dos primeiros serviços de atenção à saúde dos adolescentes no Estado de São Paulo, seja no âmbito da Pediatria, Ginecologia e Obstetrícia e Psiquiatria, seja na área da Saúde Coletiva. Foram realizadas entrevistas...

Family systems medicine : what´s in a name

Pereira, M. Graça; Smith, Thomas Edward
Fonte: Universidade do Minho Publicador: Universidade do Minho
Tipo: Artigo de Revista Científica
Publicado em //2006 POR
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Family Systems Medicine as an interdisciplinary field was coined in 1983 having at its core the biopsychosocial model and a "systems language". This newfield is interdisciplinary and includes the contribution of family medicine, family therapy and systems theory. Family Medicine is committed to the care of the "whole"person in the contexto the famiIy, rather than the perpetuation of organ and disease based medicine. As a recent discipline, family medicine is in the process of developing an identity for itself. Family therapy is characterized by a focus on holistic and contextual language and like family medicine speaks from a nonreductionist approach providing the necessary tools to address the patient-in-context. Systems thinking allows the family physician to expand from the pure individual biomedical model to the multicausal, interactional approach allowing the physician to shift from the individual to the family as the unity of care. This paper addresses important issues at the core of family systems medicine: collaboration between the disciplines involved, its contribution to biopsychosocial medicine differences in focus between family systems medicine, psychosomatic medicine, behavioral medicine and health psychology and finally the evolution of the field .; A Medicina famíliar Sistémica como uma área interdisciplinar foi criada em 1983...

Establishment of research-oriented hospital: an important way for translational medicine development in China

LI,MEINA; ZHANG,LULU
Fonte: Academia Brasileira de Ciências Publicador: Academia Brasileira de Ciências
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2015 EN
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Globally, one of the major trends is the development of translational medicine. The traditional hospital structure could not meet the demands of translational medicine development any longer and to explore a novel hospital structure is imperative. Following the times, China proposed and implemented a development strategy for a first-class modern research-oriented hospital. To establish a research-oriented hospital has become an important strategy to guide the scientific development of high-quality medical institutions and to advance translational medicine development. To facilitate translational medicine by developing research-oriented hospital, the Chinese Research Hospital Association (CRHA) has been established, which provides service of medicine, talents cultivation, scientific research and clinical teaching and covers areas of theoretical research, academic exchange, translational medicine, talents training and practice guiding. On the whole, research-oriented hospital facilitated translational medicine by developing interdisciplinary platform, training core competencies in clinical and translational research, providing financial support of translational research, and hosting journals on translational medicine, etc.

Making a difference--women, medicine, and the twenty-first century.

Wilson, M. P.
Fonte: Yale Journal of Biology and Medicine Publicador: Yale Journal of Biology and Medicine
Tipo: Artigo de Revista Científica
Publicado em //1987 EN
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Women can and should make a difference in how medical care is given in the future. The increased number of women physicians presents an opportunity to make a significant impact on the quality of medical care. Data is provided on the number of women applicants to medical school, matriculants and graduates, specialty choices, the status of women in academic medicine, and the income of women physicians. Four aspects of the environment that portend important changes for medicine in the future are identified: scientific developments, alternative delivery systems and the corporate practice of medicine, the aging population and other demographic changes, and the expanding number of physicians. Some of these changes suggest opportunities for making a difference in the traditional specialties of medicine, in providing care to underserved populations, in research careers, in the shortage areas of preventive medicine and public health, occupational medicine, child psychiatry, and physical medicine and rehabilitation, and in new areas such as community pediatrics, behavioral pediatrics, and adolescent medicine. There are many choices and many decisions to be made, and each individual can choose to make a difference.

Conditions for Effective Collaboration between Modern and Traditional Medicine

World Bank
Fonte: Washington, DC Publicador: Washington, DC
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In spite of the scientific advances made by modern medicine, 75-80 percent of the population turn to traditional medicine for health care. This medicine has evolved with the history of mankind, and traditional knowledge is a popular asset that is integrated into the socio-medical environment. The OAU expressed a real interest in the subject of traditional medicine during the first symposium on medicinal plants and African pharmacopoeia held in Dakar in 1968. The 1978 Alma Ata Declaration recognizes the role of traditional medicine and traditional healers in achieving the Health for All objective. In 1977, WHO launched the Traditional Medicine Programme and adopted a resolution inviting interested member states to pay appropriate attention to the use of traditional health systems.

College of Medicine IT Meeting Minutes

Florida International University College of Medicine
Fonte: FIU Digital Commons Publicador: FIU Digital Commons
Tipo: Artigo de Revista Científica Formato: application/pdf
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Meeting Minutes of the College of Medicine Implementation Team (College of Medicine IT).

College of Medicine Faculty

Florida International University College of Medicine
Fonte: FIU Digital Commons Publicador: FIU Digital Commons
Tipo: Artigo de Revista Científica Formato: application/pdf
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List of Florida International University College of Medicine faculty

Florida International University School of Medicine Initiative: Board of Governors Presentation Draft

School of Medicine
Fonte: FIU Digital Commons Publicador: FIU Digital Commons
Tipo: Artigo de Revista Científica Formato: application/pdf
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Annotated draft of a presentation for the Board of Governors on the Florida International University School of Medicine Initiative. Presentation provides an overview of the proposed outcomes resulting from the establishmend of a School of Medicine at Florida International University and the impact on the physician shortage and health care in South Florida.

College of Medicine IT Meeting Minutes - November 18, 2007

Florida International University College of Medicine
Fonte: FIU Digital Commons Publicador: FIU Digital Commons
Tipo: Artigo de Revista Científica Formato: application/pdf
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Meeting Minutes of the College of Medicine Implementation Team (COM IT).

Monte Carlo simulation of the dose to nuclear medicine staff wearing protective garments

Fog, Lotte Stubjaer; Collins, Petri Joanne
Fonte: Australasian College of Physical Scientists and Engineers in Medicine Publicador: Australasian College of Physical Scientists and Engineers in Medicine
Tipo: Artigo de Revista Científica
Publicado em //2008 EN
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The literature contains both endorsements of, and advice against, the use of protective apparel in nuclear medicine procedures. The main issues usually centre around: Whether the shielding which can be provided by a protective garment light enough to wear (0 to 0.6 mm lead equivalent at the gamma energies commonly encountered in nuclear medicine) is enough to warrant its use; and (more recently); Whether the dose enhancement behind the protective garment from electron scatter in lead is sufficient to be of concern. In this work, the Monte Carlo code EGSnrc was used to investigate the effectiveness of lead of thicknesses of 0 to 0.6 mm, in shielding staff from photons of energies of 140 and 511 keV. Furthermore, dose escalation behind the lead was investigated. Reasonable dose reductions are obtained at 140 keV with protective garments of 0.5 mm lead equivalence. This perhaps warrants their use, in certain circumstances. At 511 keV, the reduction in dose is less than 10%, and their use is probably not justified (given the weight that has to be carried) from an ALARA point of view. It should be noted here that protective garments designed for X-ray shielding will generally not have the same lead equivalence at the gamma energies used in nuclear medicine. It should also be noted that protective garments which do not contain lead do not always attenuate as much as their stated lead equivalence claims. Dose escalation does occur...

Reforming pharmaceutical education to enhance the global uptake of pharmacogenenomics and personalized medicine

Dias, M.; Depala, K.; Ward, H.; Ward, M.; Sorich, M.; Anderson, C.; McKinnon, R.
Fonte: Bentham Science Publishers Ltd Publicador: Bentham Science Publishers Ltd
Tipo: Artigo de Revista Científica
Publicado em //2012 EN
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Personalized medicine has been defined as the tailoring of medical treatment based on individual patient characteristics. In practice, personalized medicine generally involves the stratifying of patient populations based on biomarkers, most frequently genetic in nature. This results in patient subpopulations likely to show differential responses to drug therapy in terms of efficacy and toxicity. While the potential for personalized medicine to positively impact on drug discovery and therapeutics has been widely hyped, clinical uptake has been markedly limited. Over the recent years, a number of potential barriers to the more widespread uptake of personalized medicine have been identified. These include technical, economic and social factors. One such barrier is the need for the significant up-skilling of health professionals in order to harness the potential of personalized medicine and ensure adequate information flow to consumers. Pharmacists are ideally positioned to be active participants in personalized medicine but to date, their role has been minimal. While the reasons are multifactorial, we argue that there is a clear need for significant reforming of current pharmacy curricula. Here we review progress in worldwide pharmaceutical education and practice relevant to global personalized medicine and public health pharmacogenomics and highlight salient points for future consideration.; Mafalda M. Dias...

Effectiveness of an e-learning course in evidence-based medicine for foundation (internship) training

Hadley, J.; Kulier, R.; Zamora, J.; Coppus, S.; Weinbrenner, S.; Meyerrose, B.; Decsi, T.; Horvath, A.; Nagy, E.; Emparanza, J.; Arvanitis, T.; Burls, A.; Cabello, J.; Kaczor, M.; Zanrei, G.; Pierer, K.; Kunz, R.; Wilkie, V.; Wall, D.; Mol, B.; et al.
Fonte: Royal Society of Medicine Press Publicador: Royal Society of Medicine Press
Tipo: Artigo de Revista Científica
Publicado em //2010 EN
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AIM To evaluate the educational effectiveness of a clinically integrated e-learning course for teaching basic evidence-based medicine (EBM) among postgraduate medical trainees compared to a traditional lecture-based course of equivalent content. METHODS We conducted a cluster randomized controlled trial to compare a clinically integrated e-learning EBM course (intervention) to a lecture-based course (control) among postgraduate trainees at foundation or internship level in seven teaching hospitals in the UK West Midlands region. Knowledge gain among participants was measured with a validated instrument using multiple choice questions. Change in knowledge was compared between groups taking into account the cluster design and adjusted for covariates at baseline using generalized estimating equations (GEE) model. RESULTS There were seven clusters involving teaching of 237 trainees (122 in the intervention and 115 in the control group). The total number of postgraduate trainees who completed the course was 88 in the intervention group and 72 in the control group. After adjusting for baseline knowledge, there was no difference in the amount of improvement in knowledge of EBM between the two groups. The adjusted post course difference between the intervention group and the control group was only 0.1 scoring points (95% CI −1.2–1.4). CONCLUSION An e-learning course in EBM was as effective in improving knowledge as a standard lecture-based course. The benefits of an e-learning approach need to be considered when planning EBM curricula as it allows standardization of teaching materials and is a potential cost-effective alternative to standard lecture-based teaching.; Julie Hadley ... Ben WJ Mol ... et al.

Establishment of research-oriented hospital: an important way for translational medicine development in China

LI,MEINA; ZHANG,LULU
Fonte: Academia Brasileira de Ciências Publicador: Academia Brasileira de Ciências
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2015 EN
Relevância na Pesquisa
36.22%
Globally, one of the major trends is the development of translational medicine. The traditional hospital structure could not meet the demands of translational medicine development any longer and to explore a novel hospital structure is imperative. Following the times, China proposed and implemented a development strategy for a first-class modern research-oriented hospital. To establish a research-oriented hospital has become an important strategy to guide the scientific development of high-quality medical institutions and to advance translational medicine development. To facilitate translational medicine by developing research-oriented hospital, the Chinese Research Hospital Association (CRHA) has been established, which provides service of medicine, talents cultivation, scientific research and clinical teaching and covers areas of theoretical research, academic exchange, translational medicine, talents training and practice guiding. On the whole, research-oriented hospital facilitated translational medicine by developing interdisciplinary platform, training core competencies in clinical and translational research, providing financial support of translational research, and hosting journals on translational medicine, etc.

Statistical issues in the analysis of outcomes in critical care medicine

Moran, John Leith
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado Formato: 2105860 bytes; 23585 bytes; application/pdf; application/pdf
Publicado em //2006 EN
Relevância na Pesquisa
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1.1 The focus of this thesis will be the nexus of statistical methods and clinical practice, as it applies to Critical Care Medicine and is reflected in the literature ( for instance : Anaesthesia and Intensive Care ( Anaesthesia and Intensive Care 2005 ) and Critical Care & Resuscitation ( Critical Care and Resuscitation 2005 ) in Australia ; and internationally : Critical Care Medicine ( Critical Care Medicine 2005 ), Intensive Care Medicine ( Intensive Care Medicine 2005 ), Chest ( Chest 2005 ), American Journal of Respiratory and Critical Care Medicine ( American Journal of Respiratory and Critical Care Medicine 2005 ) and Journal of the American Medical Association ( JAMA 2005 ) ). 1.2 Altman has documented the career of statistics in medical journals over a 20 year period and has lamented the general state of affairs ( Altman 1982 ; Altman 1991b ; Altman 1994 ; Altman 2000 ). The transfer of statistical techniques into medical literature is characterised by a significant lag - time ( Altman et al. 1994b ) and statistical input into medical research and publication, although " widely recommended ... ( is ) ... inconsistently obtained " ( Altman et al. 2002 ), perhaps reflecting an undervaluation of statistical contributions to medicine...

College of Medicine Updated Materials

Florida International University College of Medicine
Fonte: FIU Digital Commons Publicador: FIU Digital Commons
Tipo: Artigo de Revista Científica Formato: application/pdf
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Documents to be reviewed pertaining to the establishment of the College of Medicine's M.D. program. Includes Executed Annual Operating Agreement with Jackson Public Health Trust; Course Forms for Clinical Medicine I and II; Updated ED-10; Academic Calendar for the first year; Tables for Teaching Format Hours and Evaluation Plan for YEar 1; Overview of Professional Development Strand; and Faculty Roster by Department and Educational Role.

Historical Evolution and Present Status of Family Medicine in Sri Lanka

Ramanayake, R. P. J. C.
Fonte: Medknow Publications & Media Pvt Ltd Publicador: Medknow Publications & Media Pvt Ltd
Tipo: Artigo de Revista Científica
Publicado em //2013 EN
Relevância na Pesquisa
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Sri Lankan health system consists of Allopathic, Ayurvedic, Unani, and several other systems of medicine and allopathic medicine is catering to the majority of the health needs of the people. As in many other countries, Sri Lankan health system consists of both the state and the private sector General practitioners, MOs in OPDs of hospitals and MOs of central dispensaries, provide primary medical care in Sri Lanka. Most of the general practices are solo practices. One does not need postgraduate qualification or training in general practice to start a general practice. There is no registered population for any particular health care institution in the state sector or in the private sector and there is no strict referral procedure from primary care to secondary or tertiary care. Family doctors have been practicing in Sri Lanka for well over 150 years. The first national organization of general practitioners was Independent Medical Practitioner (IMPA)'s organization which was founded in 1929 and the College of General Practitioners of Sri Lanka was founded in 1974. College conducts its own Membership Course and Examination (MCGP) since 1999. Family Medicine was introduced to undergraduate curriculum in Sri Lanka in early 1980s and now almost all the medical faculties in the country have included Family Medicine in their curricula. In 1979...

Praying correlates with higher quality of life: results from a survey on complementary/alternative medicine use among a group of Brazilian cancer patients

Samano,Eliana Sueco Tibana; Goldenstein,Patricia Taschner; Ribeiro,Lia de Melo; Lewin,Fabio; Valesin Filho,Edgar Santiago; Soares,Heloisa Prado; Giglio,Auro del
Fonte: Associação Paulista de Medicina - APM Publicador: Associação Paulista de Medicina - APM
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/04/2004 EN
Relevância na Pesquisa
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CONTEXT: The use of complementary/alternative medicine has been little studied in Brazil. OBJECTIVE: The purpose of this study was to determine the prevalence of complementary/alternative medicine use among a group of Brazilian cancer patients and correlate these findings with the patients' quality of life. TYPE OF STUDY: Descriptive. SETTING: Oncology Institute of the Faculdade de Medicina do ABC, Santo André, São Paulo, Brazil. PARTICIPANTS: 100 cancer patients. PROCEDURES: The EORTC QLQ C-30 quality of life questionnaire was applied together with another questionnaire on the use of complementary/alternative medicine. MAIN MEASUREMENTS: Use of complementary/alternative medicine and quality of life. RESULTS: 89% of the patients had already used complementary/alternative medicine, 63% were currently using it and most of them (77.7%) believed in the efficacy of complementary/alternative medicine for their treatment. The type most used was individual prayer (77.5%). We found a significant association between believing in the efficacy of complementary/alternative medicine and praying (individually or in groups), in comparison with better scores on the functional (p = 0.001) and overall health (p = 0.001) quality of life scales. Multivariate analysis confirmed these findings regarding praying and also showed that believing in complementary/alternative medicine correlated significantly with functional and symptom quality of life scores. CONCLUSION: The prevalence of complementary/alternative medicine use in this group of cancer patients was high. Praying and belief in the efficacy of complementary/alternative medicine correlated significantly with an overall better quality of life...

Knowledges, practices on Work and Health and the approaches on social medicine and labour medicine in Brasil: end of XIX century up to fifties-sixties of XX century; Conhecimentos, práticas em Trabalho-Saúde e as abordagens da medicina social e da medicina do trabalho no Brasil: final do século XIX até os anos 1950-60

Lacaz, Francisco Antonio de Castro
Fonte: Universidade de São Paulo. Instituto de Psicologia Publicador: Universidade de São Paulo. Instituto de Psicologia
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; Formato: application/pdf
Publicado em 01/06/2007 POR
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The article deals with the historic-institutional trajectory of the approaches on work and health in Brazil, from the late Nineteenth Century up to the 1960s'. It is a qualitative study, with documental analysis and interviews, in wich is adopted the approach by Foucault on social medicine, and the Archeology as methodology. The historic-institutional trajectory in the interfaces between work and health starts by the approach of urban social medicine untill medicine of work force, and discuss replacement of the public health by the work sectors in the actions of the State, at the industrialization post-1930. It points at many ways to conceive the referred relationships influenced by the paradigm of the rational organization of work, the hegemonic way of work management. It traces back the industrial hygiene, the infortunistica, the psychotecnique and the behaviourial medicine as important tools of workforce-control, emphasising the effect of the industrial hygiene and its “dispute” with the occupational health and labor medicine in the 1950-60s. During consolidation of the brazilian industrialization process, in the fifties, the medical services in the enterprises crops up, as strategy, based in the OMS/OIT concept of labor medicine...

The World Health Organization's Perceptions of Traditional Medicine

Arkfeld, Chaele
Fonte: Universidade Duke Publicador: Universidade Duke
Publicado em /12/2011 EN_US
Relevância na Pesquisa
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I investigate how the World Health Organization (WHO) perceives traditional medicine. The WHO has issued publications related to traditional medicine for decades, acknowledging and commenting on traditional medicine as a globally prevalent system of health care, and providing various guidelines and recommendations. I analyze those documents as well as a series of interviews with current employees within various departments at the WHO Headquarters in Geneva, Switzerland to see how the WHO perceives the array of pros and cons related to traditional medicinal practices, and with the aim of understanding the WHO’s overall stance on the role of traditional medicine. Findings show the WHO treads carefully in regards to traditional medicine, as they do not want to publicly discredit a practice widely popular among constituents, nor blatantly support a potentially harmful practice. Generally, the WHO portrays a neutral or positively slanting opinion of traditional medicine through its publications. However, among employees and through subtle references in publications doubts about the practicality and value of traditional medicine become apparent.; Honors Thesis