AbstrAct:Introduction: Different kinds of psychological distress have been identified for students in the health field, especially in the medical school. Objective: To estimate the prevalence of mental suffering among medical students in the Southeastern Brazil and asses its association with social support. Methods: It is a cross-sectional study. Structured questionnaires were applied for students from the 1 st up to the 6 th years of the medical school of Universidade Estadual Paulista "Júlio de Mesquita Filho", assessing demographic variables related to aspects of graduation and adaptation to the city. Psychological suffering was defined as a common mental disorder (CMD) assessed by the Self Reporting Questionnaire (SRQ-20). Social support was assessed by the social support scale of the Medical Outcomes Study (MOS). The association between the outcome and explanatory variables was assessed by the χ 2 test and Logistic Regression, for the multivariate analyses, using p ≤ 0.05. Results: The response rate was of 80.7%, with no differences between sample and the population regarding gender (p = 0.78). The average age was 22 years old (standard deviation -SD = 2.2), mainly women (58.2%) and students who were living with friends (62%). The prevalence of CMD was 44.9% (95%CI 40.2 -49.6). After the multivariate analyses, the explanatory variables that were associated with CMD were: feeling rejected in the past year (p < 0.001), thinking about leaving medical school (p < 0.001) and "interaction" in the MOS scale (p = 0.002). Conclusions: The prevalence of CMD among medical students was high and insufficient social support was an important risk factor. Our findings suggest that interventions to improve social interaction among those students could be beneficial, decreasing the prevalence of CMD in this group.
PURPOSE To present a summary of the recommendations for the treatment and follow-up for metastatic castration-resistant prostate cancer (mCRPC) as acquired through a questionnaire administered to 99 physicians working in the field of prostate cancer in developing countries who attended the Prostate Cancer Consensus Conference for Developing Countries. METHODS A total of 106 questions out of more than 300 questions addressed the use of imaging in staging mCRPC, treatment recommendations across availability and response to prior drug treatments, appropriate drug treatments, and follow-up, and those same scenarios when limited resources needed to be considered. Responses were compiled and the percentages were presented by clinicians to support each response. Most questions had five to seven relevant options for response including abstain and/or unqualified to answer, or in the case of yes or no questions, the option to abstain was offered. RESULTS Most of the recommendations from this panel were in line with prior consensus, including the preference of a new antiandrogen for first-line therapy of mCRPC. Important aspects highlighted in the scenario of limited resources included the option of docetaxel as treatment preference as first-line treatment in several scenarios, docetaxel retreatment, consideration for reduced doses of abiraterone, and alternative schedules of an osteoclast-targeted therapy. CONCLUSION There was wide-ranging consensus in the treatment for men with mCRPC in both optimal and limited resource settings.
OBJETIVO: Descrever os critérios para formação de grupos no internato e a avaliação que os alunos fazem do relacionamento grupal, analisando as variáveis associadas. MÉTODO: Trata-se de um estudo transversal, que utilizou questionário autopreenchido, com perguntas sobre dados sociodemográficos, autoavaliação do desempenho escolar, critérios para formação e satisfação com grupo de internato. Sofrimento psíquico foi avaliado a partir do Self Report Questionnaire. Utilizou-se o teste do qui-quadrado e regressão logística para análise multivariada. RESULTADOS:A taxa de resposta no internato foi de mais de 90%. A maioria dos alunos utilizou critérios ligados à rede social (82,6%) e predominaram sujeitos satisfeitos com seu grupo (81,2%). Após análise multivariada, apenas autoavaliação do desempenho escolar "boa ou ótima" e critérios de escolha relacionados à rede de apoio se mantiveram associados à satisfação com o grupo. CONCLUSÕES: Apesar de ser um estágio da formação profissional, os alunos se escolheram por questões ligadas à rede social. Sendo uma profissão na qual o trabalho em equipe é inerente, deveriam ser criadas estratégias durante o curso médico para elaborar as dificuldades de relacionamento grupal entre alunos de Medicina.
A mineração tem sido um agente de intensa transformação do território brasileiro desde o período colonial. Neste trabalho procura-se compreender a importância da produção de nióbio bem como o desenvolvimento tecnológico associado ao beneficiamento dos minerais que dão origem a esse minério e aos produtos originados dele para o território e a economia brasileira. Atualmente, por conta das grandes mudanças impostas pelo processo de globalização, a importância estratégica desse minério vem sendo ressignificada acompanhando a demanda do modo de produção hegemônico, ganhando destaque no cenário global para a fabricação de materiais indispensáveis usados na sociedade moderna. A relação entre o Estado e as transnacionais também sofre alterações na busca pela articulação e controle dos mercados nacional e internacional diante das novas faces do capital. Este trabalho apresenta a importância da mineração do nióbio para o Brasil no contexto internacional, com base em dados extraídos do IBGE, IBRAM, DNPM, CPRM e MME.
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