A implementação de tecnologias móveis de informação e comunicação no suporte à Saúde Mental tem atraído a atenção das autoridades. Com a ascensão das Inteligências Artificiais, esse movimento pode ser impulsionado de maneira exponencial. Nesse cenário, esta revisão tem como objetivos verificar a aplicabilidade das Inteligências Artificiais (IAs) na Saúde Mental e analisar os aspectos que favorecem a relação entre IAs e usuários. Para tanto, realizou-se uma revisão sistemática nas bases de dados PubMed e Biblioteca Virtual em Saúde, no período (...) de 25 de maio a 23 de junho de 2023. Selecionamos os 100 primeiros artigos mais relevantes com as palavras-chave: “Inteligência Artificial”, “Saúde Mental”, “Chatbots”, “Psicoterapia”, “Psicologia” e suas equivalentes em inglês. Os critérios de inclusão foram: acesso aberto, publicação a partir de 2018, em português ou inglês e menção à atuação de IAs no âmbito da Saúde Mental. Para reduzir o risco de viés, excluímos os estudos que não mensuraram o impacto das intervenções por meio de métodos experimentais ou quase-experimentais. Para a síntese dos dados, delimitaram-se alguns pontos específicos de análise, como “Resultado da intervenção”, “Aspectos que favorecem a relação”, entre outros. Atenderam aos critérios de inclusão 24 estudos, dos quais 17 apresentaram resultados positivos em suas intervenções. O uso de IAs na Saúde Mental possui grande potencial de expansão e os resultados obtidos neste trabalho podem guiar a implementação dessas práticas e futuras pesquisas na área. (shrink)

The distinction between propositional and doxastic justification has been of undisputed theoretical importance in a wide range of contemporary epistemological debates. Yet there are a host of intimately related issues that have rarely been discussed in connection with this distinction. For instance, the distinction not only applies to an individual’s beliefs, but also to group beliefs and to various other attitudes that both groups and individuals can take: credence, commitment, suspension, faith, and hope. Moreover, discussions of propositional and doxastic justification (...) have rarely focused on broader meta-epistemological issues, and yet meta-epistemological positions can have important implications for first-order views about this distinction. This volume addresses these and other issues by bringing together 16 essays that advance the state-of-the-art thinking on propositional and doxastic justification and explore how such thinking shapes and is shaped by a range of issues previously neglected in contemporary epistemology. (shrink)

Resumo : O presente artigo objetiva discutir o mal-estar docente a partir da perspectiva niilista de Friedrich Nietzsche. Atualmente, o debate sobre o mal-estar docente tem privilegiado perspectivas ou enfoques políticos, econômicos e psicológicos. Neste texto, os autores analisam inferências e evidências possíveis que relacionem o fenômeno cultural do niilismo ao mal-estar docente, tão em evidência nas instituições públicas de ensino, no Brasil. São tecidas discussões e argumentos sobre a decadência dos valores do entorno e dos fundamentos da ação educativa, (...) mais precisamente o valor da educação, do conhecimento, da ciência, da cultura elaborada, da autoridade docente, da didática etc. Em outras palavras, a originalidade desse texto é, sobretudo, situar o mal-estar docente, em um espaço e tempo de derrocada de valores culturais, dentre outros, e o apresentar como resultado de um mal-estar maior compartilhado pela cultura ocidental em parte do século XX até os dias atuais. Espera-se que os debates presentes no texto possam ampliar as perspectivas para a compreensão do mal-estar entre os professores. (shrink)

A idéia das ciencias da cultura aproxima o filósofo J.Habermas e o historiador Jörn Rüsen.Os doais possuem propostas sobre o papel do conhecimento dos fenômenos simbólicos hoje.

Este artigo é fruto de uma pesquisa sobre o magistério da Filosofia, no Ensino Médio, em Uberlândia. Revela metodologias espontaneístas e conteudistas, no bojo das concepções aqui denominadas de "romântica", "enciclopédica" e "crítica''. Palavras-chave: Educação no ensino médio; Filosofia; Uberlândia. Abstract: This article is product of a research about the teaching of Philosophy, at high school, in Uberlândia. lt tries to show some methodologies, associated to conceptions called here "romantic", "encyclopaedic" and "critic". Keywords: teaching at high school; Philosophy; Uberlândia.

Introduction Due to the constant scientific and technological development, health professionals are regularly confronted with situations in which there are always therapeutic options, regardless of the severity of the patient’s condition. However, regarding these therapeutic options as feasible in all situations can be harmful, since it is universally accepted that, despite all advances in health, there are inevitable limits and the promotion of some interventions may be useless or futile. Objective To characterize the use of the concept of futility in (...) the health literature. Method Review of the literature following the Scoping Review protocol of the Joanna Briggs Institute. The research was performed in CINAHL, Cochrane, Pubmed, Scopus e Web of Science to identify studies published prior to 2020. Nineteen studies were selected. Results There is no universally accepted definition for the concept of futility. In the literature there are different conceptions for the concept of futility that point to qualitative and quantitative roots and that are associated with ethical dilemmas that make it difficult to conceptualize this concept and make it operational in clinical practice. Conclusion The central elements of the concept of futility include: the diagnosis of futility is closely related to clinical judgment; futility has both quantitative and qualitative roots; futility is always appreciated posteriori; futility is related to the lack of benefit. It is essential to promote a discussion that enables the definition of the concept and that makes it possible to promote ethical principles in care, especially when the inevitable limits of treatments are reached. (shrink)

The Periodic Table of Elements is one of the greatest achievements of the human intellect but is far from a finished work. Generations of chemists and physicists have improved on it, in light of the discovery of new elements and advancements in the domain of Quantum Mechanics. Specially, the role of the four quantum numbers that dictates the distribution of the elements throughout the Table has been clarified. However, as the Table grew older and venerable, a tradition developed that froze (...) its overall shape, obfuscating somewhat the comprehension of its underlying principles. Proposals of reforming it has been made but face the opposition of scientists, professionals and educators who are comfortable with the Table as it has been for several decades. Here, the author advocates for possible alternatives, discuss potential advantages and answer to some criticisms on them. (shrink)

Este texto aborda as bases teóricas e metodológicas desenvolvidas no Observatório Global de Patologias Sociais. Tal observatório visa diagnosticar patologias sociais nas áreas da saúde e da educação, além de, como prognóstico, fornecer subsídios para a organização de um instrumento capaz de captar a percepção de patologias sociais em distintas populações. A partir das discussões técnicas e filosóficas, com base nas leituras de autores da Teoria Crítica, principalmente Honneth (2006; 2011; 2016), têm-se desenvolvido, desde 2019, a organização de um conjunto (...) de perguntas que são a base do instrumento denominado de questionário de patologias sociais. De forma concomitante, o trabalho de construção do Glossário de Patologias Sociais ampliou as reflexões teóricas dentro do grupo, possibilitando ainda a consolidação nacional e internacional de redes de investigação e colaboração dentro do espaço do Observatório. Todos esses movimentos permitem o aprimoramento de nossa caminhada como grupo transdisciplinar, tanto na construção do instrumento como no aprofundamento de bases teóricas-conceituais. Assim, torna-se a cada instante mais clara a necessidade de cumprir com um dos objetivos primários do Observatório: compreender e monitorar como as patologias sociais são percebidas pelos cidadãos e como esses são afetados física e emocionalmente por essas patologias. Deste modo, os desafios têm sido, além de consolidar nosso arcabouço teórico, o de construir um instrumento próprio e capaz de mensurar a percepção a partir do olhar do cidadão comum. Um desafio adicional a elaboração do instrumento, tem sido nossos esforços de construí-lo seguindo os princípios de integridade em pesquisa e usando práticas de ciência aberta. Levando em conta as discussões teórico-práticas, o Observatório tem se destacado como um espaço de pesquisa e estudo relevante e eficaz diante das demandas contemporâneas de compreender a sociedade onde vivemos. (shrink)

The COVID‐ 19 pandemic is a critical test for the already overburdened and mostly underfunded public healthcare systems of Latin America. In a region that suffers from severe inequalities, public healthcare systems are the only source of medical care for a large sector of the population who work in the informal economy or are unemployed. State‐run hospitals and clinics are already overstressed by continuous demand for treatment of vector‐borne diseases and community‐acquired infections as well as high rates of non‐communicable diseases. (...) Ideological misconceptions and denial among Latin America’s political leaders prevented timely preparations for the pandemic and added to chronic governance problems. As ethical expertise in Latin America focuses on research ethics, few hospitals in the region have functioning clinical ethics committees or clinical ethics policy, forcing healthcare personnel to make excruciating treatment decisions in an environment dominated by material scarcity and public distrust. This essay examines the emergence of COVID‐19 in Latin America and the serious challenge that it poses for Latin America's public healthcare systems. (shrink)

In this report, we describe the case of a patient who has remained in a comatose state for more than one year after a traumatic and hypoxic brain injury. This state, which we refer to as long-lasting coma (LLC), may be a disorder of consciousness with significantly different features from those of conventional coma, the vegetative state, or brain death. On the basis of clinical, neurophysiological and neuroimaging data, we hypothesize that a multilevel involvement of the ascending reticular activating system (...) is required in LLC. This description may be useful for the identification of other patients suffering from this severe disorder of consciousness, which raises important ethical issues. (shrink)

. The uniform prior distribution is often seen as a mathematical description of noninformativeness. This paper uses the well-known Three Prisoners Paradox to examine the impossibility of maintaining noninformativeness throughout hierarchization. The Paradox has been solved by Bayesian conditioning over the choice made by the Warder when asked to name a prisoner who will be shot. We generalize the paradox to situations of N prisoners, k executions and m announcements made by the Warder. We then extend the consequences of hierarchically (...) placing uniform and symmetrical priors for the probability p of the Warder naming Prisoner B, say. We prove that breaks of indifference and neutrality caused by assignment of uniform and symmetrical priors in lieu of degenerate indifference probabilities hold in general. Speaking of unknown probabilities or of probability of a probability must be forbidden as meaningless. Bruno de Finetti, 1977 I regard the use of hierarchical chains as a technique helping you to sharpen your subjective probabilities. I. J. Good, 1981. (shrink)

In this note we show that the Axiom of Countable Choice is equivalent to two statements from the theory of pseudometric spaces: the first of them is a well-known characterization of uniform continuity for functions between metric spaces, and the second declares that sequentially compact pseudometric spaces are \—meaning that all real valued, continuous functions defined on these spaces are necessarily uniformly continuous.

We aimed to characterize the age of onset of training, age at menarche, menstrual periodicity, and performance perception during the menstrual cycle and examined the impact of these reproductive variables on body composition, morphology, and body weight satisfaction in Brazilian elite futsal players. The study consisted of 115 female Brazilian elite futsal players from the top national teams. Data were collected during the twentieth Women’s Brazil Futsal Cup. Players were interviewed and self-reported their age of onset of training, age at (...) menarche, menstrual periodicity, and the menstrual period, where they performed best. We also asked for what they considered to be their ideal body weight as well as information related to their training. Subsequently, anthropometric measurements were performed to estimate the body composition and determine morphological characteristics. Fifty-nine players were postmenarche-trained and 52 were premenarche-trained. Eighteen, 65, and 28 were classified as early, normal, and late menarche, respectively. Only 11 and 1 had irregular menstrual cycles and were amenorrheic, respectively. Seventy-three, 23, and 9 reported that their game performance was the best at the follicular phase, menses, and luteal phase of the menstrual cycle, respectively. No associations between the four reproductive-related variables were found. Postmenarche-trained players had significant lower age at menarche and higher percentage body fat. The somatotype profile registered lower ectomorphy rate for the postmenarche-trained participants after controlling for covariates. Early menarche group presented higher sum of six skinfold thickness and endomorphy rate compared to normal and late menarche groups. No differences were found when menstrual periodicity groups and best performance groups were compared, except for higher femur width in the regular menstrual cycle group compared to the irregular one. The association between body weight satisfaction and the four reproductive-related variables were not observed. Premenarche-trained Brazilian elite futsal players had the menarche later than the postmenarche-trained athletes. Most of the participants had menarche age classified as “normal,” presented “regular” menstrual cycles and perceived to perform better during the follicular phase of the menstrual cycle. (shrink)

The method of morphisms is a well-known application of Dialectica categories to set theory. In a previous work, Valeria de Paiva and the author have asked how much of the Axiom of Choice is needed in order to carry out the referred applications of such method. In this paper, we show that, when considered in their full generality, those applications of Dialectica categories give rise to equivalents of either the Axiom of Choice or Partition Principle —which is a consequence of (...) $\textbf{AC}$ whose precise status of its relationship with$\textbf{AC}$ itself is an open problem for more than a hundred years. (shrink)

En la abundante historiografía del siglo XIX mexicano hay varias explicaciones sobre las causas del colapso económico y se distinguen tres etapas: un periodo de muy bajo crecimiento entre 1820 y 1850, un periodo de retroceso absoluto entre 1850 y 1870 y finalmente una recuperación moderada a partir de la década de 1870. Una forma de articular coherentemente todas estas explicaciones consiste en poner el énfasis en la cuestión fiscal, aprovechando algunas novedades teóricas que arrojan nuevas luces sobre discusiones añejas. (...) Así se abona a la discusión sobre la formación del Estado mexicano y su relación con el desarrollo económico. (shrink)

A EDUCAÇÃO PÚBLICA COMO INSTRUMENTO PARA O DESENVOLVIMENTO SOCIAL E ECONÔMICO SUSTENTÁVEL DO BRASIL.

COMENTÁRIOS À LEI Nº 13.329/2016, QUE INSTITUI O REGIME ESPECIAL DE INCENTIVOS PARA O SANEAMENTO BÁSICO - REISB.

Schools have been the main context for physical activity and sedentary behavior interventions among adolescents, but there is inconsistent evidence on whether they also improve dimensions of the health−related quality of life. The aim of this study was to evaluate the effects of a school-based active lifestyle intervention on dimensions of HRQoL. A secondary aim was to verify whether sex, age, and HRQoL at baseline were moderators of the intervention effect. A cluster-randomized controlled trial was conducted at three control and (...) three intervention schools in Florianopolis, Brazil. All students from 7th to 9th grade were invited to participate. A school year intervention, designed primarily to increase PA and reduce SB, included strategies focused on teacher training on PA, SB, and nutrition, and availability of teaching materials related to these contents; environmental improvements ; and education strategies, with the availability of folders and posters regarding PA, SB, and nutrition. Participants and the research staffs were not blinded to group assignment, but a standardized evaluation protocol was applied at baseline and after the intervention using the KIDSCREEN−27 to assess HRQoL across five dimensions. Mixed linear models were performed to evaluate the effect of the Movimente intervention on the five HRQoL dimensions. Of the 921 students who answered the questionnaire at baseline, 300 and 434 completed the study in control and intervention groups, respectively. The results revealed no significant effects of the intervention on any HRQoL dimensions. A reduction of the school environment dimension was observed in both the control and intervention groups. Sensitivity analyses showed that students in the highest baseline tertiles of HRQoL in any dimension had a reduction in their respective scores from pre- to post-intervention in both school groups. In conclusion, our results demonstrated no intervention effect on HRQoL dimensions and those students with the highest levels of HRQoL at baseline on all dimensions reduced from pre to post-intervention.Clinical Trial RegistrationThe trial is registered at the Clinical Trial Registry. (shrink)

Our goal was to explore self‐care practices among men who have sex with men in the context of Mpox in Brazil. This study used qualitative research methods, including interviews and thematic analysis, to collect and analyze data from male participants across the Brazilian territory. The narratives unveil men's perspectives on self‐care, risk reduction, and health beliefs during the Mpox pandemic. Our findings highlight a multifaceted approach to self‐care among men, encompassing hygiene, physical contact management, mask usage, skin lesion vigilance, and (...) adherence to official guidelines. Men's attitudes toward sexual behaviors emphasize the importance of reducing sexual partners, practicing safe sex, and combating misinformation through accurate information dissemination. The development of these behaviors and self‐care practices can be facilitated by nurses guided by Dorothea Orem's Self‐Care Theory, supported by patient‐centered care, with strategies to address and confront the stigma associated with the disease and provide emotional support. Thus, the study underscores the pivotal role of self‐care in mitigating infection risks, especially in the context of emerging infectious diseases. It acknowledges the impact of socio‐cultural factors and healthcare policies on men's preventive measures. However, it also recognizes limitations, such as potential bias due to stigma concerns and a nonrepresentative sample. Ultimately, the research advocates for tailored education, promotion of gender equity, and healthcare empowerment to effectively manage health risks in such contexts. (shrink)

This paper explores the notion of reciprocity in the context of active pulmonary and laryngeal tuberculosis treatment and related control policies and practices. We seek to do three things: First, we sketch the background to contemporary global TB care and suggest that poverty is a key feature when considering the treatment of TB patients. We use two examples from TB care to explore the role of reciprocity: isolation and the use of novel TB drugs. Second, we explore alternative means of (...) justifying the use of reciprocity through appeal to different moral and political theoretical traditions. We suggest that each theory can be used to provide reasons to take reciprocity seriously as an independent moral concept, despite any other differences. Third, we explore general meanings and uses of the concept of reciprocity, with the primary intention of demonstrating that it cannot be simply reduced to other more frequently invoked moral concepts such as beneficence or justice. We argue that reciprocity can function as a mid-level principle in public health, and generally, captures a core social obligation arising once an individual or group is burdened as a result of acting for the benefit of others. We conclude that while more needs to be explored in relation to the theoretical justification and application of reciprocity, sufficient arguments can be made for it to be taken more seriously as a key principle within public health ethics and bioethics more generally. (shrink)

Accelerated changes to the planet have created novel spaces to re-imagine the boundaries and foci of environmental health research. Climate change, mass species extinction, ocean acidification, biogeochemical disturbance, and other emergent environmental issues have precipitated new population health perspectives, including, but not limited to, one health, ecohealth, and planetary health. These perspectives, while nuanced, all attempt to reconcile broad global challenges with localized health impacts by attending to the reciprocal relationships between the health of ecosystems, animals, and humans. While such (...) innovation is to be encouraged, we argue that a more comprehensive engagement with the ethics of these emerging fields of inquiry will add value in terms of the significance and impact of associated interventions. In this contribution, we highlight how the concept of spatial and temporal scale can be usefully deployed to shed light on a variety of ethical issues common to emerging environmental health perspectives, and that the potential of scalar analysis implicit to van Potter’s conceptualization of bioethics has yet to be fully appreciated. Specifically, we identify how scale interacts with key ethical issues that require consideration and clarification by one health, ecohealth, and planetary health researchers and practitioners to enhance the effectiveness of research and practice, including justice and governance. (shrink)

Computer vision research involving street and road detection methods usually focuses on driving assistance and autonomous vehicle systems. In this context, street segmentation occurs in real-time, based on images centered on the street. This work, on the other hand, uses street segmentation for urban planning research to classify pavement types of a city or region, which is particularly important for developing countries. For this application, it is needed a dataset with images from various locations for each street. These images are (...) not necessarily centered on the street and include challenges that are not common in street segmentation datasets, such as mixed pavement types and the presence of faults and holes on the street. We implemented a multi-class version of a state-of-the-art segmentation algorithm and adapted it to perform street pavement classification, handling navigation along streets and angle variation to increase the accuracy of the classification. A data augmentation approach is also proposed to use preliminary results from the test instances as new ground truth and increase the amount of training data. A dataset with more than 300,000 images from 773 streets from a Brazilian city was built. Our approach achieved a precision of 0.93, showing the feasibility of the proposed application. (shrink)