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39 result(s) for "Castelao, Patricia"
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Impacto do “Dr. Google” na Relação Médico-Doente
Introdução:A utilização da internet para procurar informações médicas é cada vez mais frequente, sendo comummente designada pela expressão “Dr. Google”, uma vez que o Google é o motor de pesquisa mais usado. As informações obtidas podem ter influência sobre a relação entre o médico e o doente.Objetivo:Foi realizada uma revisão de literatura, com o objetivo de avaliar a pesquisa de informações de saúde na internet e o seu impacto na relação médico-doente.Métodos: Procedeu-se à pesquisa da literatura existente até 11 de outubro de 2021, que associasse a procura de informações médicas online e a relação médico-doente, independentemente da utilização da expressão “Dr. Google”. Foram consultadas as bases de dados PubMed, EBSCO e ScienceDirect, tendo-se incluído 15 artigos, de Língua Inglesa, Portuguesa e Espanhola.Resultados:Os doentes mais jovens, instruídos, e com maior poder económico foram os que mais procuram esclarecimentos na internet, sobretudo acerca de sintomas. A partilha das informações foi vantajosa, apesar de alguns médicos se terem sentido postos em causa. Oito artigos constataram que a pesquisa de informações de saúde online teve um impacto positivo na relação médico-doente e quatro artigos constataram que o impacto foi neutro. De um modo geral, o impacto foi neutro para os médicos, e positivo para os doentes. O “Dr. Google” facilitou a comunicação com o médico e permitiu que os doentes se sentissem mais informados e capazes de participar na tomada de decisões. Todavia, houve doentes que ficaram ansiosos, que se automedicaram, ou que recorreram, excessivamente, aos cuidados de saúde.Conclusões:O “Dr. Google” tem um impacto, predominantemente, positivo na relação médico-doente. A fiabilidade das informações é um motivo de preocupação, sendo fundamental que os médicos recomendem fontes confiáveis e que promovam a literacia digital em saúde.
Wanted! A guinea pig called Henry
Sam chooses a guinea pig named Henry to be her pet, envisions a dog named Nelly visiting and helping her younger brother Liam feel comfortable in his kindergarten class, and encourages Liam to also get a guinea pig as a pet.
Offshore transport of particulate organic carbon in the California Current System by mesoscale eddies
The California Current System is characterized by upwelling and rich mesoscale eddy activity. Cyclonic eddies generally pinch off from meanders in the California Current, potentially trapping upwelled water along the coast and transporting it offshore. Here, we use satellite-derived measurements of particulate organic carbon (POC) as a tracer of coastal water to show that cyclones located offshore that were generated near the coast contain higher carbon concentrations in their interior than cyclones of the same amplitude generated offshore. This indicates that eddies are in fact trapping and transporting coastal water offshore, resulting in an offshore POC enrichment of 20.9 ± 11 Gg year −1 . This POC enrichment due to the coastally-generated eddies extends for 1000 km from shore. This analysis provides large-scale observational-based evidence that eddies play a quantitatively important role in the offshore transport of coastal water, substantially widening the area influenced by highly productive upwelled waters in the California Current System. The California Current System is characterized by wind-driven upwelling and by rich mesoscale eddy activity, resulting in a highly productive ecosystem. Here the authors show that offshore cyclonic eddies which were generated near the coast contain higher carbon concentrations in their interior than eddies of the same amplitude generated locally offshore.
Abandoned! : a lion called Kiki
When Mona McNeil returns to visit her grandparents' farm as an adult, she recalls the summer she spent there raising Kiki, a lion cub she got as an eighth birthday gift from her uncle Matthew--an experience the led her to open Rainbow Street Animal Shelter.
Oceanic transport of surface meltwater from the southern Greenland ice sheet
Meltwater runoff from the Greenland ice sheet alters ocean surface salinity. Numerical simulations show that meltwater from southeastern Greenland is transported to the Labrador Sea more efficiently than that from southwestern Greenland. The Greenland ice sheet has undergone accelerating mass losses during recent decades. Freshwater runoff from ice melt can influence fjord circulation and dynamics 1 and the delivery of bioavailable micronutrients to the ocean 2 . It can also have climate implications, because stratification in the adjacent Labrador Sea may influence deep convection and the strength of the Atlantic meridional overturning circulation 3 . Yet, the fate of the meltwater in the ocean remains unclear. Here, we use a high-resolution ocean model to show that only 1–15% of the surface meltwater runoff originating from southwest Greenland is transported westwards. In contrast, up to 50–60% of the meltwater runoff originating from southeast Greenland is transported westwards into the northern Labrador Sea, leading to significant salinity and stratification anomalies far from the coast. Doubling meltwater runoff, as predicted in future climate scenarios, results in a more-than-double increase in anomalies offshore that persists further into the winter. Interannual variability in offshore export of meltwater is tightly related to variability in wind forcing. The new insight that meltwaters originating from the west and east coasts have different fates indicates that future changes in mass loss rates and surface runoff will probably impact the ocean differently, depending on their Greenland origins.
Consequences of COVID-19 Confinement for Teachers: Family-Work Interactions, Technostress, and Perceived Organizational Support
The confinement experienced due to the COVID-19 pandemic has prompted a rethink of the teaching–learning process to which teachers have responded without planning and instead used their resources. This study aimed to analyze the relationships between work–family interactions, technostress, and perceived organizational support in teachers during the confinement period in Spain that began in March 2020. An online survey was administered to 640 pre-school, primary, and secondary school teachers. Positive reciprocal work–family interactions and their relationship with organizational support were found, with differences according to gender, with women showing a more negative perception of the impact on the family. There were no marked levels of technostress in the overall sample, although higher levels of perceived ineffectiveness and skepticism were found in teachers aged 46 years or older. Teachers in private and subsidized schools showed a higher level of perceived support than those in public schools. There is a need to continue this work to verify the values of these dimensions in other contexts and to apply institutional measures and public policies to improve these indicators in this group.
الوحيد والفريد آيفان
في هذه الرواية تستلهم الكاتبة الشهيرة \"كاثرين آبلجيت\" هذه الرواية من القصة الحقيقية لغوريلا السيلفرباك الأسير آيفان، حيث يمضي آيفان سبعة وعشرين عاما من حياته وحيدا بين جدران غرفته الزجاجية داخل مركز تجاري صغير خارج المدينة، يعتاد خلالها على نظرات البشر المبحلقة فيه وهو عاكف على الأوراق البيضاء، يرسم لوحاته بأقلام التلوين، لتباع لاحقا في محل الهدايا التذكارية ببضع دولارات زهيدة. يعتاد آيفان أيضا على النسيان، نسيان التفكير في نفسه والتساؤل عن حياته وحقيقته وما يعني أن يكون غوريلا سيلفرباك مهيب، يعيش بين أبناء جنسه، يمتلك عائلة صغيرة يمنحها الحب والحماية.
Coastal Summer Freshening and Meltwater Input off West Greenland from Satellite Observations
Coastal waters off west Greenland are strongly influenced by the input of low salinity water from the Arctic and from meltwater from the Greenland Ice Sheet. Changes in freshwater content in the region can play an important role in stratification, circulation, and primary production; however, investigating salinity variability in the region is challenging because in situ observations are sparse. Here, we used satellite observations of sea surface salinity (SSS) from the Soil Moisture and Ocean Salinity mission produced by LOCEAN and by the Barcelona Expert Center (SMOS LOCEAN and SMOS BEC) and from the Soil Moisture Active Passive mission produced by the Jet Propulsion Laboratory (SMAP JPL) as well as by Remote Sensing Systems (SMAP RSS) to investigate how variability in a narrow coastal band off west Greenland is captured by these different products. Our analyses revealed that the various satellite SSS products capture the seasonal freshening off west Greenland from late spring to early fall. The magnitudes of the freshening and of coastal salinity gradients vary between the products however, being attenuated compared to historical in situ observations in most cases. The seasonal freshening off southwest Greenland is intensified in SMAP JPL and SMOS LOCEAN near the mouth of fjords characterized by large inputs of meltwater near the surface, which suggests an influence of meltwater from the Greenland Ice Sheet. Synoptic observations from 2012 following large ice sheet melting revealed good agreement with the spatial scale of freshening observed with in situ and SMOS LOCEAN data. Our analyses indicate that satellite SSS can capture the influence of meltwater input and associated freshwater plumes off coastal west Greenland, but those representations differ between products.