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PALAVRAS-CHAVE-Comunicação Não Verbal.-Atitude do Pessoal de Saúde.-Relações Médico-Paciente. RESUMOA confiança no médico e o sucesso terapêutico dependem, além de outros fatores, de uma boa comunicação entre profissional de saúde e paciente. O presente estudo buscou conhecer a percepção dos pacientes sobre aspectos da comunicação não verbal que influenciam a consolidação da confiança no médico. Trata-se de um estudo transversal, descritivo e analítico, com amostra aleatória de pacientes alocada em locais públicos da cidade. Foram realizadas 182 entrevistas com pessoas de idades entre 18 e 88 anos, registrando-se preferência pelo perfil mais tradicionalista do profissional, com roupas brancas, cabelos aparados e sem acessórios. O uso de maquiagem e acessórios (brincos, pulseiras, etc.) para mulheres é aceito com moderação. Existe restrição ao uso de piercings, tatuagens e brincos em homens, especialmente pela população idosa. Confirmando a importância da aparência na comunicação médico-paciente, o estudo destaca a necessidade da inserção do tema nos currículos médicos, uma vez que esses aspectos são pouco discutidos na formação do profissional médico, o que permitirá reflexões sobre aspectos não verbais da comunicação na relação médico-paciente e poderá influenciar positivamente as atitudes dos novos profissionais. KEYWORDS -Nonverbal Communication. -Attitude of Health Personnel. -Physician-Patient Relations. ABSTRACT Trust in the physician and therapeutic success both depend on good physician-patient communication, among other factors. This study focused on patients' perceptions of nonverbal communicationthat influence the consolidation of trust in their physicians. This was a cross-sectional, descriptive, analytical study with a random sample of patients in public places in a Brazilian city. A total of 182 interviews were held with persons ranging in age from 18 to 88 years. Interviewees showed a preference for the traditional doctor's profile: white coat, neatly trimmed hair, and no accessories. Moderate use of makeup and accessories (earrings, bracelets, etc.) by women was considered acceptable. Interviewees, especially the elderly, expressed restrictions towards the use of piercing, tattoos, and earrings by male physicians. Confirming the importance of appearance in the physician-patient communication, the study highlights the need to include the topic in the medical curriculum -since these issues are not discussed sufficiently during undergraduate medical training -which would allow reflection on nonverbal communication in the physician-patient relationship and could positively influence the attitudes of young professionals.
The increase in the number of postgraduate programs has been accompanied by a concomitant increase in the Brazilian scientific output. The aim of this study was to describe the profile of the Brazilian researchers with Productivity Grants in the Brazilian National Research Council (CNPq) in the Physical Education Area. The curriculum of the 74 scholarship researchers in the Lattes Platform was analyzed. The researchers varied in gender, classification in the CNPq (1A to 2), institution, date of graduation, number of papers published; as well as the classification of the journal in the Qualis, book and book chapter publications, supervision of undergraduate scientific initiation, masters and doctorate students, and the patents they had obtained. The study considered publications from 2007 to 2009. The results show that most of the researchers had between 5 and 32 years of doctorate studies, are male (75.7%), classified in category 2 (67.6%), with a large proportion working in the south-east region, particularly in the state of São Paulo. Most publications are in the national periodic Qualis B1, B2 and A2. A large number of books and book chapters were published, and there were an excellent number of supervisions of undergraduate and postgraduate students. Keywords: scientific publication, research statistics, research in physical education, brazil RESUMO O aumento do número de programas de pós-graduação tem sido concomitante a um aumento da produção científica brasileira. Este estudo teve como objetivo compreender o perfil dos pesquisadores brasileiros bolsistas do Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) na área de Educação Física. Para tal foram analisados os currículos dos 74 bolsistas, registrados na Plataforma Lattes. Foram consideradas variáveis como gênero, classificação no CNPq (1A a 2), instituição em que atua, tempo de doutorado, quantidade de artigos publicados, bem como a classificação do Qualis da revista, publicações de livros e capítulos de livros, orientações de iniciação científica, mestrado e doutorado e a obtenção de patentes. Para as variáveis relacionadas a publicações, foi considerado o triênio de 2007 a 2009. Os resultados mostraram que a maior parte dos pesquisadores tem entre 5 e 32 anos de doutorado, é do gênero masculino (75,7%), classificados na categoria 2 (67,6%), atuando prioritariamente na região sudeste e, mais especificadamente, no Estado de São Paulo. A maior parte das publicações ocorreu em periódicos nacionais com os Qualis B1, B2 e A2. Observou-se importante número de publicações
Objective: The objective of this work was to analyse the levels of dermatoglyphic asymmetry between both parents and individuals with nonsyndromic cleft lip and/or palate (NSCL/P) and unaffected control trios. Methods: A case-control analysis was carried out of 51 affected trios (unaffected parents and NSCL/P subjects), and 50 unaffected control trios. Finger and palm prints were taken from each participant, and dermatoglyphic patterns, the number of lines on the digits, and the palmar angles were recorded. To determine the level of fluctuating asymmetry the case group was compared with the control group, significance accepted at p £ 0.05. Results: There was a statistically significant difference between the atd angles (angle between the lines triradii a and t and triradii t and d) of fathers of those affected by NSCL/P, and the dermatoglyphic patterns of the affected mothers, with significantly more arches in the control group. However, in this study, multiple comparisons were used, and the results must be evaluated as initial findings and evaluated carefully since the significance disappears after correction for multiple comparisons. Other parameters did not differ between groups. There was no difference in parameters among patients affected by NSCL/P. Conclusions: Based on these results it is speculated that the mechanisms responsible for the formation of NSCL/P may be associated with those responsible for deviations in the asymmetry of the atd angles in the fathers and dermatoglyphic patterns of the mothers of affected patients. Besides, further studies are required to determine the real relationship between these conditions.
Objective: To establish a proposal for the location for ovarian transposition, considering different irradiation techniques and time to ovarian failure. Methods: Patients with cervical cancer in childbearing age submitted to adjuvant radiotherapy were selected. Delineation of simulated positions of the ovaries and pelvic radiation planning was done in CT, with three techniques: 3D conformal radiotherapy, intensity-modulated radiotherapy, and volumetric modulated arc radiotherapy. In order to correlate the ovaries maximal doses with the time to ovarian failure, the authors have used the one adaptation of Wallace model that predicts oocytes survival rates after radiation exposure. Results: Thirteen patients who were being treated between 2008 and 2017 were studied. When the ovaries were positioned 10 cm cranially from the sacral promontory, the pelvic radiation entails a decrease of 20% in the time to ovarian failure compared with that expected for a female at the same age without irradiation exposition. The placement of the ovaries <5 cm cranially from the sacral promontory results in a decrease >90%. There was no difference in time to ovarian failure between the radiation treatment techniques tested: 3D conformal radiotherapy, intensity-modulated radiotherapy, and volumetric modulated arc radiotherapy (p=0.197). Conclusions: The present study, based on virtual simulations, is the first to use the sacral promontory as a reference for a proposal of ovarian location with transposition. The authors have correlated the position of the ovaries and percentage of decrease in time to ovarian failure. These findings can potentially improve the management and counselling of patients with cervical cancer in childbearing age and deserve clinical validation.
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