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Ano: 2018 Banca: VUNESP Órgão: SÃO CAMILO Prova: VUNESP - 2018 - SÃO CAMILO - Processo Seletivo - 2º Semestre de 2018 - Medicina |
Q1798989 Inglês
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The challenge of doctor-patient relations in the internet age



     “Let me do some research and I’ll get back to you,” my patient said. My patient, a 19-year-old student, had already taken time off from school because of her anxiety. I was her psychiatrist, with over two decades of experience treating university students, and had just explained my diagnostic impressions based on a lengthy evaluation. I’d recommended that she try a medicine I expected would help. I’d also laid out the risks and benefits of other treatment options. 
      “Do you have additional questions I can answer?” I asked. I wanted to let her know that’s why I was there, to cull the research, to help make sense of it. “No, I like to go online and look for myself,” she said.
     More and more, I see students turning away from the expertise that a live person can offer and instead turning to the vast and somehow more objective-seeming “expertise” of the digital world.
     In an age when journalism we don’t like can be dismissed as “fake news,” suggesting that the information we do like is most credible, regardless of its source, it’s not hard to understand why young people do this. The medical profession itself, under managed care, has played a role as well, providing less time for doctor-patient interactions and undermining the chances that a personal relationship and trust can develop. Under the guise of efficiency, medical test results are now often released directly to patients, sometimes before or even without the benefit of any interpretation.
     But there’s danger in trusting data over people, as there is in thinking the expertise of all people is equivalent. When it comes to health, digital natives may not be learning how to navigate effectively. And the consequences could be harmful.
    The availability of health data on the internet has its benefits. Online, for example, we can find explanations and solutions for symptoms we might be too embarrassed, or afraid, to discuss with another person, in person. Or, for lifethreatening diseases, we can locate clinical trials our doctors may not be aware of.
     However, there’s also a lot of misleading information, and information that’s simply untrue. The internet is full of people selling things – supplements, treatment regimens that have not been rigorously tested, even prescription medications – and making false promises that have not been scrutinized by regulatory agencies. Sometimes, as in the case of some websites that promote “an anorexic diet” for “aggressive” weight loss, the information can encourage life-threatening behavior.
      Years ago, when we discussed paternalism versus patient autonomy in my medical school ethics class, I came down strongly in favor of autonomy. Who but the patient could best decide what was right for him or her? But years of clinical – and personal – experience have taught me that information in and of itself is insufficient. Judgment is also indispensable, especially in complex situations, and the capacity for good judgment rests within people, not data sets.

(Doris Iarovici is a psychiatrist at Harvard University’s Counseling and
Mental Health Services and the author of Mental Health Issues and the
University Student. www.nytimes.com, 01.03.2018. Adaptado.)
No trecho do primeiro parágrafo “I’d recommended that she try a medicine”, o termo sublinhado pode ser corretamente substituído por
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Ano: 2016 Banca: UNICENTRO Órgão: UNICENTRO Prova: UNICENTRO - 2016 - UNICENTRO - Vestibular - PAC - 1ª Etapa |
Q1798889 Inglês


NOGUEIRA, Salvador. Translated by Marina Della Valle. Disponível em: < www1folha.uol.com.br/internacional/em/scienceandhealth/2016/03/ 1755511-russia-will-install-telescope-in-brazil..shtml>. Acesso em: 27 set. 2016.

Considerando o uso gramatical da língua no texto, é correto afirmar:
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Ano: 2015 Banca: VUNESP Órgão: UNIFESP Prova: VUNESP - 2015 - UNIFESP - Prova de Língua Portuguesa e Língua Inglesa |
Q1797722 Inglês

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Nobel winner Malala opens school for Syrian refugees

 

Sylvia Westall

July 13, 2015

Bekaa Valley, Lebanon


 

 

  Malala Yousafzai, the youngest winner of the Nobel Peace Prize, celebrated her 18th birthday in Lebanon on Sunday by opening a school for Syrian refugee girls and called on world leaders to invest in “books not bullets”. Malala became a symbol of defiance after she was shot on a school bus in Pakistan in 2012 by the Taliban for advocating girls’ rights to education. She continued campaigning and won the Nobel in 2014.

   “I decided to be in Lebanon because I believe that the voices of the Syrian refugees need to be heard and they have been ignored for so long,” Malala told Reuters in a schoolroom decorated with drawings of butterflies. The Malala Fund, a non-profit organization that supports local education projects, provided most of the funding for the school, set up by Lebanon’s Kayany Foundation in the Bekaa Valley, close to the Syrian border. The Kayany Foundation, established by Syrian Nora Joumblatt in response to Syria’s refugee crisis, has already completed three other new schools to give free education to Syrian children in Lebanon. The Malala school can welcome up to 200 girls aged 14 to 18.

   “Today on my first day as an adult, on behalf of the world’s children, I demand of leaders we must invest in books instead of bullets,” Malala said in a speech. Lebanon is home to at least 1.2 million of the 4 million refugees that have fled Syria’s war to neighboring countries. There are about 500,000 Syrian school-age children in Lebanon, but only a fifth are in formal education. “We are in danger of losing generations of young Syrian girls due to the lack of education,” Joumblatt said in a speech at the opening of the school. “Desperate and displaced Syrians are increasingly seeing early marriage as a way to secure the social and financial future of their daughters. We need to provide an alternative: Keep young girls in school instead of being pressured into wedlock.”

    Lebanon, which allows informal settlements on land rented by refugees, says it can no longer cope with the influx from Syria’s four-year conflict. More than one in four people living in Lebanon is a refugee. The United Nations says the number of Syrian refugees in neighboring countries is expected to reach 4.27 million by the end of the year. “In Lebanon as well as in Jordan, an increasing number of refugees are being turned back at the border,” Malala said. “This is inhuman and this is shameful.”

    Her father Ziauddin said he was proud she was carrying on her activism into adulthood. “This is the mission we have taken for the last 8-9 years. A small moment for the education of girls in Swat Valley: it is spreading now all over the world,” he said.

 

(www.reuters.com. Adaptado.)

Analise o trecho do terceiro parágrafo “I demand of leaders we must invest in books instead of bullets”, para responder à questão.


O termo “must” pode ser substituído, sem alteração de sentido, por

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Ano: 2015 Banca: VUNESP Órgão: UNIFESP Prova: VUNESP - 2015 - UNIFESP - Prova de Língua Portuguesa e Língua Inglesa |
Q1797721 Inglês

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Nobel winner Malala opens school for Syrian refugees

 

Sylvia Westall

July 13, 2015

Bekaa Valley, Lebanon


 

 

  Malala Yousafzai, the youngest winner of the Nobel Peace Prize, celebrated her 18th birthday in Lebanon on Sunday by opening a school for Syrian refugee girls and called on world leaders to invest in “books not bullets”. Malala became a symbol of defiance after she was shot on a school bus in Pakistan in 2012 by the Taliban for advocating girls’ rights to education. She continued campaigning and won the Nobel in 2014.

   “I decided to be in Lebanon because I believe that the voices of the Syrian refugees need to be heard and they have been ignored for so long,” Malala told Reuters in a schoolroom decorated with drawings of butterflies. The Malala Fund, a non-profit organization that supports local education projects, provided most of the funding for the school, set up by Lebanon’s Kayany Foundation in the Bekaa Valley, close to the Syrian border. The Kayany Foundation, established by Syrian Nora Joumblatt in response to Syria’s refugee crisis, has already completed three other new schools to give free education to Syrian children in Lebanon. The Malala school can welcome up to 200 girls aged 14 to 18.

   “Today on my first day as an adult, on behalf of the world’s children, I demand of leaders we must invest in books instead of bullets,” Malala said in a speech. Lebanon is home to at least 1.2 million of the 4 million refugees that have fled Syria’s war to neighboring countries. There are about 500,000 Syrian school-age children in Lebanon, but only a fifth are in formal education. “We are in danger of losing generations of young Syrian girls due to the lack of education,” Joumblatt said in a speech at the opening of the school. “Desperate and displaced Syrians are increasingly seeing early marriage as a way to secure the social and financial future of their daughters. We need to provide an alternative: Keep young girls in school instead of being pressured into wedlock.”

    Lebanon, which allows informal settlements on land rented by refugees, says it can no longer cope with the influx from Syria’s four-year conflict. More than one in four people living in Lebanon is a refugee. The United Nations says the number of Syrian refugees in neighboring countries is expected to reach 4.27 million by the end of the year. “In Lebanon as well as in Jordan, an increasing number of refugees are being turned back at the border,” Malala said. “This is inhuman and this is shameful.”

    Her father Ziauddin said he was proud she was carrying on her activism into adulthood. “This is the mission we have taken for the last 8-9 years. A small moment for the education of girls in Swat Valley: it is spreading now all over the world,” he said.

 

(www.reuters.com. Adaptado.)

Analise o trecho do terceiro parágrafo “I demand of leaders we must invest in books instead of bullets”, para responder à questão.
A expressão “instead of” indica uma ideia de
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Q1797673 Inglês
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The fantastic appeal of fantasy


The fantasy genre starts where science ends

     Few things can brighten up a dark morning in a Scottish seaside resort during an Atlantic storm. Yet while sheltering in a bookshop from the rain, I had a moment of sunny revelation. Stacked almost as high as my 11-year-old self were copies of The Lord of the Rings, with a cover illustration that promised mystery and magic. That chance discovery started a lifelong love of the fantasy genre1 , both as reader and writer. 
   The fantasy genre has had more and more success, but today we’re in the middle of an unprecedented fantasy boom. Sales continue to rise and it is now the biggest genre in publishing. The more rational the world gets, with super-science all around us, the more we demand the irrational in our fiction.
     Fantasy is not simply a case of swords2 and sorcery3 . Yes, there is that by the shelf. But the genre is as broad as the imagination. The genre starts where science ends.
    “In these modern times, where most of us sit at computers, fantasy books offer a chance to break out of mundane moments,” says Mark Newton, an editor with the genre. “People like to explore themes that go beyond the limited palette that literary fiction claims to offer.” 
     A search for the origins of fantasy will usually have academics muttering about Beowulf or Homer’s The Iliad, but they come from a time when all stories were fantasy: gods and monsters and supernatural artefacts with humanity caught in the middle. The first modern fantasy writer is usually considered to be William Morris, in the late 19th Century. But it was the early 20th Century where fantasy really started to gain status.
     Fantasy fiction has always been about visionary ideas. You can get artful words in plenty of literary fiction, but being able to see beyond the boundaries4 of the world around us — now that’s a special skill.
     I don’t write fantasy fiction simply to provide a trapdoor5 from the real world. For me, the genre is about the reality. But instead of coming up against it, fantasy maps the unconscious aspirations of our modern society through allegory in story- -forms as old as humanity. It’s about turning off the mobile phone and the computer and remembering who we are in the deepest parts of ourselves.

(Mark Chadbourn. www.telegraph.co.uk, 12.04.2008. Adaptado.)

1genre: gênero. Categoria distintiva de composição literária, como romance, poesia etc.
2sword: espada.
3sorcery: feitiçaria.
4boundary: fronteira.
5trapdoor: alçapão
In the excerpt “that’s a special skill” (6th paragraph), the underlined word can be replaced, without changing the meaning of the sentence, by
Alternativas
Respostas
16: B
17: D
18: E
19: D
20: C