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Ano: 2018 Banca: VUNESP Órgão: SÃO CAMILO Prova: VUNESP - 2018 - SÃO CAMILO - Processo Seletivo - 2º Semestre de 2018 - Medicina |
Q1798995 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 sétimo parágrafo “However, there’s also a lot of misleading information, and information that’s simply untrue”, o termo sublinhado 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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Q1796824 Inglês
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The aliens among us

     Humans think of themselves as the world’s apex predators. Hence the silence of sabre-tooth tigers, the absence of moas from New Zealand and the long list of endangered megafauna. But sars-cov-2 shows how people can also end up as prey. Viruses have caused a litany of modern pandemics, from Covid-19, to hiv/aids to the influenza outbreak in 1918-20, which killed many more people than the first world war. Before that, the colonisation of the Americas by Europeans was abetted – and perhaps made possible – by epidemics of smallpox, measles and influenza brought unwittingly by the invaders, which annihilated many of the original inhabitants.

(www.economist.com, 22.08.2020. Adapted.)
In the fragment “epidemics of smallpox, measles and influenza brought unwittingly by the invaders”, the underlined word can be replaced, with no change in meaning, by
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Q1796822 Inglês
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The aliens among us

     Humans think of themselves as the world’s apex predators. Hence the silence of sabre-tooth tigers, the absence of moas from New Zealand and the long list of endangered megafauna. But sars-cov-2 shows how people can also end up as prey. Viruses have caused a litany of modern pandemics, from Covid-19, to hiv/aids to the influenza outbreak in 1918-20, which killed many more people than the first world war. Before that, the colonisation of the Americas by Europeans was abetted – and perhaps made possible – by epidemics of smallpox, measles and influenza brought unwittingly by the invaders, which annihilated many of the original inhabitants.

(www.economist.com, 22.08.2020. Adapted.)
In the second sentence in the text, the term “hence” can be replaced, with no change in meaning, by
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Ano: 2018 Banca: VUNESP Órgão: UEA Prova: VUNESP - 2018 - UEA - Prova de Conhecimentos Gerais |
Q1794444 Inglês
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Avoiding meat and dairy is single biggest
way to reduce your impact on Earth 


    Avoiding meat and dairy products is the single biggest way to reduce your environmental impact on the planet, according to the scientists behind the most comprehensive analysis to date of the damage farming does to the planet.
      The new research, published in the journal Science, shows that without meat and dairy consumption, global farmland use could be reduced by more than 75% – an area equivalent to the US, China, European Union and Australia combined – and still feed the world. Loss of wild areas to cattle farming is the leading cause of the current mass extinction of wildlife.
     The new analysis shows that while meat and dairy products provide just 18% of calories and 37% of protein, they use the vast majority – 83% – of farmland and produce 60% of farming greenhouse gas emissions. Other recent research shows 86% of all land mammals are now livestock or humans. The scientists also found that even the lowest impact by meat and dairy products may cause much more environmental harm than the least sustainable vegetable and cereal growing.

(Damian Carrington. www.theguardian.com, 31.05.2018. Adaptado.)
In the excerpt from the third paragraph “The scientists also found that even the lowest impact by meat and dairy products may cause much more environmental harm”, the underlined word can be replaced, without changing the meaning of the sentence, by the word
Alternativas
Respostas
6: A
7: D
8: D
9: B
10: E