RESUMO: A regularização ambiental da piscicultura continental no Brasil está intimamente ligada à ocupação e uso do solo, as áreas utilizadas para a atividade estão em sua maioria inseridas em áreas de preservação permanente (APP), próximas a rios e nascentes. Esse cenário demonstra a relação entre a atividade e o cumprimento da lei, referente às questões florestais no país. Santa Catarina é um dos estados líderes na piscicultura e um dos primeiros a regulamentar o uso de áreas de preservação permanente (APPs). Assim, foi avaliada a viabilidade de uma proposta de compensação ambiental para regularizar o uso de APPs em Santa Catarina para a piscicultura. Os resultados mostraram que 74% das pisciculturas analisadas precisam regularizar a ocupação das estruturas de produção em APPs. Com relação ao índice proposto de compensação pelo uso em APP, o fator de compensação ambiental (FCA), por meio da avaliação dos mapas individuais e posterior avaliação integrada, todas as pisciculturas identificadas com passivos ambientais em ocupação apresentavam relações de 1:2 e 1:3, sendo este índice uma alternativa viável para a regularização ambiental da atividade. No entanto, propõe-se que o ECF seja aplicado a pequenas pisciculturas, de até quatro módulos fiscais e que tenham um perfil de ocupação mínima padrão em relação à área total da propriedade, conforme avaliado no presente estudo. RESUMO solo APP , (APP) nascentes lei país . (APPs) Assim 74 FCA, FCA (FCA) integrada 12 1 2 1: 13, 13 3, 3 1:3 entanto propõese propõe se propriedade estudo (APP (APPs 7 (FCA

ABSTRACT: The environmental regulation of continental fish farming in Brazil is closely linked to land occupation and use. Areas used for this activity are mostly located in permanent preservation areas (PPA), close to rivers and springs, demonstrating the necessity of regulating this activity for its compliance with public policy. Santa Catarina is a leading state in fish farming and one of the first to regulate the use of PPAs. The feasibility of a proposal for environmental compensation to regularize the use of PPAs in Santa Catarina for fish farming; was therefore, assessed. The results showed that 74% of the fish farms analyzed need to regularize the occupation of production structures in PPAs. Regarding the proposed index of compensation for use in PPAs, the environmental compensation factor (ECF), through evaluation of the individual maps and subsequent integrated evaluation, all the fish farms identified with environmental liabilities in occupation had ratios of 1:2 and 1:3, and this index is a viable alternative for environmental regularization of the activity. It was further proposed that ECF be applied to small fish farms of up to four fiscal modules and that they have a standard minimum occupancy profile in relation to the total area of the property, as assessed in the present study. ABSTRACT PPA, PPA , (PPA) springs policy therefore 74 ECF, (ECF) 12 1 2 1: 13, 13 3, 3 1:3 property study (PPA 7 (ECF

RESUMEN El estudio se enfoca en evaluar el estado actual de la preparación técnica del tiro en suspensión en jugadores de baloncesto de la categoría pioneril de 11-12 años. Se busca abordar las deficiencias identificadas en esta técnica mediante la presentación de una metodología para su desarrollo. Para lograr este objetivo, se emplearon diversos métodos y técnicas de investigación, incluyendo el análisis teórico-metodológico y la observación de entrenamientos y juegos. Los resultados obtenidos revelaron deficiencias significativas en la técnica del tiro en suspensión en esta categoría de jugadores, lo que subraya la necesidad de implementar una metodología específica para su mejora.

ABSTRACT The study focuses on evaluating the current state of the technical preparation of the suspended shot in basketball players of the 11-12 years old pioneer category. It seeks to address the deficiencies identified in this technique by presenting a methodology for its development. To achieve this objective, several research methods and techniques were used, including theoretical-methodological analysis and observation of training sessions and games. The results obtained revealed significant deficiencies in the technique of suspension shooting in this category of players, which underlines the need to implement a specific methodology for its improvement.

RESUMEN Para Hegel, el rendimiento supremo del pensamiento consiste en hallar un terreno en el cual se pongan en evidencia las dimensiones primarias de la realidad. Por esta vía consigue desarrollar uno de sus planteamientos más interesantes en la Ciencia de la lógica, a saber, el concepto de realidad efectiva. Este artículo elabora esa visión de la realidad comentando cuidadosamente lo que Hegel desarrolla allí. Al final muestra que la realidad absoluta es a la vez diferenciación en multiplicidades existentes e inversión de esa contingencia en absoluta necesidad, es decir, se pone como contingente para recuperarse a sí misma en la necesidad.

ABSTRACT For Hegel, the supreme performance of thought consists in finding a terrain in which the primary dimensions of reality become evident. In this way, he develops one of his most interesting approaches in the Science of Logic, namely, effective reality. This article elaborates this view of reality by carefully commenting on what Hegel develops therein. At the end, he shows that absolute reality is both differentiation into existing multiplicities and inversion of that contingency into absolute necessity, i.e., it sets itself as contingent in order to recover itself in necessity.

Abstract: Estoa journal´s editorial emphasises the increasing importance of evaluation and validation processes in scientific publications, particularly in architectural research. It highlights the necessity of generating and contextualising processes to ensure replicability, functionality, and sustainability in research studies. The integration of new technologies, such as digital simulation, virtual reality, and biomaterials, has revolutionised these processes, enhancing the precision and rigour of evaluations. The journal's current issue focuses on the impact of these technologies on architectural and urban studies, presenting 16 diverse articles that explore various aspects of this transformation. Key themes include the application of innovative technologies in architecture, urbanism, and public policy, emphasising sustainability, bioclimatic efficiency, and heritage preservation. The editorial concludes by encouraging readers to reflect on improving evaluation processes and responsibly educating future generations to use these new technologies effectively. It underscores the critical role of precision, sustainability, and adaptability in modern society and the significant impact of technological advancements on architectural and urban environments.

Resumen: La editorial de la revista Estoa enfatiza la creciente importancia de los procesos de evaluación y validación en las publicaciones científicas, especialmente en la investigación arquitectónica. Destaca la necesidad de generar y contextualizar procesos para asegurar la replicabilidad, funcionalidad y sostenibilidad en los estudios de investigación. La integración de nuevas tecnologías, como la simulación digital, la realidad virtual y los biomateriales, ha revolucionado estos procesos, mejorando la precisión y el rigor de las evaluaciones. El número actual de la revista se centra en el impacto de estas tecnologías en los estudios arquitectónicos y urbanos, presentando 16 artículos diversos que exploran varios aspectos de esta transformación. Los temas clave incluyen la aplicación de tecnologías innovadoras en la arquitectura, el urbanismo y las políticas públicas, enfatizando la sostenibilidad, la eficiencia bioclimática y la preservación del patrimonio. La editorial concluye animando a los lectores a reflexionar sobre cómo mejorar los procesos de evaluación y educar responsablemente a las futuras generaciones para que utilicen estas nuevas tecnologías de manera efectiva. Subraya el papel crucial de la precisión, la sostenibilidad y la adaptabilidad en la sociedad moderna y el impacto significativo de los avances tecnológicos en los entornos arquitectónicos y urbanos.

RESUMEN El objetivo general fue analizar el mecanismo a través del cual la academia puede contribuir al logro de los Objetivos de Desarrollo Sostenible (ODS) en Paraguay. Ante la necesidad de visibilizar esta contribución por parte de la academia, se remarca el propósito del estudio, intercambiar experiencias de cómo puede la academia colaborar al logro de los ODS, la importancia de difundir informaciones relacionadas a los ODS y, sobre todo, indagar el grado de conocimiento de los ODS de personas clave de organizaciones o instituciones de las distintas comunidades de la zona de influencia de la sede Central y las Filiales de la FCE-UNA. El estudio analítico-descriptivo, está basado esencialmente en un trabajo de campo, con relevamiento de datos definida como población objetivo a líderes comunitarios. Los resultados obtenidos permiten afirmar que la visión de los líderes sobre el rol de las universidades para el logro de los ODS en Paraguay, refieren a que su rol es fundamental para el logro de los ODS y también mencionan que su rol es ser nexo con la sociedad para el logro de los ODS. Se concluye que el mecanismo óptimo a través del cual la academia/universidad puede contribuir al logro de los ODS en Paraguay, seria preferentemente incluir el tema de los ODS en el currículo de las facultades y brindar cursos sobre los ODS; otro, además sería elaborar e implementar proyectos en línea de los ODS, al que se agregan, el asesorar a las instituciones responsables del cumplimiento de los ODS.

ABSTRACT The overarching objective was to examine the manner in which academic institutions can contribute to the attainment of the Sustainable Development Goals (SDGs) in Paraguay. In light of the necessity to make this contribution by academia visible, the objective of the study is to facilitate an exchange of experiences on how academia can collaborate to achieve the Sustainable Development Goals (SDGs), the importance of disseminating information related to the SDGs, and, most importantly, to investigate the degree of knowledge of the SDGs among key individuals from organizations or institutions in various communities within the area of influence of the Central Headquarters and the Branches of FCE-UNA. The study is primarily analytical and descriptive in nature, with a particular focus on fieldwork and the collection of data from community leaders. The findings indicate that the leaders perceive the role of universities in achieving the SDGs in Paraguay to be of paramount importance. Furthermore, they assert that their role is to serve as a conduit between society and the achievement of the SDGs. It is thus concluded that the most effective mechanism through which academia/ universities can contribute to the achievement of the SDGs in Paraguay would be to integrate the topic of the SDGs into the curricula of the faculties and to offer courses on the SDGs. Additionally, another avenue for contribution would be the development and implementation of SDG-aligned projects, in collaboration with institutions responsible for achieving the SDGs

Resumen La seguridad de los psicofármacos durante el embarazo es un tema crucial en la práctica clínica. En esta revisión, se hace un breve recorrido sobre los cambios en el embarazo que impactan en la farmacodinamia de los medicamentos, además, se analizan los principales grupos farmacológicos en psiquiatría y sus efectos durante el embarazo. Se identifican tres períodos críticos durante el embarazo. El período de las primeras dos semanas se asocia con un mayor riesgo de aborto espontáneo. El período de la segunda a la décima semana es el más riesgoso, ya que pueden ocurrir alteraciones teratogénicas que afectan el desarrollo fetal. El período posterior a la décima semana se caracteriza por alteraciones en el crecimiento y desarrollo funcional del feto, pero suelen ser menos graves. Los antidepresivos, especialmente los inhibidores selectivos de la receptación de serotonina (ISRS) y los antipsicóticos de segunda generación se consideran los más seguros, pero estos últimos pueden estar asociados con síndrome metabólico, cardiopatías congénitas y trastornos del neurodesarrollo. El litio se ha asociado con efectos teratogénicos y malformaciones cardíacas, mientras que el valproato está relacionado con defectos congénitos importantes. Las benzodiacepinas pueden tener efectos tóxicos y causar síndrome de abstinencia en el recién nacido. La seguridad de los psicofármacos durante el embarazo requiere una evaluación individualizada de los beneficios y riesgos. Aunque algunos grupos de psicofármacos se consideran relativamente seguros, es necesario tener precaución y considerar las posibles complicaciones asociadas con su uso durante el embarazo.

Abstract: The safety of psychoactive drugs during pregnancy is a crucial issue in clinical practice. In this review, a brief overview of the changes in pregnancy that impact the pharmacodynamics of drugs is made; in addition, the main pharmacological groups in psychiatry and their effects during pregnancy are analyzed. Three critical periods during pregnancy are identified. The period of the first two weeks is associated with an increased risk of miscarriage. The period from the second to the tenth week is the most at risk , since teratogenic effects that affect fetal development can take place. The period after the tenth week is characterized by alterations in fetal growth and functional development , however ,less severe defects. Antidepressants, especially selective serotonin reuptake inhibitors (SSRIs), and second-generation antipsychotics are considered the safest, but the latter may be associated with metabolic syndrome, congenital heart disease, and neurodevelopmental disorders. Lithium has been associated with teratogenic effects and cardiac malformations, while valproate is associated with major birth defects. Benzodiazepines can have toxic effects and cause Neonatal Withdrawal Syndrome . The safety of psychotropic drugs during pregnancy requires an individualized assesment of the benefits and risks. Although some groups of psychiatric drugs are considered relatively safe, caution is needed when considering the potential complications associated with their use during pregnancy.

Abstract: The functions that guarantee or control courts must fulfill in adversarial accusatory models are crucial for the proper protection of the rights and guarantees of all participants, especially the defendant and the accused. These functions are critical to the debates regarding the appropriateness of personal precautionary measures and require the judge to strictly observe the principles governing such measures and to justify how these principles are applied in each case. Supervisory courts must define and clearly state the standards required for each type of personal precautionary measure requested by the litigants and must reproduce in their rulings the criteria employed and the reasoning used to either confirm or dismiss the requirements of the personal precautionary measures, such as their material prerequisites and the necessity for caution

Resumen: Las funciones que los tribunales de garantía o de control deben cumplir en los modelos acusatorios de corte adversarial son fundamentales para la debida protección de los derechos y las garantías de todos los intervinientes, en especial del imputado y el acusado. Estas funciones resultan críticas para los debates en torno a la procedencia de las medidas cautelares personales y suponen por parte del juez la estricta observancia de los principios que regulan tales medidas y la fundamentación acerca del modo en que estos principios son aplicados en cada caso. Los tribunales de garantía deben definir y explicitar los estándares exigibles para cada tipo de medida cautelar personal solicitada por los litigantes, y reproducir en sus resoluciones los criterios empleados y los fundamentos utilizados para dar por acreditados o desestimados los requisitos de las medidas cautelares personales, como son los presupuestos materiales de estas y la necesidad de cautela

Resumo: As funções que os tribunais de garantias ou de controle devem cumprir nos modelos acusatórios de corte adversarial são fundamentais para a devida proteção dos direitos e garantias dos intervenientes, especialmente do imputado e do acusado. Essas funções são críticas para os debates sobre a procedência das medidas cautelares pessoais e implicam, por parte do juiz, a estrita observância dos princípios que regulam tais medidas e a fundamentação sobre a maneira como esses princípios são aplicados em cada caso. Os tribunais de garantia devem definir e explicitar os padrões exigíveis para cada tipo de medida cautelar pessoal solicitada pelos litigantes, e reproduzir em suas resoluções os critérios empregados e os fundamentos utilizados para considerar comprovados ou rejeitados os requisitos das medidas cautelares pessoais, como são os pressupostos materiais dessas medidas e a necessidade de cautela

Abstract: The objective of this research study is to analyze the mental structures of a cognitive model of isomorphism of vector spaces, called Genetic Decomposition, based on the elements of the APOS (Action, Process, Object, and Scheme) theory. This is validated as evidence of postulation reasoning, which is part of the characterization of advanced mathematical thinking. Characterizing advanced mathematical thinking of linear algebra to improve learning on this topic is a necessity. The methodological cycle of the theory is applied, and the Genetic Decomposition model proposed for the notion of isomorphism of vector spaces is tested in a case study made up of three initial teacher-training students through a questionnaire. The results show that the reorganization of the scheme's components allows the generation of a new scheme of the notion. It is concluded that this reveals a form of reasoning in linear algebra.

Resumen: El objetivo de esta investigación es analizar las estructuras mentales de un modelo cognitivo del isomorfismo de espacios vectoriales, llamado Descomposición Genética, con base en los elementos de la teoría APOE (Acción, Proceso, Objeto y Esquema). Se valida como evidencia del razonamiento de postulación, el cual forma parte de la caracterización del pensamiento matemático avanzado. Caracterizar el pensamiento matemático avanzado del álgebra lineal para mejorar los aprendizajes de este tópico es una necesidad. Se aplica el ciclo metodológico de la teoría y se pone a prueba el modelo de Descomposición Genética propuesto para la noción de isomorfismo de espacios vectoriales a un caso de estudio conformado por tres estudiantes de formación inicial docente, a través de un cuestionario. Los resultados muestran que la reorganización de los componentes del esquema permite la generación de un nuevo esquema de la noción. Se concluye que esto pone de manifiesto una forma de razonamiento en el álgebra lineal.

Research that directs the way stakeholders act and how they collaborate is essential when addressing complex environmental challenges in the field of sustainability science. For example, researchers attempting to manage Prosopis invasions through biological control in South Africa have historically faced challenges from stakeholders. In this study we illustrate the importance of stakeholder engagement and social learning by outlining the collaborative efforts of various stakeholders to promote effective, integrative and sustainable management of Prosopis invasions in the Northern Cape, South Africa. Through a community of practice approach, stakeholders worked together over the past half-decade in an attempt to develop a National Strategy for Prosopis management and improve its control. This strategy aimed not only to emphasise the need for integration of biomass use (aimed at offsetting the costs of mechanical clearing and necessary herbicide use) but also to underscore the significance of biocontrol alongside other management approaches. Stakeholders also identified that adequate farm-scale planning is necessary to provide a sense of purpose and assist in monitoring of progress. We worked alongside land managers and experts to develop such plans. The engagement of local champions played a crucial role in facilitating collaboration and learning among stakeholders, emphasising the significance of inclusive approaches in addressing complex sustainability challenges. In addition, we gained an understanding of how to develop the community of practice to enhance collaboration that ensures the implementation of plans to better manage Prosopis. Our findings underscore the necessity of meaningful stakeholder engagement and collaboration in effective invasive species management. By promoting understanding and involvement of diverse stakeholders, initiatives can have a greater impact in addressing broader sustainability issues. SIGNIFICANCE: Our findings highlight the fundamental role of stakeholder collaboration in addressing environmental challenges (e.g. biological invasions), promoting sustainability and fostering social learning. Collaboration facilitates exchange of knowledge, promotes social learning and allows stakeholders to make informed decisions when addressing sustainability issues. Collaborative approaches promote the effectiveness of a community of practice in managing Prosopis invasions in South Africa. Local champions played a pivotal role in facilitating collaboration, bridging communication gaps and promoting inclusive approaches. Sustained stakeholder engagement, transdisciplinary collaborations, effective biological control and market development for biomass products will be essential to improve the sustainable management Prosopis.

Although widely acknowledged for their significance, contemporary Teacher Professional Development (TPD) initiatives have faced growing criticism due to their failure to effectively foster the seamless incorporation of technology into educators' pedagogical practices. Educators depend on their informal Communities of Practice (CoPs) rather than TPD programmes to acquire the knowledge they need to both competently and meaningfully integrate technology into their pedagogical practices. This study investigates the innovative approaches educators employ in three (n=3) Western Cape public primary schools to create a hybrid CoP in their school to improve their collective technological, pedagogical, and content knowledge (TPACK). The criticism of TPD efforts extends beyond primary and secondary school contexts. This challenge substantially impacts teacher education and highlights the increasing necessity for developing digital literacy among the professoriate in this discipline. The theoretical basis for this study was Wenger's (1998) CoP social learning theory and Mishra and Koehler's (2006) TPACK model. The study employed a qualitative research approach involving a cohort of 12 educators who engaged in open-ended survey questionnaires, one-on-one semi-structured interviews, and observational sessions. Additionally, the research incorporated one (n=1) school principal and two (n=2) deputy principals who actively contributed to all data collection modalities except for the survey questionnaires. Document analysis, specifically from WhatsApp group chat screenshots, was conducted across all three (n=3) schools as part of the research approach. While the data set used in this study originates from a study involving school educators, it aims to extend the findings to determine their significance for teacher education. The results revealed that the sampled educators had established an informal hybrid CoP at their respective schools through innovative approaches, such as joint enterprise, mutual engagement, and shared repertoire. These educators gained TPACK from one another throughout this process. Universities and provincial governments might profit from the findings, the knowledge gained from which could assist in their structuring of TPD programmes in ways which would foster their organic development in educators' particular employment contexts.

Abstract: The microeconomic research about private expenditures on educational goods and services shows that the variation in investment levels reflects differences in income, socio-demographic characteristics, and the average number of household members. There are few studies in Latin America, however, that also explore the income elasticity of educational demand. This article addresses this important gap in Mexico, using data from the 2020 National Survey of Household Income and Expenditures. By means of Engel curves and tobit regression analysis, this article outlines the values assigned to education according to family traits. In particular, the results show that, as we focus on economically wealthier households, education is no longer a superior good, without becoming a necessity good. In addition, the data show evidence of gender differences that are opposite to those pointed out in the peer-reviewed literature.

Resumen: La investigación microeconómica sobre el gasto privado en bienes y servicios educativos muestra que la variación en los niveles de inversión corresponde a diferencias en el ingreso, características sociodemográficas y al número de miembros de los hogares. Sin embargo, son escasos los estudios al respecto en América Latina, en los que además se explore la elasticidad del ingreso en la demanda educativa. Este trabajo aborda esta brecha en México, utilizando datos de la Encuesta Nacional de Ingresos y Gastos de los Hogares de 2020. A través de curvas de Engel y análisis de regresión tobit, el trabajo expone los valores asignados a la educación según rasgos familiares. Concretamente, los resultados muestran que, al acercarnos a hogares económicamente más ricos, la educación deja de ser un bien superior, sin llegar a ser un bien de necesidad. Adicionalmente, los resultados muestran evidencia de sesgos de género opuestos a aquellos apuntados en la literatura especializada.

BACKGROUND: Unani Tibb promotes holistic patient care, yet spirituality and spiritual care seem to be neglected in education. This theory-practice gap was previously highlighted in studies on Unani Tibb practitioners. The role of spirituality and spiritual care in Unani Tibb education in South Africa (SA) remains unclear OBJECTIVES: To explore Unani Tibb students' and educators' perceptions and attitudes of spirituality and spiritual care in SA METHODS: A two-stage sequential explanatory mixed-method study was conducted. Quantitative data from stage 1 was obtained using a cross-sectional descriptive study followed by in-depth interviews for the qualitative study in stage 2. Stage 1 guided the interview questions in stage 2. Descriptive data analysis was performed for the quantitative study, followed by thematic analysis for the qualitative data RESULTS: A total of 18 (90%) participants took part in the quantitative study followed by 10 participants (50%) in the qualitative study. Three study findings emerged: i) a heightened level of spiritual awareness was recorded for this cohort despite the lack of spirituality and spiritual care content in the curriculum, ii) participants viewed spiritual care as integral to Unani Tibb philosophy, education and practice and iii) formal integration of spirituality and spiritual care concepts in Unani Tibb education was identified as a necessity to ensure the integrity of the holistic approach required by the profession CONCLUSION: This study has implications across the health education sector and more specifically for Unani Tibb educators to consider the inclusion of spiritual care content in education programmes

Resumo Discussões críticas sobre a tese do Antropoceno apontam para a necessidade de uma reconfiguração radical da política e do direito. Propomos que possíveis caminhos para essa reconfiguração estão presentes nas práticas de defesa do território e modo de vida do povo Munduruku, especialmente no processo de autodemarcação do território Daje Kapap Eypi, no médio curso do rio Tapajós, iniciado em resposta à paralisação da demarcação da terra pelo governo brasileiro e ao avanço do licenciamento da Usina Hidrelétrica São Luiz do Tapajós. A partir de uma análise dos conflitos em torno deste território, investigamos o embate entre duas lógicas jurídicas antagônicas: de um lado, um direito do Antropoceno, que reforça a separação entre natureza e sociedade, rejeita modos existência que fogem a essa dualidade, e aprofunda o extrativismo predatório; e, de outro, um direito cosmopolítico dos Munduruku, no qual direitos e obrigações são constituídos por redes de entidades humanas e mais-que-humanas, por práticas autônomas de tomada de decisão e pela experiência situada e viva do território. Argumentamos que o direito cosmopolítico dos Munduruku tem constituído territórios capazes de frear o avanço do extrativismo e da destruição ecológica, e deve ser entendido como uma prática jurídica que sustenta e repara as condições de vida num planeta ferido. Eypi Tapajós antagônicas lado sociedade dualidade predatório outro maisquehumanas, maisquehumanas mais humanas, mais-que-humanas ecológica ferido

Abstract Critical discussions about the Anthropocene point to the necessity of a radical recasting of politics and law. We propose that potential paths for this recasting can be found in the practices through which the Munduruku defend their territory and way of life, particularly in the self-demarcation of the Daje Kapap Eypi territory, initiated in 2014 in response to the Brazilian government's halt on the land demarcation process and the advancement of the São Luiz do Tapajós Hydroelectric Dam licensing. Through an analysis of conflicts surrounding this territory, we investigate the clash between two antagonistic legal logics: on one side, a law of the Anthropocene, which reinforces the separation between nature and society, rejects modes of existence that transcend this duality, and deepens predatory extractivism; and on the other, a cosmopolitical law of the Munduruku, in which rights and obligations are constituted by networks of human and more-than-human entities, autonomous decision-making practices, and the situated experience of territory. We argue that the cosmopolitical legal practice of the Munduruku has established territories capable of halting the advance of extractivism and ecological destruction and should be understood as a legal practice that sustains and repairs the conditions of life on a damaged planet. selfdemarcation self 201 governments government s licensing logics side society duality other morethanhuman more than entities decisionmaking decision making planet 20 2

Abstract Introduction: This study examines the technological revolution in the realm of connected medical devices, which are redefining the monitoring, diagnosis, and treatment of diseases. It analyzes how the integration of advanced technologies is driving personalized and remote healthcare. Objectives: To evaluate the advancements in connected medical devices and their impact on improving disease monitoring and diagnosis. The study investigates how these technologies are changing the dynamics of healthcare delivery and identifies the associated challenges and opportunities. Methodology: A qualitative approach is used, linking research questions with theories and outcomes. The study is based on analyses of wearable devices and implantable systems, combining literature review with expert interviews and data analysis. This methodological approach allows for a deep understanding of the interaction between technology and medical practice. Results: The findings show that connected medical devices offer significant advantages in terms of precision and efficiency, enabling real-time monitoring and better clinical decision-making. Technical, ethical, and regulatory challenges are identified, but innovative solutions to overcome them are also highlighted. Conclusions: The research underscores the importance of a qualitative approach in studying connected medical devices. The results emphasize the need for a robust methodological framework to evaluate both technological advancements and associated challenges. This study contributes to understanding how connected medical devices are transforming healthcare, highlighting the necessity of integrated and multidisciplinary approaches to maximize benefits and minimize risks.

Resúmen Introducción: Este estudio examina la revolución tecnológica en el ámbito de los dispositivos médicos conectados, que están redefiniendo el monitoreo, diagnóstico y tratamiento de enfermedades. Se analiza cómo la integración de tecnologías avanzadas está impulsando la atención médica personalizada y a distancia. Objetivos: Evaluar los avances en dispositivos médicos conectados y su impacto en la mejora del monitoreo y diagnóstico de enfermedades. Se investiga cómo estas tecnologías están cambiando la dinámica de la atención médica y cuáles son los desafíos y oportunidades asociados. Metodología: Se utiliza un enfoque cualitativo, vinculando preguntas de investigación con teorías y resultados. El estudio se basa en análisis de dispositivos wearables y sistemas implantables, combinando la revisión de literatura con entrevistas a expertos y análisis de datos. Este enfoque metodológico permite una comprensión profunda de la interacción entre la tecnología y la práctica médica. Resultados: Los hallazgos muestran que los dispositivos médicos conectados ofrecen significativas ventajas en términos de precisión y eficiencia, permitiendo un seguimiento en tiempo real y una mejor toma de decisiones clínicas. Se identifican retos técnicos, éticos y regulatorios, pero también se destacan soluciones innovadoras para superarlos. Conclusiones: La investigación subraya la importancia de un enfoque cualitativo en el estudio de los dispositivos médicos conectados. Los resultados enfatizan la necesidad de un marco metodológico robusto para evaluar tanto los avances tecnológicos como los desafíos asociados. Este estudio contribuye a la comprensión de cómo los dispositivos médicos conectados están transformando la atención médica, enfatizando la necesidad de abordajes integrados y multidisciplinarios para maximizar sus beneficios y minimizar los riesgos.

ABSTRACT This article addresses the controversy created by the public reconfiguration of medical Cannabis in Brazil. The play character Antigone is borrowed to make sense of this transformation, reconstructed based on activist manifestations, especially of patients and their families. Public insurgent declarations emerge against prohibitionist legal provisions, referred to by the activists themselves as “peaceful civil disobedience,” under a moral key that breaks with the language of individual freedom, articulating notions of duty and necessity. Brazil transformation manifestations families provisions peaceful disobedience, disobedience freedom necessity

RESUMO O artigo trata da controvérsia instaurada pela reconfiguração do problema público da Cannabis medicinal no Brasil. Mobiliza-se a personagem Antígona para dar sentido a essa transformação, reconstruída a partir de manifestações de ativistas, em especial pacientes e familiares de pacientes. Percebe-se a emergência de declarações públicas de insurgência contra os dispositivos legais proibicionistas, referidos pela própria militância como “desobediência civil pacífica”, em uma chave moral que rompe com a linguagem da liberdade individual, articulando noções de dever e necessidade. Brasil Mobilizase Mobiliza se transformação ativistas Percebese Percebe proibicionistas desobediência pacífica, pacífica , pacífica” individual necessidade