Questões de Inglês do ENEM

         The perils of counterfeit drugs go way beyond being ripped off by dubious online pill-pushers. The World Health Organization (WHO) estimates that 50 per cent of all medicines sold online are worthless counterfeits. In developing nations fake pills may account for as much as 30 per cent of all drugs on the market. Even in the developed world, 1 per cent of medicines bought over the counter are fakes.

        Some key events illustrate the risk these pose. In Nigeria, 2500 children died in 1995 after receiving fake meningitis vaccines. In Haiti, Bangladesh and Nigeria, around 400 people died in 1998 after being given paracetamol that had been prepared with diethylene glycol – a solvent used in wallpaper stripper. The fakers are nothing if not market-aware: in the face of an outbreak of H5N1 bird flu in 2005, they began offering fake Tamiflu.

         What can be done? The WHO coordinates an umbrella body called the International Medical Products Anti-Counterfeiting Taskforce (IMPACT), an industry initiative that issues alerts when it finds anomalies in the medicine supply chain. Such events include sudden drops in wholesale prices, hinting at fakes coming onto the market, or the mimicking of anti-counterfeiting features on packaging, such as holograms or barcodes, says Nimo Ahmed, head of intelligence at the UK’s Medicine and Healthcare Products Regulatory Agency.

New Scientist, 10 July 2010, p. 18. Adaptado.

         The perils of counterfeit drugs go way beyond being ripped off by dubious online pill-pushers. The World Health Organization (WHO) estimates that 50 per cent of all medicines sold online are worthless counterfeits. In developing nations fake pills may account for as much as 30 per cent of all drugs on the market. Even in the developed world, 1 per cent of medicines bought over the counter are fakes.

        Some key events illustrate the risk these pose. In Nigeria, 2500 children died in 1995 after receiving fake meningitis vaccines. In Haiti, Bangladesh and Nigeria, around 400 people died in 1998 after being given paracetamol that had been prepared with diethylene glycol – a solvent used in wallpaper stripper. The fakers are nothing if not market-aware: in the face of an outbreak of H5N1 bird flu in 2005, they began offering fake Tamiflu.

         What can be done? The WHO coordinates an umbrella body called the International Medical Products Anti-Counterfeiting Taskforce (IMPACT), an industry initiative that issues alerts when it finds anomalies in the medicine supply chain. Such events include sudden drops in wholesale prices, hinting at fakes coming onto the market, or the mimicking of anti-counterfeiting features on packaging, such as holograms or barcodes, says Nimo Ahmed, head of intelligence at the UK’s Medicine and Healthcare Products Regulatory Agency.

New Scientist, 10 July 2010, p. 18. Adaptado.

Big education publisher to end printed textbooks  

The world's largest education publisher, Pearson, has said it will gradually phase out printed textbooks. It has taken a decision to make all of its learning resources "digital first". Pearson said the future of the industry is in e-books and digital services. Pearson CEO John Fallon explained more about the company's future direction. He told the BBC: "We are now over the digital tipping point. Over half our annual revenues come from digital sales, so we've decided, a little bit like in other industries like newspapers or music or in broadcast, that it is time to flick the switch in how we primarily make and create our products." He added: "I am increasingly confident and excited about this." Pearson said a huge advantage of digital books is that they can be continually updated, _________3 means teachers will always have access to the latest versions of textbooks. Mr. Fallon said Pearson would stop its current business model of revising printed course books every three years. He said this model has dominated the industry for over four decades and is now past its use-by date. Fallon said: "We learn by engaging and sharing with others, and a digital environment enables you to do that in a much more effective way." He added the digital books will appeal to the "Netflix and Spotify generation". Textbook writers are worried they will earn less from their books as digital products are sold on a subscription basis.

Source: https://breakingnewsenglish.com/1907/190718- textbooks.html Captured on: 26/07/19

Read the statements below:

I. Pearson has stopped printing textbooks.
II. The publisher has profits of over 50% from digital sales.
III. Printed course books are revised by Pearson every three years.

According to the text, choose the only correct alternative:

Big education publisher to end printed textbooks  

The world's largest education publisher, Pearson, has said it will gradually phase out printed textbooks. It has taken a decision to make all of its learning resources "digital first". Pearson said the future of the industry is in e-books and digital services. Pearson CEO John Fallon explained more about the company's future direction. He told the BBC: "We are now over the digital tipping point. Over half our annual revenues come from digital sales, so we've decided, a little bit like in other industries like newspapers or music or in broadcast, that it is time to flick the switch in how we primarily make and create our products." He added: "I am increasingly confident and excited about this." Pearson said a huge advantage of digital books is that they can be continually updated, _________3 means teachers will always have access to the latest versions of textbooks. Mr. Fallon said Pearson would stop its current business model of revising printed course books every three years. He said this model has dominated the industry for over four decades and is now past its use-by date. Fallon said: "We learn by engaging and sharing with others, and a digital environment enables you to do that in a much more effective way." He added the digital books will appeal to the "Netflix and Spotify generation". Textbook writers are worried they will earn less from their books as digital products are sold on a subscription basis.

Source: https://breakingnewsenglish.com/1907/190718- textbooks.html Captured on: 26/07/19

Big education publisher to end printed textbooks  

The world's largest education publisher, Pearson, has said it will gradually phase out printed textbooks. It has taken a decision to make all of its learning resources "digital first". Pearson said the future of the industry is in e-books and digital services. Pearson CEO John Fallon explained more about the company's future direction. He told the BBC: "We are now over the digital tipping point. Over half our annual revenues come from digital sales, so we've decided, a little bit like in other industries like newspapers or music or in broadcast, that it is time to flick the switch in how we primarily make and create our products." He added: "I am increasingly confident and excited about this." Pearson said a huge advantage of digital books is that they can be continually updated, _________3 means teachers will always have access to the latest versions of textbooks. Mr. Fallon said Pearson would stop its current business model of revising printed course books every three years. He said this model has dominated the industry for over four decades and is now past its use-by date. Fallon said: "We learn by engaging and sharing with others, and a digital environment enables you to do that in a much more effective way." He added the digital books will appeal to the "Netflix and Spotify generation". Textbook writers are worried they will earn less from their books as digital products are sold on a subscription basis.

Source: https://breakingnewsenglish.com/1907/190718- textbooks.html Captured on: 26/07/19

Texto I THE

"13 REASONS WHY" ACTORS HAD THERAPY DOGS TO HELP WITH EMOTIONAL SCENES By Hannah Orenstein - Apr 17, 2017

     “13 Reasons Why” doesn't shy away from tackling heavy issues like bullying, rape, and suicide. But bringing such dark stories to life can take a toll on actors, which is why the cast had access to cute, cuddly therapy dogs while filming the show.

     "They had therapy dogs on set," Dylan Minnette, who played Clay, told PopSugar. "There was a puppy per hour. They really tried to help out. The puppies helped." According to the Alliance of Therapy Dogs, the pups are "on a mission of sharing smiles and joy."

     Dylan also acknowledged that Katherine Langford, who played Hannah, had the most intense experience of them all. "She had the brunt of the emotional stuff," he continued. "I mean, we all have very emotional parts, but this is about her character." In the same interview, Katherine acknowledged the intensity of her character's role and explained why it was so important to bring these tough scenes to life.

     "We always read a new script at a table read, and once we hit episode nine, there was silence," she said. "That's when we realized what we were doing was important. That's the moment that's kind of ingrained in my head as, 'This is really important.' We cover so many intense issues. I feel like so much of Hannah's life, especially the last five episodes, is so tragic that you just have to put that shock aside and get through it. It's only been after the show and after wrapping that I've gone, wow, we really did handle some really heavy stuff. I'm really proud of how we handle it, because as you said we don't shy away from them." 

Fonte: Acesso:<Fonte: Acesso: 22/05/2017.> 22/05/2017.

Texto I THE

"13 REASONS WHY" ACTORS HAD THERAPY DOGS TO HELP WITH EMOTIONAL SCENES By Hannah Orenstein - Apr 17, 2017

     “13 Reasons Why” doesn't shy away from tackling heavy issues like bullying, rape, and suicide. But bringing such dark stories to life can take a toll on actors, which is why the cast had access to cute, cuddly therapy dogs while filming the show.

     "They had therapy dogs on set," Dylan Minnette, who played Clay, told PopSugar. "There was a puppy per hour. They really tried to help out. The puppies helped." According to the Alliance of Therapy Dogs, the pups are "on a mission of sharing smiles and joy."

     Dylan also acknowledged that Katherine Langford, who played Hannah, had the most intense experience of them all. "She had the brunt of the emotional stuff," he continued. "I mean, we all have very emotional parts, but this is about her character." In the same interview, Katherine acknowledged the intensity of her character's role and explained why it was so important to bring these tough scenes to life.

     "We always read a new script at a table read, and once we hit episode nine, there was silence," she said. "That's when we realized what we were doing was important. That's the moment that's kind of ingrained in my head as, 'This is really important.' We cover so many intense issues. I feel like so much of Hannah's life, especially the last five episodes, is so tragic that you just have to put that shock aside and get through it. It's only been after the show and after wrapping that I've gone, wow, we really did handle some really heavy stuff. I'm really proud of how we handle it, because as you said we don't shy away from them." 

Fonte: Acesso:<Fonte: Acesso: 22/05/2017.> 22/05/2017.

Making family medicine a more attractive specialty: strategies to address the shortage of primary care specialists in Brazil

Primary Health Care (PHC) is often the first level of the health system and is responsible for the coordination of medical and interdisciplinary care. As the preferred entry point to the Brazilian Unified Health System (SUS), PHC is of fundamental importance and is present in all regions of the country. It aims to enable access to health care and ensures the coordination and completeness of care. This structure can treat approximately 80% of the overall need related to diseases presented in the Basic Health Units.

Despite its importance, the valorization of PHC and Family Medicine (FM) as a discipline and a public policy has not been prioritized in most Brazilian educational institutions. According to the study on medical demography carried out by the Regional Medical Council of São Paulo (CREMESP), Brazil had 500,000 physicians in 2020, but with unequal distribution among the nation’s five regions, and a concentration of professionals in the capital cities compared to the countryside.

 This issue is faced by many countries. In the United States (US) of 8,116 primary care postgraduate training positions (which includes pediatrics, internal medicine, and family doctors), 42 percent were filled by graduates of U.S. medical schools and the American Association of Medical Colleges (AAMC) projects a shortage of 21,100 to 55,200 primary care physicians (PCP) by 2034. In Europe, where PCP was traditionally respected and recognized, the lack of General Practitioners (GP) is also increasing and is a matter of concern. Workload and a lack of perceived prestige associated with the PCP track can make primary care less attractive. These sorts of misconceptions, along with lower salaries, burnout, and difficult career advancement makes primary care a difficult specialty to attract and retain doctors.

For Feuerwerker, vacancies in Brazilian institutions are the result of several elements: the encouragement of distinctive specialties and institutions, the historical misunderstanding and importance of the practice, and the increased incentive of specialization in medical education. The lack of investments in supplies and infrastructure in primary care, career development concerns, and low salaries, and the valorization of the formation of FM doctors in the work of the EFS also contribute to difficulty in retaining these positions in Brazil.

With the aim to reduce the vacancy rate in the medical residency programs for FM, some Brazilian health departments introduced reforms and additional financing for FM training. In 2020, the region of Campinas, where we work, introduced a program called “More Doctors for the City of Campinas” (PMMC), which established a partnership between public and private higher education institutions, hospitals, and Urgency/Emergency Units with a novel post-graduation proposal for FM. It created a program to support the training of specialists in family medicine, stimulate research, and expand care in Basic Health Units, and has since resulted in a 50% decrease in vacancies.

One of the successful elements of the Campinas program, together with quality of medical training, is that it helps bring medical classroom training closer to the community and everyday social reality. PMMC-trained physicians are aware of how their work impacts the local community and its particular health needs. The program has resulted in care that is more responsive to community needs, especially from the perspective of adopting a care model that prioritizes health promotion, disease prevention, diagnosis, and treatment in an integrated manner. However, for the EFS to continue to innovate and improve its response capacity to contemporary health problems, it must invest heavily in professional training, the rational incorporation of information and communication technologies, and the creation of appropriate working conditions for multidisciplinary teams.

Disponível em: https://speakingofmedicine.plos.org/2023/01/13/. Acesso em: 4 mar. 2024. [Adaptado]. 

Texto I THE

"13 REASONS WHY" ACTORS HAD THERAPY DOGS TO HELP WITH EMOTIONAL SCENES By Hannah Orenstein - Apr 17, 2017

     “13 Reasons Why” doesn't shy away from tackling heavy issues like bullying, rape, and suicide. But bringing such dark stories to life can take a toll on actors, which is why the cast had access to cute, cuddly therapy dogs while filming the show.

     "They had therapy dogs on set," Dylan Minnette, who played Clay, told PopSugar. "There was a puppy per hour. They really tried to help out. The puppies helped." According to the Alliance of Therapy Dogs, the pups are "on a mission of sharing smiles and joy."

     Dylan also acknowledged that Katherine Langford, who played Hannah, had the most intense experience of them all. "She had the brunt of the emotional stuff," he continued. "I mean, we all have very emotional parts, but this is about her character." In the same interview, Katherine acknowledged the intensity of her character's role and explained why it was so important to bring these tough scenes to life.

     "We always read a new script at a table read, and once we hit episode nine, there was silence," she said. "That's when we realized what we were doing was important. That's the moment that's kind of ingrained in my head as, 'This is really important.' We cover so many intense issues. I feel like so much of Hannah's life, especially the last five episodes, is so tragic that you just have to put that shock aside and get through it. It's only been after the show and after wrapping that I've gone, wow, we really did handle some really heavy stuff. I'm really proud of how we handle it, because as you said we don't shy away from them." 

Fonte: Acesso:<Fonte: Acesso: 22/05/2017.> 22/05/2017.

Making family medicine a more attractive specialty: strategies to address the shortage of primary care specialists in Brazil

Primary Health Care (PHC) is often the first level of the health system and is responsible for the coordination of medical and interdisciplinary care. As the preferred entry point to the Brazilian Unified Health System (SUS), PHC is of fundamental importance and is present in all regions of the country. It aims to enable access to health care and ensures the coordination and completeness of care. This structure can treat approximately 80% of the overall need related to diseases presented in the Basic Health Units.

Despite its importance, the valorization of PHC and Family Medicine (FM) as a discipline and a public policy has not been prioritized in most Brazilian educational institutions. According to the study on medical demography carried out by the Regional Medical Council of São Paulo (CREMESP), Brazil had 500,000 physicians in 2020, but with unequal distribution among the nation’s five regions, and a concentration of professionals in the capital cities compared to the countryside.

 This issue is faced by many countries. In the United States (US) of 8,116 primary care postgraduate training positions (which includes pediatrics, internal medicine, and family doctors), 42 percent were filled by graduates of U.S. medical schools and the American Association of Medical Colleges (AAMC) projects a shortage of 21,100 to 55,200 primary care physicians (PCP) by 2034. In Europe, where PCP was traditionally respected and recognized, the lack of General Practitioners (GP) is also increasing and is a matter of concern. Workload and a lack of perceived prestige associated with the PCP track can make primary care less attractive. These sorts of misconceptions, along with lower salaries, burnout, and difficult career advancement makes primary care a difficult specialty to attract and retain doctors.

For Feuerwerker, vacancies in Brazilian institutions are the result of several elements: the encouragement of distinctive specialties and institutions, the historical misunderstanding and importance of the practice, and the increased incentive of specialization in medical education. The lack of investments in supplies and infrastructure in primary care, career development concerns, and low salaries, and the valorization of the formation of FM doctors in the work of the EFS also contribute to difficulty in retaining these positions in Brazil.

With the aim to reduce the vacancy rate in the medical residency programs for FM, some Brazilian health departments introduced reforms and additional financing for FM training. In 2020, the region of Campinas, where we work, introduced a program called “More Doctors for the City of Campinas” (PMMC), which established a partnership between public and private higher education institutions, hospitals, and Urgency/Emergency Units with a novel post-graduation proposal for FM. It created a program to support the training of specialists in family medicine, stimulate research, and expand care in Basic Health Units, and has since resulted in a 50% decrease in vacancies.

One of the successful elements of the Campinas program, together with quality of medical training, is that it helps bring medical classroom training closer to the community and everyday social reality. PMMC-trained physicians are aware of how their work impacts the local community and its particular health needs. The program has resulted in care that is more responsive to community needs, especially from the perspective of adopting a care model that prioritizes health promotion, disease prevention, diagnosis, and treatment in an integrated manner. However, for the EFS to continue to innovate and improve its response capacity to contemporary health problems, it must invest heavily in professional training, the rational incorporation of information and communication technologies, and the creation of appropriate working conditions for multidisciplinary teams.

Disponível em: https://speakingofmedicine.plos.org/2023/01/13/. Acesso em: 4 mar. 2024. [Adaptado]. 

Making family medicine a more attractive specialty: strategies to address the shortage of primary care specialists in Brazil

Primary Health Care (PHC) is often the first level of the health system and is responsible for the coordination of medical and interdisciplinary care. As the preferred entry point to the Brazilian Unified Health System (SUS), PHC is of fundamental importance and is present in all regions of the country. It aims to enable access to health care and ensures the coordination and completeness of care. This structure can treat approximately 80% of the overall need related to diseases presented in the Basic Health Units.

Despite its importance, the valorization of PHC and Family Medicine (FM) as a discipline and a public policy has not been prioritized in most Brazilian educational institutions. According to the study on medical demography carried out by the Regional Medical Council of São Paulo (CREMESP), Brazil had 500,000 physicians in 2020, but with unequal distribution among the nation’s five regions, and a concentration of professionals in the capital cities compared to the countryside.

 This issue is faced by many countries. In the United States (US) of 8,116 primary care postgraduate training positions (which includes pediatrics, internal medicine, and family doctors), 42 percent were filled by graduates of U.S. medical schools and the American Association of Medical Colleges (AAMC) projects a shortage of 21,100 to 55,200 primary care physicians (PCP) by 2034. In Europe, where PCP was traditionally respected and recognized, the lack of General Practitioners (GP) is also increasing and is a matter of concern. Workload and a lack of perceived prestige associated with the PCP track can make primary care less attractive. These sorts of misconceptions, along with lower salaries, burnout, and difficult career advancement makes primary care a difficult specialty to attract and retain doctors.

For Feuerwerker, vacancies in Brazilian institutions are the result of several elements: the encouragement of distinctive specialties and institutions, the historical misunderstanding and importance of the practice, and the increased incentive of specialization in medical education. The lack of investments in supplies and infrastructure in primary care, career development concerns, and low salaries, and the valorization of the formation of FM doctors in the work of the EFS also contribute to difficulty in retaining these positions in Brazil.

With the aim to reduce the vacancy rate in the medical residency programs for FM, some Brazilian health departments introduced reforms and additional financing for FM training. In 2020, the region of Campinas, where we work, introduced a program called “More Doctors for the City of Campinas” (PMMC), which established a partnership between public and private higher education institutions, hospitals, and Urgency/Emergency Units with a novel post-graduation proposal for FM. It created a program to support the training of specialists in family medicine, stimulate research, and expand care in Basic Health Units, and has since resulted in a 50% decrease in vacancies.

One of the successful elements of the Campinas program, together with quality of medical training, is that it helps bring medical classroom training closer to the community and everyday social reality. PMMC-trained physicians are aware of how their work impacts the local community and its particular health needs. The program has resulted in care that is more responsive to community needs, especially from the perspective of adopting a care model that prioritizes health promotion, disease prevention, diagnosis, and treatment in an integrated manner. However, for the EFS to continue to innovate and improve its response capacity to contemporary health problems, it must invest heavily in professional training, the rational incorporation of information and communication technologies, and the creation of appropriate working conditions for multidisciplinary teams.

Disponível em: https://speakingofmedicine.plos.org/2023/01/13/. Acesso em: 4 mar. 2024. [Adaptado].