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Objetivo: compreender as facilidades e dificuldades enfrentadas por gestores municipais de saúde com o novo modelo de financiamento da Atenção Primária à Saúde. Método: estudo qualitativo, tipo Pesquisa Convergente Assistencial, fundamentado na Política Nacional de Atenção Básica. Participaram 77 gestores ou seus representantes, de 47 municípios de uma Macrorregião de saúde de Santa Catarina, Brasil. Foram realizadas três oficinas nas Gerências Regionais de Saúde, em agosto e setembro de 2022. Os dados foram analisados pela análise de conteúdo. Resultados: apresentam-se como facilidades do Previne Brasil informatização, comprometimento dos profissionais, e qualificação do cuidado. Foram descritas como dificuldades falta de informações, sistema informatizado e denominador estimado e, equipe de trabalho. Conclusão: o programa apresenta facilidades que qualificam o processo de trabalho e cuidado à saúde da população. Contudo, persistem dificuldades que devem ser consideradas pela gestão municipal para avanços na atenção integral e no financiamento da Atenção Primária à Saúde.

Objective: understand the facilities and difficulties faced by municipal health managers with the new Primary Health Care financing model. Method: this is a qualitative study, of the Convergent Care Research type, based on the National Primary Care Policy. The participants were 77 managers or their representatives from 47 municipalities in a health Macroregion in Santa Catarina, Brazil. Three workshops were held in the Regional Health Departments in August and September 2022. The data was analyzed using content analysis. Results: Previne Brasil's facilities include computerization, commitment of professionals, and qualification of care. Difficulties were described as lack of information, computerized system and estimated denominator, and work team. Conclusion: the program offers facilities that improve the work process and health care for the population. However, there are still difficulties that must be considered by municipal management in order to make progress in comprehensive care and Primary Health Care financing.

Objetivo: comprender las facilidades y dificultades que enfrentan los gestores municipales de salud con el nuevo modelo de financiamiento de la Atención Primaria de Salud. Método: estudio cualitativo, tipo Investigación Convergente Asistencial, basado en la Política Nacional de Atención Primaria. Participaron 77 gestores o sus representantes, de 47 municipios de una Macrorregión de salud de Santa Catarina, Brasil. Se realizaron tres talleres en las Gerencias Regionales de Salud, en agosto y septiembre de 2022. Los datos fueron analizados mediante análisis de contenido. Resultados: las instalaciones de Previne Brasil incluyen informatización, compromiso de los profesionales y calificación de la atención. Las dificultades fueron descritas como falta de información, sistema informatizado y denominador estimado y equipo de trabajo. Conclusión: el programa presenta facilidades que cualifican el proceso de trabajo y la atención de la salud de la población. Sin embargo, aún hay dificultades que la gestión municipal debe considerar para lograr avances en la atención integral y el financiamiento de la Atención Primaria de Salud.

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The treatment of recurrent genital herpes typically involves daily doses of acyclovir for extended periods. Additive manufacturing is an intriguing technique for creating personalised drug delivery systems, which can enhance the effectiveness of treatments for various diseases. The vaginal route offers a viable alternative for the systemic administration of drugs with low oral bioavailability. In this study, we produced different grades of thermoplastic polyurethane (TPU) filaments through hot-melt extrusion, with acyclovir concentrations of 0%, 10%, and 20% by weight. We used fused filament fabrication to manufacture matrix-based devices, including intrauterine devices and intravaginal rings. Our results, obtained through SEM, FTIR, and DSC analyses, confirm the successful incorporation of acyclovir into the matrix. Thermal analysis reveals that the manufacturing process alters the organization of the TPU chains, resulting in a slight reduction in crystallinity. In our in-vitro tests, we observed an initial burst release on the first day, followed by sustained release at reduced rates for up to 145 days, demonstrating their potential for long-term applications. Additionally, cytotoxicity analysis suggests the excellent biocompatibility of the printed devices, and biological assays show a remarkable 99% reduction in HSV-1 replication. In summary, TPU printed devices offer a promising alternative for long-term genital herpes treatment, with the results obtained potentially contributing to the advancement of pharmaceutical manufacturing.

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Avian pathogenic Escherichia coli (APEC) causes colibacillosis, one of the main diseases leading to economic losses in industrial poultry farming due to high morbidity and mortality and its role in the condemnation of chicken carcasses. This study aimed to isolate and characterize APEC obtained from necropsied chickens on Brazilian poultry farms. Samples from birds already necropsied by routine inspection were collected from 100 batches of broiler chickens from six Brazilian states between August and November 2021. Three femurs were collected per batch, and characteristic E. coli colonies were isolated on MacConkey agar and characterized by qualitative PCR for minimal predictive APEC genes, antimicrobial susceptibility testing, and whole genome sequencing to identify species, serogroups, virulence genes, and resistance genes. Phenotypic resistance indices revealed significant resistance to several antibiotics from different antimicrobial classes. The isolates harbored virulence genes linked to APEC pathogenicity, including adhesion, iron acquisition, serum resistance, and toxins. Aminoglycoside resistance genes were detected in 79.36% of isolates, 74.6% had sulfonamide resistance genes, 63.49% showed ß-lactam resistance genes, and 49.2% possessed at least one tetracycline resistance gene. This study found a 58% prevalence of avian pathogenic E. coli in Brazilian poultry, with strains showing notable antimicrobial resistance to commonly used antibiotics.

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OBJECTIVE: To understand the practices developed by nurses in primary care in southern Brazil. METHOD: Qualitative study, with data collection via online interviews, conducted between October 2020 and May 2021, and recorded. 174 nurses from 24 municipalities in southern Brazil participated. Data analysis used inductive thematic analysis. RESULTS: The activity that stood out among nurses was the nurse consultation, for all age groups and health conditions, especially when dealing with chronic disease, prenatal care, attention to women and children, mental health, home visits, and the management of the nursing team and the health unit. FINAL CONSIDERATIONS: This study demonstrated that an excess of responsibilities associated to care and management, added to a lack of balance in the activities common to the team make it difficult for nurses to develop clinical practices.

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Ankylosis of the temporomandibular joint (TMJ) is a condition in which the mandibular condyle fuses with the mandibular fossa through fibrous or bone tissue. It is a debilitating pathology that interferes with chewing, speaking, and oral hygiene. Currently, alloplastic reconstruction is considered the gold standard for treating severely compromised TMJs, such as in ankylosis. The article describes a patient with a history of facial trauma, with bilateral ankylosis of the TMJs, inability to open his mouth, and poor dental condition. Due to a long period of immobilization of approximately 40 years, the initial treatment plan was to remove the ankylosis bilaterally and install customized PMMA (polymethylmethacrylate) spacers. The patient gained mouth opening and improved chewing quality with one year of customized spacer use prior to definitive alloplastic replacement with stock-type TMJ prostheses. Customized joint spacers are a provisional treatment option when definitive alloplastic reconstruction is not indicated. Spacers provide the patient with progressive jaw function and mobility gains.

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Objetivo: Descrever como os enfermeiros atuantes na Atenção Primária identificam sua autonomia profissional no desenvolvimento das práticas de Enfermagem. Métodos: Trata-se de uma pesquisa exploratória, descritiva, de abordagem qualitativa. Participaram de entrevistas online 28 enfermeiros que atuam na Atenção Primária de um município do Sul do Brasil, entre o período de outubro de 2020 até fevereiro de 2021. Para tratamento dos dados, foi utilizada a análise de conteúdo temática. Resultados: Emergiram duas categorias: 1) Resolutividade das práticas da Enfermagem; 2) Respaldo nas regulamentações profissionais e evidências científicas. A Enfermagem dispõe de maior autonomia frente à atenção à saúde da mulher, Infecções Sexualmente Transmissíveis e no cuidado à pessoa com feridas, pois no momento da consulta do enfermeiro, despontam habilidades e competências para a tomada de decisão na prática clínica. Em relação à regulamentação para exercício profissional, os profissionais enfatizaram a importância dos protocolos para respaldar as ações. Conclusão: O protagonismo do enfermeiro e sucesso nas experiências indicam um caminho promissor para a discussão e implementação da Enfermagem de Prática Avançada no Brasil. (AU)

Objective: To describe how nurses working in Primary Care identify their professional autonomy in the development of Nursing practices. Methods: This is an exploratory, descriptive research with a qualitative approach. Twenty-eight nurses who work in Primary Care in a municipality in southern Brazil participated in online interviews, between October 2020 and February 2021. For data processing, thematic content analysis was used. Results: Two categories emerged: 1) Resolving nursing practices; 2) Support in professional regulations and scientific evidence. Nursing has greater autonomy in the care of women's health, Sexually Transmitted Infections and in the care of the person with wounds, because at the time of the nurse's consultation, skills and competences for decision-making in clinical practice emerge. Regarding regulation for professional practice, professionals emphasized the importance of protocols to support actions. Conclusion: The role of nurses and success in the experiences indicate a promising path for the discussion and implementation of Advanced Practice Nursing in Brazil. (AU)

Objetivo: Describir cómo los enfermeros que actúan en la Atención Primaria identifican su autonomía profesional en el desarrollo de las prácticas de Enfermería. Métodos: Se trata de una investigación exploratoria, descriptiva, con abordaje cualitativo. Veintiocho enfermeros que actúan en la Atención Primaria de un municipio del sur de Brasil participaron de entrevistas en línea, entre octubre de 2020 y febrero de 2021. Para el procesamiento de datos, se utilizó el análisis de contenido temático. Resultados: Emergieron dos categorías: 1) Prácticas resolutivas de enfermería; 2) Apoyo en normativa profesional y evidencia científica. La enfermería tiene mayor autonomía en el cuidado de la salud de la mujer, Infecciones de Transmisión Sexual y en el cuidado de la persona con heridas, porque en el momento de la consulta del enfermero emergen habilidades y competencias para la toma de decisiones en la práctica clínica. En cuanto a la regulación para la práctica profesional, los profesionales destacaron la importancia de los protocolos para apoyar las acciones. Conclusión: El papel de los enfermeros y el éxito de las experiencias indican un camino promisorio para la discusión e implementación de la Enfermería de Práctica Avanzada en Brasil. (AU)

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The uniformity of seed distribution and sowing speed directly impact crop quality and productivity. This experiment assessed how the position of the sowing monitoring sensor influences the distribution of cotton seeds using a pneumatic meter at different operating speeds. The experiment employed a completely randomized two-factor factorial design on a static simulation bench. The first factor involved the sensor installation sites (upper, middle, and lower portions of the conductor tube and conveyor belt), while the second factor encompassed simulated speeds of 3.0, 5.0, 7.0, 9.0, and 11.0 km/h. Parameters such as frequency of double, flawed, and acceptable spacing, coefficient of variation, and precision index were measured based on five replications of 250 consecutive spacing. The results indicated that the sensor's placement significantly influences reading accuracy. Optimal results were observed when the sensor was positioned at the final portion of the conductor tube, providing more accurate seed deposition, and facilitating decision-making.

A uniformidade de distribuição de sementes no solo e a velocidade de semeadura estão diretamente relacionados à qualidade e produtividade da lavoura. O objetivo do experimento foi avaliar a influência da posição de instalação do sensor de monitoramento de semeadura, em relação a leitura realizada em bancada de ensaio, durante a distribuição de sementes de algodão com dosador pneumático, submetido a diferentes velocidades operacionais. O experimento foi conduzido em bancada estática de simulação, com delineamento inteiramente casualizado, fatorial duplo, sendo o primeiro fator o local de instalação do sensor (porção superior, média e inferior do tubo condutor e esteira condutora) e o segundo as velocidades simuladas de 3,0; 5,0; 7,0; 9,0 e 11,0 km h−1. Os parâmetros mensurados para a avaliação da distribuição das sementes foram a frequência de espaçamentos duplos, falhos e aceitáveis, seu coeficiente de variação e índice de precisão, mensurados a partir de cinco repetições de 250 espaçamentos consecutivos. Os resultados obtidos foram que a posição de inserção do sensor de monitoramento interfere diretamente na eficiência da leitura, a qual tende a ser mais assertiva quando o sensor é posicionado na porção final do tubo condutor, demonstrando com maior acurácia a real deposição e assim facilitando a tomada de decisão.

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SUMMARY Hypopituitarism is a rare clinical condition that can present as a partial or complete absence of pituitary hormones. Hypopituitarism is most commonly caused by a sellar or parasellar mass, particularly a tumor, and the gold standard for its differential diagnosis is magnetic resonance imaging (MRI). Intrasellar aneurysm is an unusual cause of hypopituitarism. Indeed, about 0.17% of all cases of hypopituitarism are due to intrasellar aneurysms. We report the case of a 72-year-old man who was admitted to the hospital due to gastrointestinal symptoms and malnourishment. Due to persistent hyponatremia and spontaneous hypoglycemia in laboratory findings, the examination of the hypothalamic-pituitary-adrenal axis was eventually initiated, and the patient was later diagnosed with an unruptured aneurysm of the ophthalmic segment of the right internal carotid artery with sellar extension as a cause of panhypopituitarism. A combined endovascular treatment was performed with stent-assisted coil embolization of the aneurysm, and the patient was prescribed oral hormonal therapy. At the 1-year follow-up visit, no improvement in pituitary function was observed, and a pituitary MRI showed complete aneurysm occlusion and partial empty sella with significantly decreased pituitary volume. Aneurysms of the internal carotid artery are rare and may be associated with hypopituitarism and delayed diagnosis due to their unusual clinical presentation. Endovascular procedures, such as coil embolization of the aneurysm, could be the treatment of choice in these patients. Persistent hypopituitarism may occur even after successful treatment of the aneurysm.

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RESUMO Introdução: Histologia é o estudo das células e dos tecidos biológicos que compõem os seres vivos. Apesar de sua fundamental importância, a histologia ainda é um campo de difícil compreensão para uma parcela considerável dos estudantes, e, por consequência, a aprendizagem de outras ciências correlatas também fica prejudicada. Objetivo: O presente estudo se dispôs a elaborar materiais didáticos de histologia, utilizá-los como facilitadores do processo ensino-aprendizagem e avaliar a percepção dos discentes da Universidade Federal de Santa Catarina acerca das ferramentas desenvolvidas. Método: Os materiais didáticos elaborados foram: apostila, banco de imagens, banco de casos clínicos e banco de mapas mentais. Para elaborá-los, utilizou-se o software Microsoft PowerPoint 2019. A exceção a essa forma de criação se deu somente com o banco de mapas mentais, o qual foi produzido com o aplicativo de mapeamento mental MindMeisteir. Distribuíram-se os materiais aos discentes que avaliaram suas contribuições para o aprendizado em histologia por meio de um questionário anônimo no formato Likert. Os dados foram compilados em tabelas utilizando o Microsoft Excel 2019 e analisados por meio de estatística descritiva. Resultado: Os materiais desenvolvidos pelo projeto foram avaliados majoritariamente como "bons". Quanto à frequência de uso dos materiais, obteve-se as seguintes respostas: "quase sempre" ou "sempre". A tendência da maioria dos voluntários foi concordar completamente, para todos os documentos avaliados, de que houve um impacto positivo do material no entendimento de histologia. Conclusão: O desenvolvimento de materiais pelo projeto "Histologia sem Artefato" auxiliou na construção de conhecimento dos alunos na grande área de histologia.

ABSTRACT Introduction: Histology is the study of cells and biological tissues. Despite its fundamental importance, histology remains a difficult field to understand for a considerable number of students and, consequently, the learning of other related sciences is also impaired. Objective: The aim of this study was to develop histology teaching materials, use them as to facilitate the teaching-learning process and evaluate the opinion of Universidade Federal de Santa Catarina students about the developed tools. Method: The educational materials prepared were: handout, image Bank, clinical case bank and mind map bank. Microsoft PowerPoint 2019 was used to prepare these materials, with the exception of the Mind Map Bank, which was created using the mind mapping application "MindMeisteir". The materials were distributed among the students, who through an anonymous, Likert format dialogue assessed how well the materials contributed to learning in histology. Data were compiled into tables using Microsoft Excel 2019 and analyzed using descriptive statistics. Result: The materials introduced by the project were mostly evaluated as "good". Most materials were used with a frequency of "almost always" or "always". The tendency of most volunteers was to completely agree, for all documents evaluated, that there was a positive impact of the material on the understanding of histology. Conclusion: The development of materials through the "Histology without Artifact" project helped build students' knowledge in the field of histology.

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ABSTRACT Objective: To understand the practices developed by nurses in primary care in southern Brazil. Method: Qualitative study, with data collection via online interviews, conducted between October 2020 and May 2021, and recorded. 174 nurses from 24 municipalities in southern Brazil participated. Data analysis used inductive thematic analysis. Results: The activity that stood out among nurses was the nurse consultation, for all age groups and health conditions, especially when dealing with chronic disease, prenatal care, attention to women and children, mental health, home visits, and the management of the nursing team and the health unit. Final considerations: This study demonstrated that an excess of responsibilities associated to care and management, added to a lack of balance in the activities common to the team make it difficult for nurses to develop clinical practices.

RESUMEN Objetivo: Comprender las prácticas desarrolladas por las enfermeras en la atención primaria en el sur de Brasil. Método: Estudio cualitativo, con recolección de datos a través de entrevistas en línea, realizadas entre octubre de 2020 y mayo de 2021 y grabadas. Participaron 174 enfermeras de 24 municipios en el sur de Brasil. El análisis de los datos fue temático inductivo. Resultados: La consulta de enfermería se destaca como actividad de los enfermerosen todas las edades y condiciones de salud, especialmente situaciones crónicas, atención prenatal, atención a mujeres y niños, salud mental, visitas domiciliarias y gestión del equipo de enfermería y la unidad de salud. Consideraciones finales: El estudio ha demostrado que el exceso de responsabilidades asistenciales y de gestión y la falta de equilibrio entre las actividades comunes del equipo dificultan a las enfermeras el desarrollo de las prácticas clínicas.

RESUMO Objetivo: Compreender as práticas desenvolvidas pelo enfermeiro na atenção primária, na região Sul do Brasil. Método: Estudo qualitativo, cuja coleta de dados foi com entrevistas online gravadas, entre outubro de 2020 e maio de 2021. Participaram 174 enfermeiros, de 24 municípios da região sul do Brasil. Análise temática indutiva dos dados. Resultados: A consulta do enfermeiro é a atividade que se destaca, para todas as faixas etárias e condições de saúde, especialmente nas situações crônicas, pré-natal, atenção a mulher e a criança, saúde mental, visitas domiciliares, além do gerenciamento da equipe de enfermagem e da unidade de saúde. Considerações finais: Demonstrou-se que o excesso de responsabilidades assistenciais e gerenciais e a falta de equilíbrio entre as atividades comuns à equipe, dificultam o desenvolvimento de práticas clínicas do enfermeiro.

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The expected outcome after a scaffold augmented hernia repair is the regeneration of a tissue composition strong enough to sustain biomechanical function over long periods. It is hypothesised that melt electrowriting (MEW) medical-grade polycaprolactone (mPCL) scaffolds loaded with platelet-rich plasma (PRP) will enhance soft tissue regeneration in fascial defects in abdominal and vaginal sheep models. A pre-clinical evaluation of vaginal and abdominal hernia reconstruction using mPCL mesh scaffolds and polypropylene (PP) meshes was undertaken using an ovine model. Each sheep was implanted with both a PP mesh (control group), and a mPCL mesh loaded with PRP (experimental group) in both abdominal and vaginal sites. Mechanical properties of the tissue-mesh complexes were assessed with plunger tests. Tissue responses to the implanted meshes were evaluated via histology, immunohistochemistry and histomorphometry. At 6 months post-surgery, the mPCL mesh was less stiff than the PP mesh, but stiffer than the native tissue, while showing equitable collagen and vascular ingrowth when compared to PP mesh. The results of this pilot study were supportive of mPCL as a safe and effective biodegradable scaffold for hernia and vaginal prolapse repair, hence a full-scale long-term study (over 24-36 months) with an adequate sample size is recommended.

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The need for energy rationalizing in farming operations require research that optimize grain crop conduction. The operations used in the processing and production of silage have limitations in energy optimization due to the lack of studies. This paper evaluated energy efficiency of whole-plant silage operations with the objective of favor the decision making. The adopted design of the experiment was in parcels (with seven replications), consisting of three harvesting modalities: single-line forage harvester, total area forage harvester, and total area forage harvester with support transshipment. The tractors were instrumented with sensors that measured engine rotation, travel speed, and hourly fuel consumption which were used to calculate field capacity, fuel consumption per area and per harvested mass, and production capacity of the harvester-tractor set. The results went to analysis of variance and subsequently to Tukey's test. The single had a faster speed and lower hourly fuel consumption, but smaller field capacity and greater energy expenditure for the mass. The use of support transshipment set with the front harvester allowed an improvement in the operation, with an increase in the worked area, and material processing (18%), and speed (13%), without differing in fuel expenditure. The total-area forage harvester modality showed smaller costs (USD 6.7), followed by the total-area forage harvester with support transshipment set (USD 7.7) and the single-line forage harvester (USD 9.38), respectively. The use of forage harvesters with a wider working width proved to be more efficient in terms of production costs per harvested hectare, validating it's reccomendation.

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Este estudo buscou analisar a organização do processo de trabalho dos coordenadores da Estratégia Saúde da Família (ESF) em um município polo da região oeste catarinense. Estudo qualitativo desenvolvido por meio de grupo focal com vinte e dois coordenadores de ESF. O método de análise foi o Discurso do Sujeito Coletivo, que emergiu três ideias centrais: I) Gerência na ESF; II) Suporte nas práticas de cuidado e gerência; e, III) Sobrecarga de profissionais e gerentes que atuam na ESF. O trabalho de coordenação e gestão dos centros de saúde da família tem se demonstrado um verdadeiro desafio com impacto direto na operacionalização das práticas de atenção à saúde e na implementação de políticas que tenham como referência os princípios e atributos essenciais da Atenção Primária à Saúde no Brasil.

This study sought to analyze the organization of the work process of the coordinators of the Family Health Strategy (ESF) in a pole municipality in the western region of Santa Catarina. Qualitative study developed through a focus group with twenty-two ESF coordinators. The analysis method was the Discourse of the Collective Subject, from which three central ideas emerged: I) Management in the ESF; II) Support in care and management practices; and, III) Overload of professionals and managers who work in the ESF. The work of coordinating and managing family health centers has proven to be a real challenge with a direct impact on the operationalization of health care practices and the implementation of policies based on the essential principles and attributes of Primary Health Care in Brazil.

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Among the respiratory pathogens of birds, the Avian Metapneumovirus (aMPV) is one of the most relevant, as it is responsible for causing infections of the upper respiratory tract and may induce respiratory syndromes. aMPV is capable of affecting the reproductive system of birds, directly impacting shell quality and decreasing egg production. Consequently, this infection can cause disorders related to animal welfare and zootechnical losses. The first cases of respiratory syndromes caused by aMPV were described in the 1970s, and today six subtypes (A, B, C, D, and two more new subtypes) have been identified and are widespread in all chicken and turkey-producing countries in the world, causing enormous economic losses for the poultry industry. Conventionally, immunological techniques are used to demonstrate aMPV infection in poultry, however, the identification of aMPV through molecular techniques helped in establishing the traceability of the virus. This review compiles data on the main aMPV subtypes present in different countries; aMPV and bacteria co-infection; vaccination against aMPV and viral selective pressure, highlighting the strategies used to prevent and control respiratory disease; and addresses tools for viral diagnosis and virus genome studies aiming at improving and streamlining pathogen detection and corroborating the development of new vaccines that can effectively protect herds, preventing viral escapes.

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Colibacillosis is a disease caused by Escherichia coli and remains a major concern in poultry production, as it leads to significant economic losses due to carcass condemnation and clinical symptoms. The development of antimicrobial resistance is a growing problem of worldwide concern. Lysogenic bacteriophages are effective vectors for acquiring and disseminating antibiotic resistance genes (ARGs). The aim of this study was to investigate the complete genome of Escherichia coli isolates from the femurs of Brazilian broiler chickens in order to investigate the presence of antimicrobial resistance genes associated with bacteriophages. Samples were collected between August and November 2021 from broiler batches from six Brazilian states. Through whole genome sequencing (WGS), data obtained were analyzed for the presence of antimicrobial resistance genes. Antimicrobial resistance genes against the aminoglycosides class were detected in 79.36% of the isolates; 74.6% had predicted sulfonamides resistance genes, 63.49% had predicted resistance genes against ß-lactams, and 49.2% of the isolates had at least one of the tetracycline resistance genes. Among the detected genes, 27 have been described in previous studies and associated with bacteriophages. The findings of this study highlight the role of bacteriophages in the dissemination of ARGs in the poultry industry.

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A Odontologia Legal é uma área de conhecimento importante para a formação de profissionais mais conscientes e pautados em princípios éticos e legais. O presente estudo objetivou verificar se as escolas de Odontologia do Estado de Santa Catarina se adequaram às diretrizes sugeridas pela ABOL, por meio de análise documental do projeto pedagógico de curso (PPC), matriz curricular e/ou ementa de disciplinas. Das 18 IES com graduação em odontologia de Santa Catarina, 14 disponibilizaram a documentação de interesse do estudo. Todas as 14 ofertam disciplinas que abordam conteúdo de Deontologia e Diceologia e Orientação Profissional e 13 ofertam a disciplina de Odontologia Legal em seus currículos. Na maioria das IES as disciplinas têm carga horária abaixo das 60h recomendadas. As disciplinas que tratam de Deontologia e Diceologia e Orientação Profissional são ofertadas, antes das práticas clínicas em 36% das IES. Em 79% das IES a disciplina de Odontologia Legal é ofertada nos períodos finais da graduação. O estudo mostra que nenhuma IES de SC conseguiu adequar completamente seus currículos às diretrizes propostas pela ABOL e ABENO

Forensic Dentistry is an important area of knowledge for training professionals who are more aware and based on ethical and legal principles. The present study aimed to verifies whether the schools of Dentistry in the State of Santa Catarina have complied with the guidelines suggested by ABOL, through documental analysis of the pedagogical project of the course (PPC), curricular matrix and/or course syllabus. Of the 18 HEIs with a degree in dentistry in Santa Catarina, 14 provided documentation of interest to the study. All 14 institutions offer courses that address the content of Deontology and Professional Ethics and 13 offers the discipline of Forensic Dentistry in their curricula. In most HEIs, subjects have a workload below the recommended 60 hours. Disciplines dealing with Deontology and Diceology and Professional Guidance are offered before clinical practices in 36% of HEIs. In 79% of the HEIs, the discipline of Forensic Dentistry is offered in the final periods of graduation. The study shows that none of the HEIs in SC managed to completely adapt their curricula to the guidelines proposed by ABOL and ABENO

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Animal vocalizations have nonlinear characteristics responsible for features such as subharmonics, frequency jumps, biphonation, and deterministic chaos. This study describes the whistle repertoire of a short-beaked common dolphin (Delphinus delphis) group at Brazilian coast and quantifies the nonlinear features of these whistles. Dolphins were recorded for a total of 67 min around Cabo Frio, Brazil. We identify 10 basic categories of whistle, with 75 different types, classified according to their contour shape. Most (45) of these 75 types had not been reported previously for the species. The duration of the whistles ranged from 0.04 to 3.67 s, with frequencies of 3.05-29.75 kHz. Overall, the whistle repertoire presented here has one of the widest frequency ranges and greatest level of frequency modulation recorded in any study of D. delphis. All the nonlinear features sought during the study were confirmed, with at least one feature occurring in 38.4% of the whistles. The frequency jump was the most common feature (29.75% of the whistles) and the nonlinear time series analyses confirmed the deterministic chaos in the chaotic-like segments. These results indicate that nonlinearities are a relevant characteristic of these whistles, and that are important in acoustic communication.

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Analisar as percepções dos enfermeiros sobre o vínculo nas práticas de enfermagem na Atenção Primária à Saúde. Trata-se de uma pesquisa qualitativa e de natureza analítica e compreensiva,com 174 enfermeiros que atuavam na atenção primária, nos três estados da Região Sul (Paraná, Rio Grande do Sul e Santa Catarina).Para a coleta de dados, foram utilizadas entrevistas semiestruturadas, realizadas no segundo semestre de 2020. Análise dos dados de Conteúdo do tipo temática. Identificou-se como núcleos relevantes: Vínculo como dispositivo relacional/atitudinal nas práticas de cuidado dos enfermeiros e A inter-relação entre o vínculo e demais atributos essenciais da atenção primária.A construção do vínculo entre os usuários e enfermeiro constitui-se em um importante dispositivo relacional para o desenvolvimento de práticas de cuidado acolhedoras e resolutivas.Aprimorar a utilização deste dispositivo relacional/atitudinal permitirá ampliar o espectro de sucesso nas ações de prevenção, promoção, diagnóstico, tratamento, reabilitação, redução de danos e manutenção da saúde, permitindo inclusive anteceder as demandas e viabilizar a corresponsabilização. (AU)

To analyze nurses' perceptions about the bond in nursing practices in Primary Health Care. This is a qualitative, analytical and comprehensive research, with 174 nurses who worked in primary care, in the three states of the South Region (Paraná, Rio Grande do Sul and Santa Catarina). For data collection, semi-structured interviews were used, carried out in the second half of 2020. Analysis of thematic content data. The following were identified as relevant cores: Bonding as a relational/attitudinal device in nurses' care practices and the interrelation between the bond and other essential attributes of primary care. The construction of the bond between users and nurses constitutes an important relational device for the development of welcoming and resolute care practices. Improving the use of this relational/attitudinal device will allow to expand the spectrum of success in prevention, promotion, diagnosis, treatment, rehabilitation, harm reduction and health maintenance, even allowing to precede demands and enable co-responsibility. (AU)

Analizar las percepciones de los enfermeros sobre el vínculo en las prácticas de enfermería en la Atención Primaria de Salud. Se trata de una investigación cualitativa, analítica e integral, con 174 enfermeros que actuaban en la atención primaria, en los tres estados de la Región Sur (Paraná, Rio Grande do Sul y Santa Catarina). Para la recolección de datos se utilizaron entrevistas semiestructuradas, realizadas en el segundo semestre de 2020. Análisis de datos de contenido temático. Se identificaron como núcleos relevantes: El vínculo como dispositivo relacional/actitudinal en las prácticas de cuidado del enfermero y la interrelación entre el vínculo y otros atributos esenciales de la atención primaria. La construcción del vínculo entre usuarios y enfermeros constituye un dispositivo relacional importante para el desarrollo de prácticas de cuidado acogedoras y resolutivas. Mejorar el uso de este dispositivo relacional/actitudinal permitirá ampliar el espectro de éxito en la prevención, promoción, diagnóstico, tratamiento, rehabilitación, reducción de daños y mantenimiento de la salud, permitiendo incluso anteponer demandas y posibilitar la corresponsabilidad. (AU)

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RESUMO

Este artigo trata das experiências profissionais das enfermeiras (os) no enfrentamento da Covid-19, na Atenção Primária à Saúde. Trata-se de uma pesquisa exploratória, descritiva, de abordagem qualitativa, cujos dados provém de 41 entrevistas com enfermeiras (os) da APS em três municípios do estado de Santa Catarina, realizadas entre outubro de 2020 e fevereiro de 2021. Seguiu-se a categorização conforme análise de conteúdo de Bardin, tendo como central a categoria "Experiências e Práticas de Enfermagem no enfrentamento à pandemia da Covid-19", e como subcategorias: 1) Medo e Insegurança frente ao desconhecido; 2) Reflexões sobre a vida e a profissão; 3) Práticas das enfermeiras (os) durante a pandemia da Covid-19; e 4) Trabalho em equipe como potencializador das práticas de cuidado. Foi identificado que enfermeiras (os) experienciaram profundas mudanças em suas práticas profissionais. Apesar da evidente sobrecarga de trabalho, incertezas, medos e angústias e outras experiências negativas vivenciadas com a pandemia, foi possível refletir sobre a sua atuação na APS, sobretudo, como atores fundamentais para a qualidade da atenção em saúde pública do Brasil. Destaca-se a dificuldade das (os) enfermeiras (os) com o uso de Equipamentos de Proteção Individual, contudo, apesar dos riscos e desafios enfrentados, reconhecem a pandemia como condição potencializadora do trabalho em equipe. (AU)

This article deals with the professional experiences of nurses in the face of Covid-19, in Primary Health Care. This is an exploratory, descriptive research with a qualitative approach, based on 41 interviews with PHC nurses in three municipalities in the state of Santa Catarina, carried out between October 2020 and February 2021. The categorization was followed. according to Bardin's content analysis, focusing on the category "Nursing Experiences and Practices in the face of the Covid-19 pandemic", and as subcategories: 1) Fear and Insecurity in the face of the unknown; 2) Reflections on life and profession; 3) Practices of nurses during the Covid-19 pandemic; and 4) Teamwork as a potentiator of care practices. It was identified that nurses experienced profound changes in their professional practices. Despite the evident work overload, uncertainties, fears and anxieties and other negative experiences experienced with the pandemic, it was possible to reflect on their performance in PHC, above all, as fundamental actors for the quality of public health care in Brazil. The difficulty of nurses with the use of Individual Protection Equipment is highlighted, however, despite the risks and challenges faced, they recognize the pandemic as a condition that enhances teamwork. (AU)

Este artículo trata sobre las experiencias profesionales de los enfermeros frente a la Covid-19, en la Atención Primaria de Salud. Se trata de una investigación descriptiva, exploratoria, con enfoque cualitativo, basada en 41 entrevistas con enfermeros de la APS en tres municipios del estado de Santa Catarina, realizadas entre octubre de 2020 y febrero de 2021. Se siguió la categorización, según el análisis de contenido de Bardin, centrándose en la categoría "Experiencias y Prácticas de Enfermería frente a la pandemia de la Covid-19", y como subcategorías: 1) Miedo e Inseguridad frente a lo desconocido; 2) Reflexiones sobre la vida y la profesión; 3) Prácticas de enfermeros durante la pandemia de Covid-19; y 4) El trabajo en equipo como potenciador de las prácticas de cuidado. Se identificó que los enfermeros experimentaron profundos cambios en sus prácticas profesionales. A pesar de la evidente sobrecarga de trabajo, incertidumbres, miedos y angustias y otras experiencias negativas vividas con la pandemia, fue posible reflexionar sobre su actuación en la APS, sobre todo, como actores fundamentales para la calidad de la atención pública en salud en Brasil. Se destaca la dificultad de los enfermeros con el uso de Equipos de Protección Individual, sin embargo, a pesar de los riesgos y desafíos enfrentados, reconocen la pandemia como una condición que potencia el trabajo en equipo. (AU)

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RESUMO

Esse relato de experiência apresenta a caracterização do perfil dos enfermeiros e um breve recorte das práticas dos enfermeiros que atuam na Atenção Primária Saúde (APS), a partir da condução da pesquisa na região Sul do Brasil. Para este relato foi utilizado a base de dados do projeto multicêntrico intitulado "Práticas de Enfermagem no Contexto da Atenção Primária à Saúde: Estudo Nacional de Métodos Mistos". A equipe da pesquisa na região sul foi conduzida por pesquisadores e estudantes de graduação e pós-graduação vinculados às instituições públicas de ensino e pesquisa e os Conselhos Regionais de Enfermagem. Na etapa qualitativa, na região Sul, participaram do estudo 174 enfermeiros. Destes, 74 (42,5%) eram do estado do Paraná, 59 (33,9%) do Rio Grande do Sul e 41 (23,5%) de Santa Catarina. Na etapa quantitativa, participaram desta etapa 1.323 enfermeiros que atuam na APS há mais de 3 anos nos estados da região sul. Foram identificadas aspectos socioeconômicos, formação profissional e condições de emprego, trabalho e renda. As vivências entre estudantes e pesquisadores na condução da pesquisa em período de pandemia foi desafiadora pela inovação nas formas de coletar de dados e pela relação de fragilidade emocional e física de todos os envolvidos. Contudo, permitiu compreender o perfil das práticas dos enfermeiros e alertou para o caráter essencial do processo de trabalho preconizado neste ponto de atenção, em especial das ações e da responsabilidade sanitária que o profissional enfermeiro assume com protagonismo na APS. (AU)

This experience report presents the characterization of the profile of nurses and a brief outline of the practices of nurses who work in Primary Health Care (PHC), based on conducting research in the southern region of Brazil. For this report, the database of the multicenter project entitled "Nursing Practices in the Context of Primary Health Care: National Study of Mixed Methods" was used. The research team in the southern region was conducted by researchers and undergraduate and graduate students linked to public teaching and research institutions and the Regional Nursing Councils. In the qualitative stage, in the South region, 174 nurses participated in the study. Of these, 74 (42.5%) were from the state of Paraná, 59 (33.9%) from Rio Grande do Sul and 41 (23.5%) from Santa Catarina. In the quantitative stage, 1,323 nurses who have been working in PHC for more than 3 years in the states of the southern region participated in this stage. Socioeconomic aspects, professional training and conditions of employment, work and income were identified. The experiences between students and researchers in conducting research during a pandemic period was challenging due to the innovation in the ways of collecting data and due to the emotional and physical fragility of all those involved. However, it allowed understanding the profile of nurses' practices and alerted to the essential character of the work process recommended in this point of care, especially the actions and health responsibility that the professional nurse assumes with protagonism in PHC. (AU)

Este relato de experiencia presenta la caracterización del perfil de los enfermeros y un breve esbozo de las prácticas de los enfermeros que actúan en la Atención Primaria de Salud (APS), a partir de la realización de investigaciones en la región sur de Brasil. Para este informe se utilizó la base de datos del proyecto multicéntrico "Prácticas de Enfermería en el Contexto de la Atención Primaria de Salud: Estudio Nacional de Métodos Mixtos". El equipo de investigación en la región sur fue conducido por investigadores y estudiantes de grado y posgrado vinculados a las instituciones públicas de enseñanza e investigación ya los Consejos Regionales de Enfermería. En la etapa cualitativa, en la región Sur, participaron del estudio 174 enfermeros. De ellos, 74 (42,5%) eran del estado de Paraná, 59 (33,9%) de Rio Grande do Sul y 41 (23,5%) de Santa Catarina. En la etapa cuantitativa participaron de esta etapa 1.323 enfermeros que actúan en la APS hace más de 3 años en los estados de la región sur. Se identificaron aspectos socioeconómicos, formación profesional y condiciones de empleo, trabajo e ingresos. Las experiencias entre estudiantes e investigadores en la realización de investigaciones durante un período de pandemia fueron desafiantes debido a la innovación en las formas de recolección de datos y por la fragilidad emocional y física de todos los involucrados. Sin embargo, permitió comprender el perfil de las prácticas de los enfermeros y alertó sobre el carácter esencial del proceso de trabajo recomendado en este punto del cuidado, especialmente las acciones y la responsabilidad en salud que el profesional enfermero asume con protagonismo en la APS. (AU)

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