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A existência de indicadores de sofrimento psíquico na adolescência contrasta com a oferta de políticas públicas e de tecnologia social disponível para essa população. Consideramos tecnologia social e afetiva, a construção de estratégias, produtos e objetos que possam ser utilizadas para mediar a relação do humano com a realidade e permitir a construção de novas possibilidades de pensar, agir, e fazer diante do vivido. Construímos uma metodologia de trabalho com e para adolescentes, Guardiões da Vida nas Escola, e elaboração de livreto de cuidados emocionais para adolescentes, com objetivo de fortalecer cuidados em saúde mental e prevenção ao suicídio, envolvendo articulação intersetorial de temáticas e fluxos em educação, saúde e assistência e o presente artigo procurará relatar o percurso dessa experiência e as estratégias construídas.

Indicators of psychological distress in adolescence contrast with the provision of public policies and social technology available to this population. We consider social and affective technology the construction of strategies, products and objects that can be used to mediate human relationship with reality and allow the construction of new possibilities of thinking and acting, in the face of what has been experienced. This article will seek to report the path of the experience and the strategies on the construction of a methodology for working with and for adolescents, Guardians of Life in Schools, and the elaboration of an emotional care booklet for adolescents, with the objective of building resources to protect mental health and prevent suicide, involving intersectoral articulation of themes and flows in education, health, and assistance.

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BACKGROUND: Head and neck squamous cell carcinoma (HNSC) etiopathogenesis remains unclear, and the biological changes with the activation of heat shock proteins (HSPs) and prion protein (PRNP) promoted by hypoxia in HNSC are undetermined. This study investigates hypoxia's effect in lymph node metastasis by PRNP expression changes and its main partners. METHODS: The study combined a theoretical/cell culture study with a case-control study. First, bioinformatics and cell culture were performed. A case-control study was performed in a second step by comparing HNSC patients with and without lymph node metastasis. ANALYSES: The Cancer Genome Atlas (TCGA) data source validates the theory in the global population study. RESULTS: Bioinformatics analysis suggests that hypoxia-inducible factor-1α (HIF1A) is associated with HSPA4, HSP90AA1 and PRNP expression. TCGA data validate the hypothesis that higher HSP90AA1, HSPA4 and PRNP are related to metastases and low survival. Herein, the cell study demonstrated that muted PRNP did not respond to hypoxia. DISCUSSION: Our results collectively provide the first evidence that PRNP promotes HNSC lymph node metastasis progression through the upregulation of HSPA4, HSP90AA1 and HIF1A. Our findings may provide a molecular basis for the promoting Role of PRNP in HNSC progression.

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BACKGROUND AND AIM: The use of antimicrobials in the control of mastitis is of concern in public health due to their inefficiency in targeting microorganisms. Studies with medicinal plants have risen as an alternative to the use of conventional products. The objective of this study was to evaluate the efficacy of an experimental disinfectant based on the essential oil (EO) from Lippia origanoides in preventing the development of new intramammary infections (IMI) in Holstein cows. MATERIALS AND METHODS: The conventional protocol of pre- and post-milking was used and the control (Conventional treatment [CNV]) and experimental (Experimental treatment [PEX]) products containing EO at 120 µL/mL were applied by immersion. Individual milk samples were analyzed using sheep blood agar methodologies and biochemical tests. The efficiency of the treatment was defined by the presence or absence of Staphylococcus aureus, coagulase-negative Staphylococcus, and Streptococcus spp. RESULTS: There were no clinical and subclinical mastitis cases, no lesions in the mucosal of teats, nor dirt score between groups in this study. Both treatments did not influence the occurrence of IMI. CONCLUSION: The results revealed that PEX acts efficiently against microorganisms compared to the disinfection by the conventional product demonstrating the efficacy of the alternative product on the prevention of new IMIs in dairy cows.

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INTRODUCTION: Contaminated hospital environments contribute to the transmission of microorganisms associated with healthcare. Contaminated surfaces handled by patients or healthcare professionals are a source of microorganism transmission by hand. Methicillin-resistant Staphylococcus bacteria are among the main agents responsible for increasing healthcare-associated infections in Brazil and worldwide. METHODS: The objective of this study was to screen and characterize methicillin-resistant Staphylococcus spp. on surfaces near patients in an intensive care unit. Microbiological samples, collected from ten beds in an intensive care unit with five sampling sites, were inoculated into a methicillin-resistant Staphylococcus aureus chromogenic medium. MALDI-TOF and PCR analyses were used to identify the bacteria. Antimicrobial susceptibility was determined using the disk diffusion test. The presence of the mecA gene was investigated using PCR. RESULTS: We observed that 44 out of the 50 sampling sites presented grown isolates in the methicillin-resistant Staphylococcus aureus medium. The incidence of isolated microorganisms on the right side rail, left side rail, tables, infusion pump keypad, and cardiac monitor were 18.8 %, 36.7 %, 10.9 %, 2.4 %, and 31 %, respectively. The 42 isolates included in this study were identified as coagulase-negative Staphylococcus. All of these microorganisms were multidrug-resistant and mecA gene-positive. CONCLUSIONS: This study identified the presence of methicillin-resistant coagulase-negative Staphylococcus on the beds of an intensive care unit, providing evidence for the necessity of assertive actions to decrease the risk of healthcare-associated infections at the site.

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COVID-19 emerged in December 2019 in China, and since then, has disrupted global public health and changed economic paradigms. In dealing with the new Coronavirus, SARS-CoV-2, the world has not faced such extreme global fragility since the "Spanish flu" pandemic in 1918. Researchers globally are dedicating efforts to the search for an effective treatment for COVID-19. Drugs already used in a clinical setting for other pathologies have been tested as a new therapeutic approach against SARS-CoV-2, setting off a frenzy over the preliminary data of different studies. This work aims to compile and discuss the data published thus far. Despite the potential effects of some antivirals and antiparasitic against COVID-19, clinical studies must confirm real effectiveness. However, non-pharmacological approaches have proven to be the most efficient strategy to date.

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Abstract INTRODUCTION: Contaminated hospital environments contribute to the transmission of microorganisms associated with healthcare. Contaminated surfaces handled by patients or healthcare professionals are a source of microorganism transmission by hand. Methicillin-resistant Staphylococcus bacteria are among the main agents responsible for increasing healthcare-associated infections in Brazil and worldwide. METHODS: The objective of this study was to screen and characterize methicillin-resistant Staphylococcus spp. on surfaces near patients in an intensive care unit. Microbiological samples, collected from ten beds in an intensive care unit with five sampling sites, were inoculated into a methicillin-resistant Staphylococcus aureus chromogenic medium. MALDI-TOF and PCR analyses were used to identify the bacteria. Antimicrobial susceptibility was determined using the disk diffusion test. The presence of the mecA gene was investigated using PCR. RESULTS: We observed that 44 out of the 50 sampling sites presented grown isolates in the methicillin-resistant Staphylococcus aureus medium. The incidence of isolated microorganisms on the right side rail, left side rail, tables, infusion pump keypad, and cardiac monitor were 18.8 %, 36.7 %, 10.9 %, 2.4 %, and 31 %, respectively. The 42 isolates included in this study were identified as coagulase-negative Staphylococcus. All of these microorganisms were multidrug-resistant and mecA gene-positive. CONCLUSIONS: This study identified the presence of methicillin-resistant coagulase-negative Staphylococcus on the beds of an intensive care unit, providing evidence for the necessity of assertive actions to decrease the risk of healthcare-associated infections at the site.

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The objective was to verify the antibacterial activity of lemongrass and clove oils against Escherichia coli isolated from poultry feces, Staphylococcus aureus isolated from swine and poultry feces and Salmonella sp. isolated from swine and bovine feces. The antimicrobial activity was evaluated by the disc diffusion test using different concentrations of the oils: 160, 80, 40, 20 and 10 μl ml -1. The multi-resistance of strains relative to that of conventional antimicrobials was also evaluated by the disk diffusion technique, using Multiple Antibiotic Resistance (MAR) index. The oils were characterized based on the results of chromatographic analyses, of which, analysis of lemongrass has been previously published (AZEVEDO et al., 2016). Lemongrass and clove essential oils presented citral and eugenol as the major compound, respectively. The concentrations of the essential oils had a significant effect on the extent of the growth inhibition halo and the coefficient of determination (r²) was higher than 0.80. Clove essential oil generated the largest zone of inhibition when tested against Escherichia coli and S. aureus from poultry feces and Salmonella sp. from the feces of swine, while lemongrass essential oil presented better results against S. aureus isolated from swine feces and Salmonella sp. from bovine feces. S. aureus and Salmonella sp. were multi-resistant to the antimicrobials tested. It is concluded that the essential oils tested have antimicrobial activity against bacteria isolated from bovine, swine, and poultry feces and that this activity is proportional to the concentration of oils and the microorganisms studied.

Objetivou-se verificar a atividade antibacteriana dos óleos de capim-limão e cravo-da-índia frente à Escherichia coli isolada de fezes de aves, Staphylococcus aureus isolado de fezes de suínos e aves e Salmonella sp. isolado de fezes de suínos e bovinos. A atividade antimicrobiana foi avaliada pelo teste de difusão em disco utilizando diferentes concentrações dos óleos: 160, 80, 40, 20 e 10 μl ml -1. A multirresistência de cepas em relação à antimicrobiana convencional também foi avaliada pela técnica de disco-difusão, utilizando-se o índice de resistência múltipla a antibióticos (MAR). Os óleos foram caracterizados com base nos resultados de análises cromatográficas, das quais, a análise de capim-limão já foi publicada anteriormente (AZEVEDO et al., 2016). Os óleos essenciais de erva-cidreira e cravo apresentaram citral e eugenol como o principal composto, respectivamente. As concentrações dos óleos essenciais tiveram um efeito significativo no comprimento do halo de inibição do crescimento e o coeficiente de determinação (r²) foi superior a 0,80. O óleo essencial de cravo-da-índia gerou a maior zona de inibição quando testado frente á Escherichia coli e S. aureus a partir de fezes de aves e Salmonella sp. das fezes de suínos, enquanto o óleo essencial de capim-limão apresentou melhores resultados frente á S. aureus isolado de fezes de suínos e Salmonella sp. de fezes de bovinos. S. aureus e Salmonella sp. foram multirresistentes aos antimicrobianos testados. Conclui-se que os óleos essenciais testados possuem atividade antimicrobiana contra bactérias isoladas de fezes de bovinos, suínos e aves e que essa atividade é proporcional à concentração de óleos e microrganismos estudados.

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The objective was to verify the antibacterial activity of lemongrass and clove oils against Escherichia coli isolated from poultry feces, Staphylococcus aureus isolated from swine and poultry feces and Salmonella sp. isolated from swine and bovine feces. The antimicrobial activity was evaluated by the disc diffusion test using different concentrations of the oils: 160, 80, 40, 20 and 10 μl ml -1. The multi-resistance of strains relative to that of conventional antimicrobials was also evaluated by the disk diffusion technique, using Multiple Antibiotic Resistance (MAR) index. The oils were characterized based on the results of chromatographic analyses, of which, analysis of lemongrass has been previously published (AZEVEDO et al., 2016). Lemongrass and clove essential oils presented citral and eugenol as the major compound, respectively. The concentrations of the essential oils had a significant effect on the extent of the growth inhibition halo and the coefficient of determination (r²) was higher than 0.80. Clove essential oil generated the largest zone of inhibition when tested against Escherichia coli and S. aureus from poultry feces and Salmonella sp. from the feces of swine, while lemongrass essential oil presented better results against S. aureus isolated from swine feces and Salmonella sp. from bovine feces. S. aureus and Salmonella sp. were multi-resistant to the antimicrobials tested. It is concluded that the essential oils tested have antimicrobial activity against bacteria isolated from bovine, swine, and poultry feces and that this activity is proportional to the concentration of oils and the microorganisms studied.(AU)

Objetivou-se verificar a atividade antibacteriana dos óleos de capim-limão e cravo-da-índia frente à Escherichia coli isolada de fezes de aves, Staphylococcus aureus isolado de fezes de suínos e aves e Salmonella sp. isolado de fezes de suínos e bovinos. A atividade antimicrobiana foi avaliada pelo teste de difusão em disco utilizando diferentes concentrações dos óleos: 160, 80, 40, 20 e 10 μl ml -1. A multirresistência de cepas em relação à antimicrobiana convencional também foi avaliada pela técnica de disco-difusão, utilizando-se o índice de resistência múltipla a antibióticos (MAR). Os óleos foram caracterizados com base nos resultados de análises cromatográficas, das quais, a análise de capim-limão já foi publicada anteriormente (AZEVEDO et al., 2016). Os óleos essenciais de erva-cidreira e cravo apresentaram citral e eugenol como o principal composto, respectivamente. As concentrações dos óleos essenciais tiveram um efeito significativo no comprimento do halo de inibição do crescimento e o coeficiente de determinação (r²) foi superior a 0,80. O óleo essencial de cravo-da-índia gerou a maior zona de inibição quando testado frente á Escherichia coli e S. aureus a partir de fezes de aves e Salmonella sp. das fezes de suínos, enquanto o óleo essencial de capim-limão apresentou melhores resultados frente á S. aureus isolado de fezes de suínos e Salmonella sp. de fezes de bovinos. S. aureus e Salmonella sp. foram multirresistentes aos antimicrobianos testados. Conclui-se que os óleos essenciais testados possuem atividade antimicrobiana contra bactérias isoladas de fezes de bovinos, suínos e aves e que essa atividade é proporcional à concentração de óleos e microrganismos estudados.(AU)

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OBJECTIVE: The aim of this study was to evaluate the efficacy of a problem-solving intervention for the prevention of suicidal risk in Brazilian adolescents with elevated suicidal potential and depressive symptoms. METHODS: A randomized controlled trial was conducted involving 100 participants (mean age 17.2 years, 60% women, 46% mixed race), allocated to the problem-solving intervention (n = 50) or the usual care control group (n = 50). Blinded interviewers conducted assessments at pretreatment, posttreatment, 1, 3, and 6 months of follow-up. The main outcome was suicidal orientation; secondary outcomes were suicidal risk, suicidal plans and attempts, depressive symptoms, and problem-solving skills. RESULTS: At posttreatment and up to 6-month follow-up, there was lower suicidal orientation and suicidal risk in the problem-solving group compared to the control group. There were lower suicidal plans and attempts (0.0% participants vs 2.2% with a suicide plan and 2.2% with both suicide plan and attempt); risk difference was 0.04 (95% CI: 0.01-0.09) and the number needed to treat was 25 (95% CI: 11-70). Significant effects of the intervention on depressive symptoms were found at posttreatment and maintained for 6 months. The change in global and functional problem-solving skills mediated the reduction in suicide orientation. CONCLUSIONS: Thus, suicidal risk can be successfully prevented in adolescents.

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RESUMO Objetivo: Relatar um caso de pênfigo neonatal em paciente que manifestou lesões cutâneas extensas e críticas ao nascimento. Descrição do caso: Recém-nascido do sexo masculino com lesões vesicobolhosas extensas em região anterior do tórax e abdome, desde o nascimento. Admitido na ala pediátrica de um hospital para diagnóstico etiológico e tratamento. Com base na história materna e na avaliação clínica, concluiu tratar-se de pênfigo vulgar neonatal. O paciente apresentou evolução satisfatória, sem a necessidade de intervenção farmacológica. Comentários: Os casos descritos na literatura e as referências avaliadas revelam o pênfigo neonatal como uma doença de ocorrência rara, porém cujo conhecimento e diagnóstico precoce têm grande relevância clínica, considerando-se que geralmente se manifesta com lesões epidérmicas extensas e de aspecto crítico, embora apresente curso clínico transitório e benigno, sem necessidade de tratamento específico e sem relação com doença futura.

ABSTRACT Objective: To report on the case of a patient with neonatal pemphigus that had extensive and critical skin lesions at birth. Case description: A newborn male with extensive vesico-bullous lesions on the anterior side of his chest and abdomen at birth. He was admitted to the pediatric ward of a hospital for an etiological diagnosis and for treatment. Based on maternal history and a clinical evaluation, the patient was diagnosed with neonatal vulgar pemphigus. His progression was satisfactory and, in the end, he did not need pharmacological interventions. Comments: The cases reported in the literature and the references evaluated reveal that neonatal pemphigus is rare, but that knowledge about the disease allows for an early diagnosis to be made. This has great clinical relevance considering that the disease usually manifests itself in the form of extensive epidermal lesions, even though it is transient and benign, it does not require specific treatment, and it does not have any relation with possible future diseases.

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BACKGROUND AND AIM: The term ESKAPE, recognized by the WHO, is an acronym, which refers to the pathogens Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa, and Enterobacter spp., which is extremely virulent and multidrug-resistant. Although the term is used to designate nosocomial pathogens, in a milking environment, strains of Methicillin-resistant S. aureus have been isolated from cattle diagnosed with clinical and subclinical mastitis. Resistant strains may be involved in the transfer of genes conferring resistance to beta-lactam antimicrobials among the species of microorganisms related to mastitis etiology. This study aimed to trace the phenotypic and genotypic profiles of susceptibility to beta-lactams in S. aureus isolated from milk of cattle diagnosed with subclinical mastitis obtained from different rural properties located in the North of Minas Gerais State, Brazil. MATERIALS AND METHODS: Sixteen microorganisms previously identified as S. aureus isolated from milk of cattle diagnosed with subclinical mastitis were submitted to matrix-assisted laser desorption/ionization-time-of-flight (MALDI-TOF), mass spectrometry, and polymerase chain reaction (PCR) analysis for microbial species confirmation. The S. aureus beta-lactams antimicrobial phenotypic resistance profile was investigated by disk diffusion method. PCR methods were also performed to investigate the S. aureus genotypic beta-lactams resistance profile. For this purpose, bla Z, mec A, mec ALGA251, bla Oxa23, and bla KPC genes were screened among S. aureus isolates. The genetic diversity of S. aureus by fingerprint random amplified polymorphic DNA (RAPD)-PCR was also performed in this study. RESULTS: All isolates showed phenotypic resistance to at least three beta-lactams, among which was meropenem. None of the isolates tested positive for the genes mec ALGA251, bla Oxa23, and bla KPC; however, the presence of the genes bla Z and mecA was detected among the isolates. The fingerprint analysis divided isolates into two distinct groups and 15 different subgroups. Despite the presence of clonality among the isolates, the PCR-RAPD analysis unveiled a heterogeneous profile with genetic diversity among the S. aureus isolates. CONCLUSION: In this study, we identified beta-lactams resistant S. aureus strains isolated from the milk of cows diagnosed with subclinical mastitis. The S. aureus beta-lactams resistance was investigated using a phenotypic and genotypic approach. We believe that molecular epidemiology, improved knowledge, and genetic basis of resistance to beta-lactams might assist in asserting guidelines for better management practices of dealing with subclinical mastitis and mapping of origin of resistant pathogens in the studied Brazilian area.

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OBJECTIVE: To report on the case of a patient with neonatal pemphigus that had extensive and critical skin lesions at birth. CASE DESCRIPTION: A newborn male with extensive vesico-bullous lesions on the anterior side of his chest and abdomen at birth. He was admitted to the pediatric ward of a hospital for an etiological diagnosis and for treatment. Based on maternal history and a clinical evaluation, the patient was diagnosed with neonatal vulgar pemphigus. His progression was satisfactory and, in the end, he did not need pharmacological interventions. COMMENTS: The cases reported in the literature and the references evaluated reveal that neonatal pemphigus is rare, but that knowledge about the disease allows for an early diagnosis to be made. This has great clinical relevance considering that the disease usually manifests itself in the form of extensive epidermal lesions, even though it is transient and benign, it does not require specific treatment, and it does not have any relation with possible future diseases.

OBJETIVO: Relatar um caso de pênfigo neonatal em paciente que manifestou lesões cutâneas extensas e críticas ao nascimento. DESCRIÇÃO DO CASO: Recém-nascido do sexo masculino com lesões vesicobolhosas extensas em região anterior do tórax e abdome, desde o nascimento. Admitido na ala pediátrica de um hospital para diagnóstico etiológico e tratamento. Com base na história materna e na avaliação clínica, concluiu tratar-se de pênfigo vulgar neonatal. O paciente apresentou evolução satisfatória, sem a necessidade de intervenção farmacológica. COMENTÁRIOS: Os casos descritos na literatura e as referências avaliadas revelam o pênfigo neonatal como uma doença de ocorrência rara, porém cujo conhecimento e diagnóstico precoce têm grande relevância clínica, considerando-se que geralmente se manifesta com lesões epidérmicas extensas e de aspecto crítico, embora apresente curso clínico transitório e benigno, sem necessidade de tratamento específico e sem relação com doença futura.

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RESUMO Entre as metodologias ativas de ensino-aprendizagem, a Aprendizagem Baseada em Problemas proporciona novos papéis aos agentes desse processo. O docente passa de detentor único do conhecimento a facilitador do processo ensino-aprendizagem. Por outro lado, o discente deixa o papel de sujeito passivo neste processo, participando ativamente na construção do conhecimento. O presente estudo objetivou analisar o significado atribuído pelo tutor às avaliações realizadas pelos discentes do curso médico da Universidade Estadual de Montes Claros sobre o seu desempenho profissional. Trata-se de estudo qualitativo, descritivo e exploratório, cujos sujeitos foram 11 tutores do Módulo Conteúdo Específico do primeiro e sétimo períodos do segundo semestre de 2009. Utilizou-se entrevista estruturada na coleta de dados, com análise e interpretação dos resultados segundo análise temática. Os tutores são, na maior parte, docentes do sexo feminino com curso de especialização e mestrado; há predomínio do regime de trabalho de 40 horas semanais. Das falas dos entrevistados emergiram as seguintes categorias temáticas: aspectos que influenciaram a escolha da tutoria: convites e necessidade da instituição; capacitação para tutoria: somente alguns docentes fizeram capacitação, alguns sujeitos tornaram-se tutores observando a ação de outros tutores; conhecimento da avaliação realizada pelos discentes no final de cada módulo: a avaliação feita pelo discente não se realiza de forma compromissada; docentes e gestores não se envolvem nos resultados obtidos; e, por último, as categorias concepção do tutor quanto à avaliação e percepção do tutor sobre a avaliação via intranet: nota-se que todos os sujeitos conhecem e sabem da importância da realização de tal processo, porém alguns docentes não se interessam pelas avaliações discentes. Espera-se que os resultados contribuam para melhoria da percepção do docente sobre seu papel na construção e organização curricular e, consequentemente, na formação de novos profissionais médicos, como previsto no Projeto Político Pedagógico deste curso.

ABSTRACT Among the active pedagogical methodologies, Problem-Based Learning provides new roles to the agents of the teaching-learning processes. The teacher passes from the role of single knowledge holder to facilitator of the learning process. On the other hand the student's role also changes from passive subject to active participant in this knowledge construction. This study aimed at analyzing the meaning given by tutors to assessments made by medicine students at Montes Claros State University on their professional performance. It is a qualitative, descriptive and exploratory study, the subjects of which were 11 tutors of the Content Specific Module of first and fourth year students in the second semester of 2009. We used structured interviews to collect data, the results of which were analyzed and interpreted according to thematic content analysis. The tutors were mostly female who held a specialization qualification and master's degree; the predominant working week was 40 hours. The following thematic categories were derived from the interviews: aspects that influenced the decision to work as a tutor: invitations from and needs of the institution; tutor training: only some teachers received training, some became tutors through observing other tutors at work; awareness of the student assessment at the end of each module: the student assessment is not performed in a committed manner; teachers and managers do not engage in the results; and finally the categories of how the tutors conceive the assessment and perceive it via the Intranet: it was observed that all the subjects are aware of the importance of such a process, but some teachers are not interested in the student assessments. It is expected that the results will contribute to improving teachers' view of their role in building and organizing the curriculum and, consequently, in the training of new medical professionals, as set out in the Pedagogical Political Project for this course.

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RESUMO Entre as metodologias ativas de ensino-aprendizagem, a Aprendizagem Baseada em Problemas proporciona novos papéis aos agentes desse processo. O docente passa de detentor único do conhecimento a facilitador do processo ensino-aprendizagem. Por outro lado, o discente deixa o papel de sujeito passivo neste processo, participando ativamente na construção do conhecimento. O presente estudo objetivou analisar o significado atribuído pelo tutor às avaliações realizadas pelos discentes do curso médico da Universidade Estadual de Montes Claros sobre o seu desempenho profissional. Trata-se de estudo qualitativo, descritivo e exploratório, cujos sujeitos foram 11 tutores do Módulo Conteúdo Específico do primeiro e sétimo períodos do segundo semestre de 2009. Utilizou-se entrevista estruturada na coleta de dados, com análise e interpretação dos resultados segundo análise temática. Os tutores são, na maior parte, docentes do sexo feminino com curso de especialização e mestrado; há predomínio do regime de trabalho de 40 horas semanais. Das falas dos entrevistados emergiram as seguintes categorias temáticas: aspectos que influenciaram a escolha da tutoria: convites e necessidade da instituição; capacitação para tutoria: somente alguns docentes fizeram capacitação, alguns sujeitos tornaram-se tutores observando a ação de outros tutores; conhecimento da avaliação realizada pelos discentes no final de cada módulo: a avaliação feita pelo discente não se realiza de forma compromissada; docentes e gestores não se envolvem nos resultados obtidos; e, por último, as categorias concepção do tutor quanto à avaliação e percepção do tutor sobre a avaliação via intranet: nota-se que todos os sujeitos conhecem e sabem da importância da realização de tal processo, porém alguns docentes não se interessam pelas avaliações discentes. Espera-se que os resultados contribuam para melhoria da percepção do docente sobre seu papel na construção e organização curricular e, consequentemente, na formação de novos profissionais médicos, como previsto no Projeto Político Pedagógico deste curso.

ABSTRACT Among the active pedagogical methodologies, Problem-Based Learning provides new roles to the agents of the teaching-learning processes. The teacher passes from the role of single knowledge holder to facilitator of the learning process. On the other hand the student's role also changes from passive subject to active participant in this knowledge construction. This study aimed at analyzing the meaning given by tutors to assessments made by medicine students at Montes Claros State University on their professional performance. It is a qualitative, descriptive and exploratory study, the subjects of which were 11 tutors of the Content Specific Module of first and fourth year students in the second semester of 2009. We used structured interviews to collect data, the results of which were analyzed and interpreted according to thematic content analysis. The tutors were mostly female who held a specialization qualification and master's degree; the predominant working week was 40 hours. The following thematic categories were derived from the interviews: aspects that influenced the decision to work as a tutor: invitations from and needs of the institution; tutor training: only some teachers received training, some became tutors through observing other tutors at work; awareness of the student assessment at the end of each module: the student assessment is not performed in a committed manner; teachers and managers do not engage in the results; and finally the categories of how the tutors conceive the assessment and perceive it via the Intranet: it was observed that all the subjects are aware of the importance of such a process, but some teachers are not interested in the student assessments. It is expected that the results will contribute to improving teachers' view of their role in building and organizing the curriculum and, consequently, in the training of new medical professionals, as set out in the Pedagogical Political Project for this course.

RESUMO

Resumo Recentes reflexões têm ampliado a atuação dos psicólogos no campo da saúde, principalmente mediante sua inserção no Sistema Único de Saúde, apresentando diversos desafios tanto na efetivação de práticas, quanto na construção de saberes voltados a novas demandas. Nesse contexto, a formação em saúde tem sido uma das grandes questões a serem enfrentadas pelas instituições de ensino superior, destacando-se aqui os cursos de graduação em Psicologia. O artigo trata de um relato de experiência de estágio básico da disciplina Práticas Integradas de Trabalho, realizada no 7º semestre do curso de Psicologia da Universidade Estadual do Ceará, cujo eixo temático é “Psicologia e Saúde”. Essa disciplina tem buscado ampliar a compreensão das concepções e práticas que envolvem os processos saúde-doença-cuidado, a partir da reflexão crítica dos discentes no campo da saúde pública. Os estudantes realizam atividades práticas, estudos sistemáticos e atividades de supervisão englobando os diversos níveis de atenção. Destacam-se, a partir dessa experiência, algumas implicações formativas e vivenciais, como o compromisso social da universidade com a política pública; a redução da distância entre teoria e prática; a atualização de currículos “vivos” segundo a agenda pública da formação de psicólogos; e a supervisão como estratégia educacional promotora de práxis.(AU)

Abstract Recent reflections have amplified psychologists’ performance area to the health field, mainly because of their insertion in the Unified Health System (SUS), which has meant several challenges for them, both in the praxis and in the knowledge construction oriented to new demands. In this context, the formation in health care has been one of the greatest questions to be faced by the higher level educational institutions, stressing here the Psychology undergraduate courses. This work brings an experience report of the subject “Integrated Practices of Work” from the 7th semester of the Psychology undergraduate course at the State University of Ceará (UECE), whose thematic area is “Psychology and Health”. This subject aims to expand the concepts and practices’ comprehension of the processes involving health-sickness care, from the critical reflection of the students in the field of public health. Students conduct practical activities, systematic studies and supervisions in numerous levels of attention. It is possible to highlight, from this experience, some formative and experiential implications such as: the University’s social commitment with public policies, the reduction of the distance between theory and practice; the update of “live” curriculums according to the public agenda of the psychologist’s’ formation; and the supervision as an educational strategy for promoting praxis.(AU)

Resumen Reflexiones recientes han ampliado el papel de los psicólogos en el campo de la salud, principalmente a través de su inclusión en el Sistema Único de Salud (SUS), lo q Isabella Cristine ue ha representado muchos desafíos, tanto en las prácticas como en la construcción de conocimientos orientados a las nuevas demandas. En este contexto, la formación en salud ha sido una de las principales cuestiones a las que se enfrentan las instituciones de educación superior, destacándose aquí los pregrados en Psicología. El artículo trata de un relato de experiencia de la materia Prácticas Integradas de Trabajo de séptimo semestre de la carrera de Psicología de la Universidad do Estado de Ceará (UECE), cuyo tema central es “Psicología y Salud.” Esta materia trata de ampliar la comprensión de los conceptos y prácticas que implica la atención a los procesos de salud-enfermedad, desde la reflexión crítica de los estudiantes en el campo de la salud pública. Los estudiantes llevan a cabo actividades prácticas, estudios sistemáticos y supervisión de las actividades que abarcan los distintos niveles de atención en salud. Se destaca de esta experiencia el entrenamiento y las implicaciones experienciales, como: el compromiso social de la universidad con la política pública; la reducción de la brecha entre la teoría y la práctica; la actualización de currículos “vivos” ajustados a la agenda pública de la formación de los psicólogos; y la supervisión como estrategia educativa que lleva a la praxis.(AU)

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RESUMO

Resumo Recentes reflexões têm ampliado a atuação dos psicólogos no campo da saúde, principalmente mediante sua inserção no Sistema Único de Saúde, apresentando diversos desafios tanto na efetivação de práticas, quanto na construção de saberes voltados a novas demandas. Nesse contexto, a formação em saúde tem sido uma das grandes questões a serem enfrentadas pelas instituições de ensino superior, destacando-se aqui os cursos de graduação em Psicologia. O artigo trata de um relato de experiência de estágio básico da disciplina Práticas Integradas de Trabalho, realizada no 7º semestre do curso de Psicologia da Universidade Estadual do Ceará, cujo eixo temático é #8220;Psicologia e Saúde”. Essa disciplina tem buscado ampliar a compreensão das concepções e práticas que envolvem os processos saúde-doença-cuidado, a partir da reflexão crítica dos discentes no campo da saúde pública. Os estudantes realizam atividades práticas, estudos sistemáticos e atividades de supervisão englobando os diversos níveis de atenção. Destacam-se, a partir dessa experiência, algumas implicações formativas e vivenciais, como o compromisso social da universidade com a política pública; a redução da distância entre teoria e prática; a atualização de currículos “vivos” segundo a agenda pública da formação de psicólogos; e a supervisão como estratégia educacional promotora de práxis....(AU)

Abstract Recent reflections have amplified psychologists’ performance area to the health field, mainly because of their insertion in the Unified Health System (SUS), which has meant several challenges for them, both in the praxis and in the knowledge construction oriented to new demands. In this context, the formation in health care has been one of the greatest questions to be faced by the higher level educational institutions, stressing here the Psychology undergraduate courses. This work brings an experience report of the subject “Integrated Practices of Work” from the 7th semester of the Psychology undergraduate course at the State University of Ceará (UECE), whose thematic area is “Psychology and Health”. This subject aims to expand the concepts and practices’ comprehension of the processes involving health-sickness care, from the critical reflection of the students in the field of public health. Students conduct practical activities, systematic studies and supervisions in numerous levels of attention. It is possible to highlight, from this experience, some formative and experiential implications such as: the University’s social commitment with public policies, the reduction of the distance between theory and practice; the update of “live” curriculums according to the public agenda of the psychologist’s’ formation; and the supervision as an educational strategy for promoting praxis....(AU)

Resumen Reflexiones recientes han ampliado el papel de los psicólogos en el campo de la salud, principalmente a través de su inclusión en el Sistema Único de Salud (SUS), lo q Isabella Cristine ue ha representado muchos desafíos, tanto en las prácticas como en la construcción de conocimientos orientados a las nuevas demandas. En este contexto, la formación en salud ha sido una de las principales cuestiones a las que se enfrentan las instituciones de educación superior, destacándose aquí los pregrados en Psicología. El artículo trata de un relato de experiencia de la materia Prácticas Integradas de Trabajo de séptimo semestre de la carrera de Psicología de la Universidad do Estado de Ceará (UECE), cuyo tema central es “Psicología y Salud.” Esta materia trata de ampliar la comprensión de los conceptos y prácticas que implica la atención a los procesos de salud-enfermedad, desde la reflexión crítica de los estudiantes en el campo de la salud pública. Los estudiantes llevan a cabo actividades prácticas, estudios sistemáticos y supervisión de las actividades que abarcan los distintos niveles de atención en salud. Se destaca de esta experiencia el entrenamiento y las implicaciones experienciales, como: el compromiso social de la universidad con la política pública; la reducción de la brecha entre la teoría y la práctica; la actualización de currículos “vivos” ajustados a la agenda pública de la formación de los psicólogos; y la supervisión como estrategia educativa que lleva a la praxis....(AU)

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A alface (Lactuca sativa) é uma das hortaliças mais consumidas no Brasil e no mundo na forma in natura. A ingestão de hortaliças contaminadas com cistos, ovos e/ou larvas de parasitas resultam em enteroparasitoses de importância em saúde pública. Investigar e comparar a contaminação de hortaliças por protozoários e helmintos avaliando a presença destes enteroparasitas em folhas de alface oriundas do cultivo convencional e hidropônico comercializadas em Montes Claros foi o objetivo deste trabalho. Amostras de alface desfolhadas foram tratadas com solução de salina acrescida de 0,1% de detergente. A suspensão foi filtrada e submetida ao método de sedimentação espontânea (HPJ) durante 24 horas. Os sedimentos foram analisados em duplicatas ao microscópio óptico e os achados parasitológicos tabulados e interpretados. Das amostras analisadas 10% apresentaram contaminação parasito lógica, das quais 70% oriundas do cultivo hidropônico. Nossos resultados foram similares aos de Neres e colaboradores (2011), onde amostras de Lactuca sativa de cultivo hidropônico apresentaram um nível maior de contaminação por parasitas intestinais. Dentre as formas parasitárias encontradas, 30% foram ovos de Ascaris lumbricoides, 21% de ovos de Ancilostomídeos, 7% de ovos de Trichuris trichiuria, 7% de larvas de Strongyloides stercoralis, 7% de ovos de Enterobius vermicularis, 14 % de ovos de Taenia spp, 7% de cistos de Endolimax nana e 7% de cistos de Entamoeba histolytica. Embora 10% tenha sido o índice de contaminação encontrado, parasitas patogênicos foram aqui identificados. Entre os possíveis fatores de contaminação estão a falha no processo de higienização em etapas de manipulação das hortaliças (plantio, colheita e distribuição). Além disso, a fonte de água utilizada para o cultivo deverá ser investigada, uma vez que as hortaliças de cultivo hidropônico mostraram maior índice de contaminação. (AU)

Lettuce (Lactuca sativa) is one of the most fresh form vegetables consumed in Brazil and abroad. The ingestion of contaminated vegetables with parasites cysts, eggs or larvae can result in public health importance intestinal diseases. The aim of this study was to investigate and compare parasitological contamination levei of vegetables according to traditional and hydroponics growing processes, commercialized in Montes Claros, collected in November 2011. The lettuce samples were treated with saline solution plus 0.1% detergent. The suspension was filtered and subjected to HPJ sedimentation method. The sediments were duplicated analyzed by optical microscopy and parasitological finding were tabulated and interpreted. 10% of the samples show parasitological contamination, of which 70% originated from hydroponic growing process. Our results were similar to Neres and colleagues (2011) where Lactuca sativa from hydroponics growing showed a higher levei ofparasitological contamination. Among the parasitic forms found 30% were Áscaris lumbricoides, 21% for Hookworm eggs, 7% of the Trichuris trichiuria eggs, 7% for Strongyloides stercoralis larvae, 7% Enterobius vermicularis eggs, 14% Taenia sp eggs, 7% Endolinax nana cysts and 7% Entamoeba histolytica cysts. Although 10% was the contamination level found, pathogenic parasites were here identified. Among the possible contamination cause are the flaws in the process of cleaning steps in handling the vegetables (planting, harvesting and distribution). Furthermore the source of water used for the cultivation should be investigated, since the hydroponic cultivation of vegetables showed higher rate of contamination. (AU)

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Esta pesquisa, intitulada 'Subjetividade e Sofrimento Psíquico na Formação do Sujeito na Universidade', desenvolvida por meio de estudo de caso a partir de relato oral de um aluno de graduação junto ao Núcleo de Atendimento e Práticas Psicológicas (NAPP) da Universidade Estadual do Ceará, buscou estabelecer a relação entre subjetividade, sofrimento psíquico, aprendizagem e formação discente. Reflexões a partir da história de vida deste sujeito sugerem possível interação do mal-estar do aluno com a instituição e a sociedade, que parecem se aclarar no contexto dos 'sintomas' de sofrimento psíquicos trazidos por este ao set terapêutico.(AU)

This research, intitled 'Subjectivity and Psychic Suffering in the Formation of the Subject in the University', developed by means of study of case from verbal story of a together student of graduation to the Nucleus of Attendance and Psychological Practices (NAPP) of the Universidade Estadual do Ceará, searched to establish the relation between subjectivity, psychic suffering, learning and learning formation. Reflections from the history of life of this subject suggest possible interaction of the malaise of the student with the institution and the society, that seem to elucidate themselves in the context of the 'psychic symptoms' of suffering brought by this to set therapeutical.(AU)

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RESUMO

Esta pesquisa, intitulada 'Subjetividade e Sofrimento Psíquico na Formação do Sujeito na Universidade', desenvolvida por meio de estudo de caso a partir de relato oral de um aluno de graduação junto ao Núcleo de Atendimento e Práticas Psicológicas (NAPP) da Universidade Estadual do Ceará, buscou estabelecer a relação entre subjetividade, sofrimento psíquico, aprendizagem e formação discente. Reflexões a partir da história de vida deste sujeito sugerem possível interação do mal-estar do aluno com a instituição e a sociedade, que parecem se aclarar no contexto dos 'sintomas' de sofrimento psíquicos trazidos por este ao set terapêutico.

This research, intitled 'Subjectivity and Psychic Suffering in the Formation of the Subject in the University', developed by means of study of case from verbal story of a together student of graduation to the Nucleus of Attendance and Psychological Practices (NAPP) of the Universidade Estadual do Ceará, searched to establish the relation between subjectivity, psychic suffering, learning and learning formation. Reflections from the history of life of this subject suggest possible interaction of the malaise of the student with the institution and the society, that seem to elucidate themselves in the context of the 'psychic symptoms' of suffering brought by this to set therapeutical.

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