Fertility and fertility preservation knowledge in Portuguese women.

BACKGROUND: Knowledge about fertility and factors affecting it, for example, the impact of age, seem to be lacking, even in highly educated populations. The same applies to fertility preservation knowledge, pointing to the relevance of increasing fertility preservation awareness and education among young women. OBJECTIVE: To describe general fertility knowledge and factors affecting fertility, fertility preservation knowledge and attitudes, and the desire to access more information on this topic in a sample of reproductive-age Portuguese women. METHODS: The sample comprised 257 Portuguese women aged 18-45, mostly single and nulliparous. A questionnaire was developed explicitly for this study and disseminated through social media advertisements. RESULTS: Career building/development and financial stability were the more endorsed options for delaying childbearing, with 90 (35%) and 68 (26.5%), respectively. Most participants considered becoming a mother important (n = 185; 72%). More than halve provided an incorrect answer regarding the age range of women being more fertile (n = 132; 51.4%) and the age range of fertility decline (n = 168; 65.4%). Participants were aware of the influence of lifestyle and sexual health factors as well as the effect of age. Oocytes cryopreservation was the technique participants knew more (n = 206; 80.1%), but 177 (68.9%) showed no interest in using it. Most participants agreed that fertility and fertility preservation information should be provided during medical consultations or at school. CONCLUSIONS: More information regarding fertility and fertility preservation is relevant to ensure that more women can make informed decisions concerning their reproductive life.

Deployment and validation of a smart bed architecture for untethered patients with wireless biomonitoring stickers.

Conventional patient monitoring in healthcare has limitations such as delayed identification of deteriorating conditions, disruptions to patient routines, and discomfort due to extensive wiring for bed-bound patients. To address these, we have recently developed an innovative IoT-based healthcare system for real-time wireless patient monitoring. This system includes a flexible epidermal patch that collects vital signs using low power electronics and transmits the data to IoT nodes in hospital beds. The nodes connect to a smart gateway that aggregates the information and interfaces with the hospital information system (HIS), facilitating the exchange of electronic health records (EHR) and enhancing access to patient vital signs for healthcare professionals. Our study validates the proposed smart bed architecture in a clinical setting, assessing its ability to meet healthcare personnel needs, patient comfort, and data transmission reliability. Technical performance assessment involves analyzing key performance indicators for communication across various interfaces, including the wearable device and the smart box, and the link between the gateway and the HIS. Also, a comparative analysis is conducted on data from our architecture and traditional hospital equipment. Usability evaluation involves questionnaires completed by patients and healthcare professionals. Results demonstrate the robustness of the architecture proposed, exhibiting reliable and efficient information flow, while offering significant improvements in patient monitoring over conventional wired methods, including unrestricted mobility and improved comfort to enhance healthcare delivery.

A Pilot Study Testing the Effectiveness of a Mindfulness-Based Program for Portuguese School Children.

Objectives: Research into the effectiveness of mindfulness-based programs (MBPs) in school settings has grown substantially. However, studies in the field are still scarce, present methodological limitations, and fail to examine how children's characteristics influence MBPs' effects. The twofold aim of this study was to analyze the effectiveness of an MBP on children's attention and emotional regulation, writing performance, and school grades, and to evaluate the moderating role of baseline scores, age, gender, and socioeconomic status. Methods: Fifty-seven third graders received the MBP (n = 28) or a health-based program (n = 29), which is the active control group, for 8 weeks. In each week, both programs were composed of two 30-min sessions delivered by psychologists and three 5-min sessions delivered by teachers. Before and after the implementation of the programs, we assessed teacher-rated children's attention and emotional regulation, performance-based attention networks (alerting, orienting, and conflict monitoring), writing performance (handwriting fluency, spelling, and text quality), and school grades in Portuguese, Mathematics, and Social Studies. Results: Compared to the control group, after the program, the mindfulness group displayed higher teacher-rated attention and emotional regulation, as well as better Portuguese, Mathematics, and Social Studies grades. Emotional regulation and alerting baseline scores as well as age were found to moderate the MBP's effects. Conclusions: These findings provide preliminary evidence on the effectiveness of a MBP on children's behavior and school grades. This means that students may benefit from the integration of mindfulness practices into the educational setting as a complement to the school curriculum.

Percutaneous injection of ethanol for thyroid nodule treatment: a comparative study.

OBJECTIVE: Percutaneous ethanol injection (PEI) is an alternative to surgery for the treatment of thyroid nodules (TNs). However, size reductions of treated (TTNs) and untreated TN (UTNs) have not been compared. Volumetric reductions in TTNs with PEI were evaluated by comparing TTNs and UTNs in the same patient, and independent variables predicting good post-PEI outcomes were analyzed. METHODS: Overall, 282 patients with multinodular goiters were selected. Two nodules located in different lobes were compared for common disease behaviors. Overall, 150 nodules were selected from 75 patients (6 M: 69 F) with a mean age of 50.1 ± 17.4 years. This prospective nonrandomized intervention study prioritized treating TNs of greater volume or single hyperfunctioning TNs. A single observer experienced in PEI and an ultrasound specialist performed the interventions. RESULTS: TTNs (mean volume: 14.8 ± 16.2 mL) were reduced by 72.6 ± 27.3% of their initial volume, while UTNs increased by a mean of 365.7 ± 1.403.8% (p < 0.00001). The patients underwent a mean of 4.0 ± 3.1 outpatient PEI sessions without relevant complications. Logistic regression analysis showed that the magnitude of the PEI induced reduction was associated with the number of treatment sessions (p = 0.03, CI [1.1-38.2]) and not with ultrasonographic characteristics of the nodules. Each PEI session increased the rate of TN reduction by a factor of 6.7. CONCLUSION: PEI is a well-tolerated outpatient procedure that effectively reduces the volume of TNs and is noticeably superior to conservative treatment for all ultrasonographic classifications.

"Homework Should Be but We Do Not Live in an Ideal World": Mathematics Teachers' Perspectives on Quality Homework and on Homework Assigned in Elementary and Middle Schools.

Existing literature has analyzed homework characteristics associated with academic results. Researchers and educators defend the need to provide quality homework, but there is still much to be learned about the characteristics of quality homework (e.g., purposes, type). Acknowledging that teachers play an important role in designing and assigning homework, this study explored teachers' perspectives regarding: (i) the characteristics of quality homework and (ii) the characteristics of the homework tasks assigned. In the current study, mathematics teachers from elementary and middle schools (N = 78) participated in focus group discussions. To enhance the trustworthiness of the findings, homework tasks assigned by 25% of the participants were analyzed for triangulation of data purposes. Data were analyzed using thematic analysis for elementary and middle school separately. Teachers discussed the various characteristics of quality homework (e.g., short assignments, adjusted to the availability of students) and shared the characteristics of the homework tasks typically assigned, highlighting a few differences (e.g., degree of individualization of homework, purposes) between these two topics. Globally, data on the homework tasks assigned were consistent with teachers' reports about the characteristics of the homework tasks they usually assigned. Findings provide valuable insights for research and practice aimed to promote the quality of homework and consequently students' learning and progress.

"Homework Feedback Is ": Elementary and Middle School Teachers' Conceptions of Homework Feedback.

This study explored mathematics teachers' conceptions of the homework feedback focusing on four key aspects: definition, purpose, types, and perceived impact. Forty-seven teachers from elementary and middle schools participated in six focus groups. Data were analyzed using content analysis. To enhance the trustworthiness of findings, classroom observations were used for triangulation of data. Participants conceptualized homework feedback in three directions (i.e., teachers' feedback provided to students, students' feedback provided to teachers, and homework self-feedback), being teachers' monitoring of students' learning the purpose reported by most teachers. Participants also reported the types of homework feedback more frequently used in class (e.g., checking homework completion, checking homework on the board), and their perceived impact on students. Findings provide valuable information to deepen the understanding of the homework feedback process, which may help develop new avenues for future research.

[Gold weight implantation: premature and late complications]. / Implante de peso de ouro: complicações precoces e tardias.

PURPOSE: To evaluate the indications, the results and the complications seen in the patients submitted to gold weight implantation to correct paralytic lagophthalmos. METHODS: Charts of 20 patients with lagophthalmos secondary to facial nerve palsy of diverse etiologies, which were submitted to gold weight implantation in the upper eyelid of the affected side, were retrospectively examined. RESULTS: The most frequent cause of paralytic lagophthalmos was acoustic neurinoma after surgery (40%). Early and late complications occurred in 40% of the implants. Four patients (20%) presented a local inflammatory reaction in the first 3 months after surgery. Two patients (10%) presented skin and orbicular muscle thinness over the gold weight 4 and 7 years after the implant, respectively. One patient (5%) presented gold weight displacement after 3 years and another patient (5%) had late gold weight extrusion after 10 years. CONCLUSIONS: In this series, the complication rate of gold weight implantation was high (40%). The complications were divided into early, possibly related to the material impurity and the late, due to the evolution of the facial nerve palsy that presented a decrease in muscle tonus.

[Idiopathic orbital inflammation with extraorbital extension: case report]. / Inflamação idiopática da órbita com extensão extra-orbital: relato de caso.

The authors report a case of a patient with idiopathic orbital inflammation with extension beyond the orbit. Biopsy was performed to confirm the diagnosis of idiopathic orbital inflammation and computed tomography demonstrated the extraorbital extension. Treatment with methotrexate and radiotherapy was used.

[Comparative analysis between sclera treated with glycerin and sclera treated with gamma irradiation, alkali and glycerin in the reconstruction of anophthalmic socket: experimental study in rabbits]. / Análise comparativa entre esclera tratada com glicerina e esclera tratada com irradiação gama, álcali e glicerina em reconstrução de cavidade anoftálmica: estudo experimental em coelhos.

PURPOSE: To compare two sclera decontamination methods: treatment with glycerin versus treatment with gamma irradiation, alkali and glycerin, aiming to detect the clinical and histological alterations in rabbit anophthalmic sockets reconstructed with sclera-involved polymethylmethacrylate spheres. METHODS: Thirty-nine New Zealand-breed rabbits were divided into two groups: group I, whose animals were submitted to enucleation of one eye and reconstruction with a polymethylmethacrylate sphere involved in glycerin-treated sclera; group II, where there was enucleation, and reconstruction performed with a polymethylmethacrylate sphere involved in sclera treated with gamma irradiation, alkali and glycerin. The two groups were observed at four moments, at 7, 21, 42 and 84 days after surgery. Preset times elapsed, the rabbits were euthanized, sockets were exenterated, the material was processed for embedment in paraffin, cut into 5 microm sections thick and stained with hematoxylin-eosin and Masson's trichrome techniques. The scleras were submitted to morphometric and semiquantitative analysis. Results were compared by Mann-Whitney's non-parametric test. RESULTS: Comparative analysis of vascularization of the surgical interface pointed out a significative difference in the evaluation done 21 days after the implant (P<0.001), with group II showing greater neovascularization. Comparison of the fibrous capsule thickness displayed a significative difference at moments corresponding to 21 days (P<0.001) and 42 days (P<0.001). At both moments, group II presented a thicker fibrous capsule than group I. Likewise, there was variation in sclera thickness, being thicker in group II, at the 21-day post-implant (P=0.003) moment, and at the 42-day moment (P=0.024), as well. Along the experimental period, when groups were analyzed we could observe statistically significative diminution of vascularization in the surgical interface, in group I, as well as in group II, at the moment of 7, 21, 42 and 84 days. CONCLUSION: When used as coating on the polymethylmethacrylate implant for the reconstruction of rabbit anophthalmic socket, the sclera treated with gamma irradiation, alkali and glycerin reacted similarly to the traditionally used glycerin-treated sclera. The two treatments induced a similar inflammatory response. The formation of neovessels, thickness of fibrous capsule and of sclera developed differently in the two groups. Nevertheless, they presented similar results at the end of the 84-day observation period. There was no significant difference between the two groups, with regard to sclera preservation.

Percutaneous injection of ethanol for thyroid nodule treatment: a comparative study

ABSTRACT Objective: Percutaneous ethanol injection (PEI) is an alternative to surgery for the treatment of thyroid nodules (TNs). However, size reductions of treated (TTNs) and untreated TN (UTNs) have not been compared. Volumetric reductions in TTNs with PEI were evaluated by comparing TTNs and UTNs in the same patient, and independent variables predicting good post-PEI outcomes were analyzed. Materials and methods: Overall, 282 patients with multinodular goiters were selected. Two nodules located in different lobes were compared for common disease behaviors. Overall, 150 nodules were selected from 75 patients (6 M: 69 F) with a mean age of 50.1 ± 17.4 years. This prospective nonrandomized intervention study prioritized treating TNs of greater volume or single hyperfunctioning TNs. A single observer experienced in PEI and an ultrasound specialist performed the interventions. Results and discussion: TTNs (mean volume: 14.8 ± 16.2 mL) were reduced by 72.6 ± 27.3% of their initial volume, while UTNs increased by a mean of 365.7 ± 1.403.8% (p < 0.00001). The patients underwent a mean of 4.0 ± 3.1 outpatient PEI sessions without relevant complications. Logistic regression analysis showed that the magnitude of the PEI induced reduction was associated with the number of treatment sessions (p = 0.03, CI [1.1-38.2]) and not with ultrasonographic characteristics of the nodules. Each PEI session increased the rate of TN reduction by a factor of 6.7. Conclusions: PEI is a well-tolerated outpatient procedure that effectively reduces the volume of TNs and is noticeably superior to conservative treatment for all ultrasonographic classifications.

[A comparative study of the manual and digital measurements of the palpebral fissure]. / Estudo comparativo das medidas manual e digital da fenda palpebral.

PURPOSE: To compare the measurement of the palpebral fissure done either manually and by computer analysis of image of individuals without lid alterations. METHODS: One hundred two palpebral fissures from 51 normal subjects have been analyzed. The patients' age ranged from 17 to 84 years, with 25 (49%) males and 26 (51%) females. RESULTS: There was no statistically significant difference between the measurements done either manually or by computer analysis of images, neither, when we grouped the patients by sex or age. Also we did not observe difference between males and females, and regarding age. CONCLUSIONS: The results obtained by both methods are comparable and reliable due to the statistical equivalence of the obtained measurements.

[Evaluation of the surgery results of Müller's muscle-conjunctival resection in the treatment of blepharoptosis]. / Avaliação dos resultados cirúrgicos com a técnica da ressecção do músculo de Müller-conjuntiva no tratamento da blefaroptose.

OBJECTIVE: To evaluate the results of Müller's muscle-conjunctival resection for correction of blepharoptosis and to discuss the advantages of this procedure. METHODS: 38 patients (39 eyelids) were submitted to Müller's muscle-conjunctival resection. Blepharoptosis varied from 1.0 mm to 3.0 mm (mean: 2.0 mm). The amount of eyelid elevation produced by phenylephrine guided the amount of tissue to be resected. RESULT: 33 eyelids (85%) treated with this procedure were cosmetically acceptable. CONCLUSIONS: Müller's muscle-conjunctival resection procedure is a relatively simple technique for blepharoptosis, with good levator function and positive 10% phenylephrine test. The advantages are: preservation of tarsus and predictable results.

Inovações curriculares para formação em saúde inspiradas na obra de Anísio Teixeira / Syllabus innovations for health education inspired by Anísio Teixeira's work / Innovaciones curriculares para formación en salud inspiradas en la obra de Anísio Teixeira

Resumo Este artigo teve o objetivo de compartilhar questões e reflexões provocadas pelo desafio de organizar o projeto curricular, em regime de ciclos, dos cursos de saúde da Universidade Federal do Sul da Bahia. Inspirado no sistema universitário norte-americano, que tem os colleges como nível inicial de formação, o primeiro ciclo dos cursos de saúde da instituição compõe-se de um bacharelado interdisciplinar em saúde, com duração de três anos, e uma proposta de formação docente para o ensino médio com foco na promoção da saúde, qualidade de vida e educação inclusiva, ainda em fase preliminar de elaboração, o que reforça a integração da universidade no sistema geral de educação. A inspiração da obra e vida de Anísio Teixeira se revela em dois planos: em seu projeto de uma universidade popular e no conceito de escola democrática, incorporada como efeito prático no modelo de Escola Parque, especialmente nos temas da educação integral, inclusiva e fundada em práticas concretas. Em relação aos processos de ensino-aprendizagem presentes na obra anisiana, o artigo destaca a valorização de pedagogias críticas fundadas na capacidade de 'aprender fazendo' e o papel da ciência e da tecnologia como distintivo cultural da modernidade.

Abstract This text aimed to share questions and reflections provoked by the challenge of organizing the syllabus project, in cycle regime, of the health courses of the universidade Federal do Sul da Bahia. Inspired by the American University system, which has colleges as the initial level of training, the first cycle of the health course is composed of an Interdisciplinary Bachelor in Health, lasting three years, and a proposal for training teachers for high school with a focus on Health Promotion, Quality of Life and Inclusive Education, still in preliminary phase of elaboration, reinforcing the integration of the university into the general system of education. The inspiration is the work and life of Anísio Teixeira, which reveals itself in two planes: in his project of a Popular University and in the concept of the democratic school, incorporated as a practical effect in the model of Escola Parque, especially in the themes of integral, inclusive education, founded on concrete practices. Regarding the teaching-learning processes present in the Anisian work, the text highlights the value of critical pedagogies founded on the ability to 'learn by doing' and the role of science and technology as a cultural distinctive of modernity.

Resumen Este artículo tuvo como objetivo compartir preguntas y reflexiones causadas por el desafío de organizar el proyecto curricular, en un régimen de ciclos, de cursos de salud en la Universidade Federal do Sul de Bahía. Inspirado por el sistema universitario estadounidense, que tiene a los colleges como el nivel inicial de educación, el primer ciclo de los cursos de salud de la institución consiste en una licenciatura interdisciplinaria de salud, con una duración de tres años, y una propuesta de capacitación docente para escuela secundaria con enfoque en la promoción de la salud, calidad de vida y educación inclusiva, aún en las etapas preliminares de preparación, lo que refuerza la integración de la universidad en el sistema educativo general. La inspiración de la obra y vida de Anísio Teixeira se revela en dos planos: en su proyecto de una universidad popular y en el concepto de escuela democrática, incorporado como un efecto práctico en el modelo de Escuela Parque, especialmente en los temas de educación integral e inclusiva fundada en prácticas concretas. Respecto a los procesos de enseñanza-aprendizaje presentes en el trabajo anisiano, el artículo destaca la apreciación de las pedagogías críticas basadas en la capacidad de 'aprender haciendo' y el papel de la ciencia y la tecnología como un distintivo cultural de la modernidad.

The effects of teachers' homework follow-up practices on students' EFL performance: a randomized-group design.

This study analyzed the effects of five types of homework follow-up practices (i.e., checking homework completion; answering questions about homework; checking homework orally; checking homework on the board; and collecting and grading homework) used in class by 26 teachers of English as a Foreign Language (EFL) using a randomized-group design. Once a week, for 6 weeks, the EFL teachers used a particular type of homework follow-up practice they had previously been assigned to. At the end of the 6 weeks students completed an EFL exam as an outcome measure. The results showed that three types of homework follow-up practices (i.e., checking homework orally; checking homework on the board; and collecting and grading homework) had a positive impact on students' performance, thus highlighting the role of EFL teachers in the homework process. The effect of EFL teachers' homework follow-up practices on students' performance was affected by students' prior knowledge, but not by the number of homework follow-up sessions.

Is there any association between Hashimoto's thyroiditis and thyroid cancer? A retrospective data analysis.

OBJECTIVE: To evaluate the association between Hashimoto's thyroiditis (HT) and papillary thyroid carcinoma (PTC). MATERIALS AND METHODS: The patients were evaluated by ultrasonography-guided fine needle aspiration cytology. Typical cytopathological aspects and/or classical histopathological findings were taken into consideration in the diagnosis of HT, and only histopathological results were considered in the diagnosis of PTC. RESULTS: Among 1,049 patients with multi- or uninodular goiter (903 women and 146 men), 173 (16.5%) had cytopathological features of thyroiditis. Thirty-three (67.4%) out of the 49 operated patients had PTC, 9 (27.3%) of them with histopathological features of HT. Five (31.3%) out of the 16 patients with non-malignant disease also had HT. In the groups with HT, PTC, and PCT+HT, the female prevalence rate was 100%, 91.6%, and 77.8%, respectively. Mean age was 41.5, 43.3, and 48.5 years, respectively. No association was observed between the two diseases in the present study where HT occurred in 31.1% of the benign cases and in 27.3% of malignant cases (p = 0.8). CONCLUSION: In spite of the absence of association between HT and PCT, the possibility of malignancy in HT should always be considered because of the coexistence of the two diseases already reported in the literature.

OBJETIVO: Avaliar a associação entre tireoidite de Hashimoto (TH) e carcinoma papilífero da tireoide (CPT). MATERIAIS E MÉTODOS: Pacientes foram avaliados por punção aspirativa guiada pela ultrassonografia. Para TH consideraram-se aspectos característicos da citopatologia e/ou achados histopatológicos clássicos. O diagnóstico de CPT foi considerado apenas pela histopatologia. RESULTADOS: De 1.049 pacientes portadores de bócios uni-multinodulares (903 femininos e 146 masculinos), 173 (16,5%) tinham quadro citopatológico de tireoidite. Dos 49 pacientes operados, 33 (67,4%) revelaram CPT, dos quais 9 (27,3%) tinham a glândula com quadro histopatológico de TH. Dos 16 pacientes sem malignidade, 5 (31,3%) exibiam também TH. Nos grupos TH, CPT e CPT+TH, a proporção de acometimento do gênero feminino foi, respectivamente, 100%, 91,6% e 77,8%. A distribuição da média da idade (anos) nos três grupos foi 41,5, 43,3 e 48,5. Não houve associação entre as duas doenças, neste estudo, em que a TH esteve presente em 31,3% dos casos benignos e em 27,3% dos casos malignos (p = 0,8). CONCLUSÃO: Não houve associação entre TH e CPT, mas a possibilidade de malignidade em TH deve ser sempre lembrada em razão da concomitância das duas doenças, já revelada na literatura.

Implantação da acreditação pedagógica de cursos lato sensu em Saúde Pública no Brasil: desafios e perspectivas / Implementation of pedagogical accreditation of lato sensu courses in Public Health in Brazil: challenges and perspectives

RESUMO O objetivo do artigo foi analisar a implantação da acreditação pedagógica no Brasil, no período de 2014 a 2018. Realizou-se análise documental para produção dos dados, a partir dos relatórios elaborados no período, buscando identificar os principais problemas referentes a essa implantação na dimensão da gestão mais ampla e quanto aos processos de acreditação. Os resultados apontaram problemas de várias ordens e efeitos positivos para o processo, para os atores institucionais e para o Sistema Único de Saúde (SUS). Os resultados mostram que há problemas de ordem gerencial, pedagógica e de infraestrutura, entretanto as acreditações produziram efeitos positivos para as escolas, para os trabalhadores e para o SUS.

ABSTRACT The purpose of the article was to analyze the implementation of Pedagogical Accreditation in Brazil, from 2014 to 2018. A documentary analysis was carried out to produce the data, based on the reports elaborated in the period, seeking to identify the main problems related to this implementation in both the broader management dimension, as well as regarding the accreditation processes. The results pointed to problems of several orders and positive effects for the process, for the institutional actors and for the Unified Health System (SUS). The results show that there are management, pedagogical and infrastructure problems. However, accreditation has produced positive effects for schools, for workers and for the SUS.

[The implementation of undergraduate courses in public health: the viewpoint of the coordinators]. / Implantação do curso de graduação em saúde coletiva: a visão dos coordenadores.

Undergraduate courses in Public Health are now a reality in Brazil. The main goal of this article is to present the viewpoints of the coordinators of these courses on the process of their creation and implementation, emphasizing their contextual and procedural elements. Ten actors working in eight different institutions were interviewed and the interviews were submitted to content analysis as proposed by Bardin. The results showed that the creation of such courses resulted from a long process of discussion on the field of Public Health, and was hastened by some important decisions in Brazilian education, including the Program to Support Restructuring and Expansion Plans of Federal Universities. The testimonies of the coordinators enabled the researchers to understand the context prior to the proposal and the way it was developed by each university, making it possible to establish not only the aspects common to each institution, but also their specificities. Currently, these courses have the purpose of training professionals focused on the different areas of health services, especially those related to the Unified Health System (SUS), representing an irreversible advance in the field of Public Health.

[Undergraduate students in Public Health: a socio-demographic profile and motivations]. / Estudantes de graduação em saúde coletiva: perfil sociodemográfico e motivações.

Undergraduate Courses in Public Health (UCPH) feature a new way of teaching in the Public Health field that aims to educate professionals focused on the main health needs of the Brazilian population and on the Unified Health System. Thus, it is relevant to know the students' socio-demographic profile including their interests in relation to education and professional development. Adopting a quantitative approach with these objectives, a survey was conducted with 304 UCPH students who filled out a semi-structured questionnaire in 2010 in the following federal universities: Acre, Bahia, Minas Gerais, Mato Grosso, Paraná, Rio de Janeiro and Rio Grande do Norte. The overwhelming majority was female, around 26 years of age, single, living with their parents, mostly attended public school, came from lower classes with lower educational background, approved night classes, worked, and contributed to their family incomes. They aspired to work in public sector - preferably in the state capitals - and they saw UCPH as an opportunity to work in the public health field. This profile reveals challenges and advances in the intended education, reinforcing the need to monitor the UCPH development process.

Cuidados com a Saúde Autosselecionados pelos Usuários da Atenção Primária / Health Initiatives Self Selected by Users of Primary Healthcare

RESUMO Este estudo descreve as mudanças em cuidados com a saúde que usuários da atenção primária escolheram adotar após participarem de uma ação de educação em saúde sobre cuidados com a saúde e determinar o grau de comprometimento desses usuários com essas mudanças autoestabelecidas. Foi desenvolvida uma ação de educação em saúde com usuários da atenção primária sobre cuidados com a saúde. Os indivíduos foram avaliados imediatamente após esta ação e dois a três meses depois, por meio de um questionário semiestruturado. Os relatos foram analisados pela análise de conteúdo. Entre os participantes, 31% tiveram como objetivo praticar atividade física, 28% melhorar a alimentação, 22,9% cuidar da saúde mental, 12,6% emagrecer, 10,3% cuidar da saúde em geral, 6,9% consumir menos álcool, 4,6% parar de fumar, e 1,15% cuidar do meio ambiente. Após dois a três meses, 8,62% não se lembraram e não cumpriram as metas autoestabelecidas, 22,41% as cumpriram totalmente, e 68,97%, apesar de se lembrarem, não as cumpriram. Desses, 77,5% apontaram como motivo para o não cumprimento a falta de disciplina, 17,5% a falta de tempo e 5% problemas de saúde.

ABSTRACT The aim of this study was to describe changes in self-care to be adopted by users of primary healthcare services in Brazil upon participation in a health education initiative, and to determine their involvement with these changes. A health education initiative was therefore developed with users of primary healthcare services in Brazil, with subjects assessed immediately afterwards and then two to three months apart (by means of a semi-structured questionnaire). Analyzed according to content analysis, reports showed that 31% of participants selected physical activity as a means of improving their health, 28% selected improving food habits, 22.9% improving mental care, 12.6% losing weight, 10.3% healthcare in general, 6.9% drinking less alcohol, 4.6% quitting smoking and 1.15% caring for the environment. After two to three months, 8.62% did not remember which they had selected to improve their health while 22.41% performed the selected initiative and 68.97% remembered their selection without going on to take the actions. Among participants, 77.5% claimed not to have been committed to the actions selected, 17.5% reported not having time and 5% said they suffered from health problems.