First serological diagnosis of Mycobacterium avium subsp. paratuberculosis infection in sheep in the state of Pernambuco, Brazil.

This study aimed to diagnose Mycobacterium avium subsp. paratuberculosis (MAP) infections in sheep in the state of Pernambuco, Brazil. A total of 276 blood samples were analyzed using the enzyme-linked immunosorbent assay IDEXX Paratuberculosis Screening kit, and 261 fecal samples were submitted for bacterial culture and polymerase chain reaction tests. An animal-level sero-frequency of 0.72% (n = 2/276) and a farm-level sero-frequency of 20% (n = 2/10) were found. All fecal sample cultures were negative, and molecular analyses were also negative. To the best of our knowledge, this is the first study of MAP infection in sheep in the state of Pernambuco and one of the pioneers in the country. It is an asymptomatic disease that is difficult to diagnose in this species because the susceptibility of sheep to the organism is lower than that of other ruminant species. However, the sero-frequency found reveals that there is MAP exposure in sheep flocks in the region. In addition, serological monitoring can contribute to the observation of the organism's behavior in herds. Our results support the potential risk of MAP infection in sheep in the state of Pernambuco, Brazil.

Searching for a sustainable economy: Work, cooperation, and territorial solutions.

BACKGROUND: This article discusses expanded governance of territorial issues as the basis for a sustainable way of producing and commercializing, as well as the relevance of work analysis within this governance. This discussion is developed from the Functionality and Cooperation Economy approach and from Brazilian experiences of organic food production and community-based solid waste management. OBJECTIVE: To identify and analyze the relationship between territorial issues and work activities in initiatives that seek territorial solutions for food and waste management in order to reflect on a sustainable economic transition and its challenges. METHODS: This article presents a reflection, a posteriori, concerning the follow-up of two initiatives that seek a sustainable economy and that, facing territorial issues, adopted different economic strategies. The field of research, by which the intended reflections are guided, originated from two intervention projects conducted by two different research/intervention groups. RESULTS: Our study highlights how the central focus on the effects of work in a territory can support the development of reflexivity and, consequently, the production of transversal cooperation and the sharing of material and immaterial resources, thereby leading to multifunctional territorial solutions. CONCLUSION: This study presents how the co-construction of multifunctional territorial solutions, involving cooperation among different actors, can be developed by an analysis of the respective activities involved. This analysis confers centrality to real work in order to feed the governance devices and enable the development of relationships of trust, necessary for living and producing in harmony, along with the construction of conventions and dynamic cooperation.

The role of galectin-3 in patients with permanent and paroxysmal Atrial Fibrillation and echocardiographic parameters of left atrial fibrosis.

BACKGROUND: Biochemical markers and imaging tests have been used with the aim of stratifying the risk and detecting atrial fibrosis. Speckle-tracking echocardiography (STE) is used for the detection of atrial fibrosis and Gal-3 provides an important prognostic value. The objective of the study was to assess the association between atrial fibrosis markers and serum levels, genetic polymorphisms and genic expression of galectin-3. METHODS: 206 patients with permanent AF and 70 patients with paroxysmal AF were included in the study. Real time PCR (TaqMan) system was used to study SNPs rs4652 and 4644 of the gene LGALS3. Serum levels of Gal-3 were determined by ELISA and STE was performed to assess fibrosis. RESULTS: Mean age of individuals with permanent AF was 66.56 ± 12 years. As for the echocardiography results, those patients showed an decrease in the following parameters peak atrial longitudinal strain (PALS) (p = 0.002) when compared to the same parameters from the paroxysmal AF group of patients. There was a correlation between serum levels of Gal-3 and PALS in the group of patients with permanent AF; the lower the levels of gal-3, the lower the LA strain (r = 0.24; p = 0.01). CONCLUSIONS: Echocardiographic findings showed association with the groups, and with serum levels of Gal-3 in patients with permanent AF. The distribution of allelic and genotypic frequencies, and of the haplotypes of polymorphism LGALS3 rs4652 and rs4644 did not present statistical variation, which suggests that those SNPs are not associated with the AF clinical forms (permanent and paroxysmal).

Quiz interativo: estratégia para capacitação de profissionais sobre manejo de resíduos de serviços de saúde / Interactive quiz: strategy for training professionals on the management of medical waste / Quiz interactivo: estrategia para la formación de profesionales en la gestión de residuos de servicios sanitarios

Objetivo: Avaliar a aplicação de estratégia tecnológica, Quiz Interativo "Manejando RSS", como ferramenta facilitadora para capacitação em serviço sobre manejo de resíduos de serviços de saúde para profissionais atuantes em Maternidade de Alto Risco. Métodos: Pesquisa exploratória, descritiva, abordagem quantitativa, desenvolvida no período de 14 a 17 de janeiro de 2020. A população foi composta de 60 profissionais de diferentes categorias, selecionados através de amostragem por conveniência. Os dados foram coletados através da aplicação de questionário semiestruturado ao final da participação dos profissionais na atividade de capacitação. Os dados encontrados foram inseridos no Google Forms, cujos recursos auxiliaram na análise descritiva de frequência e interpretação. Resultados: Do total de 60 participantes, 90% consideraram ótima a relevância do tema, tanto quanto 85% os assuntos abordados, 88,3% a metodologia utilizada, 58,3% o tempo destinado à atividade, 63,3% o aproveitamento da atividade, e a contribuição para melhoria da qualidade assistencial, 81,6%. Contudo, 60% dos participantes não emitiram críticas nem sugestões sobre a atividade desenvolvida. Conclusão: O estudo evidenciou que a estratégia implementada foi fundamental para estimular o envolvimento e participação da equipe multiprofissional em atividade de educação em serviço, contribuindo para as Boas Práticas no manejo de resíduos de serviços de saúde. (AU)

Objective: Evaluate the application of a technological strategy, Interactive Quiz "Handling Medical Waste", as a facilitating tool for in-service training on the management of Medical Waste for professionals working in High-Risk Maternity Hospitals. Methods: Exploratory, descriptive research, quantitative approach, developed in the period from January 14 to 17, 2020. The population consisted of 60 professionals from different categories, selected through convenience sampling. Data were collected through the application of a semi-structured questionnaire at the end of the participation of professionals in the training activity. The data found were entered into Google Forms, whose resources helped in the descriptive analysis of frequency and interpretation. Results: Of the total of 60 participants, 90% considered the relevance of the topic excellent, as much as 85% the subjects covered, 88.3% the methodology used, 58.3% the time devoted to the activity, 63.3% the use of the activity, and the contribution to improving the quality of care, 81.6%. However, 60% of the participants did not issue criticism or suggestions about the activity developed. Conclusion: The study showed that the implemented strategies were essential to encourage the involvement and participation of the multidisciplinary team in in-service education activities, contributing to Good Practices in the management of Medical Waste. (AU)

Objetivo: Evaluar la aplicación de una estrategia tecnológica, Quiz Interactivo "Manipulación de Residuos Sanitarios", como herramienta facilitadora de la formación en servicio en gestión de residuos sanitarios para profesionales que laboran en Maternidades de Alto Riesgo. Métodos: Investigación exploratoria, descriptiva, enfoque cuantitativo, desarrollado en el período del 14 al 17 de enero de 2020. La población estuvo conformada por 60 profesionales de diferentes categorias, seleccionados mediante muestreo de conveniencia. La recogida de datos se realizó mediante la aplicación de un cuestionario semiestructurado al finalizar la participación de los profesionales en la actividad formativa. Los datos encontrados fueron ingresados en Google Forms, cuyos recursos ayudaron en el análisis descriptivo de frecuencia e interpretación. Resultados: Del total de 60 participantes, el 90% consideró excelente la relevancia del tema, hasta 85% de los sujetos cubiertos, 88,3% la metodología utilizada, 58,3% el tiempo dedicado a la actividad, 63,3% el uso de la actividad, y el contribución a la mejora de la calidad de la atención, 81,6%. Sin embargo, el 60% de los participantes no emitió críticas ni sugerencias sobre la actividad desarrollada. Conclusión: El estudio mostró que las estrategias implementadas fueron fundamentales para incentivar el involucramiento y participación del equipo multidisciplinario en las actividades de educación en servicio, contribuyendo a las Buenas Prácticas en la gestión de residuos de los servicios sanitarios. (AU)

Influence of social and environmental factors for Culex quinquefasciatus distribution in Northeastern Brazil: a risk index.

Culex quinquefasciatus is a vector of lymphatic filariasis. One important component in planning filariasis control activities is the mapping of vector distribution. A tool that involves socio-environmental factors and Cx. quinquefasciatus density can contribute to the identification of areas that should be prioritized in surveillance actions. This is an ecological study based on the construction and validation of a risk score of urban areas according to social and environmental variables extracted from a national database. Based on this stratification, female Cx. quinquefasciatus were captured. In total, 30,635 Cx. quinquefasciatus were captured, of which 17,161 (56%) were females. The highest vector density index of mosquitoes were captured in households located in the high-risk stratum and the indicator proved to be a tool that identified an association between social and environmental conditions and areas with the highest vector density index of females Cx. quinquefasciatus.

Systematic Review of Survival Analysis in Leprosy Studies-Including the Following Outcomes: Relapse, Impairment of Nerve Function, Reactions and Physical Disability.

Leprosy is a public health problem in South American, African and Oceanian countries. National programs need to be evaluated, and the survival analysis model can aid in the construction of new indicators. The aim of this study was to assess the period of time until the outcomes of interest for patients with or exposed to leprosy by means of survival analysis surveys. This review researched articles using the databases of PubMed, Science Direct, Scopus, Scielo and BVS published in English and Portuguese. Twenty-eight articles from Brazil, India, Bangladesh, the Philippines and Indonesia were included. The Kaplan-Meier method, which derives the log-rank test, and Cox's proportional hazards regression, which obtains the hazard ratio, were applied. The mean follow-up until the following outcomes were: (I) leprosy (2.3 years) in the population who were exposed to it, (II) relapse (5.9 years), (III) clinical manifestations before, during and after treatment-nerve function impairment (5.2 years), leprosy reactions (4.9 years) and physical disability (8.3 years) in the population of patients with leprosy. Therefore, the use of survival analysis will enable the evaluation of national leprosy programs and assist in the decision-making process to face public health problems.

Triggering receptor expressed on myeloid cells-1 as pediatric sepsis biomarker.

OBJECTIVE: Triggering receptor expressed on myeloid cells-1 concentration can be used as a predictive, diagnostic, and prognostic marker in patients with sepsis. The objective of this study was to determine the validity of triggering receptor expressed on myeloid cells-1 levels as a biomarker of sepsis in pediatric patients. METHODS: This was an integrative literature review. PubMed, ScienceDirect, LILACS, MEDLINE, and VHL databases were searched for papers published between 2015 and 2020, using the keywords triggering receptor expressed on myeloid cells-1, sepsis, and child. RESULTS: The review included ten studies, of which four used triggering receptor expressed on myeloid cells-1 as a predictive biomarker; four, as a diagnostic biomarker; and two, as a prognostic biomarker. A total of 1,409 and 1,628 patients were included in primary and review studies, respectively. There was a predominance of significant results for the validity of triggering receptor expressed on myeloid cells-1 levels in the prediction, diagnosis, and prognosis of sepsis in pediatric patients. CONCLUSIONS: Triggering receptor expressed on myeloid cells-1 is a valid predictive, diagnostic, and prognostic biomarker of sepsis with good sensitivity and specificity in the pediatric population.

Evaluation of molecular techniques to visceral leishmaniasis detection in asymptomatic patients: a systematic review.

INTRODUCTION: Visceral leishmaniasis (VL) is a systemic and neglected parasitic disease. Its main symptoms are fever, splenomegaly with or without hepatomegaly, and anemia, however, most individuals remain asymptomatic. Due to the lack of a gold standard and the limitations of current diagnostic techniques, where parasitology is ethically unfeasible for individuals without symptoms and serological tests do not differentiate between past and present disease, molecular methodologies are the most suitable. AREAS COVERED: We performed a systematic review analyzing the molecular techniques based on PCR used, so far, to detect asymptomatic cases of VL in humans. Structured searches were carried out on PubMed, LILACS, Scopus, and Web of Science databases without time and language restrictions. Two reviewers evaluated the studies, performed data extraction, and quality assessment by assigning scores. EXPERT OPINION: qPCR using RNA targets can be used in the diagnosis of asymptomatic cases of human VL, due to its characteristics. We recommend further studies to analyze the methodology, mainly observing the use of different rRNA targets. Therefore, we hope that this technique contributed to the construction of public policies that address the diagnosis and handling of asymptomatic patients.

Lymphatic Filariasis: A Systematic Review on Morbidity and Its Repercussions in Countries in the Americas.

The Global Program to Eliminate Lymphatic Filariasis (GPELF) is a program that aims to eliminate lymphatic filariasis by 2030. The GPELF strategy is based on interrupting transmission using mass drug administration (MDA) and, in parallel, managing morbidity cases. However, it has been seen that there is a shortage of research in the literature and public policies regarding this last pillar. In this study, we reviewed the literature and available information regarding the burden of filarial morbidity. In addition, we identified that in the Americas, the implementation of structured services with regard to morbidity assistance in the Americas was scarce. We formed a review that aimed to assess the pathogenesis, epidemiology, repercussions, and treatment of filarial morbidity in countries in the Americas where lymphatic filariasis is endemic. Structured searches were carried out on PubMed, LILACS, Scopus, and Web of Science databases without time and language restrictions. Three reviewers evaluated the 2150 studies and performed data extraction, and quality assessment by assigning scores to the studies found. The current literature and available information on the burden of filarial morbidity, as well as the implementation of structured services with regard to morbidity assistance in the Americas, were all found to be scarce. Now that this knowledge gap has been identified, both health services and researchers need to seek the implementation and enhancement of the maintenance of GPELF strategies that relate to the morbidity pillar.

An assessment of the effectiveness of hyaluronic acid and polyacrylamide hydrogel in horses with osteoarthritis: Systematic review and network meta-analysis.

For several years, hyaluronic acid (HyA) and, more recently, polyacrylamide hydrogel (PHyd) have been used to reduce lameness and pain caused by osteoarthritis. However, there is still a lack of scientific evidence of the efficacy of these substances to allow veterinary experts to make decisions about their use in horses. The objective of this study was to evaluate, through a systematic review and network meta-analysis (NMA), the efficacy of HyA, associated or not with other drugs, and PHyd in relieving lameness in horses with osteoarthritis. The searches for primary studies were conducted on four search platforms. The efficacy of HyA and PHyd was estimated through the relative risk difference method. Heterogeneity was observed in the efficacy of HyA, indicating long-term ineffectiveness of this drug when associated or not with anti-inflammatory drugs. In contrast, the results indicate that PHyd is an effective alternative therapy, with a long period of action in reducing lameness in horses with osteoarthritis. This study provides evidence that the application of PHyd and HyA is effective in reducing lameness caused by osteoarthritis in horses at different time periods, where PHyd has a longer time of action.

O Protocolo de Manchester como ferramenta de melhora dos serviços de emergência / The Manchester Protocol as a tool for improving emergency services / El Protocolo de Manchester como herramienta para mejora de los servicios de emergencia

Objetivo: Descrever os benefícios do uso do Protocolo de Manchester em serviços hospitalares de emergência percebidos pelos enfermeiros classificadores. Método: Trata-se de um estudo transversal descritivo-exploratório de abordagem quantitativa, realizado com enfermeiros da unidade de emergência de um hospital de alta complexidade da cidade do Recife/PE Resultados: Verificou-se que 80% dos entrevistados perceberam benefícios para o paciente e para a melhoria da rotina do serviço, dos quais 90% verificaram redução no tempo de espera para atendimento, 70% apontaram redução na mortalidade após a implementação da classificação de risco e melhora na satisfação do usuário (40%) e na relação profissional/paciente (20%). Conclusão: Foi evidenciado que os profissionais conhecem e afirmam que o Protocolo de Manchester tem um grande impacto, quando se trata de benefícios e melhor mecanismo de gerenciamento, além da diminuição do risco de agravamento à saúde dos pacientes (AU).

Objective: To describe the benefits of using the Manchester Protocol in emergency hospital services perceived by classifying nurses. Method: This is a cross-sectional descriptive-exploratory study with a quantitative approach, carried out with nurses in the emergency unit of a highly complex hospital in the city of Recife / PE Results: It was found that 80% of the interviewees perceived benefits for the patient and for the improvement of the service routine, of which 90% found a reduction in the waiting time for care, 70% indicated a reduction in mortality after the implementation of the risk classification and improvement in user satisfaction (40%) and in the professional / patient (20%). Conclusion: It was evidenced that the professionals know and affirm that the Manchester Protocol has a great impact, when it comes to benefits and a better management mechanism, in addition to decreasing the risk of worsening the health of patients (AU).

Objetivo: Describir los beneficios de utilizar el Protocolo de Manchester en los servicios hospitalarios de emergencia percibidos por la clasificación de enfermeras. Método: Este es un estudio descriptivo-exploratorio de corte transversal con un enfoque cuantitativo, realizado con enfermeras en la unidad de emergencia de un hospital altamente complejo en la ciudad de Recife / PE Resultados: Se encontró que el 80% de los entrevistados percibieron beneficios para el paciente y para la mejora de la rutina del servicio, de los cuales el 90% encontró una reducción en el tiempo de espera para la atención, el 70% indicó una reducción en la mortalidad después de la implementación de la clasificación de riesgos y la mejora en la satisfacción del usuario (40%) y en el paciente (20%). Conclusión: se evidenció que los profesionales saben y afirman que el Protocolo de Manchester tiene un gran impacto, en lo que respecta a los beneficios y un mejor mecanismo de gestión, además de disminuir el riesgo de empeorar la salud de los pacientes (AU).

How Can Galectin-3 as a Biomarker of Fibrosis Improve Atrial Fibrillation Diagnosis and Prognosis?

Galectin-3 (Gal-3) is a biomarker of fibrosis that has been associated with atrial remodeling. Acknowledging the presence of a biomarker in patients with atrial fibrillation (AF) can allow for a better clinical treatment. The aim of this study was to assess the association of Gal-3 with atrial fibrosis in patients with AF. This is a systematic review study. From the total number of studies analyzed, 12 demonstrated a relation between atrial fibrosis and Gal-3 in patients with AF and presented statistically significant association values. We conclude that Gal-3 is associated with atrial fibrosis in patients with AF in all types, as well as after the arrhythmia treatment by ablation.

Loop-mediated isothermal amplification methods for diagnosis of visceral leishmaniasis (kala-azar) - a systematic review.

Introduction: Visceral leishmaniasis (VL) is a life-threatening infection remaining as one of the most neglected tropical diseases around the world. Despite scientific advances, an accurate diagnosis of VL remains a challenge. Loop-mediated isothermal amplification (LAMP) has emerged as a promising diagnostic tool with the possibility of becoming a point-of-care test to guide VL diagnosis and treatment.Areas covered: We conducted a systematic review assessing LAMP systems for diagnosing VL from 2000 to 2019. We performed structured searches in PubMed, LILACS, Scopus, and Web of Science without language restriction. Two reviewers screened articles, completed the data extraction and assessment of the risk of bias. A qualitative summary of the included studies was performed.Expert opinion: LAMP could be used as a screening test for VL diagnosis, so tissue aspiration could be performed only for those who are LAMP negative. We recommend more studies about the performance of the Loopamp™ Leishmania Detection kit and the Brazilian LAMP assay. Thus, we expect in the future the constitution of an international consortium to share experiences, projects, and other LAMP approaches mainly among researchers and institutions located within VL endemic countries.

Assessment of transmission in areas of uncertain endemicity for lymphatic filariasis in Brazil.

BACKGROUND: The objective of the Global Program to Eliminate Lymphatic Filariasis (GPELF) is to phase out this endemic disease as a public health problem by 2020. Validation of elimination is obtained from the World Health Organization through evidence of non-transmission in countries that have already been subjected to mass drug administration (MDA) and in places adjoining these endemic areas. While three municipalities in Brazil have completed MDA, the epidemiological situation remains uncertain in nine adjoining municipalities. To determine the epidemiological status, this study was to perform a review of the literature and a school-based survey to describe the past and recent endemicity of lymphatic filariasis (LF) theses nine municipalities in Brazil. METHODOLOGY/PRINCIPLE FINDINGS: For review of the literature, both formal and informal literature sources were accessed since the first reports of filariasis in the Metropolitan Region of Recife, Brazil. We conducted a school-based survey in 2016 using immunochromatographic card tests (ICTs) among schoolchildren aged 6-10 years living in nine municipalities contiguous with the endemic areas in which MDA was conducted. Our review of the literature identified eight studies involving surveys demonstrating that microfilariae had been circulating in eight of the municipalities since 1967, with a low prevalence of microfilaremia, isolated autochthonous cases, and treatment of individual cases. The school-based survey included 17,222 children in 185 urban schools in the nine areas of Brazil with uncertain endemicity. One child affected by allochthonous transmission was antigen positive based on ICT and lived in a municipality adjacent to Recife; this child's family came from Recife, but no other case was diagnosed within the family. CONCLUSIONS/SIGNIFICANCE: The study results suggest that there is no transmission of LF in the municipalities investigated. However, these areas have population migration and socioenvironmental conditions favorable to mosquito breeding grounds; therefore, surveillance is strongly recommended in these areas.

Evaluation of lymphatic filariasis in endemic area of Brazil where mass drug administration is not required.

Mass drug administration (MDA) is the main counter-transmission strategy of the Global Programme to Eliminate Lymphatic Filariasis. In endemic countries, there are areas where MDA is not required. However, there is no standard approach in these areas, and studies are important to evaluate the epidemiological status. This study aimed to investigate lymphatic filariasis and strategies developed for its control in an area where MDA is not required. Together with the 2018 morbidity evaluation, a survey was conducted using point-of-care immunochromatographic test-AD12 tests for diagnostic screening in an area where MDA is not required. The methodology also included desk research based on Health Department reports of the control activities for lymphatic filariasis during 2003-2016. Among the 934 cases investigated in 2018, there was a 0.64% prevalence of circulating filarial antigen positive, comprising five adults and one 2-year-old child. Six patients aged 39-63 years had filarial disease. Fourteen surveys have already been conducted as control activities, and since 2009, there have been no positive cases. This study showed that the prevalence of antigenemia decreased from 2.97% in 2003 to 0.64% in 2018. Moreover, the transmission of filariasis infection was under control in this area. Our study provides insights into the surveillance phase by identifying areas of low transmission and where MDA is not required. Although we have not identified cases of filarial infection, there is a need to provide services that will provide assist those already affected with morbidity and help reduce and prevent disability.

Assessoria pedagógica ao docente universitário: uma carreira em construção / Pedagogical advice to university professors: a career under construction / Asesoría pedagógica al docente universitario: una carrera en construcción

Esse artigo empreende estudo teórico sobre o profissional que trabalha com a formação pedagógica do professor universitário aqui denominado assessor pedagógico universitário. Busca tornar a reflexão pedagógica na universidade uma prática, desenvolvendo o olhar sobre a docência como um exercício profissional. Neste sentido, este estudo objetiva, também, abrir a possibilidade de reflexão e discussão acerca da formação pedagógica do docente universitário, sob a ótica do profissional responsável por desencadear os processos formativos junto aos docentes, ou seja, sob a ótica do assessor pedagógico. Aprofundar os conhecimentos sobre este profissional pode ser um caminho para se rever uma enraizada cultura institucional, pautada em um ensino instrumentalizado e de transmissão que ainda resiste no interior da universidade.

This article undertakes a theoretical study about the professional that works with the pedagogical training of the university professor here called university pedagogical advisor. Search to make a reflection in the university a practice, developing the look on teaching as a professional exercise. In this sense, this study also aims to open the possibility of reflection and discussion about the university professor's pedagogical formation, from the view of the professional responsible for initiating the formative processes with the professors, that is, from the view of pedagogical advisor. Deepening the knowledge about this professional can be a way to review a rooted institutional culture, based on an instrumentalized and transmission teaching that still resists inside the university.

Este artículo emprende estudio teórico sobre el profesional que trabaja con la formación pedagógica del profesor universitario aquí denominado asesor pedagógico universitario. Búsqueda de una reflexión pedagógica en la universidad una práctica, desarrollando la mirada sobre la docencia como un ejercicio profesional. En este sentido, este estudio objetiva, también, abrir la posibilidad de reflexión y discusión acerca de la formación pedagógica del docente universitario, bajo la óptica del profesional responsable por desencadenar los procesos formativos junto a los docentes, o sea, bajo la óptica del asesor pedagógico. La profundización de los conocimientos sobre este profesional puede ser un camino para revisar una enraizada cultura institucional, pautada en una enseñanza instrumentalizada y de transmisión que aún resiste en el interior de la universidad.

Avaliação da dor pós-operatória sob a ótica do enfermeiro / Evaluation of postoperative pain under the nurse's point of view

Objetivo: identificar a forma utilizada pelos enfermeiros para avaliar e controlar a dor aguda em pacientes submetidos à cirurgia geral. Método: trata-se de um estudo qualitativo, descritivo e exploratório, realizado em um hospital público, com enfermeiros dos setores da sala de recuperação pós-anestésica e da clínica cirúrgica, cujos dados foram analisados pela técnica do Discurso do Sujeito Coletivo. Resultados: os enfermeiros em estudo não fazem uso de nenhum instrumento padronizado para avaliar e mensurar a dor pós-operatória e seu controle é realizado, basicamente, pela administração de medicamentos prescritos. Conclusão: os enfermeiros necessitam de capacitação prévia, bem como existe a necessidade de implementar um modelo de avaliação que seja utilizado para o controle mais efetivo da dor.(AU)