Validation of an educational comic book to guide conducts in situations of dental trauma.

BACKGROUND/AIM: Childhood dental trauma poses a prevalent concern, and the limited knowledge of lay caregivers toward the needed immediate actions can adversely affect a child's well-being. This study aimed to create and validate an educational comic book for lay individuals, designed to guide immediate actions in dental trauma cases, and assess its effects toward enhancing reader knowledge. METHODOLOGY: The four-stage study involved: (1) Literature review and script development; (2) Version 1 of the comic book creation (including illustrations, layout, and design) and Flesch Readability Index (FI) calculation; (3) Version 1 validation by expert judges, assessed by the Content Validity Index (CVI); (4) Version 1 refinement based on the judges' feedback, recalculation of FI, and a pilot test (CVI) involving lay individuals who validated the final material (Version 2). The validation process involved 67 participants, including 13 specialist judges and 54 elementary school teachers. RESULTS: The CVI for Version 1 was calculated at 0.89 (89%), indicating a favorable level of agreement on the evaluated criteria. The FI was determined as 91.1%, indicating a high level of readability. The FI for Version 2 was 92.1% (indicating a very easy level of comprehension). The CVI calculated for the target audience after the pilot test was 0.99 (99%), denoting a substantial agreement among the participants. In assessing the level of knowledge, a significant increase was observed in the rate of correct answers after the comic book was read by lay individuals (p < 0.05), inasmuch as the percentage rose from 50.5% before to 81.2% after reading it. CONCLUSION: The educational comic book proved valid in terms of readability, appearance, and content. Furthermore, it had a positive impact on gaining the knowledge needed to take the appropriate actions, thus making it a valuable tool for guiding the lay population in cases of dental trauma.

Performance of collagen-based matrices from Nile tilapia skin: A pilot proteomic study in a murine model of wound healing.

Full-thickness cutaneous trauma, due to the lack of dermis, leads to difficulty in epithelialization by keratinocytes, developing a fibrotic scar, with less elasticity than the original skin, which may have disorders in predisposed individuals, resulting in hypertrophic scar and keloids. Biomedical materials have excellent characteristics, such as good biocompatibility and low immunogenicity, which can temporarily replace traditional materials used as primary dressings. In this work, we developed two dermal matrices based on Nile tilapia collagen, with (M_GAG) and without (M) glycosaminoglycans, using a sugarcane polymer membrane as a matrix support. To assess the molecular mechanisms driving wound healing, we performed qualitative proteomic analysis on the wound bed in an in vivo study involving immunocompetent murine models at 14 and 21 days post-full-thickness skin injury. Gene Ontology and Pathway analysis revealed that both skins were markedly represented by modulation of the immune system, emphasizing controlling the acute inflammation response at 14 and 21 days post-injury. Furthermore, both groups showed significant enrichment of pathways related to RNA and protein metabolism, suggesting an increase in protein synthesis required for tissue repair and proper wound closure. Other pathways, such as keratinization and vitamin D3 metabolism, were also enriched in the groups treated with M matrix. Finally, both matrices improved wound healing in a full post-thick skin lesion. However, our preliminary molecular data reveals that the collagen-mediated healing matrix lacking glycosaminoglycan (M) exhibited a phenotype more favorable to tissue repair, making it more suitable for use before skin grafts.

High glucose-induced inhibition of osteoblast like MC3T3-E1 differentiation promotes mitochondrial perturbations.

Diabetes mellitus is a metabolic disorder that causes health concerns worldwide. Patients with diabetes exhibit multisystemic symptoms, including loss of bone quality over time. The progressive deterioration of bone promotes failure to withstand damage and increases the risk of fractures. Much of the molecular and metabolic mechanism(s) in diabetic bone remains unclear. In vitro studies suggest that hyperglycemia inhibits mineralization, affecting bone formation and function. In this study, inhibition of osteoblast differentiation was induced using hyperglycemia to assess whether high glucose promotes mitochondrial impairment along with altered bone matrix formation. It was hypothesized that bone energy metabolism would be altered in these cells as calcium deposition, a key phase for bone function, is suppressed. Early passages of osteoblast like MC3T3-E1 cells were differentiated under normal and high glucose conditions. To investigate osteoblast differentiation, we quantified calcium accumulation by alizarin red staining and analyzed immunoblots of key proteins. To assess mitochondrial function, we quantified mitochondrial DNA (mtDNA), detected expression and function of key proteins from the Tricarboxylic (TCA) cycle, measured mitochondrial respiration, and fuel oxidation of alternative nutrients. Results confirmed previous work showing that mineralization was inhibited and AKT expression was reduced in high glucose-treated bone cells. Unexpectedly, high glucose-treated osteoblast cells utilize both mitochondrial respiration and glycolysis to maintain energy demands with partial help of fatty acid for reliance of baseline bioenergetics. These metabolic shifts suggest that hyperglycemia maintain bone metabolic needs in an early differentiated state concurrent to the inhibition in bone matrix formation.

Untargeted Metabolomics of Slc13a5 Deficiency Reveal Critical Liver-Brain Axis for Lipid Homeostasis.

Though biallelic variants in SLC13A5 are known to cause severe encephalopathy, the mechanism of this disease is poorly understood. SLC13A5 protein deficiency reduces citrate transport into the cell. Downstream abnormalities in fatty acid synthesis and energy generation have been described, though biochemical signs of these perturbations are inconsistent across SLC13A5 deficiency patients. To investigate SLC13A5-related disorders, we performed untargeted metabolic analyses on the liver, brain, and serum from a Slc13a5-deficient mouse model. Metabolomic data were analyzed using the connect-the-dots (CTD) methodology and were compared to plasma and CSF metabolomics from SLC13A5-deficient patients. Mice homozygous for the Slc13a5tm1b/tm1b null allele had perturbations in fatty acids, bile acids, and energy metabolites in all tissues examined. Further analyses demonstrated that for several of these molecules, the ratio of their relative tissue concentrations differed widely in the knockout mouse, suggesting that deficiency of Slc13a5 impacts the biosynthesis and flux of metabolites between tissues. Similar findings were observed in patient biofluids, indicating altered transport and/or flux of molecules involved in energy, fatty acid, nucleotide, and bile acid metabolism. Deficiency of SLC13A5 likely causes a broader state of metabolic dysregulation than previously recognized, particularly regarding lipid synthesis, storage, and metabolism, supporting SLC13A5 deficiency as a lipid disorder.

The hidden dimension of open science: "Peopleware".

In discussing open science, one forgets that its key concept is collaboration, which may be either accelerated or hampered by digital technologies. Collaboration in personal interactions is hard; how much harder, then, is it to collaborate across temporal, geographical, or cultural barriers? Open science can be seen as a worldwide case study on peopleware-a major source of costs, but a huge asset.

The Effects of High-Protein Diet and Resistance Training on Glucose Control and Inflammatory Profile of Visceral Adipose Tissue in Rats.

High-protein diets (HPDs) are widely accepted as a way to stimulate muscle protein synthesis when combined with resistance training (RT). However, the effects of HPDs on adipose tissue plasticity and local inflammation are yet to be determined. This study investigated the impact of HPDs on glucose control, adipocyte size, and epididymal adipose inflammatory biomarkers in resistance-trained rats. Eighteen Wistar rats were randomly assigned to four groups: normal-protein (NPD; 17% protein total dietary intake) and HPD (26.1% protein) without RT and NPD and HPD with RT. Trained groups received RT for 12 weeks with weights secured to their tails. Glucose and insulin tolerance tests, adipocyte size, and an array of cytokines were determined. While HPD without RT induced glucose intolerance, enlarged adipocytes, and increased TNF-α, MCP-1, and IL1-ß levels in epididymal adipose tissue (p < 0.05), RT diminished these deleterious effects, with the HPD + RT group displaying improved blood glucose control without inflammatory cytokine increases in epididymal adipose tissue (p < 0.05). Furthermore, RT increased glutathione expression independent of diet (p < 0.05). RT may offer protection against adipocyte hypertrophy, pro-inflammatory states, and glucose intolerance during HPDs. The results highlight the potential protective effects of RT to mitigate the maladaptive effects of HPDs.

Effects of 12†weeks of resistance training on rat gut microbiota composition.

In addition to its health benefits, exercise training has been noted as a modulator of the gut microbiota. However, the effects of resistance training (RT) on gut microbiota composition remain unknown. Wistar rats underwent 12 weeks of RT. Body mass, glucose tolerance, visceral body fat, triglyceride concentration and food consumption were evaluated. The gut microbiota was analyzed by 16S rRNA gene sequencing. Rats that underwent RT showed lower body mass (P=0.0005), lower fat content (P=0.02) and better glucose kinetics (P=0.047) when compared with the control. Improvements in the diversity and composition of the gut microbiota were identified in the RT group. The relative abundance of Pseudomonas, Serratia and Comamonas decreased significantly after 12 weeks of RT (P<0.001). These results suggest that RT has the potential to enhance the diversity of the gut microbiota and improve its biological functions.

International transfers of personal data for health research following Schrems II: a problem in need of a solution.

On 16 July 2020, the Court of Justice of the European Union issued their decision in the Schrems II case concerning Facebook's transfers of personal data from the EU to the US. The decision may have significant effects on the legitimate transfer of personal data for health research purposes from the EU. This article aims: (i) to outline the consequences of the Schrems II decision for the sharing of personal data for health research between the EU and third countries, particularly in the context of the COVID-19 pandemic; and, (ii) to consider certain options available to address the consequences of the decision and to facilitate international data exchange for health research moving forward.

Imunização: o conhecimento e práticas dos profissionais de enfermagem na sala de vacina / Immunization: the knowledge and practice of nursing professionals in the vaccine room / Inmunización: el conocimiento y práctica de los profesionales de enfermería en la sala de vacuna

Objetivo é identificar o conhecimento e práticas dos profissionais que atuam na sala de imunização na Estratégia de Saúde da Família. Metodologia Trata-se de uma pesquisa qualitativa e exploratória, com três Enfermeiros e doze técnicos de quatro unidades de Estratégia de Saúde da Família, localizadas na zona oeste do RJ. Resultado, observou-se que as áreas físicas das salas de imunização atendem aos critérios do Manual de Rede de Frios e do Programa Nacional de Imunização, e que as atribuições diárias da sala de imunização são feitas somente pelos técnicos de enfermagem e os Enfermeiros são os Responsáveis Técnicos mas nenhum com disponibilidade integral para a função, desenvolvendo também atividades de supervisão e consultas de Enfermagem, pode-se observar dúvidas dos profissionais a respeito do tempo de funcionamento da câmara se ficar sem eletricidade, e na maioria os entrevistados das quatro unidades relataram que apesar de escalados na sala de imunização, podem assumir outros setores de acordo com a demanda. Conclusão podemos observar que os profissionais da sala de imunização possuem conhecimento sobre as atividades realizadas, contudo na prática algumas das atribuições dos profissionais não são realizadas de forma satisfatória e de acordo com que é exigido nos protocolos e manuais do Ministério da Saúde, e observamos o quanto é fundamental que todos os profissionais realizem treinamento em serviço, principalmente na sala de imunização onde mudanças ocorrem constantemente.(AU)

Aimed at identifying the knowledge and practices of the professionals who work in the immunization ward in the Family Health Strategy. Methodology This is a qualitative and exploratory research, with three nurses and twelve technicians from four units of Family Health Strategy, located in the western zone of RJ. As a result, it was observed that the physical areas of the immunization rooms meet the criteria of the Cold Net Manual and the National Immunization Program, and that the daily assignments of the immunization room are made only by the nursing technicians and the Nurses are the Technical officers but none with full availability for the function, also developing supervision activities and nursing consultations, one can observe doubts of the professionals regarding the operating time of the chamber if it runs out of electricity, and in the majority the interviewees of the four units reported which although scaled in the immunization room, can take on other sectors according to demand. Conclusion we can observe that the professionals of the immunization room have knowledge about the activities performed, however in practice some of the professionals' attributions are not performed satisfactorily and according to what is required in the protocols and manuals of the Ministry of Health, it was observed how essential it is that all professionals carry out in-service training, especially in the immunization ward where changes occur constantly.(AU)

Objetivo identificar el conocimiento y las prácticas de los profesionales que actúan en la sala de inmunización en la Estrategia de Salud de la Familia. Metodología Se trata de una investigación cualitativa y exploratoria, con tres enfermeros y doce técnicos de cuatro unidades de Estrategia de Salud de la Familia, ubicadas en la zona oeste del RJ. Se observó que las áreas físicas de las salas de inmunización atienden a los criterios del Manual de Red de Fríos y del Programa Nacional de Inmunización, y que las asignaciones diarias de la sala de inmunización son hechas solamente por los técnicos de enfermería y los enfermeros son los siguientes: Los responsables técnicos, pero ninguno con disponibilidad integral para la función, desarrollando también actividades de supervisión y consultas de enfermería, se pueden observar dudas de los profesionales acerca del tiempo de funcionamiento de la cámara si se queda sin electricidad, y en la mayoría los entrevistados de las cuatro unidades relataron que a pesar de escalados en la sala de inmunización, pueden asumir otros sectores de acuerdo con la demanda. Conclusión podemos observar que los profesionales de la sala de inmunización tienen conocimiento sobre las actividades realizadas, pero en la práctica algunas de las atribuciones de los profesionales no se realizan de forma satisfactoria y de acuerdo con que es exigido en los protocolos y manuales del Ministerio de Salud, se observó lo que es fundamental que todos los profesionales realicen entrenamiento en servicio, principalmente en la sala de inmunización donde los cambios ocurren constantemente.(AU)

Fostering global data sharing: highlighting the recommendations of the Research Data Alliance COVID-19 working group.

The systemic challenges of the COVID-19 pandemic require cross-disciplinary collaboration in a global and timely fashion. Such collaboration needs open research practices and the sharing of research outputs, such as data and code, thereby facilitating research and research reproducibility and timely collaboration beyond borders. The Research Data Alliance COVID-19 Working Group recently published a set of recommendations and guidelines on data sharing and related best practices for COVID-19 research. These guidelines include recommendations for clinicians, researchers, policy- and decision-makers, funders, publishers, public health experts, disaster preparedness and response experts, infrastructure providers from the perspective of different domains (Clinical Medicine, Omics, Epidemiology, Social Sciences, Community Participation, Indigenous Peoples, Research Software, Legal and Ethical Considerations), and other potential users. These guidelines include recommendations for researchers, policymakers, funders, publishers and infrastructure providers from the perspective of different domains (Clinical Medicine, Omics, Epidemiology, Social Sciences, Community Participation, Indigenous Peoples, Research Software, Legal and Ethical Considerations). Several overarching themes have emerged from this document such as the need to balance the creation of data adherent to FAIR principles (findable, accessible, interoperable and reusable), with the need for quick data release; the use of trustworthy research data repositories; the use of well-annotated data with meaningful metadata; and practices of documenting methods and software. The resulting document marks an unprecedented cross-disciplinary, cross-sectoral, and cross-jurisdictional effort authored by over 160 experts from around the globe. This letter summarises key points of the Recommendations and Guidelines, highlights the relevant findings, shines a spotlight on the process, and suggests how these developments can be leveraged by the wider scientific community.

High-Protein Diet Associated with Bocaiuva Supplementation Decreases Body Fat and Improves Glucose Tolerance in Resistance-Trained Rats.

High-protein diets (HPDs) are widely used for health and performance. However, the combination of whey protein and natural foods (i.e., fruits) is still unclear. Thus, we evaluated the role of supplemental HPD with Bocaiuva (Acrocomia sp.) in metabolic and body composition parameters of rats submitted to resistance training (RT). Wistar rats (203.3 ± 30 g) were randomly allocated to five groups: normoproteic control (CON, n = 5), sedentary high-protein (SH, n = 5), RT + H (trained high-protein [TH], n = 5), sedentary+Bocaiuva (SH+B, n = 4), and RT+Bocaiuva (TH+B, n = 4) diet groups. After 12 weeks of RT, the maximal strength increased in both trained groups (P < .05). The TH + B group had lower values of adiposity index (AI) (3.8 ± 0.7% vs. 6.8 ± 1.3%) and visceral fat (0.038 ± 0.004 g/g vs. 0.067 ± 0.012 g/g) compared with the SH group, respectively (P < .05). The other groups did not show differences in values of AI (CON, 5.4 ± 1.6%, TH, 5.4 ± 1.3%, and SH+B, 5.5 ± 1.2%). In addition, the fasting glucose of trained groups (TH, 106.0 ± 4.5, and TH+B, 100.4 ± 13.5 dL/mg) was significantly lower when compared with controls (SH, 120.0 ± 14.4, and SH+B, 119 ± 6.4 dL/mg) (P < .05). Bocaiuva combined with an HPD reduced visceral fat and AI in addition to improving glucose tolerance of rats submitted to RT.

Cuidados Paliativos: O Enfermeiro como facilitador com objetivo de promover o significado do cuidar no processo da morte

O surgimento dos Cuidados Paliativos foi como uma filosofia de cuidados integrais, a pacientes em estado terminal com alívio da dor e do sofrimento. Estes cuidados oferecem a ação de uma equipe interdisciplinar, e cada profissional reconhece o limite da sua atenção que contribuirá para que o paciente, em estado de finitude, tenha uma boa morte. Objetivo: Assim, este estudo teve como objetivo compreender os significados do cuidar na visão dos enfermeiros e dos respectivos familiares, em cuidados paliativos, trazendo a possibilidade de revelar suas implicações no cotidiano do trabalho, além de perceber todo o processo da morte. Metodologia: Trata-se de um estudo de pesquisa descritivo com abordagem qualitativa, por meio de levantamento bibliográfico. Resultados e Discussão: Desta forma, observa-se que para alcançar resultados que levam ao entendimento da morte digna, é primordial que o enfermeiro empregue uma linguagem simples e explicativa, destacando a importância de uma assistência especializada ao paciente terminal. Conclusão: Esta pesquisa visa ampliar o conhecimento do significado das práticas dos cuidados paliativos tendo o Enfermeiro como ponte para melhor entendimento desse processo, e fornecer subsídios a futuros estudos que tratarão da temática

Educação em saúde promovendo a alimentação saudável: um relato de experiência / Health education promoting nutrition health: an experience report

O objetivo do estudo foi contribuir para o conhecimento de crianças quanto a uma alimentação adequada. Trata-se deum estudo transversal com abordagem qualitativa, no qual utilizou-se atividades educacionais no âmbito escolar, através de um relatode experiência. A pesquisa foi realizada pelos alunos do Projeto de Extensão Brincastelo do curso de Enfermagem, em uma EscolaMunicipal do Rio de Janeiro, com escolares na faixa etária entre 7 e 8 anos, um total de 27 participantes, aprovada pelo Comitê deética do Hospital Federal de Bonsucesso, com o número 1.717.381. A apresentação da palestra sobre orientação saudável foi feitaem 3 (três) fases distintas: a primeira etapa sendo apresentação do conteúdo de alimentação saudável, segunda etapa consistindo ematividade de interação com as crianças e a terceira etapa em avaliação da atividade. Acredita-se que muito tem sido discutido sobre apresença do profissional enfermeiro no ambiente escolar, tangenciando as condutas de aprimorar a informação para as crianças sobrealimentação saudável. Como o intuito era de trabalhar a respectiva temática, a iniciativa de desenvolver atividades em uma escola foia chance de aumentar as experiências dos acadêmicos e oferecer a orientação adequada sobre os alimentos.

The purpose of this study was to contribute to the knowledge of these children about adequate nutrition. It is a crosssectionalstudy with a qualitative approach, in which educational activities were used in the school context, through an experiencereport. The research was carried out by students of the Brincastelo Extension Project of the Nursing course at a Municipal Schoolin Rio de Janeiro, with students aged between 7 and 8 years, a total of 27 participants, approved by the Ethics Committee of theFederal Hospital Of Bonsucesso, with the number 1,717,381. The presentation of the lecture on healthy orientation were in 3 (three)distinct phases, first stage presentation of healthy eating content, second stage consisted of activity of interaction with childrenand the third stage consisted of evaluation of activity. It is believed that a lot has been discussed about the presence of the nursepractitioner in the school environment, involving the conduct of the children's information about healthy eating, as the intentionwas to work on the respective theme, the initiative to develop activities in a school was the Chance to increase the experiences ofacademics and provide adequate guidance on food.

El objetivo de la SE fue contribuir al conocimiento de estos niños ya una alimentación adecuada. Se trata de unestudio transversal con un enfoque cualitativo, en el que se utilizó actividades educativas en las escuelas, a través de un relato deexperiencia. La encuesta fue realizada por los alumnos del curso de enfermería del Proyecto de Extensión Brincastelo, en una escuelamunicipal en Río de Janeiro, con un rango de edad escolar de entre 7 y 8 años, un total de 27 participantes, aprobado por el Comitéde Ética del Hospital Federal Bonsucesso, con el número 1717381. La presentación de la conferencia sobre orientación sanosfueron tres (3) fases distintas, la primera etapa de presentación de comer sano contenido, la segunda etapa consistió en la actividadde compromiso con los niños y el tercer paso fue evaluar la actividad. Se cree que mucho se ha discutido sobre la presencia delprofesional de enfermería en el entorno escolar conductos tangenciales para mejorar los hijos de información sobre la alimentaciónsaludable, ya que el objetivo era trabajar el tema, la iniciativa para desarrollar actividades en una escuela era oportunidad deaumentar las experiencias de académicos y proporcionar una orientación adecuada sobre los alimentos.

Percepção da mulher sobre a assistênciaa ela prestada na atenção primária / Perception of the woman about the care primary care

Objetivo: descrever o itinerário de atendimento às mulheres no ambulatório de ginecologia de uma Unidade Básica de Saúde.Método: Pesquisa exploratório-descritivo com abordagem qualitativa. Participaram 30 mulheres em idade fértil entre 15 e 35 anos. Ocenário foi o ambulatório de ginecologia de uma Unidade Básica de Saúde, localizada no município do Rio de Janeiro, onde são realizadosexames específicos como mamografia, colposcopia e a coleta de Papanicolau. Aprovação do Comitê de Ética da Secretaria Municipalde Saúde do Rio de Janeiro, protocolo nº 196 de 2014. Resultados: emergiram 3 categorias: O caminho percorrido: passo-a-passo doatendimento; a visão da mulher quanto ao acolhimento durante a consulta; os sentimentos aflorados durante a busca do atendimento.Considerações finais: evidenciaram-se as dificuldades que as mulheres encontram quando em busca de atendimento e como...

Validação de resultados de enfermagem da CIPE® para a assistência à pacientes no período pós-parto / Validation of ICNP® nursing results for assistance to patients in the postpartum period / Validación de resultados de enfermería de CIPE® para la asistencia a pacientes en el período post-parto

Objetivo: validar afirmativas de Resultados de Enfermagem da CIPE® , no contexto da assistência de enfermagem às mulheres no período pós-parto. Método: estudo metodológico, com 12 enfermeiros experts em Enfermagem Obstétrica, docentes e assistenciais da Universidade Federal da Paraíba e Hospital Universitário Lauro Wanderley. Resultados: foram validadas 30 (85,71%) afirmativas de Resultados de Enfermagem da CIPE® para a assistência de enfermagem às pacientes durante o período pós-parto. Conclusão: o estudo mostrou que as afirmativas validadas refletem as necessidades das pacientes no período pós-parto e poderão orientar a assistência de enfermagem com qualidade.(AU)

Objective: to validate the ICNP® Nursing Results, in the context of nursing care for women in the postpartum period. Method: methodological study, with 12 nurses Obstetrics experts, professors and assistants of the Federal University of Paraíba and Lauro Wanderley University Hospital. Results: there were 30 (85.71%) statements of ICNP® Nursing Results validated for nursing care for patients during the postpartum period. Conclusion: the study showed that the validated statements reflect the needs of patients in the postpartum period, and can guide the nursing care quality.(AU)

Objetivo: validar afirmativas de Resultados de Enfermería de CIPE® , en el contexto de la asistencia de enfermería a las mujeres en el período post-parto. Método: estudio metodológico, con 12 enfermeros experts en Enfermería Obstétrica, docentes y asistenciales de la Universidad Federal de Paraíba y del Hospital Universitario Lauro Wanderley. Resultados: fueron validadas 30 (85,71%) afirmativas de Resultados de Enfermería de CIPE® para la asistencia de enfermería a las pacientes durante el período post-parto. Conclusión: el estudio mostro que las afirmativas validadas reflejan las necesidades de las pacientes en el período post-parto, y poderán orientar la asistencia de enfermería con calidad.(AU)

Educational opportunities for reflective practice / Espaços educacionais para práticas reflexivas

Objective: This paper aims to identify, during the educational process, the development of the ability to work in multidisciplinary team, during regular or electives disciplines, in the view of students. Methods: This is a descriptive study that used the procedure collects a semi-structured questionnaire directed to graduates of the School of Dentistry, Federal University of Rio Grande do Norte. The data were evaluated based on descriptive statistics. Results: The results indicate that interactions with the community in real-world scenarios, in the construction of everyday experiences and significant help in the reflective learning process. Conclusion: These practices are found in the Health and Citizenship discipline (SACI). It is an activity performed since 2000.2 and integrates actions of teaching, research and extension, based on dialogue between traditional and systematized knowledge, equally important in the relationship between education, health and citizenship.

Objetivo: Identificar durante o processo de formação as disciplinas regulares ou optativas que possibilitam o desenvolvimento da habilidade para o trabalho em equipe multiprofissional, na visão dos alunos. Métodos: Trata-se de um estudo descritivo, que utilizou como procedimento de coleta um questionário semiestruturado direcionado aos concluintes do Curso de Odontologia de uma Universidade Federal do Rio Grande do Norte. Os dados foram avaliados baseados na análise estatística descritiva. Resultados: Os resultados apontam que as interações com a comunidade em cenários reais, na construção de cotidianos e vivências significativas, auxiliam no processo de aprendizagem reflexiva. Conclusão: Estas práticas são constatadas na Disciplina Saúde e Cidadania, uma atividade realizada desde o ano 2000/ 2º semestre e integra ações de ensino, pesquisa e extensão, com bases fundamentadas no diálogo entre os saberes sistematizado e tradicional, igualmente importantes na relação entre educação, saúde e cidadania.

Validação de Diagnósticos de Enfermagem da CIPE® para assistência às mulheres no período pós-parto / Validation of ICNP® Nursing Diagnoses for assistance to women during postpartum

A validação de nomenclatura possibilita uma contribuição no cuidado prestado pela Enfermagem, estimulando e direcionando mudanças necessárias para a melhoria da qualidade da atenção à saúde da mulher. O estudo objetivou validar afirmativas de Diagnósticos de Enfermagem da CIPE® para a assistência de enfermagem às mulheres no período pós-parto. Trata-se de um estudo metodológico, composto por três etapas: seleção das afirmativas, análise semântica e cálculo do Índice de Concordância. A amostra foi composta por 12 experts em Enfermagem Obstétrica e utilizou-se um instrumento contendo itens de interesse da investigação. Foram validados 30 (88,23%) Diagnósticos de Enfermagem da CIPE®, sendo apenas quatro não validados. O estudo evidenciou a necessidade de se investigar e atualizar os termos da CIPE® permanentemente. Além disso, a proposta e tendência de utilização de prontuários eletrônicos nas instituições de saúde apontam para a necessidade de validar, uniformizar e legitimar Diagnósticos de Enfermagem para a prática clínica.

The nomenclature validation contributes in the care provided by Nursing, stimulating and directing necessary changes for the quality improvement of attention to woman's health. The study aimed to validate affirmatives of ICNP® Nursing Diagnoses for nursing assistance to women during postpartum. This is a methodologic study composed by three steps: affirmative selection, semantical analysis and Index of Agreement calculation. The sample was composed by 12 experts in Obstetric Nursing and used an instrument with items of interest for this study. Thirty (88,23%) ICNP® Nursing Diagnoses were assessed, and only four were not validated. The study found the need to investigate and update ICNP® terms permanently. Besides, the proposal and tendency of using electronic records in health institutions points to the need to validate, standardize, and legitimize Nursing Diagnoses for clinical practice.

As implicações das práticas pedagógicas no desenvolvimento das competências / The implications of pedagogical practices in competences development

Introdução: As Universidades passam por mudanças que buscam uma formação critico-reflexiva, devido à pressão exercida por diversos setores da sociedade. Compreende-se a necessidade de práticas pedagógicas sustentáveis que possibilitem o desenvolvimento de competências que estão sendo demandadas no processo de formação. Logo, para nortear o processo ensino aprendizagem por competência como orientado pelas Diretrizes Curriculares Nacionais (DCN), é fundamental que este seja assumido por toda Instituição de Ensino Superior (IES). Objetivo: Investigar a compreensão sobre as competências gerais estabelecidas pelas DCN que se encontram presentes no processo de formação profissional através das falas dos alunos. Métodos: Trata-se de um estudo descritivo com abordagem qualitativa que utilizou a entrevista com situação problema para coleta de dados. Os sujeitos participantes do estudo são concluintes voluntários do curso de Odontologia/UFRN. As falas dos participantes foram gravadas e transcritas, gerando um Corpus que foi processado e analisado mediante o auxílio do software ALCESTE. Resultados: O corpus foi dividido em 131 Unidades de Contexto Elementares (UCE), distribuído e agrupado em cinco classes lexicais, que compõem o conteúdo essencial presente nas entrevistas analisadas denominadas de: Problemas de Saúde que aparecem na ESF, Dificuldades de comunicação, Lacunas da formação profissional, Espaços formativos articulados e Determinantes sociais em saúde. Conclusões: É lícito concluir que durante a formação, há dificuldades na articulação da academia com os serviços de saúde, além da escassez de componentes curriculares com práticas pedagógicas e conteúdos integrados à realidade social. Apesar dos avanços, com a inclusão das clínicas multidisciplinares e a inserção de vivências formativas conectadas ao mundo do trabalho, induzidas pelas políticas oficiais de educação superior recentes, os estudantes apresentam limitações para mobilizar conhecimentos, interpretar informações essenciais e atuar em equipe multiprofissional no enfrentamento dos problemas de saúde (AU).

Introducion: At present, the Universities search to promote a critical-reflexive education because to pressure from different society's sectors. It is understood the necessity of sustainable pedagogical practices that enable the development of competences that are associated to training process. As soon, to guide the teaching and learning process by competency as recommended by National Curriculum Guidelines (NCG), it is essential that the Universities assume this role. Objective: Investigate the comprehension about general competencies established by NGC that are present in the training process through speech of students. Methods: It is a descriptive study with qualitative approach which used an interview based in a problem situation for data collection. The subjects were graduating volunteers of Department of Dentistry of Federal University of Rio Grande do Norte. The speech of participants was recorded and transcribed which was analyzed with the ALCESTE software. Results: The corpus were divided in 131 Elementary Context Units (ECU), distributed and clustered in five lexical classes that composes the essential content present in interviews analyzed and denominated of Health problems that appear in Public Health System, communication difficulties, shortcomings of training process, articulated forming spaces and social determinants of health. Conclusions: It is conclude that during training process, there are difficulties in articulation of Academy with health services, beyond of shortage curriculum components with pedagogical practices and disciplines connected to social reality. Despite advances with the inclusion multidisciplinary clinics and insertion formative experiences linked to working world induced by recent higher education politics, the undergraduates present limitations to mobilize knowledge, interpret essential information and work in multi-professional team in face of health problems (AU).

Projeto pedagógico: abordagens e implicações no âmbito da formação em odontologia / Pedagogical project: approaches and implications in the context of training in dentistry

Propostas de reorientação ao modelo de atenção à saúde no Brasil são indispensáveis diante da atual necessidade sanitária e dos desafios impostos pela sociedade. Temas como estes surgem dentro das Instituições de Ensino Superior, na tentativa de delinear caminhos para enfrentamento destas demandas. O objetivo desse trabalho é analisar o Projeto Pedagógico (PP) do curso de Graduação em Odontologia da UFRN, em consonância com as Diretrizes Curriculares Nacionais (DCN), considerando competências gerais estabelecidas no PP. O presente estudo foi aprovado pelo Comitê de Ética em Pesquisa da UFRN sob o nº 285/201. Trata-se de um estudo descritivo, realizado com 30 estudantes do curso de graduação em odontologia mediante entrevista com situação problema, além do estudo documental com forte referência nos planos de ensino das disciplinas. Os dados foram processados mediante o auxílio do software ALCESTE 4.9. Pode-se observar que a despeito do uso de metodologias ativas e tendências inovadoras que promovem a reflexão e a articulação para o desenvolvimento das competências gerais propostas no Projeto Pedagógico do Curso de Odontologia da UFRN são encontrados indícios de concepções conservadoras no que se refere ao processo ensino-aprendizagem com pouca participação dos alunos. Conclui-se que, apesar dos avanços com a inclusão das clínicas multidisciplinares, a inserção de disciplinas optativas e usos pontuais de metodologias ativas o ensino em Odontologia da UFRN necessita de um redimensionamento didático e metodológico, auxiliado pelo desenvolvimento progressivo de competências e habilidades ao longo do processo formativo, conforme estabelecem as DCN. (AU)

Proposals that aim a redirection of current health attention models in Brazil are indispensible due to the need of health issues and its challenges imposed by society. These issues come forth in Higher Education Institutions in an attempt to devise ways to face these demands. The research aims to analyze the Pedagogical Project (PP) present in the Dentistry Graduation Course in the Federal University of Rio Grande do Norte in Brazil-(UFRN). This is done in coherence the Brazilian National Curricular Guidelines considering main competences established in the PP. This research was approved by the Ethics Committee at UFRN under document number 285/201. The work is of descriptive nature and was realized with 30 students in the Dentistry Graduation Course. Interviews were realized with the use of problem situation approach. The research was also supported by documental studies that dealt with syllabus present in the disciplines taught at UFRN. Data were processed with the use of the ALCESTE 4.9 software. It is possible to acknowledge that some conservative conceptions arise, even though there is use of active methodologies and innovation that aim to promote reflection and articulation for general competence development such as proposed in the Pedagogical Project in Dentistry Graduation Course at UFRN. These conceptions are mainly present in the teaching-learning process where students do not have full participation. Thus it is possible to conclude that even though there are advances and breakthroughs. This is seen with that fact that there was inclusion of multidisciplinary clinical work as well optional courses in the curriculum. It was also seen that there was occasional use of active teaching methodologies in Dentistry at UFRN. But there is still a need for a didactical and methodological resizing. These actions require the need for progressive development of competences and abilities during the formative process according to what was established in the Brazilian National Curricular Guidelines. (AU)

Modalidades de violência vivenciadas por mulheres atendidas numa Unidade de Saúde da Família Integrada / Terms of violence experienced by women attended at a Unit of Health of Integrated Family

Objetivo: investigar as modalidades de violência de gênero praticadas contra as mulheres cadastradas naatenção básica. Método: estudo exploratório, com abordagem quantitativa. Os dados foram coletados portécnica de entrevista numa Unidade de Saúde da Família Integrada em João Pessoa/PB/Nordeste do Brasilcom 400 mulheres. A análise estatística descritiva foi realizada pelo cálculo de medidas de tendência centrale de dispersão. O projeto de pesquisa foi aprovado pelo Comitê de Ética e Pesquisa, sob o protocolo nº006/10.Resultados: 59% das mulheres alegaram ter sofrido algum tipo de violência de gênero, na qual a psicológicaprevaleceu, representando 42,8% dos casos, seguida pela violência sexual com 27,3%, patrimonial com 25,8% efísica com 19%. Conclusão: a violência de gênero ocorre com frequência no cotidiano de usuárias dos serviçosde saúde e tem um enfrentamento deficiente. Faz-se necessário que os serviços sejam mais efetivos naprevenção, detecção e apoio às vítimas de violência.