Integração ensino-serviço na implantação de um curso de medicina no Paraná / Implementation of mental health care with the CIHP approach in primary care

Integrar o ensino de medicina e a rede municipal de saúde, segundo inúmeros estudos, contribui para a melhoria da formação médica e da assistência à saúde da comunidade atendida. O presente estudo analisou a integração ensino-serviço na Atenção Primária à Saúde (APS) entre o curso de medicina do Campus Toledo da Universidade Federal do Paraná (UFPR) e a Secretaria Municipal de Saúde (SMS) de Toledo, também no Paraná. Foram realizadas doze entrevistas semiestruturadas com participantes da gestão municipal, coordenação do curso de medicina de Toledo, estudantes de medicina, professores que têm aulas práticas na APS e profissionais de saúde da APS que recebem alunos. A hermenêutica foi utilizada na análise dos dados. Entre as dificuldades apontadas observou-se: estrutura física inadequada das Unidades Básicas de Saúde (UBS), comunicação parcial entre a SMS e a universidade, falta de um Contrato Organizativo de Ação Pública de Ensino-Saúde (COAPES) pactuado etc. Como sugestões para a melhoria do processo de integração, destacaram-se a capacitação da equipe de saúde e o planejamento da infraestrutura física.

Integrating medical education and the municipal health network, according to numerous studies, contributes to improving medical training and health care in the community served. This study analyzed the teaching-service integration in primary health care (PHC) between the medical course at the Toledo Campus of the Federal University of Paraná (UFPR) and the Municipal Health Department (SMS) of Toledo, PR. Twelve semi-structured interviews were carried out with participants from the municipal administration, the coordination of the Toledo medicine course, medicine students, teachers who teach practical classes at PHC, and health professionals from PHC who receive students. Hermeneutics was used in the data analysis. Among the difficulties pointed out, it was observed: the inadequate physical structure of the Basic Health Units (UBS), partial communication between the SMS and the university, thelack of an Organizational Contract for Public Education-Health Action (COAPES) agreed upon, etc. As suggestions for improving the integration process, the training of the health team and the planning of the physical infrastructure were highlighted.

Brazilian Kayabi Indian accessions of peanut, Arachis hypogaea (Fabales, Fabaceae): origin, diversity and evolution.

Peanut is a crop of the Kayabi tribe, inhabiting the Xingu Indigenous Park, Brazil. Morphological analysis of Xingu accessions showed variation exceeding that described for cultivated peanuts. This raised questions as to the origin of the Xingu accessions: are they derived from different species, or is their diversity a result of different evolutionary and selection processes? To answer these questions, cytogenetic and genotyping analyses were conducted. The karyotypes of Xingu accessions analyzed are very similar to each other, to an A. hypogaea subsp. fastigiata accession and to the wild allotetraploid A. monticola. The accessions share the number and general morphology of the chromosomes; DAPI+ bands; 5S and 45S rDNA loci distribution and a high genomic affinity with A. duranensis and A. ipaënsis genomic probes. However, the number of CMA3+ bands differs from those determined for A. hypogaea and A. monticola, which are also different from each other. SNP genotyping grouped all Arachis allotetraploids into four taxonomic groups: Xingu accessions were closer to A. monticola and A. hypogaea subsp. hypogaea. Our data suggests that the morphological diversity within these accessions is not associated with a different origin and can be attributed to morphological plasticity and different selection by the Indian tribes.