Factors associated to mortality in children with critical COVID-19 and multisystem inflammatory syndrome in a resource-poor setting.

SARS-CoV-2 infection in children is usually asymptomatic/mild. However, some patients may develop critical forms. We aimed to describe characteristics and evaluate the factors associated to in-hospital mortality of patients with critical COVID-19/MIS-C in the Amazonian region. This multicenter prospective cohort included critically ill children (1 mo-18 years old), with confirmed COVID-19/MIS-C admitted to 3 tertiary Pediatric Intensive Care Units (PICU) in the Brazilian Amazon, between April/2020 and May/2023. The main outcome was in-hospital mortality and were evaluated using a multivariable Cox proportional regression. We adjusted the model for pediatric risk of mortality score version IV (PRISMIV) score and age/comorbidity. 266 patients were assessed with 187 in the severe COVID-19 group, 79 included in the MIS-C group. In the severe COVID-19 group 108 (57.8%) were male, median age was 23 months, 95 (50.8%) were up to 2 years of age. Forty-two (22.5%) patients in this group died during follow-up in a median time of 11 days (IQR, 2-28). In the MIS-C group, 56 (70.9%) were male, median age was 23 months and median follow-up was 162 days (range, 3-202). Death occurred in 17 (21.5%) patients with a median death time of 7 (IQR, 4-13) days. The mortality was associated with higher levels of Vasoactive Inotropic-Score (VIS), presence of acute respiratory distress syndrome (ARDS), higher levels of Erythrocyte Sedimentation Rate, (ESR) and thrombocytopenia. Critically ill patients with severe COVID-19 and MIS-C from the Brazilian Amazon showed a high mortality rate, within 12 days of hospitalization.

Spatial distribution of total mercury and methylmercury in the sediment of a tropical coastal environment subjected to heavy urban inputs.

Jurujuba Cove is located in Guanabara Bay (adjacent to highly populated city of Rio de Janeiro, Brazil), which receives diffuse sources of contaminants along with two main freshwater inputs (the Cachoeira and Icaraí rivers), and hosts mussel farms. The main goal of this work was to evaluate the total mercury (THg) and methylmercury (MeHg) concentrations distributions in the sediments of the cove and their associations with physical and chemical parameters, thereby assessing their geochemical behavior. Twenty samples of surface sediments were collected and characterized for grain size, pH, redox potential, organic carbon, total phosphorus, THg and MeHg. Spatial distribution maps were produced for each parameter and a principal components analysis was carried out, to assess THg and MeHg behavior and their relationships with other parameters. The principal components analysis showed that grain size functions as the main diluting agent. The highest THg concentrations were observed in the mussel-farm area (656.1 ng g-1), and were related to fine grain size and elevated organic carbon values. High MeHg concentrations also occurred in the center of the cove, probably favored by high organic carbon content (low-energy environment). Total phosphorus concentrations indicate that Cachoeira River is a possible source of sewage, but little mercury seems to come from it. The results showed that although total mercury concentrations are elevated, with exception of a few locations, small methylmercury convertion rates were recorded in the sediments.

Mercury methylation upon coastal sediment resuspension: a worst-case approach under dark conditions.

Mercury behavior upon resuspension of sediments from two impacted areas of Guanabara Bay was evaluated to assess worst-case methylmercury (MeHg) responses, under dark experimental conditions to prevent demethylation by photolysis. Study areas include the Rio de Janeiro Harbor (RJH) and the chlor-alkali plant-affected Meriti River (MR) estuary. Total mercury (THg) and MeHg concentrations were determined along 24-h experiments of sediment resuspension in the bay water in dark conditions. Fine-grained Meriti River (MR) estuary sediments had 8 times higher MeHg initial concentrations than sandy Rio de Janeiro Harbor (RJH) sediments (3.4 ± 0.29 vs. 0.41 ± 0.1 ng g-1, respectively). Though THg contents were uncorrelated with resuspension time, statistically significant correlations of MeHg (rs = 0.78) and %MeHg in relation to THg (rs = 0.86) with resuspension time were observed for RJH sediments, indicating net methylation only for this study site. These positive correlation trends correspond to a 2.8 times MeHg concentration increase (ΔMeHg = 0.75 ng g-1) and 4.4 times increase in %MeHg (Δ%MeHg = 1.0%), after 24 h of resuspension. This suggests that assessments of factors affecting the MeHg spatial-temporal variability and associated toxicity risks can be limited in some sites if concentration changes due to sediment resuspension-redeposition processes are not considered. Therefore, the inclusion of MeHg evaluation before and after sediment resuspension events is recommendable for the improvement of dredging licensing and monitoring activities.

Chitosan sulfate-lysozyme hybrid hydrogels as platforms with fine-tuned degradability and sustained inherent antibiotic and antioxidant activities.

The control of the properties and biological activities of chitosan-lysozyme hybrid hydrogels to exploit their interesting biomedical applications depends largely on the chitosan acetylation pattern, a difficult parameter to control. Herein, we have prepared sulfated chitosan-lysozyme hydrogels as versatile platforms with fine-tuned degradability and persistent bactericidal and antioxidant properties. The use of chitosan sulfates instead of chitosan has the advantage that the rate and mechanisms of lysozyme release, as well as antibacterial and antioxidant activities, depend on the sulfation profile, a structural parameter that is easily controlled by simple chemical modifications. Thus, while 6-O-sulfated chitosan hydrogels allow the release of loaded lysozyme in a short time (60% in 24 h), due to a high rate of degradation that allows rapid antibiotic and antioxidant activities, in 3-O-sulfated systems there is a slow release of lysozyme (80% in 21 days), resulting in long-lasting antibiotic and antioxidant activities.

The effects of continuous positive airway pressure and mandibular advancement therapy on metabolic outcomes of patients with mild obstructive sleep apnea: a randomized controlled study.

BACKGROUND: Moderate and severe obstructive sleep apnea (OSA) have been independently associated with dyslipidemia. The results of metabolic improvement with continuous positive airway pressure (CPAP) have been controversial. Less evidence exists regarding this issue in mild OSA. A current treatment for mild OSA is mandibular advancement device (MAD) therapy, but its effectiveness on the metabolic profile needs to be compared with CPAP. The purpose of this study was to compare MAD vs CPAP vs no treatment on the metabolic profile during 6 and 12 months of follow-up in patients with mild OSA. METHODS: The inclusion criteria were patients with mild OSA, both genders, ages 18 to 65 years, and body mass index (BMI) of < 35 Kg/m2. Patients were randomized in 3 groups (CPAP, MAD, and control). The evaluations included physical examination, metabolic profile, and full polysomnography at baseline, 6 months, and 12 months of follow-up. RESULTS: Seventy-nine patients with mild OSA were randomized in three treatment groups, with mean age (± SD) of 47 ± 9 years, 54% men, and AHI 9.5 ± 2.9 events/h. MAD and CPAP reduced AHI at 6 and 12 months compared to the control group. MAD adherence was higher than CPAP at 6 and 12 months. Despite lower adherence compared to MAD, CPAP was more effective in reducing total cholesterol over 12 months (baseline 189.3 ± 60.2 mg/dl to 173.4 ± 74.3 mg/dl) and low-density lipoprotein cholesterol (LDL-c, baseline 112.8 ± 54.9 mg/dl to 94.5 ± 67.4 mg/dl). CONCLUSIONS: After 1 year of treatment, CPAP was superior to MAD in reducing total cholesterol and LDL-c in patients with mild OSA.

Evaluation of Product Distribution in Chemostat and Batch Fermentation in Lactic Acid-Producing Komagataella phaffii Strains Utilizing Glycerol as Substrate.

Lactic acid is the monomeric unit of polylactide (PLA), a bioplastic widely used in the packaging, automotive, food, and pharmaceutical industries. Previously, the yeast Komagataella phaffii was genetically modified for the production of lactate from glycerol. For this, the bovine L-lactate dehydrogenase- (LDH)-encoding gene was inserted and the gene encoding the pyruvate decarboxylase (PDC) was disrupted, resulting in the GLp strain. This showed a yield of 67% L-lactic acid and 20% arabitol as a by-product in batches with oxygen limitation. Following up on these results, the present work endeavored to perform a detailed study of the metabolism of this yeast, as well as perturbing arabitol synthesis in an attempt to increase lactic acid titers. The GLp strain was cultivated in a glycerol-limited chemostat at different dilution rates, confirming that the production of both lactic acid and arabitol is dependent on the specific growth rate (and consequently on the concentration of the limiting carbon source) as well as on the oxygen level. Moreover, disruption of the gene encoding arabitol dehydrogenase (ArDH) was carried out, resulting in an increase of 20% in lactic acid and a 50% reduction in arabitol. This study clarifies the underlying metabolic reasons for arabitol formation in K. phaffii and points to ways for improving production of lactic acid using K. phaffii as a biocatalyst.

Mercury contamination in the sludge of drinking water treatment plants dumping into a reservoir in Rio de Janeiro, Brazil.

Although sludge piles from drinking water treatment plants can contain harmful substances, in many countries, their disposal methods are still unregulated. Besides aluminum, which is a major constituent in these residues, many other contaminants-like trace metals-can be present and may result from the quality of the raw materials used for water treatment. The application of these chemicals for the treatment of drinking water can generate toxic sludge and contaminate the produced water. In the present work, mercury contamination in the sludge piles of two drinking water treatment plants located along the margins of the Juturnaíba Reservoir, Southeast Brazil, was evaluated to verify whether contaminants are incorporated during water treatment. In the summer 2012, five cores were collected from the piles, and were analyzed for Eh, granulometry, total carbon, total nitrogen, and total mercury. The results indicated an anoxic environment, reflecting composition of the suspended matter. Carbon and nitrogen presented elevated concentrations, but also seemed to reproduce the characteristics of the suspended matter in the raw water. The concentrations of mercury were extremely variable but presented unexpectedly high values in some of the layers, reaching 18,484 ng g-1. On the other hand, concentrations ten times lower than those observed in the natural system (8 ng g-1) could be observed. It was concluded that the only possible source for the contamination of the sludge was the chemicals used for water treatment.

Screening and diagnosing postpartum depression: when and how?

INTRODUCTION:: Prevalence rates of postpartum depression (PPD) vary widely, depending on the methodological parameters used in studies: differences in study populations, diagnostic methods, and postpartum time frame. There is also no consensus on the ideal time to perform screening, on whether PPD can only be diagnosed in the early postnatal period, or on how soon after a delivery depression may be related to it. OBJECTIVE:: To review which instruments have been used over recent years to screen and diagnose PPD and the prevailing periods of diagnosis. METHODS:: Only articles published within 5 years and related exclusively to screening and diagnosis were selected. The sample comprised 22 articles. RESULTS:: The Edinburgh Posnatal Depression Scale (EPDS) was the most common screening tool, used in 68% of the sample (15 articles), followed by the Beck Depression Inventory (BDI-II) (27%, 6 articles), and the Patient Health Questionnaire-9 (PHQ-9) (18%, 4 articles). Screening time frame was reported in 21/22 articles: 0 to 3 months postpartum in 9 (43%), up to 6 months in 4 (19%), and up to 12 months or more in 8 (38%). In short, 13 articles screened during the first 6 months (59%) while only 8 (36%) screened up to 1 year. CONCLUSION:: The most frequent PPD diagnosis tool was the EPDS, but other scales were also used. The most common period for diagnosis was up to 3 months postpartum. However, some researchers diagnosed PPD 12 months or more postpartum. Greater standardization of parameters for investigation of this disease is needed.

Screening and diagnosing postpartum depression: when and how? / Triagem e diagnóstico de depressão pós-parto: quando e como?

Abstract Introduction: Prevalence rates of postpartum depression (PPD) vary widely, depending on the methodological parameters used in studies: differences in study populations, diagnostic methods, and postpartum time frame. There is also no consensus on the ideal time to perform screening, on whether PPD can only be diagnosed in the early postnatal period, or on how soon after a delivery depression may be related to it. Objective: To review which instruments have been used over recent years to screen and diagnose PPD and the prevailing periods of diagnosis. Methods: Only articles published within 5 years and related exclusively to screening and diagnosis were selected. The sample comprised 22 articles. Results: The Edinburgh Posnatal Depression Scale (EPDS) was the most common screening tool, used in 68% of the sample (15 articles), followed by the Beck Depression Inventory (BDI-II) (27%, 6 articles), and the Patient Health Questionnaire-9 (PHQ-9) (18%, 4 articles). Screening time frame was reported in 21/22 articles: 0 to 3 months postpartum in 9 (43%), up to 6 months in 4 (19%), and up to 12 months or more in 8 (38%). In short, 13 articles screened during the first 6 months (59%) while only 8 (36%) screened up to 1 year. Conclusion: The most frequent PPD diagnosis tool was the EPDS, but other scales were also used. The most common period for diagnosis was up to 3 months postpartum. However, some researchers diagnosed PPD 12 months or more postpartum. Greater standardization of parameters for investigation of this disease is needed.

Resumo Introdução: A prevalência de depressão pós-parto (DPP) varia consideravelmente dependendo dos parâmetros metodológicos utilizados: diferentes populações, métodos de diagnóstico e o tempo pós-parto considerado. Também não há consenso sobre o momento ideal para a triagem, se a DPP pode ser diagnosticada apenas no período puerperal, e por quanto tempo após o parto a depressão pode ser relacionada a ele. Objetivo: Revisar os instrumentos mais usados recentemente para rastreamento e diagnóstico de DPP e os períodos predominantes de diagnóstico. Métodos: Foram selecionados apenas artigos relacionados exclusivamente ao rastreio e diagnóstico publicados num período de 5 anos. A amostra incluiu 22 artigos. Resultados: A Escala de Depressão Pós-Parto de Edimburgo (EPDS) foi a ferramenta mais frequente, utilizada em 68% da amostra (15 artigos), seguida pelo Inventário de Depressão de Beck (27%, 6 artigos) e o Patient Health Questionnaire-9 (PHQ-9) (18%, 4 artigos). O tempo de rastreio foi definido em 21/22 artigos: 0-3 meses pós-parto em 9 (43%), < 6 meses em 4 (19%), e ≤ 12 meses em 8 (38%). Treze artigos selecionaram as mulheres durante os primeiros 6 meses (59%), enquanto apenas 8 (36%) o fizeram até 1 ano. Conclusão: A EPDS foi o instrumento mais utilizado para o diagnóstico de DPP, mas outras escalas também foram aplicadas. O período mais comum para o diagnóstico foi de < 3 meses pós-parto. No entanto, alguns pesquisadores consideraram o diagnóstico de PPD em ≤ 12 meses após o parto. Há necessidade de maior padronização de parâmetros em relação à investigação desta doença.

A influência do nascimento prematuro no vínculo mãe-bebê / The influence of premature birth in mother-baby relationship

Objetivo Este estudo tem como objetivo analisar a relação entre o parto vivenciado como traumático em decorrência da prematuridade e o vínculo mãe-bebê. Métodos Um questionário de dados biossociodemográficos (idade, escolaridade, raça, estado civil, trabalho), obstétricos e do parto, elaborado pela própria pesquisadora com variáveis categóricas, foi utilizado para a caracterização dos dados maternos. Uma entrevista clínica estruturada foi aplicada para caracterizar o parto prematuro como traumático utilizando o Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) – Critério A e a escala de Ligação mãe-bebê, validada na literatura na versão portuguesa, para avaliar o vínculo mãe-bebê prematuro. Resultados O parto prematuro foi tomado como traumático em 43 (71,7%) das puérperas analisadas. O sentimento de ligação materna “Triste” e a variável se a pesquisada trabalhava ou não foram as únicas que mostraram associação significativa com a ocorrência do parto prematuro traumático. Conclusão O parto prematuro pode ser considerado uma experiência traumática para a mãe e pode influenciar negativamente o desenvolvimento do vínculo mãe-bebê. Direções para pesquisas futuras são discutidas. .

Objective This study aims to analyze the relationship between birth trauma as a result of prematurity and the mother-baby bond associated with premature birth. Methods A survey of bio-socio-demographic data (age, education, race, marital status, work), obstetric and childbirth developed by the researcher with categorical variables was used to characterize the maternal data. A structured clinical interview was used to characterize premature birth as traumatic using the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) – The Criterion and the scale of mother-child connection, validated in the literature in the English version, for assess the mother-baby bond premature. Results The premature birth was taken as traumatic in 43 (71.7%) of the mothers studied. The feeling of maternal link “Sad” and the variable if the searched worked or were not the only ones that showed significant association with the occurrence of premature birth trauma. Conclusion Premature birth can be considered a traumatic experience for mother and can influence the development of mother-infant bonding adversely. Directions for future research are discussed. .

Eletrolipólise por meio da estimulação nervosa elétrica transcutânea (Tens) na região abdominal em pacientes sedentárias e ativas / Eletrolipólise through electric transcutaneous nerve stimulation (Tens) in the abdominal region in sedentary patients and active

INTRODUÇÃO:A eletrolipólise é uma técnica destinada ao tratamento de acúmulo de tecido adiposo localizado em determinadas regiões. Sua aplicação ocorre por meio de pares de agulhas de acupuntura no tecido subcutâneo, ligadas a uma corrente de baixa frequência. Essa estimulação elétrica provoca diversas modificações fisiológicas no adipócito, dentre elas o incremento do fluxo sanguíneo local, aumento do metabolismo celular e queima de calorias. OBJETIVOS:Este estudo teve como objetivo avaliar o efeito da eletrolipólise na redução de gordura localizada na região infra-abdominal, em pacientes que praticam atividade física e nas sedentárias. MATERIAIS E MÉTODOS:As pacientes na faixa etária dos 18 aos 30 anos, sexo feminino, foram submetidas à avaliação em que foi medido o índice de massa corpórea (IMC) e a razão cintura/quadril (C/Q). Com uma fita métrica foi realizada a perimetria de cintura (abaixo da última costela), da crista ilíaca, 5 cm e 10 cm acima da crista ilíaca. Foram realizadas 20 sessões, sendo duas vezes por semana, com oito agulhas de acupuntura conectadas a um aparelho de estimulação transcutânea de corrente de baixa frequência (Tens). RESULTADOS: Foi observada a redução de medidas do tecido adiposo em ambos os grupos, havendo maior notoriedade no grupo das sedentárias. CONCLUSÃO:Apesar da significativa perda de tecido adiposo neste estudo, os resultados não foram expressivos pela desistência das voluntárias no decorrer do tratamento, sendo esse um ponto bastante dificultoso do trabalho, que deveria ter permanecido com as 26 pacientes.

INTRODUCTION: Electrolipolysis is a thechnique used to treat the accumulation of fat tissue located in certain regions of the body. It’s application occurs through a pair of acunpucture needles into the subcutaneous tissue connected to a low-frequency current. This electrical stimulation causes several physiological changes in the adipocyte, among them, the increase in local blood flow, increased cellular metabolism and burn calories. OBJECTIVES: To evaluate the effect of electrolipolysis in reducing localized fat in the infra-abdominal in patients who engage in physical activity and in sedentary patients. MATERIALS AND METHODS: Patients aged within 18 an 30 years, female, underwent evaluation where we measured the body mass index (BMI), waist/hip ratio (W/H). With a tape measure it was measured the waist circumference (below the last rib), the lower abdomen (above the iliac crest), 5cm and 10cm above the lower abdomen. The patients underwent 20 sessions, twice a week with eight acupuncture needles connected to a transcutaneous electric stimulation of low-frequency current (Tens). RESULTS: It was observed the reduction of measures of fat tissue in both groups, being most noticeable in the sedentary group. CONCLUSION: Despite the significant loss of fat in this study, the results were not significant because of the withdrawal of volunteers during the treatment. This was actually a point that made the study more difficult, as the work should have been done with the 26 patients.

A passagem de plantão e a corrida de leito como instrumentos norteadores para o planejamento da assistência de enfermagem / Change of shift report and daily bedside rounding as guidelines for planning nursing assistance / Cambio de guardia y ronda por las camas como instrumentos de apoyo para la planificacion de la atencion de enfermeria

Trata-se de um relato de experiência das acadêmicas do curso de graduação em Enfermagem da Escola de Enfermagem da UFMG, que desenvolveram as atividades práticas da disciplina Estágio Curricular Supervisionado em Rede Hospitalar, numa unidade de clínica médica de um hospital universitário. Mediante a inserção na unidade e a elaboração do diagnóstico situacional, identificou-se a necessidade de discutir com os enfermeiros a importância da passagem de plantão e da corrida de leito como dois dos instrumentos administrativos primordiais para planejar e avaliar a assistência de enfermagem. Assim, constituíram-se objetivos deste estudo a revisão da Instrução Técnica de Trabalho (ITT), em vigor na instituição sobre passagem de plantão, e a elaboração de uma proposta de ITT sobre corrida de leito. A metodologia utilizada baseou-se no planejamento estratégico proposto por Cecílio (1997). O estudo proporcionou uma visão ampliada sobre a passagem de plantão e da corrida de leito como ferramentas para o planejamento, a execução e a avaliação da assistência de enfermagem, bem como sobre a utilização das ITTs como instrumentos orientadores das atividades diárias do enfermeiro nas unidades de serviço. Saliente-se a participação dos enfermeiros durante o desenvolvimento do estudo, expressando a corresponsabilidade na implementação das ITTs e, consequentemente, nas mudanças na sistematização da assistência de enfermagem na unidade, que garantirão a realização da passagem de plantão e da corrida de leito nos três turnos de trabalho. Ressalte-se, ainda, a oportunidade como acadêmicas de exercitar, deforma sistematizada, ações da coordenação da assistência de enfermagem numa unidade assistencial.

This is a report based on the experience of nursing students from a public nursing school (UFMG Nursing School). The students were registered in a supervised apprenticeship programat a university hospital. Following the students’ admission in the unit and the preparation of the situational diagnosis, the importance of the shift report and bedside rounding was presented as the primary administrative tools for planning and evaluating the nursing assistance. The study’ objectives were the review of the institution’s current technical instructions concerning shift report and the elaboration of a technical instruction scheme for bedside rounding. The methodology was based on the strategicplanning proposed by Cecílio (1997). The study enabled the students to have an broadened viewpoint about shift reportand bedside rounds as tools for planning, executing and evaluating nursing assistance as well as the use of technicalinstructions as a nursing activity guideline to health professionals in his/her service unit. It must be highlighted the nurses’contribution to the study’s development and their co-responsibility in the technical instruction implementation that will promote changes in nursing care systematization in the unit. Such changes will enable the change shift report and bedside rounding activities during the three hospital shifts. The experience was an opportunity for the students to practice in a systematic way how to coordinate nursing care in a hospital unit.

El presente estudio es un relato de la experiencia de alumnas de la Escuela de Enfermería de la UFMG en la materiaPasantía Curricular Supervisada en Hospitales Públicos realizada en la clínica médica de un hospital universitario. Conla inserción en dicha unidad y la elaboración de un diagnóstico situacional fue identificada la necesidad de discutircon los enfermeros la importancia del cambio de guardia y de la ronda por las camas como dos de los instrumentosadministrativos primordiales para planear y evaluar la atención de enfermería. Este estudio tiene como objetivo la revisión de la Instrucción Técnica de Trabajo (ITT) en vigor en la institución sobre el cambio de guardias y la elaboración de una propuesta de ITT sobre la ronda por las camas. La metodología utilizada se basó en la planificación estratégica propuesta por Cecílio (1997). El estudio proporciono una visión más amplia sobre el cambio de guardia y la ronda por las camas como herramientas para la planificación, ejecución y evaluación de la atención de enfermería y, asimismo, de la utilización de las ITT como instrumentos orientadores de las actividades diarias de los enfermeros en servicio. Sedestaca la participación de los enfermeros durante el desarrollo del estudio expresando su corresponsabilidad en la implementación de las ITT y, consecuentemente, de los cambios en la sistematización de la atención de enfermería, lo cual garantizará que el cambio de guardia y la ronda por las camas se realicen en los tres turnos de trabajo. También seenfatiza la oportunidad de las estudiantes de ejercitar de forma sistematizada acciones de coordinación de la atención de enfermería en una unidad asistencial.

Competências dos acadêmicos de enfermagem para avaliar transtornos psiquiátricos menores em pacientes em hospitais gerais / Competences of nursing students to assess minor psychiatric disorders in patients general hospitals / Competencias de los academicos de enfermería para evaluar la presencia de trastornos psiquiátricos menores em pacientes em el hospital

o objetivo da pesquisa foi identificar a percepção em relação à aquisição de competências pelos estudantes de enfermagem que realizaram a disciplina Enfermagem Psiquiátrica de uma instituição de Ensino Superior, para avaliar a presença de transtornos psiquiátricos menores em pacientes nos diferentes cenários de assistência em saúde, com especial atenção para 0 hospital geral. Trata-se de um estudo qualitativo, descritivo, exploratório.Os dados foram coletados par meio de entrevistas semiestruturadas e organizados a partir da convergência dastalas dos sujeitos da pesquisa. as estudantes entrevistados relatam que desenvolveram algumas habilidade sao longo da disciplina para atender a pessoa em sofrimento mental no hospital geral, entre elas a escuta e a comunicação terapêutica.

This research aimed to identify perceptions among nursing students taking a Psychiatric Nursing subject offeredat a Higher Education Institution, looking at competence development to assess the presence of minor psychiatric disorders in different health care scenarios, particularly looking at general hospitals. A qualitative, descriptive and exploratory research was carried out. Data were collected through semi-structured interviews and organized based on convergences among the research subjects' discourse. The interviewed students report that they developed some skills while taking the subject for care delivery to patients in mental suffering at general hospitals, including listening and therapeutic communication.

La finalidad de esta investigación fue identificar la percepción can relación a la adquisición de competencias por los estudiantes de enfermería que cursaron la a signatura Enfermería Psiquiátrica de una institución de enseñanza superior, para evaluar la presencia de trastornos psquiátricos menores en pacientes en los diferentes cenarios de atencion en salud, en especial en el hospital general. Se trata de un estudio cualitativo, descriptivoy exploratorio. Los datos fueron recolectados mediante entrevista semiestructurada y organizados can base en la convergencia de las declaraciones de los sujetos de la investiqación. Los estudiantes entrevistados relatan que desarrollaron algunas habilidades a 10 largo de la asignatura para atender a personas en sufrimiento mental enel hospital general, entre elias la escucha y la comunicación terapeutica.