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Carrying out university extension actions on beaches represents an innovative opportunity to promote the health of people with disabilities or reduced mobility. This article aims to analyze the understanding of users of the Beach Without Barriers (PSB, Praia sem Barreiras) Project about the Health Promotion practices developed by undergraduate students in the health area. Qualitative, descriptive and exploratory study, based on interviews with ten PSB users in Recife, Pernambuco, Brazil. A thematic analysis of content was carried out anchored on Developing Competencies and Professional Standards for Health Promotion Capacity Building in Europe. Six empirical categories emerged: Dedication of students working in the PSB, Technical qualification of students in the PSB, Emotion during contact with the sea, Mental health improvement, User guidance to students as future professionals and Opinions about the PSB. The qualification of students as agents of change in the local reality, effective communication and strategic partnerships were demonstrated. Actions that transcend bodily limitations and assess the participants' health needs should be valued in undergraduate school.

Objective: To analyze the factors associated with recurrent falls in community-dwelling older adults from Cuiabá., Methods: This is an epidemiological, prospective, concurrent cohort study with a two-year follow-up. In-home surveys were conducted in 2012 and 2013. The data were treated by the software Epi Info and SPSS. Bivariate analysis investigated associations between risk factors and recurrent falls by calculating the relative risk (RR) of the cumulative incidences with a confidence interval of 95% (95%CI). Multiple analysis with Poisson regression included all variables with p < 0.20 in the crude analyses. The significance level of 5% (p < 0.05) was adopted as significant association for remaining in the final model., Results: Most older adults (77.6%) had recurrent falls. The variables significantly associated with recurrent falls were older adult's income of up to two minimum salaries (RR = 1.62; 95%CI 1.04-1.77), absence of arthritis or arthrosis (RR = 1.32; 95%CI 1.10-1.48), having regular to very bad self-perceived health (RR = 1.44; 95%CI 1.12-2.04), and having visual impairment (RR = 1.23; 95%CI 1.01 -1.69)., Conclusions: Falls in older adults are associated with low education levels, regular to very bad self-perceived health, visual impairment, and recurrent falls.

This article sought to conduct a critical analysis of the state of the art of the scientific production in counseling practices in nutrition for infants under two years of age, discussing the opportunities and obstacles in terms of strategic challenges for implementing healthy nutrition practices. It is a bibliographic study, with the core interest being counseling on infant nutrition. The majority (58.1 %) of the articles analyzed was published between 2008 and 2011. The educative actions of counseling on infant feeding were directed at health professionals and caregivers to children under two years of age. As opportunities in the practice of nutritional counseling the following stand out: an improvement in the performance of health professionals, the adoption of healthy eating practices by caregivers, and an improvement in the nutritional status of the children. As obstacles, the following stand out: a lack of training of caregivers and professionals regarding complementary healthy feeding and difficulties regarding the practice of counseling by a health care professional. This evidence reaffirms the importance of incorporating counseling guidance on infant feeding, as permanent practices in policies for child health care.

Bearing in mind that the Brazilian Unified Health System (SUS) is a social process in construction, and as health professionals are important individuals in this process, the role of permanent education as an important instrument to ensure humanized care is highlighted. The scope of this paper is to discuss the experience of the training course for health professionals of a public health outpatient unit, based on the prospect of humanized treatment, seeking the implementation of a sanitary model committed to the formal values contained in the SUS ideals. The teaching-learning methodology used is based on problem-solving, derived from the processing of a problem situation taken from the experience of teachers. The professionals identified that the standard established in the way of thinking and acting in health is unsatisfactory to meet the challenges faced in the sector. The strategies used contributed to systematize the content through reflection on the theoretical benchmarks submitted, by eliciting reflective and critical thought, which are fundamental aspects for broadening and increasing the process of empowerment of professionals. The course stimulated group action, placing the discussion on the humanization of health actions on the agenda.

This study about the work of micro politics was carried out by the Buccal Health Team (ESB) in the Family Health Program (PSF) of Alagoinhas, Bahia State, and has as central theoretical purpose the specific and singular forms in the practice of daily work, using the technologies (hard, light-hard and light). The methodological trajectory is based on the historical-social current in view of a dialectic approach of qualitative nature. The techniques of data collection used were: semi structured interview, observation of the work process and documental analysis. The analysis of the data was oriented by the hermeneutics-dialectics, allowing to compare the different levels of analysis, articulating the theoretical with the empirical evidence. The results reveal that the Family Health Teams are multidisciplinary, but have still not developed an interdisciplinary work, hence occurring juxtaposition of skills. Each unit plans their work process according to the singularities of the social subjects, implementing different characteristics in how to welcome, inform, attend and refer. An effort in changing the work process can be perceived in the perspective of amplified clinic with the health community agent standing out as a social/collective subject.

Critical analysis of the Latin American bibliographical production over the last 10 years regarding the adherence/non-adherence to treatment of people with chronic health problems: leprosy, tuberculosis, hypertension, diabetes and AIDS. Thirty six articles were analyzed identifying the variables: year of publication, publication area and kind of study. Most of the articles (27) were produced by professionals of the medical area, in epidemiological studies, and of the nursing area (7) in qualitative and quanti-qualitative studies. The scientific production on the subject increased until 2002, when it began to drop. The authors repeatedly defended the idea that the role of the patient is to follow the recommendations of the health professional and that the patient is free to follow or not the treatment, the professional however being exempt from the responsibility for the consequences of this decision. The greater part of factors pointed out by the authors as contributing to non-adherence relates to the patient, showing that the major responsibility for the adherence / non-adherence to treatment is conferred upon him. The measures the authors indicate for solving the problem point to responsibility of professionals, health services, governments and teaching institutions.