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Objetivou-se descrever as ações inovadoras da Atenção Primária à Saúde no enfretamento da pandemia SARS-CoV-2, com ênfase na prevenção do acidente vascular cerebral. Trata-se de um relato de experiência, exploratória documental, realizado no Município de Eusébio-CE, no ano de 2021. Tendo como destaque: abordagem de sintomáticos respiratórios com rastreamento familiar e outros contatos; descentralização da testagem RT-PCR; redução do tempo médio para o diagnóstico; monitoramento de sinais de alarme; internações hospitalares; investigação de óbitos, além da interação com outras cidades. Concluiu-se que a experiência foi exitosa, apresentando aspectos inovadores no fazer diário das equipes de Atenção Primária à Saúde, sendo factível de ser aplicada em outros locais, com baixo custo e uso de tecnologias leves do cuidado.

Background and purpose: Brain health is essential for health, well-being, productivity and creativity across the entire life. Its definition goes beyond the absence of disease embracing all cognitive, emotional, behavioural and social functions which are necessary to cope with life situations. Methods: The European Academy of Neurology (EAN) Brain Health Strategy responds to the high and increasing burden of neurological disorders. It aims to develop a non-disease-, non-age-centred holistic and positive approach (‘one brain, one life, one approach’) to prevent neurological disorders (e.g., Alzheimer's disease and other dementias, stroke, epilepsy, headache/migraine, Parkinson's disease, multiple sclerosis, sleep disorders, brain cancer) but also to preserve brain health and promote recovery after brain damage. Results: The pillars of the EAN Brain Health Strategy are (1) to contribute to a global and international brain health approach (together with national and subspecialty societies, other medical societies, the World Health Organization, the World Federation of Neurology, patients' organizations, industry and other stakeholders); (2) to support the 47 European national neurological societies, healthcare and policymakers in the implementation of integrated and people-centred campaigns; (3) to foster research (e.g., on prevention of neurological disorders, determinants and assessments of brain health); (4) to promote education of students, neurologists, general practitioners, other medical specialists and health professionals, patients, caregivers and the general public; (5) to raise public awareness of neurological disorders and brain health. Conclusions: By adopting this ‘one brain, one life, one approach’ strategy in cooperation with partner societies, international organizations and policymakers, a significant number of neurological disorders may be prevented whilst the overall well-being of individuals is enhanced by maintaining brain health through the life course.

Nas sociedades atuais, marcadas pela centralidade do conhecimento, da informação e da educação, uma parte da população adulta tem ainda níveis de escolaridade muito baixos e persiste arredada das dinâmicas da chamada Aprendizagem ao Longo da Vida (ALV). Tratando-se de um segmento da população que, do ponto de vista da análise sociológica e da incidência das políticas públicas, tem sido deixado para trás e sobre o qual pouco se conhece, pretende-se contribuir para o conhecimento e visibilidade do fenómeno dos indivíduos pouco escolarizados que, apesar das iniciativas implementadas no âmbito da educação e formação de adultos e da aprendizagem ao longo da vida, permaneceram nas margens da sociedade educativa. Na ausência de estudos extensivos especificamente centrados neste segmento da população, foi mobilizada a edição de 2016 do Inquérito à Educação e Formação de Adultos para tentar mapear o fenómeno em Portugal. Com uma presença transversal na sociedade portuguesa é um grupo de dimensão expressiva, cuja diversidade se captou através da identificação de diferentes perfis. Os mesmos dados permitiram ainda retratar as práticas e atitudes, perante a ALV, da população com baixa escolaridade em Portugal.

COVID-19 is a respiratory disease caused by the SARS-CoV-2 virus that, in severe cases, progresses with extremely clinically relevant complications, directly impacting the morbidity and mortality of the population. The disease was first discovered in Wuhan, China, in December 2019. Thus, the studies were published in the years 2020, 2021 and 2022, being the equivalent of 41.67% in the year 2020, 50.00% in the year 2021 and about 8.33% in the year 2022. Therefore, most of the jobs were from Mexico with 33.33%, against 25.00% from Iran, 16.67% in Brazil, 16.67 % in the United States and 8.33% in Italy. In view of the exposed results, it was highlighted that the infection by COVID-19 in pregnant women negatively affected maternal health, being responsible for maternal injuries and/or death. Some epidemiological and clinical risk factors were associated with negative outcomes, as well as barriers to accessing health care.

This work presents a didactic sequence applied in two ninth grade classes of elementary school in a private school in the Federal District. The construction of the sequence was based in a historical case study in the investigative modality, the historical episode worked on is the discovery of the electrical nature of lightning, carried out by Benjamin Franklin in the 18th century. The intention of the proposal is to promote the discussion of aspects inherent to the nature of science and to introduce the concepts of electric charge and electric discharge. The use of investigative narratives allows the student to be placed in a simulation of scientific production faithful to reality and, with this, to be able to reflect and internalize the aspects inherent to the scientist's practice. The proposal also has experimental, practical and demonstrative activities, which seek to help students visualize and understand the phenomena, as well as arouse interest in the subject addressed., Este trabalho apresenta uma sequência didática aplicada em duas turmas de nono ano do ensino fundamental de uma escola particular do Distrito Federal. A construção da sequência foi baseada na utilização de um estudo de caso histórico na modalidade investigativa. O episódio histórico trabalhado é a descoberta da natureza elétrica dos raios, protagonizada por Benjamin Franklin no século XVIII. A intenção da proposta é fomentar a discussão de aspectos inerentes à natureza da ciência e introduzir os conceitos de carga elétrica e descarga elétrica. A utilização de narrações investigativas possibilita que o aluno seja colocado em uma simulação de produção científica fiel à realidade e, com isso, seja capaz de refletir e internalizar os aspectos inerentes à prática do cientista. A proposta conta também com atividades experimentais, práticas e demonstrativas, que buscam auxiliar na visualização e no entendimento dos fenômenos por parte dos alunos, bem como despertar o interesse no assunto abordado.

O consumo de alimentos fora de casa, seja por questões sociais ou por necessidades vinculadas à rotina e estilo de vida atual, tem contribuído para o crescimento dos serviços de alimentação. Com o aumento no número de refeições oferecidas fora do lar, torna-se grande a preocupação com a qualidade dos alimentos oferecidos aos usuários. Com isso, o objetivo desse artigo é avaliar se orientações educacionais em serviço foram capazes modificar as condições higiênico-sanitárias e microbiológicas de um restaurante localizado na cidade de Petrolina, Pernambuco. Para análise das condições higiênico-sanitárias do estabelecimento foi utilizada uma lista de verificação sobre as boas práticas de manipulação de alimentos com base na RDC Nº216/2004 ANVISA, e classificação segundo a RDC Nº275/2002 ANVISA. Para análise microbiológica, foram coletadas amostras de água, frango frito e de salada crua, ambas prontas para consumo, assim como realizado swab de superfície do apoio de corte e do liquidificador cujas superfícies entram em contato com o alimento pronto para consumo. Após 15 dias de entrega dos documentos e orientações, foi realizada nova visita para reavaliação das não conformidades e realizadas novas análises microbiológicas.As Práticas contínuas de orientação e educação em serviços ,aliadas à supervisão diária dos manipuladores por um responsável técnico ou capacitados, parecem ser eficientes na sensibilização e melhoria da qualidade higiênico-sanitária dos estabelecimentos. The consumption of food away from home, whether for social reasons or needs linked to the current routine and lifestyle, has contributed to the growth of food services. With the increase in the number of meals offered away from home, there is a great concern about the quality of food offered to users. With this, the objective of this article is to evaluate whether educational guidelines in service were able to modify the hygienic-sanitary and microbiological conditions of a restaurant located in the city of Petrolina, Pernambuco. To analyze the hygienic-sanitary conditions of the establishment, a checklist was used on good food handling practices based on RDC Nº216/2004 ANVISA, and classification according to RDC Nº275/2002 ANVISA. For microbiological analysis, samples of water, fried chicken and raw salad, both ready for consumption, were collected, as well as swabs on the surface of the cutting support and the blender whose surfaces come into contact with the ready-to-eat food. After 15 days of delivery of the documents and guidelines, a new visit was made to reassess the nonconformities and new microbiological analyzes were carried out. efficient in raising awareness and improving the hygienic-sanitary quality of establishments. El consumo de alimentos fuera del hogar, ya sea por motivos sociales o por necesidades ligadas a la rutina y estilo de vida actual, ha contribuido al crecimiento de los servicios de alimentación. Con el aumento del número de comidas ofrecidas fuera de casa, existe una gran preocupación por la calidad de los alimentos ofrecidos a los usuarios. Con eso, el objetivo de este artículo es evaluar si las directrices educativas en el servicio lograron modificar las condiciones higiénico-sanitarias y microbiológicas de un restaurante ubicado en la ciudad de Petrolina, Pernambuco. Para analizar las condiciones higiénico-sanitarias del establecimiento, se utilizó una lista de verificación sobre buenas prácticas de manipulación de alimentos con base en la RDC Nº216/2004 ANVISA, y clasificación de acuerdo con la RDC Nº275/2002 ANVISA. Para el análisis microbiológico se recolectaron muestras de agua, pollo frito y ensalada cruda, ambos listos para el consumo, así como hisopos en la superficie del soporte de corte y la licuadora cuyas superficies entran en contacto con el alimento listo para el consumo. Luego de 15 días de entrega de los documentos y lineamientos, se realizó una nueva visita para reevaluar las no conformidades y se realizaron nuevos análisis microbiológicos eficientes en la concientización y mejora de la calidad higiénico-sanitaria de los establecimientos.

Background: Primary ciliary dyskinesia (PCD; MIM #242650) is a rare multisystemic genetic diseases, whose diagnostic is challenge. Additional data to complete the complex puzzle of PCD genomic analysis is of upmost importance to better understand PCD pathophysiology. We here present a female case with PCD and infertility. We also present the evaluation of the patient family, including her twin sister, also with PCD and infertility.Methods: Confirmation of the PCD clinical diagnosis was performed through assessment of cilia motility, by high-speed video microscopy (HSVM), axoneme ultrastructure, by transmission electron microscopy (TEM), and genetic characterization, by whole exome sequence (WES). Gene expression studies used qPCR for mRNA expression and immunofluorescence to determine cell protein localization.Results: HSVM analysis revealed that the ciliary beat frequency was decreased, with mostly cilia presenting dyskinetic movements. TEM analysis showed partial absence of both dynein arms associated with high ciliary deviation. WES analysis evidenced a homozygous nonsense variant in the DRC1 gene, belonging to the dynein regulatory complex (DRC). Expression of DRC1 mRNA and protein were decreased. Expression analysis of the DRC1 mRNA also evidenced an interaction with other DRC components. Family analysis revealed the same homozygous variant in the twin sister and, in heterozygosity in parents and daughters. Both the patient and her twin sister presented idiopathic infertility.Conclusions: Overall, our results contribute to increase understanding of the genetic factors involved in the pathophysiology of PCD and infertility, and highlight the interaction of different genes in the patient phenotype, which should be further explored, as it may justify the highly heterogeneity observed in PCD patients. Understanding the genetic etiology of PCD is of paramount importance to assist the diagnosis and development of newer therapies.

© 2021 International Parkinson and Movement Disorder Society, The landscape of genetic forms of Parkinson's diseases (PD) has grown exponentially in recent years. Today, around 10% of PD cases are estimated to be of genetic etiology. However, the link between parkinsonism or tremor and chromosome disorders, both numerical and structural, has been neglected. We reviewed the occurrence and characteristics of parkinsonism and tremor syndromes in patients with chromosomic disorders. We searched PubMed for articles published until December 2018, using the non-MESH terms "Chromosomopathy," "karyotype," "chromosome," "aneuploidy," "deletion," "inversion," "insertion," "duplication," and "Parkinson," "Parkinsonism," "Tremor," and "Parkinsonian disorder." We restricted the search to human studies and selected articles for further analysis after abstract review. Tremor syndromes in which patients had another possible clinical reason for syndromes were excluded, as well as tremor syndromes associated with point mutations, imprinting syndromes, and patients presenting with other hyperkinetic disorders. Fifty-four articles were reviewed. Aneuploidies of sex chromosomes were the most common chromosomopathy. These patients more commonly exhibited postural and kinetic tremor, often meeting the description of essential tremor. In structural chromosomopathies, the most frequent association was PD and 22q11.2 deletion syndrome, but we found case reports and case series of several additional deletion and duplication syndromes.

Background and purpose COVID‐19‐related acute neurological phenotypes are being increasingly recognised, with neurological complications reported in more than 30% of hospitalised patients. However, multicentric studies providing a population‐based perspective are lacking. Methods We conducted a retrospective multicentric study at five hospitals in Northern Portugal, representing 45.1% of all hospitalised patients in this region, between 1 March and 30 June 2020. Results Among 1261 hospitalised COVID‐19 patients, 457 (36.2%) presented neurological manifestations, corresponding to a rate of 357 per 1000 in the North Region. Patients with neurologic manifestations were younger (68.0 vs. 71.2 years, p = 0.002), and the most frequent neurological symptoms were headache (13.4%), delirium (10.1%), and impairment of consciousness (9.7%). Acute well‐defined central nervous system (CNS) involvement was found in 19.1% of patients, corresponding to a rate of 217 per 1000 hospitalised patients in the whole region. Assuming that all patients with severe neurological events were hospitalised, we extrapolated our results to all COVID‐19 patients in the region, estimating that 116 will have a severe neurological event, corresponding to a rate of nine per 1000 (95% CI = 7–11). Overall case fatality in patients presenting neurological manifestations was 19.8%, increasing to 32.6% among those with acute well‐defined CNS involvement. Conclusions We characterised the population of hospitalised COVID‐19 patients in Northern Portugal and found that neurological symptoms are common and associated with a high degree of disability at discharge. CNS involvement with criteria for in‐hospital admission was observed in a significant proportion of patients. This knowledge provides the tools for adequate health planning and for improving COVID‐19 multidisciplinary patient care.

BACKGROUND: Mutations in the anoctamin 3 (ANO3) gene cause autosomal dominant craniocervical dystonia (DYT24), presenting from childhood to mid‐life. However, in the past years, the clinical spectrum of this disorder has widened. We present a family with heterogeneous presentation, exemplifying phenotypic diversity in DYT24. CASES: The index case presented with myoclonic dystonia at age 10. His family history was remarkable for cervical dystonia with myoclonus in his grandfather, cervical and upper limb dystonia along with dopa‐responsive parkinsonism in his father and lower‐limb dystonia in his teenage sister. Magnetic resonance imaging and blood work‐ups of all the affected family members were normal. The genetic panel for inherited forms of dystonia disclosed a point mutation c.1787C > A (p.Ser596Tyr) segregated in all affected family members. CONCLUSIONS: ANO3 mutations usually present with craniocervical dystonia and rarely generalized or leg dystonia. This family exemplifies the heterogeneous presentation of this disorder as well as a wide phenotypic variability within the same family.

Amblyomma sculptum is a common human-biting tick in Brazil, where it plays an important role as a vector of Rickettsia rickettsii, the agent of the Brazilian spotted fever. Herein, we studied the seasonal dynamics of A. sculptum in an urban area of the Cerrado biome in midwestern Brazil, where human rickettsiosis is endemic. Ticks were collected in two sites located within the campus of Federal University of Goiás. The collections were done by dragging, flagging and visual search. In total, 117,685 ticks were collected, including 100,627 Amblyomma spp. larvae, 10,055 nymphs and 6977 adults of A. sculptum, and one nymph and 25 adults of Amblyomma dubitatum. The highest peak of larvae occurred in June 2018 and in July 2019, whereas nymphs peaked in July 2018 and September 2019. Adults reached their highest numbers in March 2018 and November 2019. These data suggest that A. sculptum develops one generation per year in this urban area of the Cerrado biome in midwestern Brazil. Interestingly, the peak of nymphs occurred during the same period of all confirmed cases of rickettsiosis in Goiás, suggesting a possible relationship between the seasonal dynamics of this tick stage and rickettsiosis transmission in this state.

The research focuses on investigating education of deaf students as an essential service, capable of making them citizens with an identity, knowledge of their places and being part of a space, thus eliminating barriers that prevent them from being builders of their personal and social development in society, specifically in the educational field. Making this education accessible to all, with methodologies, instruments, professionals and the Brazilian Sign Language - Libras, in promoting inclusion, equity and quality of education for deaf students in the basic education of schools in the municipality of Tutóia – MA. The article proposes to show the reality or utopia of the LIBRAS interpreter in the education of the deaf students. The work was developed with a descriptive exploratory investigation based on reports of experiences in three schools in the municipality in the year 2021, with a qualitative approach. To certify the study, Google Scholar and Scielo platform and literary review in general were used. As a result, the literary review and observations in schools, found the non-presence of the Libras interpreter. The active teachers know about the existence of the signed language, but they do not have practical knowledge that favors the teaching process in the two languages guaranteed in Brazil: LIBRAS and Portuguese. In addition to the teacher responsible for the class, the teaching network needs to offer these professionals initial and continuing training on teaching for the deaf students and their language, capable of providing structural and pedagogical conditions for the learning characteristics of deaf students, without taking away the right to be a citizen. La investigación se centra en investigar la educación como un servicio esencial para sus estudiantes, capaz de hacerlos ciudadanos con identidad, conocedores de estar, de formar parte de un espacio y eliminar barreras que les impidan ser constructores de su desarrollo personal y social en la sociedad en específico en el ámbito educativo, de manera que ella sea para todos, con metodologías, instrumentos, profesionales y la Lengua Brasileña de Señales - Libras en la promoción de la inclusión, equidad y calidad de la enseñanza a alumnos sordos en la enseñanza regular de la red municipal de Tutóia – MA. El artículo se propone mostrar la realidad o utopía de la presencia del intérprete de Libras en la educación de los sordos. El trabajo se desarrolló con una investigación exploratoria descriptiva a partir de relatos de experiencias en tres escuelas del municipio en el año 2021, con enfoque cualitativo. Para certificar el estudio, se utilizaron las plataformas de Google Scholar, Scielo y literaturas en general. De este modo, la revisión literaria y las observaciones en las escuelas, constataron la ausencia del intérprete de libras. Los profesores actuales saben de la existencia de la lengua señalizada, pero no poseen conocimientos prácticos que favorezcan el proceso de enseñanza en los dos idiomas asegurados en Brasil: a Libras y el Portugués. Además, del profesor responsable de la clase, la red de enseñanza necesita ofertar, a esos profesionales, formación inicial y continuada sobre la enseñanza para sordos y su lengua, capaces de proporcionar condiciones estructurales y pedagógicas a las características de aprendizaje del alumno sordo, sin quitarle el derecho a ser ciudadano. A pesquisa debruça-se em investigar a educação como um serviço essencial para seus estudantes, capaz de lhes tornar cidadãos com identidade, conhecedores de se, fazer parte de um espaço e eliminar barreiras que lhes impeçam de ser construtores do seu desenvolvimento pessoal e social na sociedade, em especifico no âmbito educacional, de modo que ela seja para todos, com metodologias, instrumentos, profissionais e a Língua Brasileira de Sinais - Libras na promoção da inclusão, equidade e qualidade do ensino a alunos surdos na rede regular do municipal de Tutóia – MA. O artigo mostra a realidade ou utopia do intérprete da língua de sinais na escola com surdos. O trabalho desenvolveu-se com uma investigação exploratória descritiva a partir de relatos de experiências em três escolas municipais no ano de 2021, com abordagem qualitativa. Para certificar o estudo, utilizaram-se as plataformas do Google Scholar, Scielo e literaturas em geral. Deste modo, a revisão literária e observações nas escolas, constataram a ausência do intérprete de Libras. Os professores atuantes sabem da existência da língua sinalizada, mas não possuem conhecimentos práticos que favoreçam o processo de ensino nos dois idiomas assegurados no Brasil: a Libras e o Português. Além, do professor responsável pela turma, a rede de ensino precisa ofertar, a esses profissionais, formação inicial e continuada sobre o ensino para surdos e sua língua, capazes de proporcionar condições estruturais e pedagógicas às particularidades de aprender do aluno surdo, sem lhe tirar o direito de ser cidadão.

Background and purpose: Neurological disorders pose a profound unmet medical need for which new solutions are urgently needed. The consideration of both biological (sex) and socio-cultural (gender) differences between men and women is necessary to identify more efficacious, safer and tailored treatments. Approaches for putting sex and gender medicine into practice have gathered momentum across Europe, but it is currently unclear to what extent they have been implemented in the field of neurology and neuroscience. Methods: We mapped current activities in research, funding and education aimed at integrating sex and gender consideration in neuroscience and neurology in Europe. We examined and analyzed data gathered from literature searches, policy documents and reports by the European Commission and national funding agencies, web-based searches, Web of Science, and searches of project databases of funding agencies. An informative/non-systematic search was performed for sections on policies and funding, education, and basic research, while a systematic literature and database review was conducted for quantitative analysis of research output and funded projects in terms of sex and gender analysis. Results: Our mapping shows that there is a growing interest in and attention given to sex and gender considerations in neurological fields, both from funding agencies and researchers. However, most activities, especially for education, are limited to the individual motivation of researchers and are not organically built within curricula and strategic research priorities. Conclusion: We recommend actions that might help increase the consideration of sex and gender specifically in the field of neuroscience and neurology.

(1) Background: The excess visceral adipose tissue (VAT) accumulation in women may reflect an early or advanced state of a metabolic disorder and a higher risk of cardiovascular disease than other types of obesity. This study aimed to determine the predictor variables (demographic information, anthropometric data, and blood biomarkers) for changes in VAT in adult women. (2) Methods: This cross-sectional study was conducted with women aged 18–59 years attending nutritional consultation at the Centro Universitário de Brasília (CEUB)’s nutrition school clinic, Brazil. All participants’ medical records were reviewed throughout the study and data of interest were collected. Various anthropometric measurements and biochemical exams were performed and analyzed in a univariate logistic regression model to identify the possible risk factors predictors for the presence of altered VAT. (3) Results: Our logistic regression model considered body mass index (BMI) greater than 25 kg/m2, lipid accumulation product (LAP), and waist–hip ratio (WHR) as predictors of altered VAT. (4) Conclusion: LAP has a robust predictive capacity for changes in visceral fat in adult women, followed by WHR and BMI, making these variables effective in assessing the risk for changes in visceral fat and their inclusion essential in the individual and collective clinical practice.

To descriptively analyze the epidemiological data, clinical stage, and outcomes of oropharyngeal squamous cell carcinoma in the state of São Paulo, Brazil, and to estimate the influence of clinical stage and treatment type on overall and disease-free survival.We retrospectively analyzed epidemiological data from the São Paulo Cancer Center Foundation database relative to patients with oropharyngeal squamous cell carcinoma diagnosed between 2004 and 2014 in the state of São Paulo. Univariate and multivariate Cox regression analyses were performed to assess factors associated with the outcomes. A forward stepwise selection procedure was used. Survival curves were estimated by the Kaplan-Meier method and compared by the Gehan-Breslow-Wilcoxon test.A total of 8075 individuals with oropharyngeal squamous cell carcinoma were identified. Of these, 86.3% were diagnosed at an advanced stage and 13.7% at an early stage. Only 27.2% of patients were treated surgically, whereas 57.5% were treated medically. Patients undergoing surgery had longer overall survival than those receiving medical treatment in both early- and advanced-stage oropharyngeal squamous cell carcinoma. However, there was no significant difference in disease-free survival between surgical and medical treatment.No significant difference in disease-free survival between medical and surgical treatment suggests similar complete remission rates with both approaches. Patients receiving medical treatment had shorter overall survival, which may be due to complications from chemotherapy and radiotherapy. However, we cannot confirm this relationship based on the data provided by the São Paulo Cancer Center Foundation. Prospective studies are warranted to assess whether the lower overall survival rate in patients receiving medical treatment is secondary to complications from chemotherapy and radiotherapy.2C.

A busca que orienta e conduz o conhecimento possui uma centralidade da cultura humana. Porém, o largo espaço dos questionamentos que são conduzidos pelo pensamento filosófico, vai além da racionalidade moderna, com as suas zonas de escuridão e clareza, as suas fortalezas e dificuldades. A humana e cultural relação colonial que elucidam ações de exploração e dominação persistem nos dias atuais, sendo talvez o centro da colonização epistêmica o ponto mais difícil de se criticar abertamente. Desta maneira, o problema da pós-colonialidade passa por uma revisão crítica de conceitos que foram hegemonicamente definidos pela racionalidade moderna, como sejam em seus aspectos históricos, culturais ou de conhecimento, partindo de uma abordagem de subalternidade. Os cenários pós-coloniais desenvolveram-se no mundo de formas distintas. A diversidade da América do Sul difere da que ocorre na África ou nos demais contextos europeus. Pois, dentro de cada uma dessas culturas existem inúmeros fatos e culturas que as tornam particularmente distintas e únicas. Assim, a presença de distintas lógicas e pensamentos, necessita a possibilidade de diálogo e de comunicação entre culturas. Analisaremos os saberes que Freire chama de necessários à prática educativa, em sua obra, última publicada em vida, apresenta uma reflexão sobre a prática educativa na formação de professores, bem como reflexões acerca de proposições que devem ser indiciadas, isso é elucidado dentro de uma abordagem educativo-progressista, que examina uma investigação de saberes fundamentais, elencados através de exigências de um ensino que elucide e trabalhe os princípios da autonomia do educando. Fortalecendo teorias que abordam práticas coerentes com a contextualização social da realidade dos alunos. As reflexões do livro irão nos remeter à uma prática que aponta não haver docência sem discência, que ensinar não é transferir conhecimento e é, essencialmente, uma capacidade humana, temas gerais que se especificam nos três capítulos do livro, e que serão tomados como princípios nas formações docentes ao longo dos anos.

Resumo Nas sociedades atuais, marcadas pela centralidade do conhecimento, da informação e da educação, uma parte da população adulta tem ainda níveis de escolaridade muito baixos e persiste arredada das dinâmicas da chamada Aprendizagem ao Longo da Vida (ALV). Tratando-se de um segmento da população que, do ponto de vista da análise sociológica e da incidência das políticas públicas, tem sido deixado para trás e sobre o qual pouco se conhece, pretende-se contribuir para o conhecimento e visibilidade do fenómeno dos indivíduos pouco escolarizados que, apesar das iniciativas implementadas no âmbito da educação e formação de adultos e da aprendizagem ao longo da vida, permaneceram nas margens da sociedade educativa. Na ausência de estudos extensivos especificamente centrados neste segmento da população, foi mobilizada a edição de 2016 do Inquérito à Educação e Formação de Adultos para tentar mapear o fenómeno em Portugal. Com uma presença transversal na sociedade portuguesa é um grupo de dimensão expressiva, cuja diversidade se captou através da identificação de diferentes perfis. Os mesmos dados permitiram ainda retratar as práticas e atitudes, perante a ALV, da população com baixa escolaridade em Portugal.

Frailty leads to exceedingly high budgets for the public health system with maintenance and rehabilitation of health services. To evaluate the association between frailty and Health Care Services utilization among older people enrolled at Primary Health Care (PHC). cross-sectional study. Territory of units of PHC, in older people’s home. The sample was composed of older people enrolled in 14 PHC teams, divided into 12 Primary care units. Health care services utilization was assessed by self-report medical consultations at the primary and secondary levels, participation in groups, home visits and hospitalization. Frailty was identified by the Frailty Phenotype. The association between frailty and health care services utilization was verified by crude and adjusted logistic regression models, at significance level of 0.05. The total sample was 496 older people with a mean age of 71 years (± 6.93), 62.2% females. In the univariate analyses, frailty was associated with all investigated health care services (p

O ingresso no ensino superior é um acontecimento que tende a gerar apreensão e estresse. Um sono de boa qualidade apresenta uma relação importante no processo de aprendizagem e sua privação pode contribuir para o mau desempenho acadêmico e perda da qualidade de vida. Esta pesquisa tem como objetivo avaliar a qualidade do sono e o possível impacto no desempenho acadêmico de universitários. Trata-se de um estudo transversal descritivo prospectivo com acadêmicos dos cursos de ciências, educação e saúde do Centro Universitário de Brasília (CEUB), por meio de questionário virtual autoaplicável com questões sociodemográficas, características comportamentais e sobre a qualidade do sono que foi aferida por meio do questionário Índice de Qualidade do Sono de Pittsburg (IQSP). Participaram da pesquisa 335 universitários de diversos cursos de ciências, educação e saúde, com média de idade de 25 ± 8 anos. Os estudantes apresentaram em geral uma qualidade de sono ruim (55,82%) e a maioria acredita que a qualidade do seu sono interfere no desempenho acadêmico (91,64%). Ao comparamos a qualidade do sono com comportamentos pessoais, o padrão de qualidade de sono ruim foi mantido para aqueles que exercem atividade fora da faculdade (57,21%), para os que utilizam medicação para dormir (78,27%) e aqueles que manifestaram não apresentar dificuldade para manter-se acordado (64,32%). A demanda exigida pela universidade influencia diretamente na qualidade do sono dos universitários e em seu rendimento acadêmico. Nota-se a necessidade de planejamento do tempo e de atividades rotineiras, por parte dos alunos, afim de evitar que a realização de suas responsabilidades se estendam no período noturno, gerando prejuízos no ciclo sono-vigília.