RESUMO Objetivos: analisar a inserção da temática ambiental na pós-graduação stricto sensu em enfermagem no Brasil. Métodos: pesquisa qualiquantitativa, de abordagem exploratória, com pesquisa documental na Plataforma Sucupira e em sites dos 112 cursos stricto sensu em Enfermagem no Brasil, em 2018. Foram analisadas as matrizes curriculares; ementas dos cursos; perfil docente; dissertações e teses (2004-2016); e produções bibliográficas da avaliação quadrienal 2013-2016. A análise dos dados quantitativos foi realizada por métodos estatísticos; e os dados qualitativos, pela Técnica de Análise de Conteúdo, delineada por Bardin. Resultados: os resultados demonstram a incipiência no tratamento das questões ambientais. Acerca da temática, destacam-se as que se referem aos aspectos sócio-histórico-culturais em relação às temáticas de abordagem ambiental mais direta e facilitadora da conservação ambiental e consequente promoção da saúde. Considerações Finais: a análise permite identificar a fragilidade da abordagem ambiental nos programas analisados, sendo necessário aprimorar a transversalidade das questões ambientais.

ABSTRACT Objectives: to analyze the insertion of environmental issues in the postgraduate stricto sensu in nursing in Brazil. Methods: quali-quantitative research, of exploratory approach, with documental research in the Sucupira Platform and in sites of the 112 courses stricto sensu in Nursing in Brazil, in 2018. We analyzed the curricular matrixes; course menus; teaching profile; dissertations and thesis (2004-2016); and bibliographic productions of the four-year evaluation 2013-2016. The analysis of quantitative data was performed by statistical methods; and qualitative data, by the Content Analysis Technique, outlined by Bardin. Results: the results demonstrate incipiency in the treatment of environmental issues. Regarding the theme, we highlight those that refer to socio-historical-cultural aspects in relation to the more direct environmental approach and facilitator of environmental conservation and consequent promotion of health. Final Considerations: The analysis allows identifying the fragility of the environmental approach in the analyzed programs, being necessary to improve the cross-sectionality of environmental issues.

RESUMEN Objetivos: analizar inserción de temática ambiental en posgrado stricto sensu en enfermería en Brasil. Métodos: investigación cuali-cuantitativa, abordaje exploratorio, investigación documental en Plataforma Sucupira y en sitios de 112 cursos stricto sensu en Enfermería en Brasil, en 2018. Analizadas matrices curriculares; sumarios de los cursos; perfil docente; tesis (2004-2016); y producciones bibliográficas de la evaluación cuatrienal 2013-2016. El análisis de los datos cuantitativos realizados por métodos estadísticos; y los datos cualitativos, por Técnica de Análisis de Contenido, delineada por Bardin. Resultados: resultados muestran el inicio del tratamiento de cuestiones ambientales. Acerca de la temática, se destacan las que se refieren a los aspectos socio-histórico-culturales en relación a las temáticas de abordaje ambiental más directa y facilitadora de la conservación ambiental y consecuente promoción a la salud. Consideraciones Finales: el análisis permite identificar la fragilidad del abordaje ambiental en los programas analizados, siendo necesario perfeccionar la transversalidad de cuestiones ambientales.

OBJECTIVE: To investigate the recognition of depressive symptoms of major depressive disorder (MDD) by general practitioners. INTRODUCTION: MDD is underdiagnosed in medical settings, possibly because of difficulties in the recognition of specific depressive symptoms. METHODS: A cross-sectional study of 316 outpatients at their first visit to a teaching general hospital. We evaluated the performance of 19 general practitioners using Primary Care Evaluation of Mental Disorders (PRIME-MD) to detect depressive symptoms and compared them to 11 psychiatrists using Structured Clinical Interview Axis I Disorders, Patient Version (SCID I/P). We measured likelihood ratios, sensitivity, specificity, and false positive and false negative frequencies. RESULTS: The lowest positive likelihood ratios were for psychomotor agitation/retardation (1.6) and fatigue (1.7), mostly because of a high rate of false positive results. The highest positive likelihood ratio was found for thoughts of suicide (8.5). The lowest sensitivity, 61.8%, was found for impaired concentration. The sensitivity for worthlessness or guilt in patients with medical illness was 67.2% (95% CI, 57.4-76.9%), which is significantly lower than that found in patients without medical illness, 91.3% (95% CI, 83.2-99.4%). DISCUSSION: Less adequately identified depressive symptoms were both psychological and somatic in nature. The presence of a medical illness may decrease the sensitivity of recognizing specific depressive symptoms. CONCLUSIONS: Programs for training physicians in the use of diagnostic tools should consider their performance in recognizing specific depressive symptoms. Such procedures could allow for the development of specific training to aid in the detection of the most misrecognized depressive symptoms.