ABSTRACT Astrocaryum aculeatum Mart. Moreover, Astrocaryum acaule Mart. are palm trees with ecological and extractive importance in the Amazon. These are hearty species that have been associated with archaeological sites and thrive in the presence of humans in certain areas. This work aimed to verify the effect of global climate change on the potential geographic distribution of A. acaule and A. aculeatum in the current period and future climate scenarios using ecological niche modeling in Brazilian phytogeographic domains. The modeling was based on 19 bioclimatic variables obtained from the Worldclim website and four algorithms (Climate space model, Envelope Score, Niche Mosaic, and Environmental Distance). Additionally, the Environmental Distance algorithm showed greater similarity regarding species distribution with potential occurrence in the five Brazilian domains (Amazon, Pantanal, Caatinga, Cerrado, and Atlantic Forest). The dispersion patterns were very similar between the two Astrocaryum palms though A. aculeatum was more sensitive to climatic variations. A. acaule may be more resilient to changes, as demonstrated by being able to recolonize in the southern portion of the Amazon in future scenarios in the year 2070. The modeling helped to delimit potential areas for A. aculeatum and A. acaule, indicating the need for the conservation of the species in more sensitive regions.

RESUMO Astrocaryum aculeatum Mart. e Astrocaryum acaule Mart. são palmeiras que apresentam importância ecológica e para o extrativismo na Amazônia. São espécies rústicas e que foram associadas a sítios arqueológicos e à presença de humanos em determinadas áreas. O objetivo deste trabalho foi verificar o efeito das mudanças climáticas globais na distribuição geográfica potencial de A. acaule e A. aculeatum, no período atual e em cenários climáticos futuros, utilizando a modelagem de nicho ecológico nos domínios fitogeográficos brasileiros. As modelagens foram baseadas em 19 variáveis bioclimáticas, obtidas no site do Worldclim, e quatro algoritmos (Climate space model, Envelope Score, Niche Mosaic e Enviromental Distance), dos quais o algoritmo Environmental Distance apresentou maior similaridade quanto à distribuição das espécies com ocorrência potencial nos cinco domínios brasileiros (Amazônia, Pantanal, Caatinga, Cerrado e Mata Atlântica). Os padrões de dispersão foram muito similares entre as duas palmeiras de Astrocaryum, porém A. aculeatum é mais sensível às variações climáticas. A. acaule tem potencial para ser mais resiliente às mudanças, podendo recolonizar a porção sul da Amazônia em cenários futuros, no ano de 2070. A modelagem auxiliou a delimitar as áreas potenciais de A. aculeatum e A. acaule, indicando a necessidade de conservação das espécies em regiões mais sensíveis.

Abstract The aim of this study is to adapt a Portuguese version of the original 18 items of the Bergen Facebook Addiction Scale (BFAS), via a translation / back translation process, using Confirmatory Factor Analysis (CFA) in a Portuguese sample. The sample comprised 232 respondents from the general population. The modified BFAS acquires a different factor structure from the original, keeping 4 of the main theoretical elements (subscales) and 10 of the 18 original items. The results indicate that the Portuguese version of the original BFAS presents good psychometric qualities. The statistical techniques used in the study allowed assessing the reliability and validity of the modified BFAS. Nevertheless, further uses of this scale with other samples from the Portuguese population are necessary to confirm the obtained results.

The COVID-19 pandemic had a significant impact on the management of chronic diseases such as cancer. Comprehensive care, from preventive strategies to palliative care for cancer patients, has been strongly affected by multiple factors associated with the pandemic. The hampering of early detection, timely diagnosis, as well as recommended treatment and follow-up are side effects of SARS-CoV-2 infection worldwide that will undoubtedly produce changes in the prognosis and survival of oncologic patients. Through this narrative review, we report global and local figures of these effects, as a first approach to tackle the challenge of updating cancer care.

Abstract Introduction Although the international literature suggests that women who interrupt a pregnancy in safe conditions do not develop mental health problems, it continues to be a highly stigmatized issue by broad social sectors. It is therefore not surprising that abortion stigma is one of the main factors associated with the presence of mental health problems in women who abort voluntarily. This study explores the association between perceived abortion stigma and depressive symptomatology. Method In a non-probabilistic convenience sample, 114 users of a Legal Interruption of Pregnancy Clinic in Mexico City were interviewed with a structured instrument. Results Respondents obtained low scores of internalized stigma and reported feeling confident that they had made the right decision to terminate their pregnancies, and at peace with themselves. The highest scores for abortion stigma were reported in the group with high depressive symptomatology, with no statistically significant differences being observed due to the sociodemographic characteristics explored. The participants in this study were more concerned about what others might think about their decision to terminate a pregnancy and about how their abortion might affect their relationship with them. Discussion and conclusion These concerns highlight the need to reduce the negative social stigma surrounding abortion and to provide interventions in the same direction among women who interrupt a pregnancy legally in order to reduce the risk of mental health problems such as depression.

Resumen Introducción A pesar de que la literatura internacional señala que las mujeres que interrumpen sus embarazos en condiciones seguras no desarrollan problemas de salud mental, sigue siendo una situación altamente estigmatizada por amplios sectores sociales. Por ello, no es de sorprender que el estigma por abortar sea uno de los principales factores asociados con la presencia de malestares en la salud mental de algunas mujeres que abortan voluntariamente. Este trabajo explora la asociación entre el estigma percibido por abortar y la sintomatología depresiva. Método En una muestra no probabilística y por conveniencia, 114 usuarias de una Clínica de Interrupción Legal del Embarazo de la Ciudad de México fueron entrevistadas con un instrumento estructurado. Resultados Las participantes obtuvieron bajas puntuaciones de estigma internalizado, reportaron sentirse seguras y en paz con ellas mismas por haber decidido interrumpir sus embarazos. Las puntuaciones más altas de estigma por abortar se reportaron en el grupo con sintomatología depresiva elevada, sin que existieran diferencias significativas por las características sociodemográficas exploradas. Las participantes en este estudio estaban más preocupadas por lo que otros pudieran pensar por su decisión de interrumpir su embarazo y por cómo podría afectar el aborto su relación con estas personas. Discusión y conclusión Estas preocupaciones evidencian la necesidad de disminuir el estigma social negativo que rodea al aborto y plantear intervenciones que actúen en el mismo sentido entre las mujeres que interrumpen legalmente un embarazo para disminuir el riesgo de presentar problemas de salud mental como la depresión.

Resumen:El presente artículo describe los resultados del estudio que tuvo como objetivo evaluar el diseño, implementación y desarrollo de la estructura curricular de la formación pedagógica de las carreras de educación de una universidad pública, en el marco de la implementación de la formación por competencias en la educación superior en Chile. La metodología utilizada consideró un enfoque cualitativo y diseño de estudio de caso. La muestra estuvo conformada por 8 directores de carreras, 12 académicos y 64 estudiantes de las carreras señaladas. Para la recopilación de datos se empleó fuentes documentales, entrevistas semi-estructuradas y grupos de discusión. Como técnica de análisis se optó por Análisis de Contenido temático mediante software QDA. Los hallazgos obtenidos indican la falta de conexión entre los distintos componentes del diseño curricular investigado, evidenciando inconsistencias estructurales y operativas. Las principales conclusiones advierten que los componentes curriculares de la formación pedagógica se estructuran de manera aislada en los procesos de renovación del currículum, evidenciando, principalmente, disonancias. Este estudio demostró que la propuesta curricular vigente, objeto de esta investigación, se configura escindida de los cambios y propósitos declarados. Esto plantea la necesidad de que las renovaciones curriculares vayan aparejadas de un sistema de gestión y monitoreo para la concreción y verificación de los procesos formativos, con el fin de detectar oportunamente las posibles inconsistencias o nudos críticos.

Abstract:The present article describes the results of the study that aimed to evaluate the design, implementation and development of the curricular structure of the pedagogical training of the educational careers of a public university, within the framework of the implementation of training by competences in the Higher Education in Chile. The methodology used considered a qualitative approach and case study design. The sample consisted of eight race directors, 12 academics and 64 students of the indicated careers. Documentary sources, semi-structured interviews and discussion groups were used for data collection. As analytical technique, thematic Content Analysis was chosen using QDA software. The obtained results indicate the lack of connection between the different components of the curricular design investigated, evidencing structural and operational inconsistencies. The main conclusions indicate that the curricular components of the pedagogical training are structured in an isolated way in the processes of renewal of the curriculum, evidencing, mainly, dissonances. This study demonstrated that the current curricular proposal, object of this research, is configured split of the declared changes and purposes. This raises the need for curricular renewals to be coupled with a management and monitoring system for the concretion and verification of training processes, in order to detect in a timely manner possible inconsistencies or critical nodes.

Abstract: The construction of a discourse by state power, which has misinformed or provided biased information on the drug trafficking problem to turn it into a security issue that calls for a "crusade against crime" has made violence against women invisible. To make it visible, this article uses a narrative approach to analyze experts' perceptions of the issue and high impact crime rates from 2007 to 2012 in Mexico City, State of Mexico, Hidalgo and Morelos. Criminal violence has exacerbated old forms of violence against women and created others.

Resumen: La construcción de un discurso desde el poder del Estado que ha desinformado o informado sesgadamente sobre el problema del narcotráfico, planteándolo como un problema de seguridad que convoca a una "cruzada contra el crimen", invisibiliza la violencia contra las mujeres. Con el fin de hacerla visible, se utiliza una aproximación narrativa para analizar las percepciones sobre el tema de personas expertas y las tasas de delitos de alto impacto de 2007 a 2012 en Ciudad de México, Estado de México, Hidalgo y Morelos. La violencia criminal ha exacerbado viejas formas de violencia contra las mujeres y creado otras.

Background: The delay in the diagnosis of AIDS results in higher treatment costs. Aim: To reveal the experiences of people who were diagnosed in the AIDS stage about the access to the ELISA test. Material and Methods: In depth interviews were carried out to 15 participants from public hospitals who were in the AIDS stage at the moment of the diagnosis. The main questions asked were about the motivations to take the test, the barriers found and the help received from the health care personnel. All interviews were recorded and analyzed according to Kripperdorff. Results: The three categories that emerged were the motivations to take the test, the facilitators found and the difficulties to access to the test. The main motivation was a condition of vulnerability due to the suspicion or certainty of being infected. The main facilitator was the sensation of being accepted and not discriminated. The main difficulties were the fear of having a positive test and of being discriminated and the lack of information. Conclusions: Knowing these experiences will help to improve the early detection of HIV infections.

RESUMO Avaliou-se a influência do índice de massa corporal (IMC) pré-operatória na ocorrência de linfedema, aderência cicatricial, dor e peso no membro superior nos primeiros dois anos após cirurgia para câncer de mama. O estudo é uma análise retrospectiva, secundária de 631 prontuários de mulheres submetidas à cirurgia para câncer de mama e encaminhadas ao Programa de Fisioterapia do Hospital Professor Dr. José Aristodemo Pinotti do Centro de Atenção Integral à Saúde da Mulher, CAISM /UNICAMP, entre janeiro de 2006 e dezembro de 2007. Eram mulheres com idade média de 56,5 anos (±13,7 anos), a maioria (55%) com sobrepeso ou obesa. Os estádios clínicos II e III foram encontrados em 63% das mulheres. Mastectomia radical foi a cirurgia mais frequente (54,4%), seguida por quadrantectomia (32,1%). No primeiro ano após a cirurgia não houve associação significativa entre as categorias do índice de massa corporal e incidência de aderência cicatricial, dor, peso e linfedema. No segundo ano, mulheres com sobrepeso e obesidade apresentaram maiores taxas de peso no membro superior e linfedema. Para linfedema houve diferença significativa entre as categorias de índice de massa corporal (p=0,0268). Mulheres obesas têm 3,6 vezes mais chance de desenvolver linfedema no segundo ano após a cirurgia (odds ratio 3,61 95% IC 1,36-9,41). Concluiu-se que IMC ≥25kg/m2 anterior ao tratamento para câncer de mama pode ser considerado fator de risco para desenvolvimento do linfedema dois anos após a cirurgia. Não houve associação entre IMC e outras complicações.

ABSTRACT Objective: this study assessed the influence of pre-operative body mass index (BMI) has upon lymphedema, scar tissue adhesion, pain, and heaviness in the upper limb at two years after surgery for breast cancer. Methods: retrospective analysis of 631 medical records of women who underwent surgery for breast cancer and were referred to the Physiotherapy Program at Prof. Dr. José Aristodemo Pinotti Women's Hospital of the Center for Integral Women's Health Care, CAISM/UNICAMP between January 2006 and December 2007. Results: mean age of women was 56.5 years (±13.7 years) and the most part (55%) were overweight or obese, surgical stages II and III were present in 63% of women studied. Radical mastectomy was the most frequent surgery (54.4%), followed by quadrantectomy (32.1%). In the first year after surgery, there was no significant association between BMI categories and incidence of scar tissue adhesion, pain, heaviness and lymphedema. In the second year, overweight and obese women had higher rates of heaviness in the upper limb and lymphedema. For lymphedema, there was a significant difference among BMI categories (p=0.0268). Obese women are 3.6 times more likely to develop lymphedema in the second year after surgery (odds ratio 3.61 95% CI 1.36 to 9.41). Conclusion: BMI ≥25kg/m2 prior to treatment for breast cancer can be considered a risk factor for developing lymphedema in the two years after surgery. There was no association between BMI and the development of other complications.

RESUMEN Evaluación la influencia del índice de masa corporal preoperatorio, la aparición de linfedema, la adhesión de tejido cicatrizal, dolor y pesadez en los dos primeros años después de la cirugía para el cáncer de mama. Método: análisis retrospectivo de 631 historias clínicas de mujeres sometidas a cirugía para el cáncer de mama y encaminadas al Programa de Fisioterapia do Centro de Atención Integral de la Salud de la Mujer - Professor Dr. José Aristodemo Pinotti - CAISM /UNICAMP entre enero de 2006 y diciembre de 2007. Resultados: mujeres de mediana edad 56,5 años (±13,7 años), 55% tenían sobrepeso u obesidad. Etapas II y III del cáncer se encontraron en el 63% de las mujeres. Cirugía de mastectomía radical fue la más frecuente (54,4%), seguido de cuadrantectomía (32,1%). En el primer año después de la cirugía no hubo asociación significativa entre categorías de índice de masa corporal y incidencia de la adhesión del tejido de cicatriz, dolor, peso y linfedema. En el segundo año, sobrepeso y obesidad tenían mayores tasas de peso y linfedema. Para linfedema hubo diferencias significativas entre categorías de índice de masa corporal (p=0,0268). Las mujeres obesas tienen 3,6 veces más probabilidades de desarrollar linfedema en el segundo año después de la cirugía (odds ratio 3,61 IC del 95%: 1,36 a 9,41). La conclusión és índice de masa corporal ≥25kg/m2 antes del tratamiento para el cáncer de mama puede ser considerado un factor de riesgo para desarrollo de linfedema, dos años después de la cirugía. No hubo asociación entre el índice de masa corporal y otras complicaciones.

BACKGROUND: Teachers are exposed to different work-related stressors and experiences. These may carry emotional and interpersonal problems deriving into the so-called burnout syndrome. OBJECTIVE: To analyze the presence and characteristics of the burnout syndrome, together with the stress sources perceived by the teachers of a junior high school in Mexico City. METHOD: A mixed quantitative (the Maslach Burnout Inventory [MBI] and the Teachers' Burnout Questionnaire [TBQ-R])-qualitative (method was used to explore opinions and comments on several issues) methodology was applied were used. RESULTS: The MBI showed an acceptable internal consistency in emotional exhaustion and lack of realization but not in depersonalization. The TBQ-R showed an acceptable internal consistency in role stress, burnout and lack of supervision. Third grade teachers showed higher degrees of emotional exhaustion, role stress, lack of supervision and burnout than first and second grade teachers. Qualitative results confirm that emotional exhaustion is influenced by the stress produced by the more conflictive and violent students. This causes in teachers a higher vulnerability and impotence feeling at the likelihood of becoming their victims. DISCUSSION AND CONCLUSION: Junior high teachers should receive a permanent training which allows them to respond to the needs of their career. Lack of motivation and interest in learning, difficulties in learning, substance abuse, lack of discipline and antisocial behaviors are among the problems teachers face with their students. We consider it is highly important they have the opportunity to channel the different problems to professionals and health institutions able to help them.

ANTECEDENTES: Los docentes enfrentan estresores y experiencias que los pueden conducir al denominado síndrome de burnout o desgaste profesional. OBJETIVO: Analizar la presencia y características del burnout y las fuentes de estrés percibidas por profesores de una secundaria para trabajadores de México, D.F. MÉTODO: Se utilizó una metodología mixta cuantitativa (Inventario de Burnout de Maslach [MBI] y el Cuestionario de Burnout para el Profesorado [CBP-R]) y cualitativa (explorando opiniones y comentarios sobre diferentes temas). RESULTADOS: El MBI mostró una consistencia interna aceptable en agotamiento emocional y falta de realización y el CBP-R en estrés de rol, burnout y falta de supervisión. Los docentes de tercer grado presentaron mayor agotamiento emocional, estrés de rol, falta de supervisión y burnout que los de niveles inferiores. Se encontró que el agotamiento emocional está influido por el estrés generado por los alumnos más conflictivos y violentos. Esto provoca a los docentes mayor sentimiento de vulnerabilidad e impotencia ante la posibilidad de convertirse en sus víctimas. DISCUSIÓN Y CONCLUSIÓN: Algunos de los problemas que los docentes enfrentan con sus alumnos son desmotivación y falta de interés para aprender, dificultades en el aprendizaje, consumo de sustancias, falta de disciplina y conductas antisociales. Es muy importante que canalicen los diferentes problemas a profesionales e instituciones de salud que los ayuden en estos aspectos. Por lo que se sugiere que los docentes de secundaria reciban una formación continua que les permita responder a las necesidades de su profesión.

Objective Haemoglobin A1c (Hb A1c) is routinely used for monitoring glycemic control in patients with diabetes. Hb A1c seasonal fluctuations can be directly related to different biological, geographical and cultural influences. Our purpose was to evaluate seasonal variation of Hb A1c in a hospital-based adult population over a period of 5 years.Materials and methods We analyzed retrospectively monthly Hb A1c mean values (DCCT, %) based on all the assays performed to adult patients at a tertiary care university Portuguese hospital between 2008-2012.Results We obtained 62,384 Hb A1c valid measurements, with a peak level found in January-February (7.1%), a trough in August-October (6.8%) and an average peak-to-trough amplitude value of 0.3%. This trend was observed in both genders and age subgroups evaluated.Conclusions There is a Hb A1c circannual seasonal pattern with peak levels occurring in winter months in this Portuguese population. This finding should be recognized in daily clinical practice to warrant better clinical and epidemiological interpretation of Hb A1c values. Arch Endocrinol Metab. 2015;59(3):231-5

INTRODUÇÃO: A sedação profunda em pacientes gravemente enfermos se associa a uma maior duração da ventilação mecânica e à permanência mais longa na unidade de terapia intensiva. Diversos protocolos foram utilizados para melhorar esses desfechos. Implantamos e avaliamos um protocolo de sedação baseado em analgesia, direcionado por objetivos e cuidado por enfermeiros, em pacientes gravemente enfermos submetidos à ventilação mecânica. MÉTODOS: Realizamos um estudo multicêntrico prospectivo em duas fases (antes e depois), que envolveu 13 unidades de terapia intensiva localizadas no Chile. Após uma fase observacional (grupo observacional, N=155), delineamos, implantamos e avaliamos um protocolo de sedação cuidado por enfermeiros, direcionado por objetivos (grupo de intervenção, N=132) para tratar pacientes que necessitaram de ventilação mecânica por mais do que 48 horas. O parâmetro primário de avaliação foi a obtenção de dias livres de ventilador até o dia 28. RESULTADOS: No grupo de intervenção, a proporção de pacientes com sedação profunda ou coma diminuiu de 55,2 para 44,0%. A incidência de agitação não se alterou entre os períodos, permanecendo em cerca de 7%. Dias livres de ventilador até o dia 28, permanência na unidade de terapia intensiva e mortalidade foram similares em ambos os grupos. Após 1 ano, a presença de sintomas de desordem de estresse pós-traumático nos sobreviventes foi similar entre os grupos. CONCLUSÕES: Delineamos e implantamos no Chile um protocolo de sedação baseado em analgesia, direcionado por objetivos e cuidado por enfermeiros. Embora não se tenha observado melhora nos principais desfechos, observamos que o presente protocolo foi seguro e factível, e que resultou em períodos mais curtos de sedação profunda, sem aumento da agitação.

INTRODUCTION: Deep sedation in critically ill patients is associated with a longer duration of mechanical ventilation and a prolonged length of stay in the intensive care unit. Several protocols have been used to improve these outcomes. We implement and evaluate an analgesia-based, goal-directed, nurse-driven sedation protocol used to treat critically ill patients who receive mechanical ventilation. METHODS: We performed a prospective, two-phase (before-after), non-randomized multicenter study that involved 13 intensive care units in Chile. After an observational phase (observational group, n=155), we designed, implemented and evaluated an analgesia-based, goal-directed, nurse-driven sedation protocol (intervention group, n=132) to treat patients who required mechanical ventilation for more than 48 hours. The primary outcome was to achieve ventilator-free days by day 28. RESULTS: The proportion of patients in deep sedation or in a coma decreased from 55.2% to 44.0% in the interventional group. Agitation did not change between the periods and remained approximately 7%. Ventilator-free days to day 28, length of stay in the intensive care unit and mortality were similar in both groups. At one year, post-traumatic stress disorder symptoms in survivors were similar in both groups. CONCLUSIONS: We designed and implemented an analgesia-based, goal-directed, nurse-driven sedation protocol in Chile. Although there was no improvement in major outcomes, we observed that the present protocol was safe and feasible and that it resulted in decreased periods of deep sedation without increasing agitation.

Background: The uterus has been described as a feminine symbol, sexuality and reproduction, therefore the hysterectomy has a multiple meaning by the woman. Aims: To describe the meaning that hysterectomy has by a group of hysterectomized women. Method: Qualitative study with 52 hysterectomized women. By the data collection interviews and focus group was used. Results: It were identified 6 dimensions: previous symptoms, sense of wellness of not having uterus, beliefs and myths, the meaning of uterus and surgery, fear and sexuality. Hysterectomy only like a disease solution would be and slanted vision about the reality that the woman live, and therefore moved away of the needs that they and their partners have. Conclusion: The health care professionals must understand the complex process that means her to assume herself like hysterectomized woman.

Antecedentes: El útero ha sido descrito como un símbolo de femineidad, sexualidad y reproducción por lo que su extracción conlleva una serie de significados para la mujer. Objetivo: Describir el significado de la histerectomía para un grupo de mujeres sometidas a esta cirugía. Método: Estudio cualitativo realizado en 52 mujeres histerectomizadas. Para la recolección de los datos se utilizaron entrevistas en profundidad y grupos focales. Resultados: Se identificaron 6 dimensiones: síntomas previos, alivio de no tener útero, mitos y creencias, significado del útero y de la cirugía, miedo y sexualidad. Considerar a la histerectomía solamente como tratamiento de una enfermedad sería una visión sesgada de la realidad que vive la mujer, y por lo tanto, alejada de las necesidades que ellas y sus parejas tienen. Conclusión: Los profesionales que intervienen a la mujer deben comprender el proceso complejo que significa para ella asumirse como mujer histerectomizada.

Após cirurgia por câncer de mama, as mulheres estão sujeitas a desenvolver algumas complicações físicas. Os objetivos deste trabalho foram: investigar o desfecho dessas mulheres, que, durante o primeiro mês pós-operatório, foram submetidas a um programa de reabilitação e identificar ao longo de dois anos as complicações mais frequentes e as condutas fisioterapêuticas mais adotadas. Foi um estudo descritivo, retrospectivo, com dados de 707 prontuários de mulheres operadas por câncer de mama no Hospital da Mulher Professor Doutor José Aristodemo Pinotti da Universidade Estadual de Campinas, entre janeiro de 2006 e dezembro de 2007, atendidas pelo Setor de Fisioterapia. A análise foi feita por meio de médias, desvio padrão e frequências absolutas e relativas. Ao final do programa, 55% das mulheres receberam alta, 17% necessitaram de atendimento adicional e 26% não aderiram a ele. As complicações mais frequentes foram: aderência pericicatricial (26%), restrição da amplitude de movimento (24%) e deiscência cicatricial (17%). No primeiro ano após a cirurgia (n=460), foram relatados dor (28,5%), sensação de peso (21,5%) e restrição da amplitude de movimento do ombro (16,7%); já no segundo (n=168), houve dor (48,2%), sensação de peso (42,8%) e linfedema (23,2%). Concluiu-se que, ao final do programa, a maioria das mulheres recebeu alta. Ao longo dos anos, houve redução da frequência de restrição da amplitude de movimento do ombro com aumento de linfedema. Cuidados com o braço, exercícios domiciliares e autodrenagem foram as condutas mais adotadas.

After breast cancer surgery, women may develop some physical complications. Thus, the aims of this study were to investigate the outcome of these women, who participated in a rehabilitation program for one month, as well to identify along two years the most frequent complications and adopted physical therapy conducts. It was a descriptive and retrospective study with 707 medical records of women treated for breast cancer at the Women's Hospital Professor Doutor José Aristodemo Pinotti, Universidade Estadual de Campinas, between January 2006 and December 2007, admitted in the Division of Physical Therapy. Analysis was performed by means, standard deviation, absolute and relative frequencies. By the end of the program, 55% of women were discharged, 17% required additional treatment, and 26% did not join it. The most frequent complications were: pericicatricial adherence (26%), range of motion (ROM) restriction (24%), and scar dehiscence (17%). In the first year after surgery (n=460), the main complaints were: pain (28.5%), heaviness (21.5%), and restriction of shoulder range of motion (16.7%); in the second year (n=168), they were pain (48.2%), heaviness (42.8%), and lymphedema (23.2%). It was concluded that most women were discharged in the end of the program and, over the years, they presented reduction of shoulder range of motion frequency and lymphedema increase. Care of the arm, home exercises, and self-lymphatic drainage were the most adopted conducts.

OBJETIVO: Descrever o perfil da Pós-Graduação stricto sensu na subárea "Nutrição" da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior, para o triênio 2007-2009, no Brasil. MÉTODOS: Os dados foram extraídos do sítio da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior. Foram analisados 17 programas para os indicadores: número de alunos novos, número total de orientações concluídas, tempo mediano de titulação, número total e média de docentes permanentes por programa. A produção científica foi classificada segundo o Qualis-Capes disponível para o triênio 2007-2009. Foram listadas as 35 revistas com o maior número de artigos publicados por professores da subárea. RESULTADOS: No período houve ingresso de 618 alunos de mestrado e 241 de doutorado. Foram concluídas 596 dissertações e 178 teses. O número de docentes permanentes passou de 163 em 2007 para 224 em 2009, aumentando 37,4%. Foram publicados 2.168 artigos, 10,9% em periódicos A1 e A2, 48,8% em periódicos B1 a B3 e 40,3% em periódicos B4 e B5. Os periódicos British Journal of Nutrition (n=12, nível A2), Food Chemistry (n=12, nível A2), Journal of Agricultural and Food Chemistry (n=11, nível A2), Revista de Nutrição (n=100, nível B4), Cadernos de Saúde Pública (n=63, nível B3) e Ciência e Saúde Coletiva (n=63, nível B3) foram os que apresentaram o maior número de artigos publicados por professores dos programas analisados em revistas internacionais e nacionais, respectivamente. CONCLUSÃO: O crescimento dos programas em questão foi notável, sobretudo no número de alunos titulados e professores permanentes. Há necessidade de um incremento no perfil de publicação no futuro. Espera-se importante im-pacto nos indicadores de avaliação após a criação da área de "Nutrição" na Coordenação de Aperfeiçoamento de Pessoal de Nível Superior.

OBJECTIVE: This study described the profile of graduate nutrition programs for the years 2007-2009 in Brazil. METHODS: Data was obtained from the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Coordination for the Improvement of Higher Education Personnel) website. The following indicators were used to analyze 17 programs: number of newly enrolled students, total number of completed supervisions, median time to graduate, and total and average number of tenured supervisors per program. Research papers were analyzed according to the Qualis-Coordenação de Aperfeiçoamento de Pessoal de Nível Superior criteria available for the years 2007-2009. The 35 journals with the highest number of articles published by supervisors in the area were listed. RESULTS: During the period there were 618 masters and 241 doctoral students. A total of 596 dissertations and 178 theses had been completed. The number of tenured supervisors increased from 163 in 2007 to 224 in 2009, an increase of 37.4%. A total of 2,168 research articles were published, 10.9% in journals A1 and A2, 48.8% in B1 to B3, and 40.3% in B4 and B5. The British Journal of Nutrition (n=12, level A2), Food Chemistry (n=12, level A2), Journal of Agricultural and Food Chemistry (n=11, level A2), Revista de Nutrição (n=100, level B4), Cadernos de Saúde Pública (n=63, level B3) and Ciência e Saúde Coletiva(n=63, level B3) had the largest number of articles published by supervisors in the programs analyzed for international and national journals, respectively. CONCLUSION: The growth of nutrition programs was notable, especially regarding the number of graduates and tenured supervisors. There is room for improvement in publication profile.