Resumo Introdução: As mudanças nas práticas de cuidado à saúde na Atenção Primária à Saúde (APS) no Brasil requer uma abordagem às famílias, em contraposição ao modelo biomédico, fragmentado, centrado no médico e na doença. Reconhece-se a necessidade de se identificar como os profissionais tem se instrumentalizado para realizar essa ação. Objetivo: Identificar e sistematizar a abordagem familiar na APS. Material e Métodos: Revisão integrativa a partir do questionamento - Como tem sido desenvolvido o cuidado às famílias pela equipe da atenção primária e/ou atenção domiciliar? Pesquisa realizada nas bases de dados LILACS, Medline, BVS acessados pelo portal PubMed, utilizando as seguintes palavras-chave e descritores: family caregiving; Professional-Family Relations; Family Nursing; Family-centred care; Primary Health Care, no período de 2010 a 2021. Realizou-se análise temática dos resultados, identificando-se o tema: Estratégias de abordagem das Famílias na Atenção Primária à Saúde. Resultados: Os 19 artigos selecionados na revisão integrativa revelou que a abordagem familiar, internacionalmente, ocorre, preponderantemente, por meio de formação / educação em saúde do sujeito e ou familiares e ou cuidadores. Considerações Finais: A análise temática auxiliou na classificação dos resultados da revisão integrativa, revelando que a abordagem familiar, internacionalmente, ocorre, preponderantemente, por meio de formação / educação em saúde do sujeito e ou cuidadores.

Abstract Introduction: Changes in health care practices in Primary Health Care (PHC) in Brazil require an approach to families, as opposed to the fragmented biomedical model, centered on the doctor and the disease. It is recognized the need to identify how professionals have been equipped to carry out this action. Objective: To identify and systematize the family approach in PHC. Material and Methods: integrative review based on the question - How has the care for families been developed by the primary care team and/or home care? Research carried out in the LILACS, Medline, VHL databases accessed through the PubMed portal, using the following keywords and descriptors: family caregiving; Professional-Family Relations; Family Nursing; Family-centered care; Primary Health Care, from 2010 to 2021. A thematic analysis of the results was carried out, identifying the theme: Strategies for Approaching Families in Primary Health Care. Results: The 19 articles selected in the integrative review revealed that the family approach, internationally, occurs, predominantly, through training / health education of the subject and/or family members and/or caregivers. Final Considerations: The thematic analysis helped classify the results of the integrative review, revealing that the family approach, internationally, occurs, predominantly, through training/education in health of the subject and/or caregivers.

Abstract Plasticulture improves crop quality and yield through polymeric films, but their improper disposal harms the environment due to humidity and contamination. This study aimed to develop biodegradable mulch films using soybean and peanut hulls and poly (butylene-adipate-co-terephthalate) (PBAT). The residues were characterized by thermogravimetric analysis and mulch films were evaluated by water absorption, contact angle and mechanical properties. The thermal behavior of the residues indicated stability below 200ºC. The agro-waste improved hydrophobicity but increased the water absorption values of the films by up to 18.5x (PBAT/SH5 after 14 days). Micrographs obtained by scanning electron microscopy indicated an important distribution of residue particles and formation of agglomerates, leading to lower mechanical performance. The study found that agro-industrial residues in powder form can be added to the polymeric matrix to produce biodegradable mulch films through traditional processing techniques. This approach has the potential to contribute to a more sustainable production system.

Objective: To analyze and identify in the scientific literature how remote teaching is being used and how it was evaluated in postgraduate health courses. Methods: Systematic review with a search in the Virtual Health Library (VHL), with the descriptors distance education, remote learning, residency, graduate studies and health in Portuguese and English, between 2017 and 2021, in Portuguese, English and Spanish. Results: From 750 initial results, 19 articles were included. The United States leads with the largest number of publications on the subject. The evaluation of students who studied through remote teaching is positive. Conclusion: Remote teaching was introduced very quickly for a large number of specialties in the world, with this, even showing positive aspects in this type of teaching, some negative points were evident and that future improvements must be made

Objetivo: Analizar e identificar en la literatura científica el uso de la enseñanza a distancia y su evaluación en los cursos de posgrado en salud. Métodos: Revisión sistemática en las bases de datos Medline, Lilacs, BDEnf, IBECS, BBO y BDENF con los descriptores educación a distancia, aprendizaje a distancia, residencia, estudios de posgrado y salud entre 2017 y 2021, en portugués, inglés y español. Resultados: La búsqueda inicial identificó 750 resultados. En la fase de análisis de títulos y resúmenes quedaron 66 estudios. Finalmente, se incluyeron 19 artículos. Estados Unidos lidera con el mayor número de publicaciones sobre el tema. La valoración de los alumnos que estudiaron a través de la docencia a distancia es positiva. Conclusión: La enseñanza a distancia se implementó muy rápidamente para una gran cantidad de especialidades en el mundo, con lo que, aun mostrando aspectos positivos en este tipo de enseñanza, se evidenciaron algunos puntos negativos y que se deben realizar mejoras futuras

Objetivo: Analisar e identificar na literatura científica a utilização do ensino remoto e sua avaliação em cursos de pós-graduação em saúde. Métodos: Revisão sistemática nas bases de dados Medline, Lilacs, BDEnf, IBECS, BBO e BDENF com os descritores educação a distância, ensino remoto, residência, pós-graduação e saúde entre 2017 a 2021, nos idiomas português, inglês e espanhol. Resultados: A busca inicial identificou 750 resultados. Na fase de análise dos títulos e resumos sobraram 66 estudos. Por fim foram incluídos 19 artigos. Os Estados Unidos lideram com o maior número de publicações acerca do tema. A avaliação dos discentes que estudaram através do ensino remoto é positiva. Conclusão: O ensino remoto foi colocado de forma muito rápida para uma grande quantidade de especialidades no mundo, com isso, mesmo evidenciando-se aspectos positivos nesse tipo de ensino, ficou evidente alguns pontos negativos e que se deve fazer melhorias futuras.

Resumo Este estudo objetivou avaliar a associação de fatores sociodemográficos e estilo de vida com consumo de alimentos in natura ou minimamente processados (INMP), ultraprocessados (AUP) e frutas e hortaliças. Trata-se de estudo transversal com 403 crianças de 4 a 7 anos de uma coorte retrospectiva. Variáveis sociodemográficas e estilo de vida foram investigadas através do questionário sociodemográfico. O consumo alimentar foi avaliado por três registros alimentares. Empregaram-se análises de regressão linear bivariadas e multivariadas para analisar as associações. Crianças com menor renda apresentaram maior consumo de alimentos INMP e menor consumo de AUP. Menor tempo de permanência na escola associou-se ao menor consumo de alimentos INMP e maior consumo de AUP. Crianças com maior tempo de tela e com pais de menor escolaridade, consumiram menos frutas e hortaliças. Fatores sociodemográficos desfavoráveis se associaram ao melhor perfil de consumo de alimentos segundo o nível de processamento, exceto para frutas e hortaliças. O maior tempo de permanência na escola e menor tempo de tela contribuíram para uma alimentação mais saudável.

Abstract The present study aimed to evaluate the association of sociodemographic factors and lifestyle with the consumption of in natura or minimally processed (INMP) foods, ultra-processed foods (UPFs), and fruits and vegetables. This was a cross-sectional study conducted with 403 children, aged 4 to 7 years, from a retrospective cohort. Sociodemographic and lifestyle variables were investigated using a sociodemographic questionnaire. Food consumption was assessed by three food records. Bivariate and multivariate linear regression analyses were used to analyze associations. Children with lower income had a higher consumption of INMP foods and a lower consumption of UPFs. A shorter time spent at school was associated with a lower consumption of INMP foods and a higher consumption of UPFs. Children with more screen time and less educated parents consumed less fruits and vegetables. Unfavorable sociodemographic factors were associated with a better profile of food consumption according to the level of processing, except for fruits and vegetables. The longer time spent at school and a shorter screen time contributed to a healthier diet.

Resumo Este estudo objetivou avaliar a associação de fatores sociodemográficos e estilo de vida com consumo de alimentos in natura ou minimamente processados (INMP), ultraprocessados (AUP) e frutas e hortaliças. Trata-se de estudo transversal com 403 crianças de 4 a 7 anos de uma coorte retrospectiva. Variáveis sociodemográficas e estilo de vida foram investigadas através do questionário sociodemográfico. O consumo alimentar foi avaliado por três registros alimentares. Empregaram-se análises de regressão linear bivariadas e multivariadas para analisar as associações. Crianças com menor renda apresentaram maior consumo de alimentos INMP e menor consumo de AUP. Menor tempo de permanência na escola associou-se ao menor consumo de alimentos INMP e maior consumo de AUP. Crianças com maior tempo de tela e com pais de menor escolaridade, consumiram menos frutas e hortaliças. Fatores sociodemográficos desfavoráveis se associaram ao melhor perfil de consumo de alimentos segundo o nível de processamento, exceto para frutas e hortaliças. O maior tempo de permanência na escola e menor tempo de tela contribuíram para uma alimentação mais saudável.

Abstract The present study aimed to evaluate the association of sociodemographic factors and lifestyle with the consumption of in natura or minimally processed (INMP) foods, ultra-processed foods (UPFs), and fruits and vegetables. This was a cross-sectional study conducted with 403 children, aged 4 to 7 years, from a retrospective cohort. Sociodemographic and lifestyle variables were investigated using a sociodemographic questionnaire. Food consumption was assessed by three food records. Bivariate and multivariate linear regression analyses were used to analyze associations. Children with lower income had a higher consumption of INMP foods and a lower consumption of UPFs. A shorter time spent at school was associated with a lower consumption of INMP foods and a higher consumption of UPFs. Children with more screen time and less educated parents consumed less fruits and vegetables. Unfavorable sociodemographic factors were associated with a better profile of food consumption according to the level of processing, except for fruits and vegetables. The longer time spent at school and a shorter screen time contributed to a healthier diet.

Abstract Objective To apprehend the perception of technical and undergraduate nursing students about the teaching of patient safety competencies in the pandemic of COVID-19. Method Qualitative study, conducted in 2021, with technical and undergraduate nursing students from Paraná, through individual interviews. The content analysis technique was used. Results The following categories emerged: Understanding of the concept of patient safety enhanced by clinical practice; Attitudes and feelings towards near miss, adverse events and unsafe practice and; Negative reflexes of the COVID-19 pandemic on patient safety teaching. Conclusion and implications for practice The teaching of patient safety competencies was perceived by students with negative feelings due to the experience of near misses, adverse events and unsafe practices. Due to the pandemic of COVID-19, they reported fragmentation in the teaching of the subject under study, distance from practice and, consequently, academic and professional insecurity. Further discussion of the teaching of patient safety competencies during the pandemic is indispensable to the quality of training and professional performance.

Resumen Objetivo Aprehender la percepción de los estudiantes de curso técnico y superior de enfermería sobre la enseñanza de competencias en seguridad del paciente en la pandemia del COVID-19. Método Estudio cualitativo, realizado en 2021, con estudiantes de Enfermería de nivel técnico y superior en Paraná, mediante entrevistas individuales. Se utilizó la técnica del análisis de contenido. Resultados Surgieron las siguientes categorías: Comprensión del concepto de seguridad del paciente, reforzada por la práctica clínica; Actitudes y sentimientos hacia los cuasi accidentes, los acontecimientos adversos y la práctica insegura y; Reflejos negativos de la pandemia del COVID-19 sobre la educación en seguridad del paciente. Conclusión e implicaciones para la práctica La enseñanza de competencias en seguridad del paciente fue percibida por los estudiantes con sentimientos negativos debido a la experiencia de cuasi accidentes, eventos adversos y prácticas inseguras. Debido a la pandemia del COVID-19, denunciaron fragmentación en la enseñanza de la materia objeto de estudio, alejamiento de la práctica y, en consecuencia, inseguridad académica y profesional. La profundización del debate sobre la enseñanza de competencias en materia de seguridad del paciente durante la pandemia es esencial para la calidad de la formación y el desempeño profesional.

Resumo Objetivo Apreender a percepção de discentes de curso técnico e superior de Enfermagem sobre o ensino das competências de segurança do paciente na pandemia da COVID-19. Método Estudo qualitativo, realizado em 2021, com estudantes de Enfermagem de nível técnico e superior do Paraná, por meio de entrevistas individuais. Utilizou-se técnica de análise de conteúdo. Resultados Emergiram as categorias: Compreensão do conceito segurança do paciente potencializada pela prática clínica; Atitudes e sentimentos frente ao near miss, evento adverso e prática insegura e; Reflexos negativos da pandemia da COVID-19 no ensino da segurança do paciente. Conclusão e implicações para a prática O ensino das competências de segurança do paciente foi apreendido pelos estudantes com sentimentos negativos pela vivência de near miss, eventos adversos e práticas inseguras. Devido à pandemia da COVID-19, referiram fragmentação no ensino do tema em estudo, distanciamento da prática e; consequentemente, insegurança acadêmica e profissional. O aprofundamento da discussão do ensino das competências de segurança do paciente durante a pandemia é indispensável à qualidade de formação e atuação profissional.

Abstract Objective The prevalence of food allergies (FA) has increased worldwide over the last few decades. Milk, eggs, and peanuts are among the most common allergens and can cause anaphylaxis. Therefore, we aimed to identify biomarkers that could predict the persistence and/or severity of IgE-mediated allergies to milk, eggs, and peanuts via a systematic review. Methods This systematic review proceeded according to a protocol registered in the International Prospective Register of Systematic Reviews. Two independent authors extracted studies of interest from PubMed, SciELO, EMBASE, Scopus, and Ebsco databases and assessed their quality using the Newcastle-Ottawa Scale. Results We selected 14 articles describing 1,398 patients. Among eight identified biomarkers, total IgE, specific IgE (sIgE), and IgG4 were the most often cited biomarkers of persistent allergies to milk, eggs, and peanuts. Skin prick tests, endpoint tests, and sIgE cutoff levels may predict positive responses to challenges with these foods. The basophil activation test is a biomarker for the severity and/or threshold of allergic reactions to milk and peanuts. Conclusion Only a few publications identified possible prognostic indicators of the persistence or severity of FA and outcomes of oral food challenges, indicating that more accessible biomarkers are needed to determine the likelihood of having a severe food allergic reaction.

Abstract Focal Adhesion Kinase (FAK) protein participates in proliferation, migration, cell survival, and apoptosis process. It has been described as overexpressed in several neoplasms being a promising target for therapy. BCR-ABL negative chronic Myeloproliferative Neoplasms (MPN) are clonal disorders characterized by the excess of proliferation and apoptosis resistance. The identification of the acquired JAK2 V617F mutation in MPN patients allowed a better understanding of pathogenesis. However, there is still no pharmacological treatment that leads all patients to molecular remission, justifying new studies. The present study aimed to evaluate FAK involvement in the viability and apoptosis of HEL and SET-2 cells, both JAK2 V617F positive cell lines. The FAK inhibitor PF 562,271 was used. Cell viability was determined using MTT assay and apoptosis verified by cleaved PARP, cleaved Caspase 3 and Annexin-V/PI staining detection. FAK inhibition significantly reduced HEL and SET-2 cells viability and induced apoptosis. Considering the role of JAK/STAT pathway in MPN, further investigation of FAK participation in the MPN cells proliferation and apoptosis resistance, as well as possible crosstalk between JAK and FAK and downstream pathways may contribute to the knowledge of MPN pathophysiology, the discovery of new molecular targets, and JAK inhibitors resistance mechanisms.

Abstract The slope stability analyses are important to predict environmental, financial, and human life impacts. The Limit Equilibrium Method (LEM) is commonly used to estimate a slope’s Safety Factor (SF). However, the Finite Element Method (FEM) is increasingly applied to slope stability analyses, using different approaches, among which the technique of Shear Strength Reduction (SSR) is commonly used in perfectly plastic elastic models. The objective of this study is to present a discussion about these two methodologies, using critical state models with or without hardening will be used to model the stress-strain behavior of the soil mass. The results obtained in the case study presented, using LEM and FEM considering critical state models with and without hardening are consistent and allowed verifying the stability condition of the slope. Also, the reduction factors are smaller when compared to the results using perfectly plastic elastic models.

RESUMEN Las brasicáceas de inflorescencia, como el brócoli y la coliflor, ricas en fibra y vitaminas, son ampliamente consumidas en Brasil, resultando en una producción promedio de 23 t ha-1. A pesar de esta demanda, la calidad de las plántulas de ambas especies es uno de los principales factores que limitan la producción. Así, el objetivo de este trabajo fue evaluar la emergencia y producción de plántulas de brócoli y coliflor en diferentes sustratos, utilizando el método de riego denominado Deep Film Technique (DFT) en mesa. El experimento se llevó a cabo en un diseño completamente al azar, 7×2: composiciones de sustrato (proporciones volumétricas de 1:0:0; 0:1:0; 0:0:1; 1:1:1; 1:1:0; 1:0:1 y 0:1:1, con sustrato comercial Carolina Soil®, cascarilla de arroz carbonizada y arena de textura media) y brásicas de inflorescencia (brocoli y coliflor), con cuatro repeticiones. Cada unidad experimental conto de 50 semillas/plántulas. A los 21 días después de la siembra (DDS), se evaluó porcentaje, índice, tiempo, velocidad y frecuencia de emergencia a los 35 DDS, y estabilidad del terrón, número de hojas y longitud de las plántulas. Se observó que hubo buena germinación de semillas y formación de plántulas para ambas especies en todas las composiciones de sustrato y con la ayuda del método de riego DFT en mesa. En estas condiciones para ambas especies evaluadas, las composiciones de sustrato 1:0:0; 1:1:1 y 1:1:0 son las recomiendadas.

ABSTRACT Inflorescence brassicas, such as broccoli and cauliflower, rich in fiber and vitamins, are widely consumed in Brazil, and present an average production of 23 t ha-1. Despite this demand, the quality of seedlings of both species is one of the main factors that limit production. Thus, the objective of this study was to evaluate broccoli and cauliflower seedling emergence and production in different substrates, using the irrigation method named Deep Film Technique (DFT) on a table. The experiment was carried out in a completely randomized design, 7×2: substrate compositions (volumetric proportions of 1:0:0; 0:1:0; 0:0:1; 1:1:1; 1:1:0; 1:0:1 and 0:1:1, containing commercial substrate Carolina Soil®, carbonized rice husk and medium textured sand) and inflorescence brassicas (broccoli and cauliflower), with four replications. Each experimental unit consisted of 50 seeds/seedlings. At 21 days after sowing (DAS), it was evaluated the percentage, index, time, speed and frequency of emergence, and, at 35 DAS, clod stability, number of leaves and seedling length. It was observed that there was good seed germination and seedling formation for both species in all substrate compositions and with the aid of the DFT irrigation method on a table. Under these conditions, for both species, substrate compositions of 1:0:0; 1:1:1 and 1:1:0 are recommended.

Resumo Este trabalho possui como objetivo verificar a ocorrência de D. renale em cães errantes do município de Pelotas, no Rio Grande do Sul, Brasil. O Laboratório Regional de Diagnóstico da Universidade Federal de Pelotas recebeu 146 cães errantes para necropsia, encaminhados pela Prefeitura Municipal de Pelotas, no período de março de 2012 a janeiro de 2020. Dentre os cães necropsiados, 17 animais foram diagnosticados com dioctofimose, determinando uma ocorrência de 11,64%. Desses animais, onze estavam parasitados com um exemplar no rim direito, dois animais possuíam dois exemplares no rim direito. Em dois animais, os parasitas estavam na cavidade abdominal; em um animal havia, dois parasitas no rim esquerdo e noutro animal os dois rins estavam parasitados, tendo dois exemplares no rim direito e um exemplar no rim esquerdo. Os dados obtidos neste trabalho permitem concluir que é elevada a ocorrência de D. renale nos cães errantes do município de Pelotas, parasitando principalmente o rim direito.

Abstract This study aimed to verify the occurrence of Dioctophyme renale in stray dogs in the city of Pelotas, in the state of Rio Grande do Sul, Brazil. The Laboratório Regional de Diagnóstico of the Universidade Federal de Pelotas received 146 wandering dogs for necropsy, sent by the City Hall of Pelotas from March 2012 to January 2020. Among the necropsied animals, seventeen dogs (11.64%) were diagnosed with dioctophymosis. Among these dogs, 11 were parasitized with one specimen in the right kidney, two dogs presented two specimens in the right kidney, and in other two dogs, the parasites were in the abdominal cavity. In one dog, two parasites were found in the left kidney; in another dog, both kidneys were parasitized, with two parasites in the right kidney and one in the left kidney. The data obtained in this study showed that the occurrence of D. renale in stray dogs in the city of Pelotas is high, and D. renale mainly parasitizes the right kidney.

ABSTRACT Objective To analyze the pattern of triggering and exacerbation of dermatological diseases between March and July 2020 and to compare this pattern to the corresponding period of 2019. Methods This was a quantitative, descriptive, comparative and documentary study that was carried out through the retrospective analysis of medical records (March to July 2019 and 2020) of individuals assisted at a private dermatology practice service located in the southern area of the city of São Paulo (SP). Results We evaluated 992 medical consultations in 2019 and 1,176 in 2020. In 2020, we observed a significant increase in cases of telogen effluvium (276%), psoriasis (1,400%), atopic dermatitis (178%), seborrheic dermatitis (200%), herpes zoster (1,200%) and vitiligo (433%). All diseases had stress as a possible initial trigger. In addition, fragile nail syndrome and contact dermatitis, pathologies associated with behavioral measures, also had an important increase in the prevalence (6,400% and 5,500%, respectively). However, the number of aesthetic procedures decreased by approximately 54% during the pandemic period. Conclusion During the pandemic period, the pattern of incidence of dermatoses had changed compared with the previous year. An emphasis was observed on diseases triggered by a psychological component, as well as those pathologies that have behavioral measures as the main cause. For this reason, the impacts of COVID-19 is greater than only among those infected.

Resumo O objetivo deste estudo foi determinar a ocorrência de patógenos transmitidos por carrapatos (Ehrlichia canis, Babesia vogeli, Hepatozoon spp. e Rickettsia spp.) em cães na Vila de Jericoacoara, região costeira do Ceará, Brasil. Amostras de sangue foram coletadas de 153 animais e analisadas por métodos moleculares e sorológicos. Sessenta animais foram encontrados infectados ou expostos a pelo menos a um dos patógenos estudados. Babesia vogeli foi o patógeno mais prevalente (15%), seguido por E. canis (13,7%) e Hepatozoon spp. (11,8%), que foi identificado como Hepatozoon canis por sequenciamento. Vinte cães (13%) foram sororreativos à Rickettsia spp. Rhipicephalus sanguineus sensu lato foi observado em 11,8% dos animais. Houve associações entre idade (<3 anos) e positividade para B. vogeli, e entre habitação (cães de rua) e positividade para H. canis. Também houve associações entre anemia e infecção por H. canis, e entre leucopenia e exposição a Rickettsia spp. Não foi detectada associação entre alterações clínicas e infecção ou exposição aos patógenos estudados. Os resultados confirmaram que patógenos de importância veterinária estão circulando no nordeste do Brasil e mostraram que cães estão expostos a espécies de Rickettsia com potencial zoonótico, indicando a necessidade de medidas de controle do vetor.

Abstract The aim of this study was to determine the occurrence of tick-borne pathogens (Ehrlichia canis, Babesia vogeli, Hepatozoon spp. and Rickettsia spp.) in dogs in Vila de Jericoacoara, coastal region of Ceará, Brazil. Blood samples were collected from 153 animals and analyzed using molecular and serological methods. Sixty animals were found to be infected or exposed to at least one of the pathogens studied. Babesia vogeli was the most prevalent pathogen (15%), followed by E. canis (13.7%) and Hepatozoon spp. (11.8%), which was identified as Hepatozoon canis through sequencing. Twenty dogs (13%) were seroreactive to Rickettsia spp. Rhipicephalus sanguineus sensu lato was observed on 11.8% of the animals. There were associations between age (< 3 years old) and positivity for B. vogeli, and between habitation (stray dogs) and positivity for H. canis. There were also associations between anemia and infection with H. canis, and between leukopenia and exposure to Rickettsia spp. No association was detected between clinical alterations and infection with or exposure to the pathogens studied. The results confirmed that pathogens of veterinary importance are circulating in northeastern Brazil and showed that dogs are exposed to Rickettsia species with zoonotic potential, thus indicating a need for vector control measures.

RESUMO Objetivo: identificar o ponto de vista de egressos de cursos de pós-graduação stricto sensu sobre as contribuições de tal qualificação para a atuação no mundo do trabalho; e discutir dificuldades e facilidades vivenciadas pelos egressos no contexto laboral, considerando o processo de qualificação nos cursos de pós-graduação stricto sensu. Método: estudo qualitativo, realizado em três universidades fluminenses no Brasil, realizado com 25 enfermeiros, cuja coleta ocorreu de abril a junho de 2019. Utilizou-se a entrevista semiestruturada e o tratamento dos dados ocorreu por meio da análise temática de conteúdo. Resultados: a qualificação repercutiu positivamente, proporcionando diversificadas oportunidades de empregos e conferindo maior reconhecimento profissional. A configuração da organização laboral e das relações interpessoais são elementos que dificultam ou facilitam o trabalho, resultando em prazer ou sofrimento. Conclusão: a contribuição deste estudo foi analisar a percepção de egressos sobre a importância conferida à qualificação profissional, apresentado um ponto de vista diferenciado.

ABSTRACT Objective: to identify the point of view of egresses from stricto sensu postgraduate courses about the contributions of such qualification for acting in the world of work; and discuss difficulties and facilities experienced by egresses in the labor context, considering the qualification process in stricto sensu postgraduate courses. Method: qualitative study, conducted in three universities in Rio de Janeiro, Brazil, carried out with 25 nurses, whose collection occurred from April to June 2019. Semi-structured interview was used, and data treatment occurred through thematic content analysis. Results: qualification had positive repercussions, providing diversified job opportunities, and conferring greater professional recognition. The configuration of the work organization and interpersonal relationships are elements that hinder or facilitate the work, resulting in pleasure or suffering. Conclusion: the contribution of this study was to analyze the perception of graduates about the importance given to professional qualification, presenting a differentiated point of view.

RESUMEN Objetivo: identificar el punto de vista de los egresados de los cursos de postgrado stricto sensu sobre los aportes de dicha calificación para actuar en el mundo del trabajo; y discutir las dificultades y facilidades experimentadas por los egresados en el contexto laboral, considerando el proceso de calificación en los cursos de postgrado stricto sensu. Método: estudio cualitativo, realizado en tres universidades fluminenses en Brasil, realizado con 25 enfermeros, cuya coleta ocurrió de abril a junio de 2019. Se utilizó la entrevista semiestructurada y el tratamiento de los datos se realizó mediante el análisis temático del contenido. Resultados: la cualificación repercutió positivamente, proporcionando diversas oportunidades de empleo y confiriendo un mayor reconocimiento profesional. La configuración de la organización laboral y las relaciones interpersonales son elementos que dificultan o facilitan el trabajo, dando lugar a la práctica o al sufrimiento. Conclusión: la contribución de este estudio fue analizar la percepción de los egresados sobre la importancia conferida a la cualificación profesional, presentando un punto de vista diferenciado.

RESUMO Estudo prospectivo, randomizado e duplo-cego com o objetivo de comparar dois protocolos diferentes utilizados para o preparo de cólon em pacientes que realizaram colonoscopia: solução de Manitol; e solução de Picossulfato de Sódio combinado com Óxido de Magnésio. Para avaliar qual protocolo proporciona melhores resultados, 90 pacientes do ambulatório de proctologia da Unidade de Cirurgia Geral do Hospital Regional da Asa Norte (HRAN) compuseram a amostra deste estudo. Tanto os pacientes quanto o colonoscopista não tiveram prévio conhecimento da substância utilizada para o preparo do cólon, a qual foi distribuída randomicamente entre os participantes. Os dois protocolos demonstraram bons e semelhantes resultados acerca da eficiência do preparo do cólon, embora a literatura estudada tenha demonstrado diferença significativa em favor do preparo feito com solução de Manitol em relação a limpeza do cólon durante o exame. Em consonância com a literatura, os pacientes que utilizaram solução de Manitol apresentaram mais efeitos colaterais, destacando-se a diferença significativa encontrada para vômito e distúrbios do sono. O preparo com Picossulfato de Sódio com Óxido de Magnésio foi relevantemente superior em relação à facilidade de ingestão percebida pelos pacientes.

ABSTRACT This prospective, randomized and double-blind study aims to compare two different protocols used for bowel preparation in patients scheduled for colonoscopy. The protocols were composed by solutions of Mannitol or sodium picosulfate combined with magnesium oxide. Patients from the proctology outpatient clinic of the General Surgery Unit of the Regional Hospital of Asa Norte (HRAN) comprised the sample of this study. Both the patients and the colonoscopist had no prior knowledge of the substance used to prepare bowel, which was randomly distributed among the participants. Both protocols demonstrated good and similar results regarding the efficiency of colon preparation, although the review of literature shows a difference in favor of preparation made with Mannitol solution regarding the colon neatness during the exam. In line with the literature, patients who used Mannitol solution had more side effects, highlighting the significant difference found for vomiting and sleep impairment. The preparation with Sodium Picosulfate with Magnesium Oxide was significantly superior in relation to the ease of ingestion perceived by the patients.