The control and social participation foreseen in the organic law of health 8.142, of December 28, 1990 and resolution nº 453, of May 10, 2012, constitute legislatively the guarantee of the inclusion of the population in the managerial and inspection aspects of the Unified Health System (SUS), constituting improvement and quality of service with popular involvement. From the municipal representative entity formed by the municipal health councils (CMS), the question “What is the perspective of the members of the municipal health councils on the effectiveness of their actions and knowledge about the role of social control and participation?” . The aim is to understand the process of actions of municipal health councils and the implementation of roles and knowledge as provided for in legislation. METHODOLOGY: This is a research with a qualitative approach of an exploratory and descriptive nature, the adopted approach will start from the action-research method, its pillar being the researcher's commitment to popular guidelines, in the search for solutions and/or elucidation of problems based on changes , involving the social side, deeply interconnected with the educational praxis, being guided by stages and phases of investigative moment, moment of thematization and moment of the program-action with Evaluation of the obtained results. The Target Audience will be the members of the CMS, representatives of the population, health professionals and management of the Microregion of the Oriental Seridó made up of 10 municipalities selected for convenience justified by the proximity of the location to the educational institution and the favorable availability of the place to receive the study , the sample is justified by the saturation criterion; data collection will take place through an open/in-depth interview with a focus group script. For data analysis, content analysis will be used, aided by the IRaMuTeQ tool with R 4.1.3. JUSTIFICATION: This research is justified, as it contributes to the construction of the body of knowledge in the field of collective health, public policies and instances of social control and participation, demonstrating realities that are often not observed, evidenced or neglected in the constant debate of the advice for the development of the SUS and provide data that institutions or instances of the SUS can make use of for the development of activities or prioritization of actions. EXPECTED RESULTS: contribute to the areas of knowledge in collective health, public health policies and social control and participation, demonstrate possible points of debate for the councils, aiming at the continuous development of the Unified Health System and provide data to which the Intermanagers Commission Regional, IV Regional Public Health Unit and educational institutions can make use of the development of activities and prioritization of actions in the region. In addition, we seek to demonstrate possibilities of promoting permanent health education to members of municipal health councils.

The perception of violence as a health problem is directly linked to its interference in the individual's quality of life and incorporated social processes. Among the different types and characteristics of violence, gender-based violence stands out, one of the biggest health problems today. Gender-based violence is linked to physical, sexual and psychological abuse, in addition to moral and intellectual oppression, it also includes trafficking in women, ethnic and racial violence and violence committed by the State. Gender issues were gradually and predominantly established so that violence against women found forms that adapted to the characteristics of time and modern society. In this sense, Primary Health Care (PHC) is the privileged locus of care, being an ally in the prevention, combat and monitoring of gender-based violence. The valorization of PHC, part of its connection in the action scenario, enabling greater connection and understanding of subjects and their local relationships, there are at least three strong reasons that qualify PHC as a privileged domain for the route to be taken by women victims of violence in search of help. This study aimed to analyze, based on the speeches of health professionals, actions to combat gender-based violence in PHC in the light of comprehensiveness. This is a descriptive study, with a qualitative approach, methodologically systematized by the Collective Subject Discourse (DSC) and based on the Theory of Social Representations. It was developed in two Basic Health Units (UBS), one in the municipality of Caicó in the state of Rio Grande do Norte and the other in the municipality of Sousa in the state of Paraíba. All health professionals who make up the team working at the UBS involved and who wished to participate after presenting the ECR participated in the study. Data were collected through a semi-structured interview in October 2023, upon release and approval from the Ethics Committee to which the study was submitted. The empirical material was analyzed using the DSC technique. The present study considered the ethical aspects of research involving human beings, therefore, it was submitted to the Research Ethics Committee – CEP of the Faculty of Health Sciences of Trairi – FACISA of the Federal University of Rio Grande do Norte – UFRN and approved by number 6,303,429. 27 health professionals participated in the research following the inclusion and exclusion criteria. Four themes were found that generated the discussion of the study, these being based on the professionals' knowledge of the care network for victims of violence; in preventing cases of gender-based violence in PHC; comprehensive management of gender-based violence; and in the actions of professionals in the face of gender-based violence in PHC. In this way, PHC's actions in the face of gender-based violence can be presented based on the conceptions and reports of working professionals.

Introduction: Problems with the sleep/wake cycle and disorders resulting from sleep are considered public health problems. However, there is little in the scientific literature what health professionals in the context of PHC in Brazil know about sleep problems and disorders. Objective: To evaluate knowledge about the sleep/wake cycle and sleep disorders and application of this knowledge in the field of work among primary health care professionals in the context of the 5th Regional Public Health Unit (URSAP). Methods: Mixed method, exploratory-descriptive work developed in municipalities of the 5th URSAP. 93 professionals participated in the research, with 86 for the quantitative part and 16 for the qualitative part. Data were collected from a semi-structured form divided into 2 modules: “Personal data” and “Knowledge about Sleep”, which includes part of the Health and Sleep questionnaire, and the Assessment of Sleep Knowledge in Medical Education (ASKME), in addition to open questions about the use of knowledge about sleep in professional practice and the work environment. Results: 86 professionals had higher education and 7 had secondary or technical education, focusing on the age group of 30 to 39 years old (50%), female (73.3%). Working time had an average of 3.7 (sd = 4.4), and the level of knowledge about sleep 5.7 (sd = 1.9). Regarding the source of obtaining information about sleep, participants reported looking more through digital media (60.5%). When asked if they knew about sleep hygiene, 36% of participants responded “more or less”. Knowledge about sleep hygiene was most used for routine life (80.2%). Professionals question patients about sleep duration and quality; daytime drowsiness (47.7%); sleeping and waking times and habits performed before bed, 65.1% and 61.6%, respectively, and sleep disorders (58.1%). Furthermore, 74% of participants reported not knowing the guidelines that the Ministry of Health's PHC notebooks provide regarding the importance of questioning patients about sleep. Regarding the categories of the “Health and sleep” questionnaire, overall, they obtained 70% correct answers. ASKME obtained a correct answer frequency of 46.5% in relation to the total questionnaire. As for qualitative data, the analysis showed that the word “sleep” was the one that appeared most prominently in both tests, which was accompanied by the words “sleep”, “patient”, “ask” and “action”. In the similarity analysis, “sleep” has three strongest branches that form three nuclei. Discussion: In general, professionals have some knowledge about sleep, and most question users about sleep problems and disorders in their work routine. However, little in-depth and outdated guidelines were perceived regarding the amount of sleep needed, and even lack of knowledge about basic aspects of sleep, such as sleep architecture, sleep hygiene and narcolepsy.

The complexity of the obstacles in the context of health care and the need to make systems more responsive to the demands of citizens trigger debates about the most appropriate ways to organize health care. Therefore, from the pandemic scenario due to COVID-19, greater demands and practices in health have been evidenced, increasing work overload and the complexity of health activities, also creating a context of instability and vulnerability. Therefore, it is necessary to understand these changes and, thus, to outline ways to effect collaborative and integrated work, from the establishment of an interdisciplinary dialogue, respecting the users' autonomy. This study has as a general objective to analyze the impacts of the pandemic of COVID-19 in the interprofessional work of Primary Health Care teams. And in this way, it is developed through two studies. The first article is an Integrative Literature Review (ILR), with the purpose of synthesizing results of studies already carried out. It was searched in PubMed, with the descriptors: "primary health care"; "interprofessionality"; "COVID-19", with the Boolean operator "AND". A total of 79 articles were obtained. After a critical reading of the documents, using the exclusion criteria, 7 articles were obtained. This article sought to contribute to the good development of the systematization of the interprofessional work process in health teams, improving the quality of care provided to the population and favoring the good functioning of health units. The second article is an exploratory, descriptive study with a qualitative approach, whose field of investigation will be the Basic Family Health Units in the municipality of Campina Grande, Paraíba. The study sample was composed of the health teams linked to the ESF. Data collection occurred between the months of January and April 2022. The content analysis was based on Bardin, with the help of the Atlas ti software. This research was submitted to the Ethics and Research Committee of the Faculdade de Ciências da Saúde do Trairi (FACISA/UFRN) and approved under CAAE number 54029521.0.0000.5568. From the content analysis, through data management by means of Atlas ti., the coding process of the interviews was carried out, which generated 4 categories of codes, being the following: interprofessional competencies, consequences of the pandemic of COVID-19, management and management, organization of the work process. The categories reveal that the main activities affected by the pandemic are health promotion, prevention and surveillance activities. From this perspective, The results indicate that the pandemic caused impacts on the interprofessional work in PHC, including the development of health promotion actions, fragmentation of prevention activities, changes in collaborative practices, lack of training provided by management, structural problems, distance between the service, professionals and the community and direct impacts on teamwork and quality of care. These results are relevant, and may contribute to future decisions about the theme; this study reveals actions that were impaired during the pandemic, and that need more attention in this post-pandemic moment.

Introduction: the Family Health Permanent Education Program is a health training strategy for professionals working in the Family Health Strategy. It results from the partnership between the Ministry of Health and the Federal University of Rio Grande do Norte as a strategy to support and strengthen Primary Health Care. Objective: To analyze the use of the Distance Learning modality in the Permanent Education Program in Family Health related to Permanent Education in Health. Methodology: this is a case study with a qualitative approach using online questionnaires on the course platform as instruments. Results: Technologies can still be a problem in some extremes of Brazil. The Permanent Education Program in Family Health sparked a movement to consolidate Permanent Education in the educational processes carried out to train professionals in the Unified Health System, especially in primary care. It allowed for discussion among professionals on topics that emerged in their daily work, resulting in an exchange of experiences among the team, which contributes to updating technical knowledge and providing changes in professional practices. Conclusion: The Distance Learning modality of the Permanent Education Program in Family Health is configured as a strong permanent education strategy, contributing to the advancement of the teaching-learning process in the Unified Health System.

Introduction: Pregnancy is a complex and differentiated phase of life that involves many physical and psychosocial transformations. It is a period of great expectations and emotional influences, permeated by feelings and discoveries regarding the new roles that will be exercised within the home. Therefore, the function of primary care is paramount in providing quality and humanized prenatal and puerperal care with the aim of welcoming women from the beginning of pregnancy, seeking, at the end of pregnancy, the birth of a healthy and healthy child. maternal and newborn well-being. In this context, the man's participation in the reproductive process is explored, allowing his choice to be a father, and in the affective relationship with the children that can be established with prenatal care. However, cultural and professional factors tend to distance men from prenatal care. Objective: to identify the meaning of prenatal care for men, in the light of the Collective Subject Discourse. Methodology: this is a qualitative, descriptive and exploratory research that had as its setting two health units selected by drawing lots among the four existing in the municipality of Nova Floresta/PB. The subjects of this study were the companions of the pregnant women assisted at the health units drawn and registered in the Prenatal program and who had had at least three consultations. Furthermore, a semi-structured interview was used and data analysis was performed using the Discourse of the Collective Subject (DSC) obtained by verbal analysis issued in the first person (collective) singular. Results: All eight partners interviewed are the biological parents of the current conceptus, ranging in age from 18 to 30 years. They have a family income of less than one minimum wage. Regarding the number of pregnant women's consultations, six were between three and six prenatal consultations and five of these with gestational age in the second trimester and all started their follow-ups in the 1st trimester of pregnancy. Of these, four pregnant women were in their 1st pregnancy. No participant interviewed accompanied the pregnant woman in the current prenatal consultations. DISCUSSION: 9 DCS were elaborated based on key expressions and central ideas emitted by the participants' speeches. The results showed that the companions had imprecision or doubts regarding the meaning and importance of prenatal care, identified by the lack of knowledge about the program and its practice in the service. In turn, they recognize the importance of the pregnant woman in carrying out the consultations, as it reflects on the well-being of the pregnant woman and the health of the baby, in addition to being a time to solve concerns and doubts of the pregnant woman and the couple that can influence the quality of life of the mother. pregnant. They affirmed their willingness to be present at the consultations and stated that they felt pregnant. There are no educational actions in their health units. He considers that fatherhood encompasses feelings linked to the emotional, favoring support in the family environment and positive changes in the couple's relationship. There were no difficulties in accessing the prenatal service. FINAL CONSIDERATIONS: It is concluded that men want and can participate in prenatal consultations and follow-up throughout the pregnancy process, however there are several variants in the health system that must be reviewed to improve public policies on men's health to insert it in care within collective health.

Introduction: Given the high potential for severity and transmissibility of covid-19 in the pandemic period, food and nutritional insecurity tended to increase in magnitude. In addition, routine health services were reorganized or discontinued as a way to minimize the consequences of this condition for the population. Objective: To investigate the relationship between food and nutritional security against the use of health services by people affected by covid-19 in the state of Paraíba. Objective: To investigate the relationship between food and nutritional security against the use of health services by people affected by covid-19 in the state of Paraíba. Methodology: This is an observational, cross-sectional, retrospective research with a quantitative approach, carried out through the application of a digital questionnaire. Data analysis took place in stages. Initially, exploratory factor analysis was performed to examine the structural validity of the short version of the Brazilian Food Insecurity Scale (EBIA). Cluster analysis was used to verify similarities between individuals, in relation to Food Insecurity (FI) and the difference in Body Mass Index (BMI), before and during the pandemic. Then, the Kolmogorov-Smirnov test was used to verify the normality of the data, in addition to the Kruskal-Wallis test and the Mann-Whitiney post-test with Bonferroni correction to compare the groups formed regarding the EBIA score, difference in BMI and Age. The Wilcoxon test was also used to compare BMI before and during the pandemic in the sample. The descriptive analysis of the groups, based on measures of center and variation, characterized the sociodemographic aspects and the use of health services. Finally, the association between food consumption, before and during the pandemic, with the AI classification using the chi-square test was verified. Results: Cluster analysis resulted in three groups: higher AI (15.4%); lower AI (20.8%); and minimal or no AI (63.8%). Significant differences were identified between groups for the EBIA score variables; difference in BMI before and during the pandemic; and Age. In health care for covid-19, the three groups observed greater use of the public system and the search for primary care, with no need for hospitalization by the majority of the sample. Individuals in the group with the highest AI lived in municipalities with fewer services of greater complexity, as well as taking longer to receive the first dose of the vaccine against covid-19 and obtaining more prescriptions for early treatment. Regarding food consumption, the results pointed to an association between the lower frequency of eating foods such as greens, vegetables and fruits with the highest AI classification. Final considerations: Faced with the use of health services during the covid-19 pandemic, this study highlighted the demand of the public with higher AI for priority actions of equity in health. The profile of food consumption reinforces the need for articulated actions between different sectors of society, such as health and the social sector, with the aim of encouraging and enabling means for the population to acquire a healthy diet. Therefore, the findings found in this study can contribute to the construction and strengthening of public policies aimed at guaranteeing access to health, considering aspects related to Food and Nutritional Security (SAN).

Food is a basic fundamental right to life recognized by the International Covenant on
human, economic, social and cultural rights in several countries, including Brazil, as
provided for in the Federal Constitution of 1988. However, it is not recent that this right
has been violated , mainly affecting more vulnerable populations, due to the lack of
adequate conditions for decent food for their survival.The objective of this research is to
know the access to the right to adequate food of a group of women users of the Social
Assistance Reference Centers (CRAS) in the municipality of Santa Cruz-RN. This is a
quantitative and qualitative study of the intervention-research type, having Institutional
Analysis as a methodological theoretical perspective. The meetings took place between
October and December 2022, with a maximum participation of 17 women aged between
21 and 59 years. The data were constructed through the application of a socioeconomic
questionnaire, the Brazilian Food Insecurity Scale (EBIA), in addition to conversation
circles and a research diary. Three conversation circles were held about the experience
of women in relation to the right to food and the research diary served as a contribution
throughout the collection of material.In the meetings, the women did not know a priori
that food was a social right, just as they did not know that the State was responsible for
guaranteeing this right to the population. The participation of some support networks
did not guarantee access to food, given that most were in some degree of food insecurity
and did not recognize this fact. It is necessary to develop and improve programs and
projects in order to strengthen the support networks in guaranteeing the right to food, as
well as the development of activities at CRAS that take information about education and
citizenship, in order to better inform and assist these subjects. about their rights and
guarantees in society.

Knowledge Translation (KT) refers to the process of applying research findings in real-world settings. It is a participatory and dynamic process that strengthens healthcare systems, aids decision-making, and improves the population's health outcomes. This study aimed to analyze KT from the perspective of professionals, managers, and users in the context of care for individuals with non-communicable chronic diseases (NCDs) in Primary Health Care (PHC). It was an observational, descriptive, cross-sectional study with a quantitative approach conducted in the V Regional Unit of Public Health (URSAP), located in the Trairi and Potengi Health Region, Rio Grande do Norte, Brazil. This study is a subset of the research project titled "Caring: Enhancing Comprehensive Care for Non-Communicable Chronic Diseases in the Agreste Potiguar," developed by researchers from the Faculty of Health Sciences of Trairi - FACISA / UFRN, conducted between February and December 2022. The sample consisted of 130 participants, including 58 professionals, 17 managers, and 55 users of Primary Health Care (PHC). All ethical precepts were respected. Data collection was conducted using semi-structured questionnaires developed by the researchers and directed toward professionals, managers, and users of PHC. A descriptive analysis of the data was performed, including measures of central tendency and relative and absolute frequencies. Statistical treatment was carried out using SPSS software version 22.0. The results were presented in three articles. The first article aimed to investigate KT in the care of non-communicable chronic diseases (NCDs) from the perspective of managers and professionals in PHC. The sample included 58 professionals and 17 health managers, with the majority of participants being female (74.2%). Fifty percent of professionals reported not having knowledge about KT, while 41.2% of managers reported having heard about KT but were unable to explain or define it. It was found that the majority (96.6%) did not receive management support to participate in KT training with a focus on NCDs. The second article aimed to investigate how KT occurs in the context of care for non-communicable chronic diseases (NCDs) from the perspective of users and professionals in Primary Health Care (PHC). The sample consisted of 58 professionals and 55 PHC users, with the majority being female. It was observed that users sought information by visiting the healthcare unit in person and through community health workers. They did not encounter difficulties in understanding the guidance provided by professionals, who adopted a language that was easily understandable. According to professionals, KT occurred through the transmission of information during individual consultations. The third article aimed to report the experience of knowledge translation and dissemination through the use of digital communication tools in the care of non-communicable chronic diseases in PHC. Official databases were consulted for KT purposes regarding NCDs. To disseminate knowledge, infographics, informative cards, videos, podcasts, and lay summaries were produced and targeted to the intended audience. These materials were then shared on digital platforms and local radio stations in the Trairi and Potengi regions. Digital communication tools allowed for a broader reach of the target audience, which can facilitate health promotion and improve access to information about NCDs.

Introduction: The International Classification of Functioning, Disability and Health considers functionality to be influenced by the complex interaction between existing diseases and environmental and social factors based on the biopsychosocial model of care. Thus, the Model Disability Survey (MDS) is a tool created by the World Health Organization (WHO) in order to assess the functionality and disability profile of a population. It was translated, adapted and validated in Brazil in 2021, also indicated for epidemiological use, standing out for having a more detailed analysis proposal. Objective: To describe the prevalence of health conditions and their association with sociodemographic characteristics and functionality in the adult and elderly population of Santa Cruz, Rio Grande do Norte. Methods: This is an observational and cross-sectional study with data collected through a population survey. The survey was carried out in the municipality of Santa Cruz between October 12th and November 1st, 2022 with a total of 504 respondents adults over 18 years old in different households with an average duration of 48 minutes using tablets. automatically in the search system, thus reducing the possibility of problems. Adults and elderly people aged 18 years or over, of both genders, residing in the municipality and excluded, participants who chose not to complete the interview and those unable to understand and/or respond were included. Results: Statistical analysis was performed using SPSS Statistics 22.0. The results were presented in 2 different ways: inferential analysis and descriptive analysis of the modules 1000-Sociodemographic data, 4000-Functionality and 5000-Health Conditions of MDS Brazil. The Chi-square Test was used to analyze the association between the variables gender, color/race and marital status with the items in the Health Conditions module of the MDS-Brasil. The level of statistical significance adopted was 5%. Among the 504 people who participated in the study, it was found that 98.6% declared themselves to be Brazilian, 76.4% female, 44.6% self-declared brown, 38.3% married and 17.6% were between 4 -8 years of study. Among the three aspects of the Functionality module, the highest prevalence for severe disability was Activities and Participation, comprising 28.2% of the population. Pain was reported by 36.6% of people with moderate or severe disability. The most prevalent health condition in use of medication and other treatments was systemic arterial hypertension with 35,3% prevalence. If associated with sociodemographic conditions, women diagnosed with arthritis/arthrosis were the most prevalent finding, representing 98.4% of those diagnosed. The condition was more prevalent among married people (37.5%) and self-declared white (42.2%). Moderate disability, in terms of Body Functions, was predominant for the diagnosis of arthritis/arthrosis with a prevalence of 50.8%, as well as for the Mobility aspect, this condition represented 43.8% among those with severe disability . In the classification for the Activity and Participation aspect, back pain was the most incapacitating, as it severely disables 53.2% of respondentes.

The right to health of the LGBTI+ population entered the Brazilian political agenda from the construction of tensions guided by social activists, especially in the 1980s and 1990s during the HIV/AIDS epidemic. One of the advances in this agenda was the enactment of the National Policy on Comprehensive Health for Lesbians, Gays, Bisexuals, Transvestites and Transsexuals, in 2011, considered an important milestone in the struggle for recognition and for the right to health. The histography of social activism reveals the elaborations and contributions in the construction of public policies and in other political processes by social movements. Still, there are materials on the history of LGBTI+ activism in the Brazilian Northeast is still scarce. Understanding the articulation of the right to health agenda throughout the history of this movement, although undertaken by some authors, suggests further deepening. The discrimination and violence to which LGBTI+ people are exposed on a daily basis, including in health services, reveal the need for changes in health care and assistance practices. Faced with these issues, we understand that the role of social movements is fundamental in the struggle for recognition and social justice in human rights for this population. Based on this assertion, we intend to analyze how the right to health agenda was articulated by the LGBTI+ movement in Rio Grande do Norte, throughout its history. To achieve our goal, we will use the semi-structured interview technique, along the lines of oral history, with LGBTI+ activists in RN. In addition, documentary research will be carried out on action plans, debate records, minutes of meetings and other historical records related to the LGBTI+ movement in RN. For data analysis, the theoretical-methodological perspective of Hermeneutic-Dialectic Analysis will be used. The initial analyzes of the study allow us to observe certain limits of institutionalized spaces of social control. In addition, it suggests that two main moments that overlap in the articulation of the agenda of the right to health by the LGBTI+ movement: the moment of the HIV/AIDS epidemic and the moment of rise of the agendas of the trans and transvestite population.

It is a product of the Qualifying Examination being developed by the Academic Master Degree Program in Collective Health at the Federal University of Rio Grande do Norte, Faculty of Health Sciences of Trairi, belonging to the Research Line Epidemiology and living conditions and population health. This study aims to evaluate the perception of users regarding access to health services in the municipality of Santa Cruz, Rio Grande do Norte, Brazil, through the Model Disability Survey - MDS-Brasil survey. This is an observational and cross-sectional study with data collected through a population survey in the city of Santa Cruz-RN. Adults and elderly people aged 18 or over, of both sexes, were included. In this study, a population survey was carried out and modules 1000- Sociodemographic data, 4000-Functionality and 6000-Use of Health Services from MDS Brazil were selected. The program used for statistical analysis was SPSS Statistics 22.0 and Programa R. 504 people were interviewed. Most respondents considered themselves dissatisfied with the health services provided in Brazil and classified the way in which the Unified Health System (SUS) in Brazil involves them in decisions about the types and where health services are provided, as “neither good or bad”. In the study, there was a prevalence of females, high school education, married marital status, brown race/color, country of birth Brazil and age range from 25 to 59 years. Most of the interviewees presented moderate disability for the aspect of mobility and body
functions and severe disability for the aspect of activity and participation.

Introduction: Feminicide is characterized as the murder of women resulting from gender inequality. In Brazil, these crimes are mainly committed in places with higher rates of poverty and social vulnerability. The highest occurrence of these crimes occurs among young, mixed-race, single women with less schooling, being executed preferably through the use of firearms. Objective: To analyze the temporal trend and spatial distribution of female firearm-related mortality and socioeconomic indicators in Brazil from 2010 to 2019. Methodology: Two studies will be developed. The first of the ecological type of temporal trend, based on secondary data from the Mortality Information System. The mortality rate due to firearm discharge in women aged 15 to 49 years was considered as an outcome variable, these data were analyzed using the JoinPoint open source software. Independent variables such as marital status, race/color and education were also collected from the SIM and the other variables such as Average Per Capita Income, Percentage of Poor People, Gine Index and Schooling were obtained through the Atlas of Human Development in Brazil from the Programa das United Nations for Development. The second study, also ecological, population-based and with the same variables used in the first study, however the analysis software is in the process of being chosen. Preliminary Results: Identified the occurrence of 2,022 deaths of women due to firearms in Brazil in the age group of 15 to 49 years of age in the period from 2010 to 2019, totaling an average rate of 0.36 deaths/100,000 women. During this period, there was a tendency towards a reduction in these mortalities from 2017 (APC= -11.8% CI95% -44.2; 39.5), but without statistical significance for most regions. Only the Central-West Region showed a reduction in statistical significance from 2010 to 2014 (APC = -41.9*% CI95% -64.7; -4.3). However, the North Region obtained the opposite result, with an increase in statistical significance from 2013 onwards (APC= 23.5* 95%CI 0.4; 51.9). During this period, RIAUS clusters with high mortality rates were formed in the North and Northeast regions, with the formation of respective clusters (High-High and Low-High). The highest occurrence of these crimes occurred among mixed-race, single, less educated, unemployed and low-income women. Final considerations of the work: Even though the country shows a tendency to reduce feminicide by firearm in most regions, the numbers are still below what is desired, with a wide distribution especially in the most socially and economically disadvantaged populations, such as the Region North and Northeast. Therefore, it is necessary to strengthen and restructure public policies that aim to protect women and take into account the social and economic context in which they are inserted.

Introduction: Health work management aims to implement new models of organization and operation of the country's public health services, making it indispensable in the processes of political-administrative organizations of the Unified Health System. Objective: Analyze the insertion of Education Permanent Health Care (EPS) present in the management planning instruments of the municipalities of the 4th Health Region of Paraíba. Methods: This is a documentary research with a qualitative approach with a descriptive and exploratory nature. Among the health microregions, the 4th Health Region of the state of Paraíba, located in the region of Curimataú and Seridó Paraibano, was delimited for this research. Results and Discussion: Among the materials analyzed, Management Planning instruments, Municipal Plans of Health and Continuing Health Education, Ordinances and Resolutions, Reports of the Teaching and Service Integration Commission, Technical Chamber and State Conferences and Mental Health Program, totaling 69 documents. It was found that health conferences played a key role in providing a basis for managers and teams in developing municipal and state health plans, with active consideration of relevant health advice. These plans reflect a significant integration of Continuing Education, incorporating actions, goals and objectives aligned with the deliberations of these events. Conclusion: The incorporation of public education policies into management instruments is the result of actions developed in the territories. The autonomy of workers and users in defining their paths differs from the perspective of managers, who may believe they are controlling work only through management spreadsheets and information systems.

Introduction: adolescence is a complex stage of biopsychosocial transformations and risk behaviors promoted at this stage tend to remain in adulthood. Alcohol use, smoking, obesity and sedentary lifestyle are factors that, when started in adolescence, are related to the health of adults and are associated with the development of chronic non-communicable diseases (NCDs) throughout life. Individuals who live in precarious socioeconomic situations have worse health conditions when compared to those with better economic situations, with greater disadvantage due to sex, ethnicity, and education, among others. And in Brazil, race/skin color is a marker of social disparities, being considered a predictor of health outcomes. Objective: to analyze the simultaneity of health risk behaviors of Brazilian adolescents according to race or skin color. Methods: cross-sectional study with data from the National School Health Survey (2015). The study sample consisted of 102,301 participants and the simultaneity of risk factors (physical inactivity, precarious consumption of fruits, vegetables and vegetables, consumption of alcohol and cigarettes) by differences in race/color was analyzed. The crude and adjusted prevalence ratios (PR) were calculated, with their respective 95% confidence intervals and p values, using Poisson Regression, in an analysis adjusted for gender, age and maternal education. Results: In 2015, 102,301 schoolchildren were interviewed, 43.05% of whom declared themselves brown, 36.14% white, 13.38% black, 4.11% yellow and 3.29% indigenous. In the sample, the prevalence of physical inactivity was 38.42% (95%CI 37.9-38.95), of cigarette use was 5.55% (95%CI 5.29-5.83), of precarious consumption was 80 .68% (95%CI 80.24-81.12) and the use of alcohol was 23.78% (95%CI 23.31-24.25). The prevalence of simultaneity of the four risk factors among adolescents was of 1.43% (95%CI 1.29-1.58) and the most frequent simultaneity was physical inactivity and precarious consumption of fruits, vegetables and vegetables (25.11% 95%CI 24.64-25.58). The prevalence of simultaneity of the four factors was higher among indigenous people (PR 1.77; 95%CI 1.00-3.13) and the combination of physical inactivity, alcohol and cigarette use was significant among browns (PR 2.11 ; 95%CI 1.05-4.24) when compared to whites. Conclusions: there was a higher prevalence of simultaneous risk factors for chronic conditions among self-declared browns and indigenous peoples when compared to whites. This inequity may be a reflection of the inequitable social structure present throughout the Brazilian historical process, and this situation may impact the health conditions in the life cycles of these populations.

Introduction: The development of valid instruments to measure the degree to which an organization is prone to innovation, according to its professionals, is crucial to increase the response capacity of organizations in the face of new health demands. From this, instruments such as the Organizational Functioning and Readiness for Change (ORC) were created. The abbreviated version of Organizational Functioning and Readiness for Change (ORC), called Organizational Readiness for Change (POM) or POM Assessment, contains 65 items distributed across 12 domains.  Objective: translate, adapt and validate the POM Assessment to identify the level of propensity to change in health professionals. Methodology: This is a methodological research developed in 3 stages: translation of the original instrument, cross-cultural adaptation and validation of reproducibility; 32 health professionals from Tangará-RN participated in the research. The research was approved by the Research Ethics Committee and the participants were contacted personally, via email and/or via WhatsApp, informed about the objectives and signed the informed consent, answering the questionnaire via Google Forms. The instrument is self-administered, answered in 20 minutes and will contribute to the realization of other studies that aim to measure the impact of the proposed change in the studied population. The instrument was validated by analyzing the psychometric characteristics: reliability and internal consistency. For test-retest reliability: ICC; and to calculate the internal consistency of the scale: Cronbach's Alpha, using the Statistical Package for the Social Sciences (SPSS) version 21.0 for data analysis. Results: 32 professionals (71.11%) agreed to participate and responded to the test, and, of these, 29 to the retest, with a loss of 3 professionals (9.37%) of the total number of participants. Test: 26 women (81.25%) and 6 men (18.75%), mean age of 32.50 years, mean time since graduation of 6.07 years and mean experience in the area of 5.50 years . Retest: 24 women (82.75%) and 5 men (17.25%), mean age of 32.24 years, mean time since graduation of 5.98 years and mean experience in the area of 5.51 years ; Most nurses (37.50%) and dentists (18.75%) participated in the test; in the retest, most nurses (37.94%) and dentists (17.24%) also participated. Most professionals were assigned to Basic Health Units (UBSs) (56.25%), and to Hospital Santa Terezinha (18.75%;). Regarding reliability, the 65 items of the 12 domains were related and, in general, the POM Assessment presented Cronbach's alpha of 0.898 in the test phase and 0.900 in the retest, in addition to a test-retest ICC of 0.921, which are values considered optimal. Conclusions: The POM Assessment is a short and easy-to-administer instrument, which presents adequate internal consistency, test-retest reliability and agreement values within acceptable limits, which indicates potential for its application in clinical practice and in scientific research, allowing management to evaluate the degree of commitment and participation of its employees within a health unit.

Encouraging the practice of physical activity is one of the main strategies used to face non-communicable diseases and chronic diseases, especially in relation to obesity, diabetes and hypertension. Furthermore, physical activity is an important component of quality of life, physical and mental health. However, not everyone has access to environments that provide opportunities for this practice. This is a reality that needs to be better evaluated and, although it has more defined contours in large urban centers, it is relatively little known in small cities. Thus, the objective of the present work is to evaluate public spaces destined to the practice of physical activity in the microregion of Trairi Potiguar. This is a descriptive observational cross-sectional study that evaluated public structures dedicated to the practice of physical activity in the 11 municipalities that make up the micro-region of Trairi, in the state of Rio Grande do Norte. This territory has an estimated population of 125,620 inhabitants for 2021, the predominant biome is the caatinga and the climate is semi-arid with long periods of drought. Initially, a survey of the structures destined to the practice of PA was carried out with the Municipal Sports Departments. Courts/gyms, parks for walking, health academies and squares were included. Thus, 79 structures were visited in loco, and aspects related to the repertoire and quality of available equipment, user comfort attributes, aesthetics, safety, services and shading were evaluated. A photographic record of all spaces visited was also carried out. It is hoped that the results obtained can be used to improve planning and access to equipment and public initiatives aimed at the practice of physical activity in this micro-region.

The objective of this study was to analyze the implications that the pandemic scenario of COVID-19 has had on the mental health of Primary Care workers, in a municipality in the interior of Rio Grande do Norte. It is a study with a qualitative approach of the descriptive and exploratory type. Data collection took place between December 2020 and March 2021. The data investigated in this study were obtained through a semi-structured interview, carried out by telephone, in which the professionals answered the questions verbally and were subsequently transcribed, ensuring ethical rigor regarding the anonymity and confidentiality of the participants. The treatment and analysis of discourses were performed using the software Interface de R pour Analyses Multidimensionnelles de Textes et de Questionneires (IRAMUTEQ), which performs quantitative analyzes of textual data based on contexts and content classes based on similarity of vocabulary or used in different contexts. similar, associating to the same lexical field. Based on the classification of the categories by IRAMUTEQ, they were interpreted through content analysis, covering the steps indicated by Bardin, in order to extract the relevant content for discussion based on the literature. This study was licensed by the Research Ethics Committee of the Faculty of Health Sciences of Trairí (FACISA) / Federal University of Rio Grande do Norte – UFRN according to CAAE: 39785420.9.0000.5568 and opinion number 4,428,312. Among the workers participating in the research, there was a predominance of females (70.0%), aged between 31 and 40 years (55.0%), being married or in a stable relationship (75.0%). As for the level of education, it was noticed the predominance of professionals who attended high school (55.0%). Most of the population studied work as community health agents (25.0%), with a workload of 40 hours per week (85.0%), with a monthly income of up to 3 minimum wages (70.0%), with more than 10 years of experience in the Basic Health Unit (45.0%). From the lexical analysis by CDH of IRAMUTEQ, four dendrograms were unveiled with the following themes: Class 1: “Heroes or Villains?”, which highlights the social stigma and discriminatory behaviors suffered by primary care workers participating in this research, as well as the social processes of exclusion, resulting from the creation of prejudices and the potentialization of stereotypes linked to negative attitudes and beliefs directed at these workers. Class 2: "Illness in work management", which is based on the reports of the interviewees, on the transformations that occurred in professional relationships, in the increase in requests for demands, in the different management models, variable remuneration, increase in controls and registration processes as a result of the pandemic. Class 3: “between suffering and pleasure”, which presents reports resulting from the worker's relationship with the work process in primary care during the course of the pandemic, considering the experiences of pleasure, suffering, exhaustion, satisfaction and illness. And class 4: “The pains I have here in my chest”, in which we sought to analyze terms in the interviewees' speech, which refer to possible repercussions on their mental health, correlating with aspects of the literature on the subject. It is concluded that through this research it was possible to understand the interference and impacts of the work process during the course of the COVID-19 Pandemic on the mental health of primary care workers. It is hoped that this research can support the development of public policies to promote and care strategies aimed at the collective of health workers.

Introduction: Chrononutrition is an emerging topic and proposes that dietary intake  associated with mealtimes can affect the regulation of the circadian system. In order  to assess chrononutritional parameters, it is necessary to obtain detailed information  on eating and sleep/wake habits, which are not accessed by a single, specific  questionnaire. Objectives: to translate and culturally adapt the Chrononutrition Profile  – Questionnaire (CP-Q) to Portuguese and to assess its validity and reliability for the  Brazilian population. Methods: Cross-sectional quantitative study. Initially, the  translation and cultural adaptation of the CP-Q was carried out, which was proposed  for the American population, with the objective of accessing parameters referring to  the behaviors and preferences of an individual, both for sleep and wakefulness habits,  as well as dietary intake. This step was carried out by two independent translators with  mastery in both languages and followed the following steps: translation; synthesis of  translations; back translation; expert committee and pre-test. In the validation and  reliability stage of the instrument, the following questionnaires were applied: Translated  Crononutritional Profile Questionnaire (QPC); Pittsburgh Sleep Quality Index (IQSP);  Evening Eating Questionnaire; SF-36 Quality of Life Questionnaire; MUNICH  Chronotype Questionnaire (MCTQ) and 24h Food Recall Questionnaire (R24). The  application of the instruments was carried out through the electronic platform of the  Google® questionnaire - Google Forms. The validity of the questionnaire was tested  by the Spearman correlation test and the reproducibility by the Intraclass Correlation  Coefficient (ICC), the significance level adopted for all analyzes was p < 0.05. Results: We evaluated 636 individuals with mean age of 32.4 ± 11.2 years, most of them women  (71.3%), single (61.7%), from the northeast region (78.4%), with an anthropometric  profile eutrophic (52.3%) and with a mean score of 55.8 SD ± 17.9 quality of life.  Sleeping and waking times on work/study days and off days of the QPC showed  moderate to strong correlations with the same parameters of the IQSP (r= 0.66 and  0.60; r = 0.78 and 0.72) and of the MCTQ (r=0.86 and 0.83; r=0.72 and 0.79),  respectively. The largest meal (Kappa = 0.399), skipping breakfast (r = 0.739), eating  window (r = 0.66), nocturnal latency (r = 0.52), and last eating event (r = 0.51) had  moderate to strong correlations when compared to R24. The reproducibility, tested  between 5 and 10 days after the first application, evaluated by the ICC, proved to be  good to excellent in all parameters. Conclusion: The results indicate that the  translation and adaptation of the QPC into the Brazilian language was adequate,  generating a valid and reliable questionnaire to assess the sleep and eating habits of  the Brazilian population. 

Introduction: The development of public policies involves a cycle of steps - agenda, formulation, implementation, evaluation - necessary to understand the decisions taken and their consequences. In implementation, planned decisions are consolidated into final actions. Street Level Bureaucrats (BNR's) are implementing agents, responsible for the direct delivery of policies to citizens. In the Unified Health System (SUS), professionals from the Family Health Strategy (ESF) are considered BNR's of reference in health actions and, in the exercise of their functions, they use their professional autonomy as a strategy to meet the population's needs. Objective: The present study aimed to analyze how the Community Health Agents (ACS's) of a municipality in the Brazilian semi-arid region historically establish their professional autonomy as BNR's in their work routines. Methods: consists of an exploratory qualitative study that, through interviews with as using the Thematic Oral History method and content analysis (Bardin), allowed the construction of analytical categories associated with individual and collective dimensions and the environment of action of these workers. Results: it was observed the development of mechanisms of autonomy by ACS´s in decision making during the implementation of public health policies. Conclusion: the performance of these BNR's can directly influence the execution of these policies.

Primary Health Care (PHC) is one of the levels of Brazilian Unified Health System (SUS), characterized by carrying out health promotion, prevention and protection actions. PHC is directly linked to public health policies as it is governed by the National Primary Care Policy. Among the important issues that can be addressed in public policies, the sleep/wake cycle (SWC) can be highlighted. The damage to health caused by changes in relation to SWC is becoming increasingly evident. Therefore, the aim of this study was to map evidence about SWC related to health policies in the context of PHC. This is a scoping review conducted according to the Joanna Briggs Institute (JBI) methodology and PRISMA-ScR. The databases consulted were PubMed, LILACS, and Scopus, on publications from the last 5 years, in English and Portuguese. In addition, we included the primary care notebooks that are available on the website of the Primary Health Care Secretariat of the Brazilian Ministry of Health. Of 959 articles found in the databases, 34 were selected for full reading, of which 8 met the inclusion criteria. However, 1 more article was added because it was related to the research objective, totaling 9 articles included in the study. Among the 30 primary care notebooks mapped, only 23 returned results. The 9 articles analyzed were mostly from North American and European countries, and addressed health policies related to the following topics: insomnia; sleep apnea; quality of life improvement course; sleep education program; sleep clinic; compliance with national guidelines; lifestyle and academic performance; and about delayed school start in the morning. In the care notebooks, it was observed that 9 guide health professionalsto investigate or question patients about sleep during appointments, and some inform that professionals should guide about sleep. In addition, 8 care notebooks noted sleep or somnolence as an adverse effect to the use of drugs, and 10 indicate changes in sleep or somnolence as symptoms resulting from diseases or health conditions. It is clear then that the central theme addressed in the articles and notebooks evaluated in this study refers specifically to sleep, dealing in a limited way with evidence on SWC and biological rhythmicity in PHC health policies. In addition, no health policy related to SWC was observed in Brazil. In a positive way, it can be observed that sleep is a theme approached in the basic care booklets, but it does not include or approach the biological rhythmicity of the most varied body systems, which is fundamental for individual and collective health, as well as the relationship of the SWC with the health-disease processes. It is expected that this review may provide evidence for the development of new studies and health policies about SWC in Brazil and worldwide, and serve as a basis for the implementation of actions and strategies for health promotion and disease prevention. 

This research aims to analyze the impacts of the COVID-19 pandemic on issues of class, food and gender in family farming in a municipality in the interior of the Northeast. It consists of a cross-sectional study with a qualitative-quantitative approach with a descriptive and analytical nature from the perspective of the theoretical-methodological approach of dialectical materialism. The study will take place in Jaçanã, located in Rio Grande do Norte. It will consist of two phases, the first will include the documentary analysis of technical notes and official bulletins on measures aimed at family farming during the COVID-19 pandemic period, from April to October 2020 and April 2021 to October of 2021. These documents will be researched on the official websites of the Federation, the State and the Municipalities and will be decoded from the thematic analysis in the light of the Marxist dialectical perspective. In the second phase, we will carry out interviews with the representative of the municipal union of family agriculture and with the women farmers unionized in that union in Jaçanã-RN. Therefore, we will apply a semi-structured questionnaire divided into four modules: 1st) Identification; 2º) Socioeconomic Characterization of family farmers; 3rd) Information on Food and Nutritional Security, based on the Brazilian Scale of Food Insecurity (EBIA). This scale is a collection instrument validated by the Brazilian population to classify families in situations of mild, moderate or severe food insecurity and; the 4th) comprises discursive gender issues in the context of family farming during the pandemic. To analyze the quantitative results, the Statistical Package for Social Science (SPSS) for Windows version 20.0 will be used with descriptive statistical analysis. Qualitative data will be analyzed using thematic analysis. With the results of the study, it will be possible to verify the officially documented measures for the protection of family farming and inform the food and nutritional security of women farmers and the challenges faced by them during the COVID-19 pandemic.

The gender debate has increasingly entered the theoretical and practical field of Psychiatric Reform, with the deconstruction of gender, race and class inequalities being understood as a fundamental process for the praxis of care based on the biopsychosocial model. Considering violence against women as a instituted dimension in society that also goes through mental health care practices, the present work had the general objective of analyzing professional practices with the Psychosocial Care Center workers in the city of Santa Cruz/RN, focusing on the professional implications with violence against women. Therefore, we opted for the intervention research, with a qualitative approach, based on the theoretical and methodological support of the Institutional Socioclinics, in the form of Institutional Analysis of Professional Practices. This dissertation is part of a larger project that involves teaching, research and extension and seeks to investigate various dimensions of care for women in severe psychological distress and in situations of violence in Santa Cruz/RN. Thus, the research began in parallel with the other axes of the project, from an analysis of the field carried out in conjunction with the researchers’ team. The data were produced with the Psychosocial Care Center professionals using three instruments: conversation circles, individual interviews and research diaries. Four rounds of conversation, three in person and one remote (online), and 07 individual interviews were held and the diaries were written by the author of this work based on the moments experienced in the service and in the planning/orientation meetings. The results were organized based on the professional implications in their psycho-affective, historical-existential and structural-professional dimensions with some institutions such as gender (and violence against women). In addition to these, the implications with other institutions have proved to be relevant throughout the intervention and analysis process, such as academic-scientific, profession(s) and mental health. The analysis work has been important to remove the violence from the dimension of the unspoken in the service, but also to reflect on other institutional interferences - the instituted modes of care, the conceptions of mental health and the management of the work process. The tension between discourses and practices has pointed to the creation of instituting forces, resulting from the intervention-research movement itself. The possibility of education in/through work demonstrates the potential of the analytical devices created to develop Permanent Education, which is consistent with the socioclinical principle of knowledge production during the intervention.

Violence is a phenomenon known worldwide and has a significant impact on interpersonal and group relationships. Socially, it has a subjective, systematic and triggering value of social conditions and, therefore, needs to be widely understood since it causes the most varied biopsychosocial impacts. The investigation of domestic violence, more specifically, in the peri-urban context is of scientific and social importance, considering the existence of few studies on gender relations experienced by women who reside and / or develop rural activities. Women who are victims of domestic violence are at risk of developing morbidities, with the possibility of resulting in sleep problems. In this sense, this study aims to evaluate the frequency and the relationship of domestic violence against women farmers and sleep problems. This is an exploratory, observational and descriptive study, with a quantitative approach. The study was carried out in 2 (two) female horticultural cooperatives, located in the Paraíso district of the municipality of Santa Cruz, in the interior of Rio Grande do Norte. For data collection, a sociodemographic characterization form was used, then the measurement instruments validated in Brazil were applied to screen for domestic violence and to assess sleep quality: the HITS-Brazil instrument, the Sleep Quality Index Pittsburgh (PSQI) and the Epworth Sleep Scale. For the analysis of quantitative data, the program Statistical Package for Social Sciences (SPSS - version 22.0) was used. Descriptive analysis of the frequency distribution of categorical and numerical variables was performed. The normality of the distribution was determined by the Shapiro-Wilk test, for the descriptive analysis, the non-parametric Spearman correlation coefficient test was used. A significance level of 5% (p <0.05) was adopted. With the application of the HITS Instrument, we identified that 85.2% (n = 58) of the interviewees had no indication of experience of domestic violence, while 14.8% (n = 10) experienced this experience. Regarding the analysis of daytime sleepiness through the Epworth sleepiness scale score among the interviewees, 92.5% (n = 63) had little sleepiness, while 7.5% (n = 5) had excessive daytime sleepiness. With the results of the final PSQI score that evaluates sleep quality in relation to the last month, it was found in this sample that, 53.0% (n = 36) classified the quality of their sleep in the last month as good, 47, 0% (n = 32) as bad. Regarding the data correlation analysis, there was statistical significance between the variables HITS and Hours per day (rho = -0.295 and p-value = 0.014); HITS and Epworth (rho = 0.370 and p-value = 0.002) and HITS and PSQI (rho = 0.322 and p-value = 0.007). With the results of the study, a small number of women farmers who were victims of domestic violence was evident, however, considering the varied presentations of domestic violence, the present study suggests an association between domestic violence and excessive daytime sleepiness and an association between domestic violence and poor sleep quality. in the last month. It is hoped that this study will serve as a subsidy to promote discussions in horticultural women's associations to promote empowerment and health care.

In the last decade, the  growth of higher education in countryside has led to the migration of students from neighboring municipalities to a university city, and this displacement may generate a change in lifestyle. Among these changes, sleep deprivation and different schedules sleep anda wake up times between free days and work / study days, which characterize social lag, are increasingly observed in society, being prevalent in university students. Therefore, the aim of this study was to analyze which factors of Social Determinants of Health are associated with sleep duration and social lag in university students in the countryside of Rio Grande do Norte (RN). Developed with students from the Faculty of Health Sciences of Trairi, located in Santa Cruz-RN, through the application of 02 questionnaires: “Health and sleep” and the Munich chronotype questionnaire. Pearson's correlation coefficient was used to analyze the association of variables independently to outcomes, sleep duration during the week and weekend, and social lag. Independent variables with significant association (p <0.20) in the correlation test were included in the multivariate model. Multiple linear regression with stepwise foward method was used, with variables that showed a statistically significant correlation with the analyzed outcome remaining in the final model (p <0.05). Sleep duration in the week of less than 6h was prevalent in 43% of the sample (6h39min ± 1h28min) while at the weekend, 92.3% had sleep duration greater than 6h (8h01min ± 1h32min). Regarding social lag (1h21min ± 55min), 34.2% of the participants had social lag <1 hour, 52.3% had social lag between 1 and 2 hours and 13.4% had> 2 hours. There was no association between structural health determinants and the variables sleep duration in the week, sleep duration at the weekend and social lag. Regarding the intermediate determinants of health, the predictive variables for the duration of sleep in the week: chronotype (B = -0.55), sex (B = - 24.78), leisure activities (B = -27.94), sleeping place (B = -42.78) and housing (B = 24.95). For the duration of sleep over the weekend: sex (B = -36.36), chronotype (B = 0.24), sleeping place (B = -58.15), recreational and religious activities (B = -31 , 11), leisure activities (B = -25.10) and academic demand (B = -23.60). For Social lag were: leisure activities (B = 23.24), academic demand (B = 19.51), household chores (B = 17.61) and stimulating drinks (B = -15.17).Therefore, university students in the countryside of RN had shorter sleep duration on school days and longer duration on free days, and more than half of the sample had social lag. Regarding the intermediate determinants of health, there was an association of the outcomes with the biological, behavioral factors and with the students' living conditions. It is important to note that this is an unprecedented study carried out with students from the countryside of the state. Therefore, these discussions help both in the university context and in public health, and can expand the knowledge of how DSS impact sleep health. Considering that these university students will be future health professionals, the results of this study can serve as a basis for expanding the discussion and dissemination of knowledge about sleep hygiene in order to contribute to the learning process of these future health professionals.

Introduction: During pregnancy, there is intense anabolic activity that increases demand for hemoglobin to ensure adequate fetal development. Hemoglobin levels are expected to reduce from the first to third trimester of pregnancy and return to pre- pregnancy levels in the post-partum period. However, little is known about the variation between adolescent and adult pregnant women and their associated factors. Objective: The aim of this study is to evaluate the trajectories of total hemoglobin (THB) variation during pregnancy and postpartum and its associated factors among low-income adolescents and adults. Methods: This is an observational, longitudinal study that is part of the pilot project AMOR. The data was collected between July 2017 and January 2019 in five municipalities of the Trairi region of the Rio Grande do Norte State, with a sample consisting of 50 pregnant adolescents and 50 adults in their first pregnancy. The participants’s THB levels were monitored in three periods: up to 16 weeks of gestation, in the third trimester of gestation, and between 4 and 6 weeks postpartum. Covariates included socioeconomic characteristics, weight and height, self-perceived health status, number of prenatal appointments, pregnancy planning, food security, age at menarche, type of delivery and breastfeeding. Mixed linear models were used to evaluate the trajectories of variation of THB in both groups, in the total sample, and the associated factors. Results: The results showed that THB levels decreased from the first 16-weeks of pregnancy to the third trimester and increased from the third trimester to the 4-6 weeks postpartum for both groups. However, they differ in relation to the THB trajectories. For the adolescent cohort, the rebound in THB concentration between the third trimester and postpartum was not enough to make up for the initial losses, as happened to the adult cohort. For the adult group, higher THB levels were associated with planning of pregnancy and good self-rated health. Race was marginally associated to THB levels for both groups, with black/brown women presenting higher concentrations in the adolescent group and lower concentration in the adult group. Conclusion: Changes in THB concentrations during pregnancy and postpartum differ between adults and adolescents, with the latter presenting lower capacity to recover levels from the beginning of pregnancy through postpartum. Special attention to prenatal care among pregnant adolescents should consider their higher risk and include strategies that reduce the risk of anemia and its negative effects for the mother and her child.

Introduction: Depression is considered a complex and multidimensional phenomenon, which causes disorders that impair quality of life and social life. It is one of the most prevalent health problems worldwide. Brazil leads the ranking of the prevalence of depression among developing nations, pointing out that the forms of illness / mental suffering may have a strong relationship with individual conditions and the social context. Objective: to analyze the association of individual and contextual factors with self-reported depression in the Brazilian population. Methods: cross-sectional study with data from the National Health Survey (2019). The outcome was based on question Q092 (Has any doctor or mental health professional (such as a psychiatrist or psychologist) ever given you a diagnosis of depression?). Among the individual independent variables, sociodemographic, lifestyle and health conditions were considered. The predisposing contextual variables selected were the Human Development Index (HDI) and coverage of primary care. Descriptive and bivariate analysis was performed and Prevalence Ratios were calculated in a multilevel Poisson Regression (95% CI) to verify the association of individual and contextual variables with the outcome. Only variables that showed statistical significance (p <0.05) remained in the final model. All analyzes were performed using the software Stata version 13. Results: The prevalence of depression in the Brazilian population was 9.9% (95% CI 9.5-10.3), and is associated with being female (PR = 2.28), age 30-59 years ( PR = 1.17), divorced (PR = 1.23), with higher education (PR = 1.68), with per capita income above 3 minimum wages (PR = 1.20), living in the urban area ( PR = 1.15), who assess their health as regular, bad or very bad (PR = 1.89), who have another NCD (PR = 2.80), smokers (PR = 1.48) and with screen on cell phones of 3 hours or more (PR = 1.13). Factors such as having black or yellow skin color, not having a pet, being 60 years old or more and living in households with 4 or more residents were associated with a lower prevalence of the outcome. The variables 'Human Development Index (HDI)' and 'coverage of primary care' were associated with the outcome, showing that depression is less prevalent in areas with less human development and with less coverage of primary care. Conclusion: the findings indicate the high prevalence of depression in Brazil and that this outcome is associated with individual factors and the context of the federation unit.

Adolescence is marked, among other factors, by increased daytime sleepiness as a result of insufficient and poor quality sleep during school days, especially in adolescents who study in the morning shift. Among social factors, the urban context has been studied as a possible factor that impacts the quantity and quality of sleep, and daytime sleepiness of adolescents. With this in mind, the objective of this study is to identify the prevalence of poor sleep quality, assess the relationship between sleep quality and daytime sleepiness in adolescents from the integrated technical high school of federal institutions in RN according to the urban context, gender and age. This study was carried out with 324 students from the campuses of the IFRN Natal central, São Gonçalo do Amarante, Lajes and Santa Cruz, of both genders, who attend the 1st, 2nd and 3rd year of high school, in the morning shift. For this, three questionnaires were applied: “Identification Form”, “Pittsburgh Sleep Quality Index (IQSP)” and “Pediatric Day Sleepiness Scale (PDSS)”. The data distribution curve was tested by the Shapiro-Wilk normality test and the sample homogeneity by the Levene test (Levene's Test of Equality of Error Variancesa). The Chi-square test (X2) was used to assess the frequency of distribution of the total sample according to sex (female/male) and sleep quality (good/poor), as well as sex distribution and quality classification. of sleep in relation to the campus. Age and daytime sleepiness level were compared between campuses using the ANOVA (F) test. To assess how much the independent variables: campus, sex and age are associated with sleep quality and daytime sleepiness, the general linear model (General Linear Model) was used. The total sample showed a 71.6% prevalence of poor sleep quality and an overall mean of 7.35 ± 2.8. There was a difference between the campuses, where adolescents studying in Natal (X2 = 9.2; p = 0.002) and São Gonçalo do Amarante (X2 = 9.6; p < 0.001) had worse sleep quality compared to the Lajes campus. The general average of daytime sleepiness found in this study was 18.90 ± 4.9 and differences were found in the level of daytime sleepiness between the campuses, so that Santa Cruz had a lower average of daytime sleepiness in relation to the Lajes and São campuses Gonçalo do Amarante (F=5.0; p=0.002). Regarding the campus, the post-test showed that the sleep quality variable does not differ between the different urban contexts present in this study. Regarding daytime sleepiness, adolescents who study on the Santa Cruz campus have less daytime sleepiness (β = 0th; p = 0.03), when compared to Lajes (β = 2.75; p < 0.01), and São Gonçalo do Amarante (β = 1.99; p < 0.01). The gender variable showed a positive association with sleep quality (β = 0.98; p = 0.02) and with daytime sleepiness (β = 2.9; p < 0.01), so that female adolescents females had worse sleep quality and greater daytime sleepiness compared to males. The variable age was not related to sleep quality and daytime sleepiness. Thus, it can be seen that poor sleep quality and high levels of daytime sleepiness have been present in the lives of high school students, who study in the morning shift, in all age groups, affecting mainly girls, present in all social contexts, be it less urbanized or more urbanized.

The mental health policy in Brazil establishes the need for a territorial and community-based care practice that goes beyond the madhouse logic of isolation and exclusion from madness. In this context, the debate on gender and mental health is still incipient, which drives us to seek, through the exercise of collectivity and lovingness in health practices, broadening the discussion on care with visibility in these women. Thus, the objective of the research is to analyze the repercussion of group integrative practices among women in psychological distress from a dance therapy group with users of the TERAPICS Space in Currais Novos-RN, Seridó Potiguar region. This is a qualitative study, using the intervention research and methodological perspective of Institutional Analysis and Culture Circles, which dialogue with each other by departing from a horizontal practice of research, centered on the actions and discourses of the actors involved. We use the field diary, document analysis and culture circles for data collection, which will be analyzed by the look of implication analysis, understanding that research and intervention are inseparable, and the field is made by the research subjects and also by researcher. Throughout the study, the participants signaled that the meetings that occurred between them during the therapeutic groups and outside them, were configured as spaces of life production and collective care, regardless of the presence of the health professional. Thus, we raise some questions regarding the production of life in a group of women in psychological distress, based on actions based on the theoretical framework of popular education, dialogue, love and encouraging the autonomy of the subjects. We arouse discussion about the impact of group integrative practices and new modes of care on the relationship between female and mental health.

Suicide refers to a human act to end life, with the intentionality of death. It is a complex phenomenon that is growing all over the world, most situations could be avoided. Therefore, the objective of this study is to evaluate attitudes and knowledge about suicide in Primary Care professionals. It is a research of quantitative nature and cross-sectional design carried out in two cities in the interior of Rio Grande do Norte, Caicó and Currais Novos. A total of 140 professionals from the Family Health Strategy participated in the study, of which 107 were CHWs, 19 nurses, 2 doctors, 2 nursing technicians, 3 physical educators, 4 social workers and 3 psychologists. The results showed that higher-level professionals presented more positive attitudes when compared to high school professionals. Practitioners who have had contact with people with suicidal ideation or who have committed suicide also showed attitudes that are more positive. The rate of correct answers in knowledge / clinical skills questionnaires for suicide prevention was low. There were no differences between the levels of professional training in the rates of correct answers on suicide questions. Therefore, it is important to think about and evaluate regional issues for the proper development of Primary Care professionals in relation to patient management.

Admission to university is considered a milestone in the lives of many young people. However, it constitutes a stressful experience, which contributes to the emergence of unhealthy habits and can interfere with the expression of the sleep /wake cycle. These changes in sleep/wake cycle can have consequences on the physical, mental and social health of these young people. In addition, the living conditions of individuals and population groups can also lead to the occurrence of health problems and their risk factors in the population, being defined as Social Determinants of Health. Based on these determinants, the objective of this study was to identify the factors associated with poor sleep quality and excessive daytime sleepiness in university students from a campus in the contryside of Rio Grande do Norte (RN), using the Solar and Irwin model of Social Determinants of Health. This model is currently used by the World Health Organization to support discussions and plan policies and actions in this area. Participated in the research 298 students enrolled in the Faculty of Health Sciences of Trairi (FACISA), in the city of Santa Cruz interior of RN. The collection was carried out by means of 04 self-administered questionnaires: “Health and Sleep”; the Munich chronotype questionnaire; the Epworth Sleepiness Scale and the Pittsburg Sleep Quality Index. Association between variables was analyzed using the Chi-square test. The variables that presented p value ≤ 0,05 in the Chi-square test were included in the intermediated modelo f Poisson regression. In the final model, all variables that remained with p ≤ 0,05 in the intermadiated model were included. However, the variables use of electronics and academic demand before bedtime during the week were also included in the final model, due to their p values considered statistical trends and because the literature presents evidence that demonstrates the influence of these factors. Most of the participating university students are female (73,2%), under the age of 25 (90,6%), who do not work (91,6%) and do not live with their family (87,2%). The prevalence of poor sleep quality and excessive daytime sleepiness was 79,2% and 51,3%, respectively. Among the intermediate determinants of health, in the final regression model, it was observed that young people who had health problems in the last month (PR = 1,184; 95% CI: 1,061 – 1,321), smoked (PR = 1,235; 95% CI: 1,123 – 1,357 ), used stimulant drinks close to bedtime (PR = 1,258; 95% CI: 1,144 – 1,384) and used electronics before bedtime during the week (PR = 1,186; 95% CI: 1,003 – 1,402) have a higher prevalence rate of poor sleep quality when compared to young people who do not have these behaviors. Regarding daytime sleepiness, in the final regression model it was observed that those who report going to sleep because of academic demand on weekdays (PR = 0,726; 95% CI: 0,539 – 0,978) and wake up at the weekend to perform academic demands (PR = 0,693; 95% CI: 0,481 – 0,913) have little daytime sleepiness compared to those who do not perform these behaviors. Among the structural determinants of health analyzed, there was no association with the quality of sleep and excessive daytime sleepiness of university students. Therefore, university students in the interior of the state of RN had a high prevalence of poor sleep quality and half of the sample had excessive daytime sleepiness. As a result of biological, environmental, social factors and most of them, behavioral factors.

Introduction: Centros Especializados em Reabilitação (CER) are health services, qualified by the Ministry of Health, and responsible for specialized care for people with disabilities. They play a key role in the Care Network for People with Disabilities (RCPD) for the care of people with disabilities, as well as for granting, adapting and maintaining assistive technologies. Although they play an important social and assistance role, there are few studies aimed at evaluating this health service, which denotes the need for research based on the health evaluation aspect. Objective: Analyze the work process and the organizational issues of RECs and propose a logical model for evaluating the service. Method: Qualitative study developed in three stages: 1) Documentary study of laws and ordinances related to the health service and RCPD. 2) Conducting focus groups, with a census study of RECs in the state of Rio Grande do Norte, to assess and understand the organization of the work process in the daily service. 3) Systematization of the collected information, proposition and validation of the logical evaluation model. The information collected was categorized by thematic content analysis and analyzed from the perspective of the theoretical references of collective health and health assessment. Result: The proposed logical model was validated by the focal group representative of the services that make up the RCPD. The model encompassed five central categories of the work process and organizational issues: demands, resources (inputs, financial and workforce), processes, products and results, plus the CER's mission and values, strengths and weaknesses identified during the focus groups. The bureaucratization of the service, the inflexibility of the ordinances and the lack of assessment instruments were identified as weaknesses of the RECs; and as challenges, difficulties in agreeing goals, indicators and parameters, as well as a difficulty in dynamic articulation between other services in the network and outside the network. Conclusion: The proposed logical model was adequate for graphic representation of the work process and organizational issues of RECs . From the model, it can be seen that the process performed in the day-to-day services is aligned with the rules for its operation, however it points out practical gaps that need to be addressed in order to improve the resolvability of the service's actions and the articulation with other points in the network. The logical model can be used as an instrument of management, knowledge, information and communication, and can be used in the decision-making process in health and planning by managers and professionals, just as it can be used by researchers in the development of performance indicators that can evaluate the service.

In the face of social processes by stigma and discrimination in relation to HIV / AIDS, people who live with this condition for a long time, find themselves facing a lack of visibility process: they enter in a universe of silence and secrets as a way to protect themselves. This research is based on the assumption that, given the specificities of the social dynamic of countryside contexts, the place of origin / habitation, as a social marker of difference, shapes the way these people live with HIV, so they engage in a series of agencies with a view to the protection of identity in a context of a tendency to blur public and private aspects of life. Therefore, the aim of this study was to understand how the experience of living with HIV / AIDS is shaped, thought, lived and signified the experience to live with HIV / AIDS between silence and secrets in the country towns of northeast in Brazil. Ethnography is the theoretical methodological framework to understand the object of study. The data collection was carried out between April and September in 2019 in a specialized service located in the country towns in Rio Grande do Norte state. During the participant observations, productions of field diaries and semi-structured interviews were used to collect information from the interlocutors in the place of study. These data were interpreted based on the socio-anthropological literature on long-term suffering and illness, silence, secrecy and social markers of difference. Two chapters were produced from the analysis of this material. The first explores the ethnographic practice and the experience of otherness at the moment the researcher lived a field encounter that costs her the possession of a secret that was not her own and from there, she began to question the silences and secrets in the country towns contexts. The second chapter dialogues with the experience lived and narrated in the previous one, when the interlocutor, protagonist of the meeting, became the narrator of the issues that involved the management of silences and secrets about been HIV positive. From the discussion undertaken, it was possible to conclude that the vulnerability of serology secrecy in the countryside contexts pervaded the social dynamics of the city that brought up the possibility of discovering the secret, making PLWHA live in the silence of its body an unspeakable identity.

Introduction: Bioethics and its correlations allow us to better understand the entire trajectory of women in relation to autonomy and the perspectives aimed at the female being in situations of abortion. Objectives: The present study aims to analyze the contributions of studies on ethics, abortion, women's health and feminism. Methods: This is an Integrative Review with a search carried out in the Scielo, Lilacs and MedLine databases. Studies that met the following criteria were included: articles published in the years 2010 to 2020, addressing the theme of study and published in Portuguese. Duplicate articles in more than one database were excluded, which did not present a correlation in the summary with the objective of the study, and which did not have the full text available. It was possible to find a sample in a total of 17 studies, which were read in full, and later included in this review. Results: From the studies analyzed, it is noticeable that abortion is still a taboo subject, that women's right to choose their own bodies is established as a delicate issue to be treated, as well as, there is a need to improve health care. women's health. Conclusion: This review concludes that there is a need for more debate on improvements in women's health care, as well as professional ethics and humanization in the face of women who come to an abortion situation. Thus, it is essential to debate all judgments about the abortion of women and professionals who provide assistance.

INTRODUCTION: The gender perspective has been transformed over the last century and the best results, however, are still presented unevenly under different social, cultural and economic contexts in most societies. These inequities can only be canceled due to an untiring struggle of social and feminist movements in the historical process, or that has culminated in the presence of this population in academic spaces in recent decades. With a growing presence of women in the academic environment, we understand that feminist collectives founded at the university are necessary for the social development of women. OBJECTIVE: To apprehend the contributions of the Feminist Movement to the participants of a Feminist Collective within a Federal University in the interior of Rio Grande do Norte. METHODS: This is an exploratory and descriptive study with a qualitative approach, developed by the Faculty of Health Sciences of Trairi (FACISA) with undergraduate students who regularly participate in the Feminist Collective Dandara. this research carried out two steps for data collection, the first consisted of the self-application of a socioeconomic questionnaire and, subsequently, the creation and execution of focus groups, composed of up to 6 students, with an average duration of 50 minutes. For the data processing phase, this study used the Content Analysis proposed by Laurence Bardin and the categorization of the themes highlighted in the speeches of the participants. RESULTS: The results were presented through a central category entitled “Contributions of the feminist movement to the participants of a feminist collective”, from the reports obtained, we arrive at 3 categories represented below. The first category "A feminist arises" gave rise to 2 subcategories of discussion: "The discovery of being a feminist" and "Perceptions about feminism". The second category "Representations of feminism in the subjectivities of being a woman", originated the subcategories "Deconstructing the labels" and "Feminist awareness: Why (m) mourning?" Finally, the last category of discussion “The collective as an instrument of female empowerment” gave rise to the subcategory “Feminist collective: a place of speech and listening”. CONCLUSIONS: The results obtained in this study, achieved in an integral way of the objectives proposed in its construction, demonstrating as contributions of the Feminist Movement represented in the reports of participants of a Feminist Collective inserted within a Federal University of the interior of Rio Grande do Norte, indicating benefits related to the dynamic search for more harmonious relationships, in minimizing the problem that permeates social issues of the female gender in the most diverse experiential spheres.

INTRODUCTION: The ZIKV course in Brazil was a benign disease until the period when there was an increase in cases of newborns with the Zika Congenital Syndrome in the Northeast in 2015. In November of that year, with the change in the epidemiological pattern, the Ministry of Health (MS) declared a public health emergency of national importance. Three months later, MS inserted the diseases resulting from ZIKV into the compulsory notification list. And in February 2016 the World Health Organization (WHO) declared an emergency of public health and international interest. Knowing that children with SCZ may present physical, mental, intellectual and / or sensory disabilities from childhood and throughout life and that they will face various barriers, they may have their full and effective participation in the impaired society and, thus, professional practice should be guided by the International Classification of Functioning, Disability and Health (CIF) model that emerges as a relevant tool in disability management and based on human functionality, helping to classify living conditions and promote policies of social inclusion. OBJECTIVE: to know or understand? the perceptions of the parents of children with SCZ regarding the barriers and facilitators of the physical, social and attitudes environment and how these influence participation in activities. METHODS: an exploratory-descriptive study, developed from the qualitative approach, influenced by the phenomenological studies in the field of Social Sciences in health. For data collection, the technique of the focal group and semi-structured interview were used. RESULTS: From the thematic analysis of the collected narratives three categories were evident: Functions and structures of the body: "He has a lot of desire to walk, he has a lot of desire to talk"; activities and participation of children with SCZ: "I am a mother and I understand everything he wants just to look"; barriers of the social environment: "The health services of my city are a bit precarious. The narratives of this study reinforce that government policies should be based on the biopsychosocial model of the CIF, a tool based on human functionality, becoming extremely relevant in the management of disability and family-centered care, with improvements in access to specialized health care, besides guaranteeing the reduction of social barriers for the insertion and social interaction of children with SCZ. Therefore, it is legitimate to treat this set of problems as a public health emergency in connection with economic, social and cultural patterns and to get sick, since SCZ is related to the multiple vulnerabilities and complexity of this disabilty.

Adolescents present a delay in sleeping and waking hours, due to biological changes of this phase. In contrast, most schools begin classes in the morning, which makes it a temporary challenge for the student, leading to sleep deprivation, poor sleep quality and daytime sleepiness. Added to this, adolescence is a phase of discoveries, the search for autonomy over decisions, emotions and actions, which can lead to symptoms of anxiety and depression. In this context, satisfaction with social support can contribute to coping with these problems of adolescence, since the support received by friends, relatives, neighbors and social groups can build and strengthen the satisfaction of the individual and positively impact on health. Therefore, considering that adolescents present sleep problems, anxiety and depression symptoms, and that social support is related to health, the objective of this study was to analyze the relationship between the perception of satisfaction with social support, quality and sleep duration, daytime sleepiness, anxiety and depression in adolescents of a federal educational institution. A cross-sectional study of a quantitative approach, with 385 high school students from technical courses of a federal teaching institution in the municipality of São Gonçalo do Amarante and Santa Cruz/RN, carried out from October to December 2017 and May to June 2018. It was evaluated age, sex, shift of study, satisfaction with social support, sleep duration and quality, excessive daytime sleepiness, anxiety and depression. Adolescents completed the Social Support Satisfaction Scale, the Pittsburgh Sleep Quality Index, the Pediatric Day Sleepiness Scale, the Anxiety and Depression Scale, and the Health Problem Identification card. The mean age of the participants was 16.3 ± 1.0 years, of both sexes (♂ = 43.1%, ♀ = 56.9%) who study in the morning (55.3%) and afternoon shifts (44. 7%). Adolescents evaluated general social support as medium (47.6 ± 12.1), being the domain of satisfaction with friends the most favored (17.30 ± 4.74) and the domain satisfaction with social activities most impaired (7.59 ± 2.98). Poor sleep quality was observed in 71.2% of adolescents, with a mean score of 7.17 ± 2.72. The daytime sleepiness mean observed was 18.31 ± 4.90. With regard to sleep times, the adolescents presented an average of time in the bed of 6:42 ± 1:18 h and wake up time and bedtime of 6:25 ± 1:28 h and 23:06 ± 1:25 h, respectively. From the hierarchical multiple linear regression, it was possible to observe that low social support is associated with poor sleep quality, higher daytime sleepiness scores and the greater probability of the teenager with anxiety and depression. From these results, it is worth emphasizing the importance of developing strategies that can contribute to the improvement of social support, with the aim of reducing sleep problems and mental health problems in adolescents, aiming at a better quality of life.

ntroduction: The focus on the teaching model offered in the health area, especially that of the medical professional, has been pointing to insufficient training or incapacity to achieve health care that is resolvable and in harmony with the Unified Health System (SUS). In this sense, public policies in the areas of health and education have been stimulating fundamental changes. To meet this demand, higher education institutions are restructuring their pedagogical projects and curricula betting on methodological proposals and the early insertion of students in the medical practice environments of SUS. The Multicampi Medical Sciences School of the Federal University of Rio Grande do Norte (EMCM / UFRN), bases the process teaching learning in active methodologies and with the longitudinal insertion of medical students in the public health network of municipalities of the interior of the RN - Caicó, Currais Novos and Santa Cruz - through the longitudinal internship modules Integrated Community Experience (VIC). Objective: To understand students' perceptions of the 1st to 8th period of the EMCM medical course about the formative role of VIC and how this strategy can impact their future professional practice. Method: This is a descriptive, exploratory study with a qualitative approach. The data collection was done through semi-structured interviews conducted individually with 25 medical students who carry out the VIC modules in the municipality of Santa Cruz. To analyze the data, we used the Bardin Content Analysis, from which five categories emerged: i) Community Based Training in Health Care Networks as a paradigm shift; ii) The difference in learning from theory and practice in reality; (iii) interprofessional work in medical training; and iv) The pursuit of specialty as sequels of a biomedical culture? Results: It was mentioned that the students recognize the VIC as practical experiences that previously provide the contact with the health services, valuing the Primary Health Care in the implementation of the Family Health Strategy; experience the interprofessional work and begin to understand the sense of Network of attention to Health. It was also pointed out the recognition of the potentialities and fragilities of the SUS, and obstacles in the articulation between services, preceptors and the teaching institution. Conclusions: It was made explicit that the early insertion of the students in the SUS practice scenarios with FHP appreciation is perceived as fundamental in the formation, so that the future medical practice is consistent with the reality of the people to be assisted and with the SUS, but they persist problems inherited from the biological model of health care that are related both to the idealization of the professional practice of students and to the posture of medical preceptors who act according to the biomedical model culminating in difficulties of broad performance in the FHS. The EMCM has a transformative potential and studies on the implementation of its teaching proposal must be carried out in order to evaluate the evolutionary process of its goals.

Introduction: In 2016 it was recorded a significant increase in illness by chikungunya fever in Brazil, especially in the Northeast, one of the highlights of the state of Rio Grande do Norte, with incidence rate almost six times higher than the national and 37 confirmed deaths. In this sense, one of the greatest challenges in the treatment of Chikungunya fever is the possibility of chronification, not yet being well understood all the impacts and characteristics of this disease.  Objective: To evaluate the impact of chronicity of chikungunya fever in the quality of life and functionality. Materials and Methods: This is a cross-sectional descriptive comparative study with a quantitative approach was undertaken in two stages, the first being a cross-sectional descriptive study of 103 cases confirmed to FChik Natal-RN subsequently screened with at least one year after the disease to conduct a telephone survey to collect aspects of chronic phase. The second step was a cross-sectional study, which compared the FChik group consisting of chronic patients FChik 25 (traced in step 1) and the healthy group (SG) consisted of 25 healthy subjects matched for age and sex. The two groups responded to the HAQ and SF-12.Results: In the first stage, the most prominent joint symptoms in the acute phase were arthralgia and back pain; already in the chronic phase were joint pain and periarticular edema. 65.2% reported damage to the work by illness and absenteeism time mostly between 7 and 30 days. Comparing the FChik and GS,  losses were found in functional capacity and quality of life in FChik (p <0.05) group. The most affected aspects were HAQ Walk category, and Bodily Pain domain of the SF-12, the GChik also showed increased risk for developing depression. Conclusions: Even elapsed over a year of illness, patients who were still in the chronic phase of FChik presented impairments in functionality and quality of life, with losses to carry out daily activities.

Introduction: Neuromodulation by transcranial direct current stimulation (tDCS) has been investigated as a therapeutic possibility for obesity. It is believed that tDCS can act in cognitive areas related to typical excessive food intake behaviors. Objective: To evaluate effect of the anode tDCS on the prefrontal cortex right lateral dorsum (dlPFC) in overweight or obese women. Methodology: This was a randomized clinical trial, in which 50 volunteers, divided into two groups (Active [n = 25] and Sham / Control [n = 25]), participated in 10 sessions of the tDCS with a follow-up of 60 days. The anode (excitatory) electrode was placed over the right dlPFC and the cathode (inhibitory) was placed over the left, corresponding to F4 and F3 positions of EEG system 10-20, respectively. Treatment effects were evaluated on: food behavior (food cravings, emotional eating, uncontrolled eating and cognitive restriction); food intake (calories and macronutrients); emotional profile (anxiety, depression and stress); anthropometric and body composition variables (weight, body mass index, conicity index, waist circumference, waist-height ratio and body fat percentage. Results: Statistical analysis indicated no difference between groups, in sociodemographic and clinical characteristics, at baseline. Two factor mixed design ANOVA analysis showed no significant interaction between time versus group, in any variables investigated. The tDCS treatment was well tolerated, with no adverse effects in participants who completed the procol.  Conclusion: In the present study, no tDCS effect was observed in women with excessive weight, regarding food behavior and intake, emotional profile or anthropometric variables and body composition. Our findings point to the need for further research, including evaluating other possible brain areas to be modulated in overweight patients.  

Assuming that the work process is formed by objectives or purposes, object, means and conditions, agent or subject, this project aims to analyze the perception of professionals of the Family Health teams of Santa Cruz-RN about of the elements of your work process. This is a qualitative, descriptive and exploratory research, with 12 participants, half of the urban area and the others of the rural area. Given the elements presented and the discussions conducted with a view to elucidating the proposed objectives, it was noticed that the year of training of professionals covered the 2000 and 2010, most of professionals perform their work activities only in ABS, with the regime 40 hours per week, bound by public tender. From the transcriptions and analysis from the interviews four categories emerged: misunderstanding between objects, instruments and purposes; miscellaneous goals; everyday tensions; quality of the work process. These statements were analyzed following the guidelines of Critical Discourse Analysis. It was observed that many professionals did not know how to differentiate objects, instruments and objectives in their work process, as well as having different purposes, such as the restoration of oral health, including those that prevent disease and promote health. The lack of instruments, inadequate structure, poor communication and the link, or lack thereof, with users were presented as tensions in the daily practice of health practices. These may be elements that compromise the work process of teams. This research built spaces of speech in which the members of the health teams could reflect on their work process from their own perceptions, which may have caused discomfort to the subjects, and also contributed to the deconstruction of forms of work found.

Aim: to analyze the possible relation of social indicators on the spatial distribution of ZIKV cases in a state of Northeast Brazil during 2015-2016 biennium. Methods: an ecological study with data from ZIKV case reports and sociodemographic indicators from Rio Grande do Norte’s state (RN), calculated from Public Health Departament of RN and DATASUS. The data were analyzed in Terraview version 4.2.2, GeoDa version 1.12 and IBM SPSS Statistics 21. Results: Both, the Mean Incidence Rate (MIR) of ZIKV cases in the 2015-2016 biennium (Moran = 0.239, p = 0.02), mean household income (Moran = 0.344, p = 0.01) and unemployment rate (Moran = 0.231, p = 0.01) obeyed a geographical pattern of spatial distribution. In the multiple linear regression analysis, the MIR variables of violence in 2014 and the average household income in 2010 explained 55% of the MIR variation of ZIKV in the 2015-2016 biennium (adjusted R2 = 0.55). Conclusion: Municipalities with more reports of violence and favorable average income, such as the capital, hold higher MIR of ZYKV cases, a phenomenon possibly mediated by more sensitive health services notification.

INTRODUCTION: The scientific literature has shown limitations in the production of screening instruments for violence against the elderly in the Brazilian context. Currently, this type of study has been little approached in the Brazilian context, regarding the cross-cultural adaptation of instruments for the elderly population. HITS- Brazil is a brief screening tool for domestic violence against the elderly, which can be used in clinical and domicile contexts, aiming at establishing the risk of violence. This study, because it deals with the translation and adaptation and validation of an instrument that does not originate nor Brazilian validation, followed rigorous methodological criteria in order to guarantee wide reliability and later be applied and used by other researchers for screening of RV against the elderly. OBJECTIVE: This study aimed to translate, adapt and evaluate the psychometric properties (validity and reliability) of the Hurt Insult Threatened Scream (HITS) instrument for the screening of domestic violence against the elderly. METHOD: Study of translation, adaptation and validation. A total of 30 elderly people were recruited for the operational equivalence phase and 48 elderly people aged 65 to 80 years or more of both sexes were recruited, mean age for the two stages was 70.8 years taking into account the two groups. Data on sociodemographic variables, cognitive ability and HITS application were collected. For the analysis of the results we used the descriptive and inferential statistics, for the operational equivalence stage, the equivalence of the items that happened in five stages that evaluated the semantic, idiomatic, experimental and conceptual equivalences for the Brazilian context was evaluated. After this process the measurement equivalence stage was started, which sought to evaluate the validity and reliability of the 48 elderly subjects. RESULTS: The study complied with the five stages of HITS transcultural translation and adaptation process: translations, back translations, synthesis of translations, semantic, idiomatic, experiential and conceptual equivalence analysis by a committee of experts and pre-test in 30 elderly people, which was followed by adjustments of language and concepts, reaching the final form of the instrument, named HITSBrazil. The values obtained through Cronbach's alpha coefficient showed acceptable results for all items (item 1: 0.80, item 2: 0, 75, item 3: 0,80 and item 4: 0,68). In the analysis of inter-examiner agreement we had good agreement for items 1 and 2 and low agreement for items 3 and 4 of the scale. We considered that the low agreement in items 3 and 4 would not negatively imply the overall coxtext of the scale, since we have a high reliability by the cronbach alpha. CONCLUSION: In its final version, HITS-Brazil obtained a high reliability index for the four items when its internal consistency was evaluated, indicating that the results are satisfactory.

Introduction: The increase number of cases of microcephaly in Brazil and its association with the Zika virus (ZIKV) constitutes a public health problem of international concern. The International Classification of Functioning, Disability and Health (ICF) guides comprehensive assessments incorporating the important role of contextual factors.  Objective: The objective of this study was to describe the functioning of children with microcephaly caused by ZIKV in states of the Northeast in Brazil. Methods: This is a cross-sectional descriptive study. Demographics characteristics, head circumference and other data were collected from clinical charts, physical examinations, tests, and interviews with children and their parents. The Brazilian Portuguese version of the brief ICF core set for cerebral palsy (CP) was used. Each ICF category received a qualifier, which ranged from 0 to 4 (no problem, slight problem, moderate problem, serious problem, complete problem). For environmental factors, 0 represents no barrier and -4, a total barrier; +0, no facilitator and +4, a complete facilitator. Evaluators in each setting were trained  on how to use the brief ICF core set categories for CP in 20- hour courses. Results: Thirty-four children with microcephaly caused by ZIKV (18 girls and 16 boys) were enrolled in four rehabilitation services in Rio Grande do Norte and Paraíba, Brazil. The mean age of participants was 21 months, head circumference Z scores ranged from 0.92 to -5.51. The profile of functioning revealed complete problem in the majority of the body functions categories. Areas of activities and participation were highly impacted, in particular those covered by mobility related categories. Immediate family support was the main facilitator influencing functioning in this population. Regarding environmental factors, the majority of the sample reported complete facilitator for immediate family, friends and for health services, systems and policies. Conclusion: This is the first study describing the profile of functioning of congenital ZIKV using an ICF-based tool in Brazil.  Our findings reinforce the need to maximize health care and access to information - based on the ICF-  for the multi professional teams, administrators, family members and children. Service provision for children with ZIKV-related microcephaly should be family-centered, considering modifiable contextual factors and highlighting functional goals. to ensure optimal levels of participation in household, school and community-based activities in our region.

The work in the social and financial context goes beyond of subsistence. Teachers have a responsibility to contribute to make pupils citizens capable of recognizing and to be aware of their own role in society. However, teaching profession is related to work overload, inadequate work conditions and violence context in the school, among other problems characteristic of this profession. In addition, the presence of health problems, including those related to sleep, is increasingly common. Therefore, the aim of this study was to evaluate the work context, the sleep schedules and quality, and daytime sleepiness of high school teachers of public school in the Trairi region of Rio Grande do Norte. Besides, the second aim was evaluate the relationship between the work context and the sleep quality and daytime sleepiness of these teachers. For this, it was aplied an identification questionaire; the Work Context Avaliation Scale (EACT), based on factors, work condition (F1), work organization (F2) and socio-professional relations (F3); the Pittsburgh Sleep Quality Index (IQSP) and Epworth Sleepiness Scale (ESE) for 61 teachers of both sexes, aged 39.7 ± 9.2 years. The factors "working conditions" and "work organization" were classified as critical/severe by the majority of the teachers, while "socio-professional relations" were considered satisfactory by half of the study population. Most items related to these factors were evaluated as critical/serious, such as poor working conditions, uncomfortable physical environment, work rhythm, tasks fulfilled under pressure, non-existent autonomy and poor communication between subordinate and leadership. In addition, 69% of teachers had poor sleep quality and 49% had excessive daytime sleepiness. With regard to sleep quality according to the assessment of the work context, it was observed that teachers who evaluated socio-professional relations as critical / severe (mean rank 36.11) are more likely to have poor sleep quality to those that evaluated as satisfactory (mean rank 26.94 - U = 321, p < 0.05). In relation to sex, poor sleep quality is present in 69% of both sexes (X² = 0.00, p > 0.05), while excessive daytime sleepiness is more frequent in women (55%) than in to men (44% - X² = 4.88, p < 0.05). Teachers' bedtime was on average at 11:26 ± 1:25 p.m., the waking time at 6:06 ± 1:16 p.m., and sleep duration was 6:10 ± 1:07 p.m. The Mann-Whitney test shows that teachers with poorer sleep quality (mean rank 26.56) sleep 36 minutes less (5:58 ± 1: 06h) than teachers with good sleep quality (6:34 ± 1: 04h; mean rank 35.53 - U = 256.00, p < 0.05). These results have great importance in the knowledge of the work context of the teacher, reinforcing the need to create spaces for discussion and possible proposals for the elaboration of policies aimed at this professional, which help in the supply of needs listed by the worker himself. In addition, it is necessary to carry out further studies that try to clarify which factors related to the work context may be contributing to poor sleep quality and daytime sleepiness present in these professionals.

The infection caused by Zika virus (ZIKV) is usually described with a mild clinical picture. However, during the ZIKV outbreak in Latin America in the period 2015-2016, a sudden increase in the number of severe manifestations and cases of congenital abnormalities in newborns have been reported. This is the first study that evaluated and compared the growth and cognitive and motor development of children with Zinc Congenital Syndrome (SCZ) microcephaly in relation to typical children. An observational, analytical, cross-sectional study with 24 children from a region of northeastern Brazil. Children with SCZ presented a mean low in global motor and cognitive performance and growth deviation in head circumference and body weight measurements. Considering the mean values, typical children presented good global and cognitive motor performance and adequate anthropometric measures. Therefore, children with SCZ are at risk for growth retardation and development compared to typical children.

Objective: To evaluate the self-perception of oral health in the physical, psychosocial and pain / discomfort dimensions linked to the clinical conditions and orofacial pain of institutionalized elderly people, living in the urban area and rural area of Paraíba. Method: Observational, cross-sectional study, quantitative approach, population base and non-probabilistic sampling for convenience among 81 elderly: 27 residents in a long-stay institution and the other males by age and gender between urban (n = 27) and rural (n = 27). The GOHAI was used to evaluate the self-perception of oral health in quality of life, the QST / DTM (Questionnaire For Screening Of Patients With Temporomandibular Disorders) for the influences of orofacial pains and the indices of biofilm in tooth by Silness and Loe and in prosthetics by Ambjornesen. Results: Predominance of the female sex (74.1%), 77.8% of whom were born in the city of Cuité-PB and had a higher frequency (32.1%), pointing to the age range of 60-65 years. The frequency of GOHAI related to high perception obtained a higher frequency between urban area (77.8%) and lower frequency (66.7) in the rural area, with a p-value of 0.004, showing a statistical difference between dwelling places. In the QST / DTM, all frequencies indicated the majority of individuals as non-carriers, but with a statistical relation related to gender (p = 0.007) and income (p = 0.002). The highest frequencies for the biofilm analysis were related to the presence of this in teeth or prosthesis, more frequently linked to the inhabitants of the rural area, 84.6%. Conclusion: There was a difference between the samples related to self-perception and the place of residence, showing the elderly with excellent oral health, not consistent with the clinical condition found, showing the secondaryarization of oral health problems

Introduction: With aging, there are changes in the morbidity and mortality of the population, with an increase in physical health impairment. This is commonly evaluated in clinical practice and research by self-reported health, which is a comprehensive and reliable health measure involving physical and emotional factors and is predictive of functional decline and mortality, regardless of objective health measures. The International Classification of Functioning, Disability and Health (ICF) is an important multidimensional assessment strategy, where it is possible to identify the domains that are related to the functional state that the person presents. Because it is an extensive tool, Core Sets have gained space today because they are formed by ICF categories considered essential for the evaluation of a certain health condition. In this perspective, Ruaro (2014) developed a Core Set of ICF to evaluate the physical health of the older persons and this study aims to assess its construct validity in evaluating the physical health of the community-dwelling older adults. Methods: This is a cross-sectional study in which community-dwelling older adults were evaluated in relation to socio-demographic data, comorbidities, self-reported health, depressive symptoms and the ICF Core Set for the physical health of the older persons, which is composed of 30 categories of ICF, being 14 related to body functions, 4 to body structures, 9 to activities and participation, and 3 to environmental factors. The relationship between the domains and the socioeconomic and health variables was performed by comparing means of the injury / problem indexes by the categories of the variables using Student's t test or ANOVA with Tukey post-hoc. Multiple linear regression was used to analyze the relationship between the ICF Core set and self-adjusted health adjusted for confounding factors (age, income sufficiency, and schooling). A p <0.05 and 95% CI were considered at all stages. Results: 101 older persons participated in the study. Those with 3 or more chronic diseases and with depressive symptoms had higher indexes of injury / problem in Body Function (p <0.001), Body Structures (p <0.001), and Activity and Participation (p <0.01) domains. The older persons who reported very good or good health had a lower index of injury / problem in the domains of ICF than those who reported reasonable health, which in turn had a lower index than those reporting health as poor or very poor. The relationship between a self-rated health and the Core set was maintained even after the adjustment for confounders, with older adults with higher injury / problems reporting their health as poor or very poor in Body Structures ( (p <0,001), Body Function (p <0,01) and Activity and Participation: capacity (p = 0,02) and Performance (p = 0,01). Conclusion: The results suggest that the ICF Core Set for assessing the physical health of the older persons is related to self-reported health, even after adjusting for confounding variables. It is considered a valid instrument and can be used in clinical practice and scientific research, since it allows to identify modifiable aspects, both contextual and clinical, that may be the target of interventions.

INTRODUCTION: In the middle of 2015, Brazil experienced an increase in cases of notification of infection by Zika Virus and the increase in cases of Microcephaly and Guillain-Barré Syndrome, and later confirmed the association between these clinical entities. The northeast region was the most affected and environmental, economic and social factors can negatively influence this distribution. However, it is known that congenital anomalies have always occurred throughout Brazilian territory and it is believed that there is no difference in the spatial distribution pattern of anomalies before and after ZIKV. OBJECTIVE: to evaluate the temporal-spatial distribution of congenital and ZIKV anomalies reported cases in the mesoregions of Rio Grande do Norte. METHODOLOGY: This is an ecological, retrospective study, that evaluated the reported cases of congenital anomalies in Rio Grande do Norte before and after the ZIKV epidemy through a spatial analysis, whose data were grouped in SPSS 13.0 and analyzed in TERRAVIEW version 4.2 .2. RESULTS: The rate of congenital anomalies in pre-ZIKV period was 6.2 cases / 1,000 live births and in the post ZIKV period, it increased to 13.95 cases / 1,000 live births, a result of the increase in reported cases. It was visualized in the distribution cartography that the Agreste Potiguar mesoregion is the one with the highest number of reported cases of ZIKV, as well as the region with the highest number of cases of congenital anomalies in the period studied.CONCLUSION: The present study revealed that congenital anomalies were always present in the state and no other action was raised with such importance as in the Zika period. Strategies to minimize cases of congenital anomalies through family planning actions, maternal age control, vaccination programs, control of the sale of abortive drugs, combat to drugs addiction, alcohol and tobacco use can easily be developed and gain media acceptance, which is not always perceived

Introduction: The increase in life expectancy has led to new public health challenges in the population, such as chronic diseases. Among the main chronic osteoarticular diseases, we can mention osteoarthritis (OA) of the knees, characterized mainly by pain in the knees, which limits the accomplishment of daily activities. In this context, the literature suggests that there is a positive correlation between knee OA development and obesity, in addition, overweight is one of the most significant modifiable factors in worsening symptoms. Thus, it is relevant to determine if elderly women with knee pain compared to the asymptomatic elderly, present differences in food consumption. Objective: To evaluate the habitual energy and nutrient intake of elderly women with and without pain in the knees, living in Santa Cruz/RN. Methodology: This is a cross-sectional study, with elderly (n=100) symptomatic and asymptomatic regarding knee pain. Food intake was determined by the 2-day mean of the 24-hour Reminder. The diets were analyzed in Dietbox®. The individual energy requirement was estimated using formulas and total calorie consumption was analyzed considering the range of 97 to 103% of energy expenditure. Macronutrient suitability was checked according to the Acceptable Macronutrient Distribution Ranges. The mean intake of fatty acids, cholesterol and fiber was analyzed according to the values proposed by the IV Brazilian Directive on Dyslipidemias. The micronutrient inadequacy was estimated by the Estimated Average Requirement method as the cutoff point and the water consumption was evaluated based on the recommendation of the Food Guide for the Brazilian Population. To analyze the data, the Statistical Package for the Social Sciences version 20.0 was used. For the comparison of the data distributions between the groups, Student's t-tests or the Mann-Whitney test were used according to normality, as evaluated by the Kolmogorov-Smirnov test. Results: The mean age was 67 (±8.0) years for the asymptomatic group and 67 (±9.0) years for the symptomatic group. As for the energy consumption, macronutrients, fatty acids, cholesterol, fiber and water, there were differences between the groups, which were not statistically significant. The energy intake was inadequate in 96.1% of the asymptomatic ones and in 93.9% of the symptomatic ones. There were also no statistically significant differences among the elderly women regarding the dietary intake of micronutrients, except for the usual consumption of zinc mineral (p value = 0.033), the symptomatic group had an average zinc intake lower than the asymptomatic group. In the groups, the greatest inadequacies (> 50%) were for vitamins A, D, E and folic acid and magnesium and calcium. The lowest inadequacies were for vitamin C and pyridoxine (values between 21.6% and 22.4%). Inadequate intake of vitamin D (100% of those evaluated) is highlighted. Conclusion: Among the groups, high prevalence of inadequacy for caloric intake, saturated fatty acid consumption, cholesterol, fiber, water intake, macros and micronutrients were observed. However, no statistically significant differences were observed in nutrient intake, except for the zinc mineral, since the symptomatic elderly had an average zinc intake lower than the asymptomatic group.