Introduction: Training in Occupational Health within physiotherapy courses is supported by Brazilian legislation and literature in the field, highlighting the importance of this area from the beginning of the profession. However, there is a clear scarcity of studies exploring the current landscape of specific training in this field, limiting the understanding of how these professionals are being prepared to face the challenges related to occupational health. Objective: To evaluate the Brazilian landscape of training in Occupational Health within physiotherapy courses in public higher education institutions. Method: This is a qualitative study, structured in two stages. The first consisted of a document analysis, in which pedagogical projects and teaching plans were examined to understand how occupational health is incorporated into the curriculum. The second stage involved field research, in which semi-structured interviews were conducted with professors directly involved in occupational health training. The analysis of the collected data was carried out using Bardin's content analysis method with the aid of Iramuteq, allowing for an in-depth discussion of the findings in light of the existing literature. Results: Although 87.7% of the courses include the topic, only 31.6% present content considered essential for Occupational Health, highlighting important gaps. A predominance of approaches centered on biomechanics and ergonomics was observed, with an emphasis on the analysis of the workstation and prevention of occupational diseases, while dimensions of Public Health, public policies, and psychosocial factors appear in a limited or absent way. The interviews confirm this scenario: despite the teachers' recognition of the importance of a broader vision, barriers such as reduced teaching hours, a technocratic tradition, and low student interest hinder more critical pedagogical practices. Final Considerations: there is a mismatch between curricular planning and practical execution, resulting in fragmented and insufficient training. The study reinforces the need for greater integration of sociopolitical content in undergraduate studies and institutional support to consolidate a critical approach to occupational health in physiotherapy.

Introduction: Toxoplasmosis is an infectious disease caused by the protozoan Toxoplasma gondii, which can affect both humans and animals. Although most infected individuals remain asymptomatic, infection in pregnant women can result in serious complications for the mother-fetus binomial. In this context, it is essential to deepen knowledge about the prevalence of toxoplasmosis, especially in vulnerable populations, to support strategies for prevention and control of the disease. Objective: to identify the prevalence of toxoplasmosis during pregnancy according to race or ethnicity through a systematic review of the literature. Methodology: the protocol for this review is registered on the PROSPERO platform under number CRD42024596261. The searches were conducted in the PUBMED, LILACS, Web of Science, Scopus and CINAHL databases, in addition to the gray literature (Google Scholar and BNTD), using the terms “Toxoplasmosis”, “Toxoplasma infection”, “Toxoplasma gondii”, “Pregnant women”, “Pregnancy” and “Prenatal Care” combined with Boolean operators. For eligibility, cross-sectional studies that presented the prevalence of toxoplasmosis in pregnant women together with the race/ethnicity variable were included. The assessment of the quality of the studies and the risk of bias follows the Joanna Briggs Critical Appraisal Checklist for Analytical Cross-Sectional Studies instrument. The writing is based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) guidelines. Results: Twelve articles were included to compose this review. The extracted data were tabulated and analyzed qualitatively. The studies analyzed identified differences in the prevalence of toxoplasmosis between ethnic-racial groups. In Brazil, brown (74.54%) and indigenous (83.33%) people had the highest prevalence in Ilhéus, while brown people in Foz do Iguaçu reached 34%. In the United Kingdom, Afro-Caribbean people recorded 31.48%, and in Sri Lanka, Sinhalese people had a higher prevalence (13.56%) compared to non-Sinhalese people (6.3%), highlighting variations between continents. Final considerations: The results reveal significant differences in the prevalence of toxoplasmosis among ethnic-racial groups, highlighting greater vulnerability in brown, indigenous and black populations in several regions. Socioeconomic, cultural and environmental factors contribute to these inequalities, aggravated by unequal access to health services.

By giving visibility to the narratives of Sex Workers who use Psychoactive Substances, this research reinforces the recognition of sex work as a legitimate work activity, in addition to valuing knowledge and experiences that have been historically silenced. By highlighting the multiple forms of violence that affect their bodies and territories, it offers consistent support for the formulation of more equitable public policies, anchored in the principles of Harm Reduction and comprehensive care. It also denounces the barriers to access and the lack of recognition of the integrality of Sex Workers in health services, highlighting the urgency of practices that break with biomedical and prohibitionist logics. The research broadens the debates on moralities, sexualities and intersectionalities, incorporates the gender perspective into policies on Psychoactive Substances and inspires comparative investigations in different territories, contributing to the construction of unique, fair and territorialized interventions in the field of Public Health.

Introduction: Adolescence is a phase of transitions with new responsibilities, more autonomy, and emotional, financial and biological changes, such as alterations in the "biological clocks" that regulate the sleep-wake cycle (SWC). Despite the importance of non-pharmacological strategies to improve sleep, many young people neglect sleep hygiene. It is therefore essential to involve them in the development of materials and interventions aimed at promoting healthy sleep. Active public participation in research has brought science and practice closer together and facilitated engagement with evidence-based interventions. Objective: To co-construct a booklet for sleep healthy in adolescence with the involvement of the target audience in all phases of the research. Method: Participatory action research with 5 adolescents in the 2nd year of high school, their guardians (4 mothers, 1 aunt), 3 teachers and 3 sleep specialists. The study was carried out at the IFRN in Santa Cruz/RN. A sociodemographic questionnaire was administered to the adolescents and a sleep knowledge assessment form was administered to the adolescents and their families, as well as a semi-structured questionnaire to the teachers about some aspects in the classroom. Next, for the dialogue and co-construction groups, the Involvement Matrix (IM) was used as a systematized tool to facilitate the participants' engagement in decision-making and the distribution of roles in the research. In the dialog groups, discussions were held to identify the difficulties faced by adolescents in maintaining healthy sleep and, in a collaborative way, to design an intervention booklet that reflected the preferences of the target audience. Results: The adolescents were aged between 16 and 18, 4 female and 1 male, from the same class. The guardians were between 37 and 49 years old, most of whom had completed elementary school. Two specialists had a doctorate and one a master's degree, with an average of 6.33 ± 4.16 years of experience. There were 5 meetings: presentation of the ED and roles (1st), discussion of strategies (2nd to 4th), and co-construction and validation of the booklet (5th). Adolescents reported excessive use of screens, difficulty sleeping, irregular sleep routine, tiredness, and sleepiness during lessons. Teachers observed signs such as irritability and lack of concentration. Guardians expressed concern about the use of electronics but were unaware of sleep hygiene practices. In the co-construction, the teenagers came up with strategies such as reducing the use of cell phones before bedtime, having a routine for eating and organizing school and home tasks; the parents brought their perceptions about the routine at home, turning off the TV before bedtime and trying to be their own example. The experts guided the discussions in such a way as to ensure that the strategies presented could be compiled into accessible support material for teenagers. In the dialog groups to validate the booklet, the participants showed good satisfaction with the co-created material. Conclusions: This study highlighted the perceived effectiveness of the co-construction model and the participatory approach, which facilitated the development of a booklet for sleep disorders and healthy sleep with the specific needs of adolescents and their families, increasing its relevance and acceptability.

INTRODUCTION: Type 2 diabetes mellitus (T2DM) represents a major public health challenge, especially due to chronic complications arising from inadequate glycemic control. Evidence suggests that clinical factors (obesity, time since diagnosis, insulin use, and gastrointestinal symptoms) and sociodemographic characteristics (sex, race/skin color, socioeconomic status, and access to healthcare services) may influence glycemic regulation in individuals with T2DM. Additionally, sleep-wake irregularity patterns and inadequate chrononutritional behaviors—such as skipping breakfast and eating late at night—have been associated with worse glycemic indicators in the general population, highlighting the importance of investigating these factors in the management of T2DM, particularly in the Brazilian context. OBJECTIVE: To evaluate the association between chronobiological, clinical, and sociodemographic factors and glycemic control in individuals with T2DM in the municipality of Santa Cruz, RN. METHODS: This was a cross-sectional and observational study conducted with individuals aged over 18 years diagnosed with T2DM. Participants underwent anthropometric assessments (weight, height, and waist circumference) and completed five questionnaires: (1) Socioeconomic and Health Parameters Questionnaire; (2) International Physical Activity Questionnaire – short version; (3) Gastrointestinal Symptom Rating Scale; (4) Chrononutritional Profile Questionnaire; and (5) Munich Chronotype Questionnaire. Glycemic control was assessed by glycated hemoglobin (HbA1c), classified according to therapeutic targets established by the Brazilian Diabetes Society. The Mann–Whitney test was used to compare medians between adequate and inadequate glycemic control groups and between categories of dichotomous variables. A 5% significance level was adopted. RESULTS: A total of 85 individuals were assessed, mostly women (78.8%), with a median age of 59 years, low educational attainment (91.8% without higher education), and per capita income below the minimum wage (63.5%). Overweight was prevalent (69.0%), and 91.2% presented increased or greatly increased cardiometabolic risk. Chrononutritional behaviors showed a low prevalence of eating jetlag ≥1h (7.1%) and breakfast skipping (5.9%), while 90,6% reported lunchtime as the largest meal e 96.5% had eating windows ≥10h. The median sleep duration was 7.5 hours, without social jetlag and the corrected midpoint of sleep on free days (MSFsc) was 2:00 a.m., all without significant associations with glycemic control. Inadequate glycemic control was identified in 60.0% of the sample and was associated with male sex (p=0.031), insulin use (p=0.001), and nighttime eating (p=0.037). Associations were also observed with gastrointestinal symptoms (p=0.014), particularly reflux (p=0.022) and diarrhea (p=0.041). CONCLUSION: The study identified a high prevalence of inadequate glycemic control, which was associated with male sex, insulin use, nighttime eating, and higher gastrointestinal symptom scores. These findings reinforce the importance of multidimensional approaches in T2DM management and point to the need for future investigations into the impact of chronobiological behaviors on glycemic control.

INTRODUCTION: The home environment, as well as healthcare establishments, presents specific risks and conditions that must be carefully observed to ensure patient safety. The common perception that the home environment constitutes a space of less vulnerability to unsafe practices is mistaken, but it is in this context that primary care is carried out most frequently and where a large part of health actions are developed. In this sense, it is essential to recognize the potential risks present at home and adopt appropriate behaviors to prevent them, promoting safe and effective care. The incorporation of a patient safety culture in the context of home care demands a careful look at the multiple dimensions of care, with special emphasis on the qualification and preparation of caregivers. OBJECTIVE: To map existing evidence in the literature on the patient safety culture with an approach to the caregiver and their practice, within the scope of home care. METHODOLOGY: This is a scoping review, conducted based on the Joanna Briggs Institute (JBI) methodological framework and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) checklist. To elaborate the research question, the mnemonic conceptual model Population, Concept and Context (PCC) was considered, in which “population” corresponded to caregivers; “concept”: patient safety and “context”: home care. The searches were carried out in six databases in September 2024. The publications found were exported to the Rayyan® software and duplicates were removed. A pilot test was performed before blind screening began in order to reduce bias. Then, the selection and inclusion of studies continued, being carried out independently in a double-blind screening according to the established eligibility criteria. The screening process was divided into two levels. In the second level of screening, the studies that were pre-selected by reading the title, abstract and keywords (108) were read in full by the reviewers, identifying their relevance to the research more precisely. The final evaluation between the two reviewers reached 96.29% alignment and conflicts without consensus recorded between the reviewers were resolved by a third reviewer. Relevant data related to the included studies were independently extracted by pairs using a data extraction form according to the JBI template. The process of selection, eligibility and refinement of publications were referred to in a PRISMA flowchart. RESULTS: Of the 40 studies included in the scoping review, the prevalence of female caregivers (formal and informal) corresponded to 72.5% of the selected publications. The United States (20%), Brazil (17.5%) and Canada (17.5%) had the highest number of publications. Regarding the type of care provided, professional or formal care predominated among the studies (42.5%), followed by the combination of professional/formal and informal care (35%) and only informal care (22.5%). Several risks were identified, covering: physical, economic, emotional and relational damages, which involved multiple dimensions: physical and environmental, social, mental/psychological and emotional, interpersonal, technological and functional of home care. As well as risks of a chemical, biological nature and related to violence. Regarding the difficulties perceived by caregivers, many challenges were identified regarding the organizational dimension of care, behavioral and cognitive limitations of patients and family members, as well as vulnerabilities in the management and safe administration of medications, structural difficulties and unsanitary home environments, which were highlighted by caregivers as significant barriers to continuity of care and patient safety. FINAL CONSIDERATIONS: Patient safety has gradually gained its space in this care scenario, which despite the expansion of home health care, many barriers and weaknesses permeate understanding the risks encountered and the predictive implementation of practical safety strategies and measures. The results of this study reveal the level of consolidation of the patient safety culture among caregivers, highlighting the importance of important investments in the training of caregivers, which also includes health professionals, as well as attention to elements inherent to the specificity of care in this scenario — such as ambience, delimitation of duties and responsibilities, in addition to adapting norms and routines to the particularities of the domain. Such factors are fundamental to guarantee the effectiveness of safety actions and the qualification of care provided in this context, directly reflecting on health work processes. The relevance and findings of this study are reaffirmed by its potential contribution to the formulation and strengthening of strategies that promote a more solid, effective and external safety culture in this care scenario, since the global panorama involving patient safety at home is recent and permeated by many institutional challenges.

Introduction: Gravediggers play a fundamental role in cemetery activities, as assistants to the funeral service. These professionals are responsible for building, cleaning, opening, and closing graves, as well as performing burials, exhumations, and cremations of corpses. Although this work has deep roots in human history, the field of undertakers remains in need of significant improvements to ensure their rights, social appreciation, and recognition of the complexities involved in their work. Objective: To analyze the work experiences of undertakers in the Trairi Potiguar region and their repercussions on health. Method: This is a qualitative study with an exploratory approach, conducted in cemeteries in the Borborema Potiguar micro-region, in the state of Rio Grande do Norte. Gravediggers aged 18 years or older were included. The data collection instrument was a semi-structured script with questions regarding the working conditions, health, and experiences of gravediggers. For data analysis, Content Analysis was used with the aid of IRaMuTEQ® software, which enables the analysis of the textual corpus with a simple and understandable interface. Results and discussion: The resulting textual corpus consisted of 10 texts divided into 537 textual segments, of which 461 were processed by the software, with an 85.85% utilization rate. The study resulted in a sample composed of 10 gravediggers, with active employment, between temporary contracts and civil service exams, working in municipal cemeteries in the Trairi Potiguar region. The analysis allowed for the construction of thematic categories according to the Descending Hierarchical Classification (DHC), which express dimensions of the gravediggers' experience, namely: Class 1- Precarious employment relationship (27.1%); Class 2- The dead body as an object of work and the symbolic emptying of mourning (21.5%); Class 3 - Invisible routine and excessive working hours (27.6%); and Class 4 - Technical execution and little social recognition (23.9%). The Similarity Tree revealed three main clusters: Cluster 1 - “grave”; Cluster 2 - ‘cemetery’; Cluster 3 - “gravedigger.” The triangulation of the CHD and the Similarity Tree demonstrates consistency between the highlighted clusters and the thematic categories. Final considerations: The association between the study findings and the thematic categories reveals that gravediggers face a cycle of invisibility and precariousness at work, suffering in silence and without institutional recognition.

Introduction: Occupational Health encompasses a set of measures to protect workers from the risks present in their work environments. In recent years, occupational stress has emerged as a relevant phenomenon. This type of stress is associated with physical and mental reactions triggered by the demands and circumstances of the work environment, and can lead to a series of health problems, both physical and psychological. In this context, professions such as nursing are particularly susceptible to occupational stress due to the demanding and emotionally challenging nature of the work. Objectives: To analyze occupational stress and associated factors in nursing professionals working in resource-limited settings in the interior of Paraíba. Methodology: This is an exploratory and descriptive study, with a quantitative approach, conducted at the Pedro Vieira Basic Health Unit in Sossego, Paraíba. The target population comprises 20 nursing professionals, with a minimum sample of 19 participants. Data collection used the Nurse Stress Scale (EBS), containing 51 items, was administered in person. The analysis will be statistically performed using Excel, with results presented in tables. Preliminary Results: The study was conducted with 19 professionals, predominantly female. Most nurses are between 31 and 40 years old and have up to 5 years of training, while technicians are distributed across various age groups and lack extensive experience in the unit. The results indicate that most of the activities evaluated generate little or moderate stress for professionals. Relationships with other units, pharmacy, and warehouses present varying levels of stress, while bureaucratic activities and performing tasks in a short timeframe are considered the most stressful. In patient care, activities were seen as mildly stressful, but critical situations, such as emergencies and dealing with death, generated the most stress. Final considerations: The study reveals that the majority of professionals studied are women, predominantly between 31 and 40 years old and with between 2 and 5 years of training. Regarding stress, bureaucratic activities and performing tasks in a time-limited manner were the most stressful, with patient care being classified mostly as little or moderately stressful. Overall, stress in the
workplace is moderate.

Assistance during labor and delivery is fundamental to maternal and neonatal health and represents one of the greatest challenges for health systems. However, even with the advances made in recent years, maternal morbidity and mortality remain a serious global public health problem. The quality of this assistance depends on systematic monitoring of labor, adequate recording of clinical information, and the adoption of good practices. This study aimed to analyze the completeness and quality of obstetric records, as well as adherence to good practices in childbirth care. This is a documentary, cross-sectional, quantitative study conducted in a maternity hospital in the interior of Rio Grande do Norte, with 88 medical records of women who gave birth between July 2023 and February 2024. Data analysis was performed using Statistical Package for the Social Sciences, version 22.0, using descriptive statistics, with calculations of absolute and relative frequencies. To assess the completeness of the records, the Romero and Cunha scoring system was used, which were grouped into adequate completeness (<10% incompleteness) and inadequate completeness (>10% incompleteness). The quality of care was assessed using the Bologna Score, composed of five indicators: presence of a companion, use of a partogram, absence of labor stimulation, non-supine delivery position, and skin-to-skin contact. The results showed that incompleteness rates were above 50% in essential variables of the risk stratification forms and partogram, in addition to significant failures in the checklists for safe delivery, in which 14 medical records had no registered checklist, resulting in inconsistencies in the application of safety protocols. Among the deliveries analyzed, 48.9% were cesarean sections, and only 33.3% achieved the maximum score on the Bologna Score, reflecting partial adherence to good practices. It is concluded that the analysis of the completeness of obstetric records, associated with the assessment of adherence to good care practices, can assist in the qualification of childbirth care and in strengthening maternal and neonatal safety. The findings offer insights that can contribute to supporting professional training processes and improving public strategies and policies, such as the Alyne Network, with a view to promoting safer, more humanized, and more efficient care.

Teaching Public Health in higher education constitutes a strategic field for training critical, reflective health professionals capable of responding to the complex demands of the Brazilian Unified Health System (SUS). However, teaching in this area still faces weaknesses related to pedagogical training, institutional conditions, and curricular integration. In light of this scenario, this research aimed to understand the nature of the faculty working in public health at a public higher education institution in Rio Grande do Norte, as well as to analyze their pedagogical practices, strengths, and challenges, using Lee Shulman's Pedagogical Reasoning and Action Model as a theoretical framework. This is a descriptive qualitative investigation conducted with faculty members affiliated with the Trairi School of Health Sciences (FACISA) through document analysis and semi-structured interviews. The results revealed a predominantly female faculty, with multidisciplinary training and temporary positions, revealing a heterogeneous profile that brings together different perspectives on public health, but also expresses instability and precarious work. Content selection and organization were described as guided by the curriculum's structuring elements and core competencies, but also influenced by the student profile and the professor's domain knowledge. A growing appreciation for active methodologies was noted, associated with student leadership, practical involvement in practical scenarios, and the use of digital technologies. However, traditional practices still persist in certain contexts, denoting connections between innovation and the reproduction of pedagogical models. Among the strengths, collective planning, interdisciplinarity, and the use of diverse resources in the knowledge representation stage stood out, which fosters meaningful learning. Challenges, however, were related to structural and territorial limitations, insufficient workload, low student participation, and the lack of institutional pedagogical support. Faculty reported difficulties in sharing teaching control, work overload, and training gaps in didactics and pedagogy, factors that weaken the consolidation of more critical and reflective practices. The conclusion is that Public Health teaching at the institution under study is intentionally organized and aligns with Shulman's premises, but faces structural, pedagogical, and institutional barriers that compromise its effectiveness. This reinforces the urgent need for investment in teacher training, strengthening working conditions, and encouraging scientific debates to improve teaching skills and enhance the development of professionals capable of transformative work in the field of public health.

Obesity is a topic of great relevance in public health due to its growing impact and the common comorbidities associated with it. The stigma surrounding obesity hinders treatment, with women suffering considerably more than men, mainly due to aesthetic pressures. This study aimed to analyze the eating behavior of women receiving care in primary health care services and their perceptions of the influence of family support on obesity treatment. This is a mixed-methods, observational, cross-sectional study conducted in the municipalities of Tenório (PB) and Parelhas (RN), with a convenience sample. Data collection included a socioeconomic questionnaire, application of the Three-Factor Eating Questionnaire – R21 (TFEQ-21), semi-structured interviews, as well as the development of genograms and ecomaps. A total of 53 adult women diagnosed with obesity (BMI ≥ 30 kg/m²) were evaluated, predominantly young and middle-aged women, mostly Black or Brown, showing relevant tendencies toward uncontrolled eating, emotional eating, and cognitive restraint. Perceptions of family support were contradictory: in some cases, the spouse and support network acted as protective factors, favoring lifestyle changes, whereas in others, they represented barriers through criticism and lack of participation in the treatment process. Genograms and ecomaps highlighted the importance of emotional, financial, and practical support, as well as the influence of the broader social environment, including extended relatives, friends, and the internet. It is concluded that addressing obesity in women requires a multidimensional approach that considers socioeconomic, family, and emotional factors, with interventions aimed at strengthening support networks and reducing stigma, thereby enabling greater adherence to treatment.

Introduction: Reception in Primary Health Care (PHC) is a practice based on qualified listening, respect, and shared responsibility, and is essential for building bonds between professionals and patients. Therefore, by promoting attentive listening and strengthening bonds, reception becomes an indispensable strategy for ensuring patients seek health services and effectively addressing their needs. Objective: To understand health professionals' perceptions of the importance of reception and connection in the context of PHC care. Methodology: This is a qualitative study with a descriptive-exploratory design. Data collection took place from February 2025 to July 2025. The study population consists of health professionals working in PHC in the municipality of Santa Cruz, Rio Grande do Norte. Considering the qualitative nature of the research, the sample size was determined based on data saturation. Data collection was conducted using an individual semi-structured questionnaire, and data were analyzed using Bardin's content analysis technique. Once the corpus was formatted, the data were processed in IRaMuTeQ® (version 0.8a7), and Descending Hierarchical Classification (DHC), word cloud analysis, and similarity graph analysis were requested. Expected results: Nine healthcare professionals were interviewed. The interviewees perceived welcoming as an essential tool in the PHC context and favors the development of professional-patient bonds. Categorization was performed by integrating the research objectives with Bardin's content analysis and the IRaMuTeQ® DHC results. The DHC generated seven classes. These classes were subsequently grouped into two broad categories: one related to social interactions in the care process and the other related to the organization/structure of services. The seven classes are: "Aspects involved in care"; "Feelings related to welcoming"; "Actions for effective welcoming"; "Organization and flow in the unit"; "Bonding and continuity of care"; "Care and listening"; "Communication and qualified listening." Thus, the classes highlight the aspects that permeate the context of user care, with an emphasis on actions that strengthen the relationship between users and professionals. The word cloud also highlighted the "patient" as the center of these actions. Furthermore, through analysis of the participants' statements, it was possible to identify how these practices are understood and applied, and the challenges professionals face in implementing them. Final considerations: This study proposes a reflection on welcoming and bonding in PHC, considering the importance of these elements for the humanization and effectiveness of care. By recognizing these elements ascentral to strengthening PHC, the research findings prompt reflections on the importance of welcoming and how this principle impacts the process of user care.

Introduction: Equity in health is one of the fundamental principles of the Brazilian Unified Health System (SUS), being an essential condition for ensuring the universal right to health and the consolidation of social justice. Guaranteeing equitable conditions within the SUS is not limited to institutional organization but also represents a political and ethical commitment to social justice. Understanding how inequalities manifest in the daily practices of health professionals, especially those on the front lines of care, is essential for consolidating a fairer and more humanized system. Objectives: This study aimed to analyze, from an intersectional perspective, the perceptions of Community Health Workers (CHWs) and Endemic Disease Control Workers (EDCWs) from a municipality in Northeastern Brazil regarding the inequities experienced in their daily work. Methodology: This is a qualitative and exploratory study conducted with 15 participants. The study population consisted of CHWs and EDCWs working in the SUS of a Northeastern Brazilian municipality. Data were collected through semi-structured interviews and processed using the IRAMUTEQ software, analyzed according to Bardin’s Content Analysis technique. The interpretation of the results was guided by the theoretical framework of intersectionality and the concept of equity in health. Results: The findings revealed that experiences of inequality intersect through social markers such as gender, race, class, age, and sexuality, showing that inequities go beyond the sphere of user care and also affect health workers. The thematic categories addressed disrespect toward identities and diversity, institutional and territorial barriers to healthcare access, precarious working conditions, and emotional overload, especially among women. It was also observed that the naturalization of these inequalities compromises the full realization of the principle of equity within the SUS. Final Considerations: Promoting equity in healthcare work requires recognizing and confronting the multiple dimensions of structural inequalities that permeate the daily lives of health workers. It was found that weaknesses in work management and health education policies aggravate these inequalities, limiting opportunities for professional development, recognition, and the promotion of healthy work environments. Intersectionality proved to be a powerful framework for understanding the invisible layers of inequality within healthcare work and, at the same time, for indicating paths of transformation. The strengthening of public policies and continuing education initiatives is emphasized as a strategy in the pursuit of more equitable and humanized healthcare work.

INTRODUCTION: Overweight is a chronic condition and one of the main challenges faced by Brazil’s Unified Health System (SUS). As a strategy to organize care for people living with overweight and obesity, the Ministry of Health established the Care Pathways for Overweight and Obesity (CPOO). However, more than a decade after the publication of the first national guidelines, not all Brazilian states have formalized their pathways, suggesting weaknesses in the implementation of this strategy. OBJECTIVE: To analyze the scientific literature on CPOO within the SUS and to develop a checklist to support the evaluation and elaboration of state and regional Care Pathways. METHODS: The study was conducted in two stages. The first stage consisted of an exploratory rapid scoping review, following the methodologies proposed by the Joanna Briggs Institute and PRISMA-ScR, with evidence synthesis carried out through SWOT analysis. The second stage involved the development of a checklist for the assessment and improvement of CPOO, based on documentary review, followed by evaluation by an Expert Committee using the Content Validity Index (CVI). RESULTS: The literature search identified 1,136 records, from which 26 documents were selected. The SWOT analysis revealed as strengths of the CPOO the multiprofessional approach, user protagonism, and continuing education practices; as opportunities, national policies and programs, intersectoral initiatives, and the use of information technology; as weaknesses, management challenges, insufficient infrastructure, and gaps in professional training and practice; and as threats, limited funding, obesity being treated as an “invisible” condition, and the persistence of stigma and weight bias in health services. Based on the documentary review, the instrument titled “Checklist for Quality Verification and Support to the Elaboration of State and Regional Care Pathways for People with Overweight and Obesity” was developed. In the evaluation by the Expert Committee, all proposed items were deemed valid, and the checklist achieved an overall CVI > 0.80. The final version of the instrument includes 47 items distributed across eight domains: Population Identification; Responsibilities and Mapping of Available Structure; Care Delivery across Points of Attention, Regulation and Care Flows; Clinical Protocols and Therapeutic Guidelines; Monitoring and Evaluation; Continuing Education; Financing; and Critical Points and Improvement Needs. CONCLUSION: The literature review provided an overview of the strengths and weaknesses of the CPOO, highlighting the need to incorporate this topic into planning and management tools and to expand the research agenda on Care Pathways. The validated checklist represents a practical tool with the potential to support the improvement and evaluation of CPOO and to enhance the quality of care for people living with obesity.

This study aimed to develop a self-instructional, territory-based material capable of integrating academic and popular knowledge in support of practices of community mobilization, collective care and participatory monitoring of health and environmental conditions. The methodology extended beyond formal research procedures. It was grounded in a pathway built through lived experiences with local communities. Preliminary field activities – including the articulation workshop, Culture Circles, the talking-map exercise and other participatory methodologies – constituted the formative process that preceded the development of the guide. These experiences generated theoretical and practical inputs that informed the writing, visual design and language of the material. The validation conducted with expert judges sought not only to qualify the educational content, but also to preserve the territorial and affective expressiveness shaped through dialogue with social movements. More than a technical validation process, it aimed to examine the material’s alignment with the central proposal of the broader project. To make visible the forms of surveillance and health production carried out by the communities themselves. To provide tools that strengthen autonomy and collective emancipation. Expert assessments resulted in substantive adjustments that enhanced the guide’s cultural relevance, communicative clarity and mobilizing potential. At the end of the process, the material was recognized as valid, achieving an overall Content Validity Index (CVI) of 0.80. The participatory evaluation with the target audience reinforced these findings. Community feedback indicated broad agreement, demonstrating that the guide meaningfully responds to local needs and supports collective strategies for addressing socio-environmental issues. The theoretical reflection developed in the dissertation deepens discussions on the decolonization of knowledge, institutional challenges and the tensions that traverse participatory practices. It further examines the critical and affective pedagogy of self-evaluation that accompanied the development of the guide. This perspective reveals that popular surveillance extends beyond monitoring health situations, as it nurtures community relationships, values local experiences and reaffirms the territory as a living space for producing meaning, autonomy and care. In summary, the dissertation contributes to the conceptual advancement of Popular Health Surveillance and presents a validated educational technology capable of strengthening community mobilization processes. It also supports the improvement of professional practices that are more dialogical, sensitive to territorial experiences and guided by the ethical principles of popular education.

Introduction: Equity in health is one of the fundamental principles of the BrazilianUnified Health System (SUS), being an essential condition for ensuring theuniversal right to health and the consolidation of social justice. Guaranteeingequitable conditions within the SUS is not limited to institutional organization butalso represents a political and ethical commitment to social justice. Understandinghow inequalities manifest in the daily practices of health professionals, especiallythose on the front lines of care, is essential for consolidating a fairer and more humanized system. Objectives: This study aimed to analyze, from an intersectionalperspective, the perceptions of Community Health Workers (CHWs) and EndemicDisease Control Workers (EDCWs) from a municipality in Northeastern Brazilregarding the inequities experienced in their daily work. Methodology: This is a qualitative and exploratory study conducted with 15 participants. The studypopulation consisted of CHWs and EDCWs working in the SUS of a NortheasternBrazilian municipality. Data were collected through semi-structured interviews and processed using the IRAMUTEQ software, analyzed according to Bardin’sContent Analysis technique. The interpretation of the results was guided by thetheoretical framework of intersectionality and the concept of equity in health. Results: The findings revealed that experiences of inequality intersect throughsocial markers such as gender, race, class, age, and sexuality, showing thatinequities go beyond the sphere of user care and also affect health workers. The thematic categories addressed disrespect toward identities and diversity, institutional and territorial barriers to healthcare access, precarious workingconditions, and emotional overload, especially among women. It was also observedthat the naturalization of these inequalities compromises the full realization of theprinciple of equity within the SUS. Final Considerations: Promoting equity in healthcare work requires recognizing and confronting the multiple dimensions ofstructural inequalities that permeate the daily lives of health workers. It was foundthat weaknesses in work management and health education policies aggravatethese inequalities, limiting opportunities for professional development, recognition, and the promotion of healthy work environments. Intersectionality proved to be a powerful framework for understanding the invisible layers of inequality withinhealthcare work and, at the same time, for indicating paths of transformation. The strengthening of public policies and continuing education initiatives is emphasizedas a strategy in the pursuit of more equitable and humanized healthcare work.

Pediatric hospital admissions represent an important public health indicator, reflecting both the health status of the child population and the responsiveness of health services. In Brazil, different factors—such as socioeconomic conditions, access to health services, epidemiological profile, and regionality—directly influence patterns of pediatric hospitalization. This is in addition to regional differences that impact the number of available beds, quality of healthcare, prevalence, and seasonality of diseases in each region. In order to answer this question, this study aims to map the available evidence in the literature on pediatric hospitalizations in Brazil, identifying their main characteristics, challenges, and perspectives. This is a scoping review conducted according to the methodology proposed by the Joanna Briggs Institute (JBI) and using PRISMA-ScR. Searches were performed in the following databases: PubMed (MEDLINE), Lilacs, Scopus, CINAHL. To identify grey literature, the CAPES Thesis and Dissertation Catalog and the Academic Archive Online (DIVA) were used. The search used descriptors combined with the Boolean operators “AND” and “OR”, relevant to the PCC acronym: population, concept, and context. After the searches, all studies were loaded into the Rayyan application, used to remove duplicates of selected articles, where two independent reviewers performed the study selection and data extraction. A total of 4,267 articles were found, and after screening and selection based on inclusion and exclusion criteria, 17 studies remained for discussion and analysis. The studies found indicated that the main causes of hospitalizations are respiratory diseases, infectious and parasitic gastroenteritis, kidney and urinary tract diseases, and diseases related to environmental and social factors. The Northeast and South regions presented the highest number of studies conducted, highlighting challenges such as regional differences and issues related to access to health services in different parts of Brazil. The perspectives indicate the need to strengthen primary health care (PHC), considering that the main causes of hospitalization are conditions that could be screened, diagnosed, and treated at the primary level. In addition to investing in improving hospital infrastructure, professional training, and public policies that promote health equity.

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: The process of childbirth demands significant physical effort from women, which can lead to dehydration and impact the progression of labor. Therefore, adequate hydration during pregnancy and labor favors homeostatic balance and improved functional capacity. However, the literature still lacks studies regarding the relationship between hydration and its impact on functional capacity and fatigue during labor. Objective: To evaluate the influence of hydration on functional capacity and fatigue during labor. Method: The study consists of two concurrent stages. The first stage involves a Scoping Review aiming to map evidence on the effects of food, supplements, and beverages consumption in laboring women. The second stage is a cross-sectional descriptive study. The study population comprises parturients admitted to the obstetric sector, undergoing normal labor, with an estimated sample size of 100 parturients. Regarding the Scoping Review, a preliminary search was conducted in November 2023. Subsequently, search strategies were developed for a comprehensive literature search using the descriptors “Labor,” “Obstetric,” “Organism Hydration Status,” and “Food and Beverages,” along with their synonyms, across databases including Medline/PubMed, Cochrane Library, EMBASE, Web of Science, and CINAHL. Two independent reviewers selected articles based on inclusion/exclusion criteria using the Rayyan® software. Primary studies published in peer-reviewed journals were included, applying a filter for articles from 2013 onwards in any language and available in full text. Duplicated studies were counted only once, and experience reports and theoretical trials were excluded. The authors utilized a tool for data extraction and methodological analysis of the included articles. Results: The results have been described in two sections. First, the product of the Scoping Review is presented in an article structure: introduction, method, and results. In the second section, the results of the cross-sectional descriptive study are presented, which is currently in the data analysis stage. The scoping review provides insights into the effects of food, supplements, and beverages consumption in laboring women during childbirth. From the analysis of the studies, it was identified that most studies do not differentiate between food, beverages, and supplements in the labor outcome. Instead, they generally discuss the effects of overall food and liquid intake. Additionally, there was no clear distinction made between beverages and supplements. Therefore, the authors categorized isotonic, protein-rich, and carbohydrate-rich drinks as supplements. However, there was no consensus among the studies regarding carbohydrate supplement intake. Dates were the most frequently mentioned and analyzed food item in the studies, showing significant results in reducing labor duration and inducing labor. Other outcomes observed in the studies included reduced time in labor phases, maternal satisfaction, decreased ketosis, and comparable incidence of nausea and vomiting between the fed group and the fasting group. Regarding the cross-sectional descriptive study on the influence of hydration on functional performance and fatigue during labor, data analysis is currently underway. The findings will be presented during the master’s defense in May 2024. Conclusion: It is hoped that this study will contribute to improving care for parturients, minimizing discomforts, and enhancing the overall positive experience during childbirth.

Introduction: Immunization represents a major advance in health technology as it is a low-cost intervention and contributes to reducing child morbidity and mortality. In recent years, vaccination coverage among children under 1 year of age has been lower than the targets recommended by the National Immunization Program. Race or skin color is a marker of social inequalities and an important predictor of the health of a population. Objective: To analyze vaccination coverage up to 24 months of age according to race or skin color in children born in 2017-2018 in the city of Natal/RN. Methods: Quantitative, retrospective cohort research, whose data came from the vaccination coverage survey carried out in the city of Natal/RN, based on a multicentric survey, covering the 26 Brazilian capitals plus the Federal District, carried out by the Centro de Estudos Augusto Leolpoldo Ayrosa Galvão (CEALAG). The population was made up of live births in 2017 and 2018, residing in the urban area of Natal/RN. The sample size was defined based on calculations adopted by the World Health Organization for vaccination coverage surveys, using the parameters of 95% confidence, an expected vaccination coverage of 70% and a design effect of 1.4. The collection took place digitally based on the identification of the family and the child and the questionnaire was applied based on the information in the child's vaccination booklet. The data were analyzed using Poisson regression. Results: Children of black race or skin color (black and brown) are mostly from families with a low level of consumption (C-D) (80.44%) and children of mothers with a lower level of education (24.58%) . (19.97%) used private vaccination services and (15.69%) reported difficulty in taking the child to the vaccination center. Among black children, (95.09%) of those responsible reported confidence in the vaccines distributed by the government, (97.01%) reported a belief that vaccines are important for the child's health, and (94.50%) a belief that Vaccines are important for the health of the neighborhood. There was lower vaccination coverage among black children for timely doses in complete coverage without yellow fever (PR=0.21; 95%CI 0.04-0.90). Conclusion: The results showed lower vaccination coverage among black children when compared to white children.

The term multimorbidity encompasses the coexistence of 2 or more health conditions in the same individual, and is an emerging issue for public health. Although studies have focused on older populations, a growing debate has been evidenced in younger individuals, while the relationships between multimorbidity and personal factors and disability are not consensual in the literature. This study aims to estimate the prevalence of self-reported multimorbidity in the adult population and its association with disability and personal factors in the city of Santa Cruz, using data from the MDS-Brasil instrument. This is an observational, cross-sectional, population-based study with a quantitative design. Individuals aged 18 years or older, of both sexes, regardless of level of education, with or without disabilities, who lived in the city of Santa Cruz, Rio Grande do Norte, were included. In the population survey, information was collected on personal factors (age, sex, income, education, and race/color) and on levels of disability (absence, mild, moderate and severe) through three domains of functionality: mobility, body functions, and activity/participation of the MDS-Brazil instrument. A total of 504 interviews were analyzed. The results showed a higher proportion of females (76.4%), with the majority being elderly (35.5%), married, and with low levels of education. A prevalence of 60.6% of self-reported multimorbidity was observed. Although multimorbidity is recognized as a health problem in elderly people, the findings of this study reveal the presence of the condition in young and middle-aged people. The personal factors that are related to the presence of multimorbidity are age over 60 years, low level of education, and being married. An association was found between multimorbidity and level of disability in the aspects of mobility, body functions and activities and participation, expressing how multimorbidity is complex and needs to be managed to reduce levels of disability over time, especially when affecting younger individuals.

Introduction: The NutriSUS Strategy for the Fortification of Infant Feeding with Powdered Micronutrients is a public policy of the Brazilian Ministry of Health that aims to prevent and control nutritional deficiencies in children aged 6 to 48 months. The strategy consists of adding a mixture of vitamins and minerals in powder to one of the daily meals offered to children. The strategy was launched in March 2015 and reformulated in 2022 to improve its effectiveness and coverage. The reforms included expanding the age range served, increasing the dose of micronutrients, and including new communication and awareness strategies. The proposed research aims to analyze the effectiveness of implementing the NutriSUS Strategy in the Basic Health Units (UBS) of Campo Redondo-RN and its operationalization phases. Methodology: This is a single-case study with a qualitative descriptive approach with a holistic focus. The research will be developed in the municipality of Campo Redondo-RN, Brazil. The UBS of the urban and rural regions will constitute the field of observation. Data collection will be carried out with the help of semi-structured interviews with health professionals from the UBS, parents or guardians of children served by the NutriSUS Strategy, and children served by the strategy. The interviews will be recorded and transcribed for later analysis. The data will be analyzed according to their variables, sequenced, and categorized for better accuracy of their results. The results will be tabulated in a clear and concise way to facilitate the analysis and interpretation process. Preliminary Results: The documentary analysis carried out so far has made it possible to collect information on the trajectory of the NutriSUS strategy. The data were analyzed using information related to the year of publication of documents, places of publication, frequency of news published on official websites of the Brazilian government, and the types of documents found. These results will contribute positively to the understanding of the initial milestone of the strategy and the course of implementation and changes that occurred. Final Considerations: It is expected that the project will positively impact both the target audience and the health system that will execute the intervention. From the results obtained, it will be possible to propose improvements in the implementation of NutriSUS and, consequently, to make it available to the population effective products, thus strengthening the health system.

The Emergency Remote Learning (ERL) model adopted by Higher Education Institutions (HEIs) during the COVID-19 pandemic presented various challenges for health-related degree programs, considering the essential in-person nature of many activities conducted during the educational process. This includes training aligned with the principles of the Unified Health System (SUS), with an emphasis on Public Health, according to the National Curriculum Guidelines (DCNs). The consequences of ERT further exposed the pre-existing challenges in the training of health professionals, particularly nutritionists. Nutrition education in Brazil has long been marked by deficiencies in integrating biological and social knowledge, especially concerning Public Health (PH), which also suffers from the lack of a clear profile of the necessary competencies and skills for nutritionists working in the field. There is a gap in the literature on how nutritionists were trained in the PH field during ERL. This issue becomes even more significant within public universities, institutions with social responsibility to the community, integration of teaching-service-community, and alignment with training for the SUS. In light of this, this qualitative and exploratory case study aimed to investigate PH training within a Nutrition course at an HEI in Rio Grande do Norte during emergency remote teaching, using students, graduates, and faculty members in the field as references. The study sought to gather their perceptions, concerns, challenges, and hopes to contribute to the body of knowledge regarding nutritionists’ training in PH. The research subjects are faculty, graduates, and students from the Nutrition undergraduate program at the Federal University of Rio Grande do Norte (central campus) and the Faculty of Health Sciences of Trairi (FACISA campus). Data was collected through semi-structured interviews specific to each group, and document analysis of the Pedagogical Projects of the Nutrition course at both HEIs, as well as the syllabi of curricular components related to PH during ERL. The obtained data were analyzed using Thematic Content Analysis. ERL had negative impacts on the training of nutritionists at UFRN, with the severity depending on the student's profile, the characteristics of the curricular component, and the faculty's methodology. Regarding PH, the most significant impact was the inability to carry out practical activities and develop the teaching-service-community connection. Weaknesses in PH education were revealed at both campuses, predating the pandemic. Faculty expressed great dissatisfaction with ERL, particularly regarding the use of communication and information technologies (CITs), increased workload, and lack of student interaction. Despite the challenges reported by both groups, the innovations and adaptations made were also considered positive as tools to enhance in-person teaching. Thus, we can observe the impact of remote learning on nutrition professionals' training in PH in the state, contributing to the reflection on the role of PH within the Nutrition degree program, seeking increasingly DCN-oriented health training and SUS-focused practice, with a more assertive use of communication and information technologies to enhance in-person education.

Primary Health Care (PHC) is characterized as the main entry point to Brazil’s Unified Health System (SUS), offering universal, comprehensive, and free access to health services. Psychosocial Care (AP, in Portuguese) in this context holds a strategic position due to its potential to provide longitudinal care that takes into account the individual's particularities and the territory in which they are located. In a country with continental dimensions and social, economic, and cultural disparities, it is important to understand how public health policies are implemented in small municipalities, taking into account their unique characteristics and needs. This study aims to identify the impacts of political changes in Primary Health Care (PHC) in the municipality of Cuite / PB and their repercussions on Psychosocial Care (AP) from 2012 to 2022. It was a qualitative and exploratory research, of the case study type, with data collection conducted through semi-structured interviews and document analysis. The participants in the study were Nurses and Community Health Agents (ACS, in Portuguese) linked to the Family Health Strategy (ESF, in Portuguese) in the municipality of Cuite / PB. Municipal Health Plans (PMS, in Portuguese) and Annual Management Reports (RAG, in Portuguese) developed between 2012 and 2022 were also analyzed. The data produced were analyzed using the Content Analysis technique proposed by Minayo. All stages of the research were conducted in accordance with the ethical principles and information security guidelines established in Resolution 466/2012 of the National Health Council (CNS). This study resulted in the three articles that make up this dissertation. It was concluded that the Mental Health (MH) care provided by PHC is strongly impacted by changes in public policies and needs to be reoriented to provide assistance that is more aligned with the needs of the territory. However, in the studied context, barriers exist from the planning stage in the management tools, as the goals set for AP are largely focused on medium and high complexity services. This results in isolated and incipiente practices in PHC, with weaknesses observed in the planning and execution of MH collective actions, in user adherence, in the performance of professionals working in the ESF, and in the coordination of care. The findings allow for an analysis of the potential of the territory, daily practices, and health workers, supporting the commitment of management and professionals in transforming the reality through the handling of local complexities.

Introduction: Health work requires organization that prioritizes efficiency and well-being. In Primary Health Care (PHC), preventive actions protect workers exposed to occupational risks, such as biological agents. Standards such as the use of PPE and public policies, such as the PNSST, reinforce safety and quality of life in the workplace, with the SUS as a protagonist in this guarantee. Objectives: To analyze, through documentary research, Workers' Health in the context of Primary Health Care. Methodology: This is a documentary research with a qualitative approach where documents were analyzed on the RENAST Online Platform that permeate the National Policy for Workers' Health for the strengthening of the Workers' Health network through Primary Care actions and services and social control. This study was possible because, as it is a documentary analysis, the necessary protocols were found in an accessible way on the RENAST Online Platform, through specific legislation and also related to Workers' Health. Results: They were divided into three chapters entitled: How is RENAST structured in Brazil; Epidemiological Surveillance in Occupational Health in Primary Health Care; and Analysis of RENAST Online protocols. One of the strategies for implementing the PNSTT is the role of the APS in carrying out assessment, control, and surveillance of occupational risks in companies and establishments, observing the productive activities present in the territory, encouraging participation in monitoring epidemiological, sanitary, and environmental health surveillance actions, in addition to specific VISAT actions, analysis of the productive profile and health status of workers, among other strategies for occupational health safety. Final considerations: In view of the above, the importance of working on this topic is realized in each reference studied and in the search for understanding how health professionals deal with occupational accidents in their work routine and how the notification of injuries to Workers' Health occurs, in addition to knowledge about the Intersectoral Commission for Workers' Health.

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.