O filme “Histórico” e o passado em perspectiva: o filme Morte Negra (2010) como ferramenta para introduzir questões de gênero na sala de aula

O presente trabalho visa debater a utilização de filmes ditos “históricos” em aulas de história, promovendo um diálogo entre o conhecimento acadêmico e a cultura popular. Compreendemos que uma obra dessa natureza representa uma perspectiva da contemporaneidade sobre o passado - neste caso, a Idade Média -, e por isso nosso objetivo é promover o senso crítico dos alunos para o imaginário que circula na sociedade atual acerca do medievo, por meio de atividades pedagógicas. O filme escolhido como objeto de estudo é Morte Negra (2010), dirigido por Chistopher Smith. Ele foi inserido no contexto didático, buscando promover um debate sobre relações de gênero no presente e no passado. Acreditamos que o filme tem potencial didático para provocar reflexões sobre a visão do feminino na contemporaneidade, projetada em um pano de fundo “histórico”

Elaboration of a flowchart for healthcare quality improvement of patients with diabetic foot ulcer

Objective: The aim of this study is to map the work process of a Municipal Centre for the care of diabetic foot ulcer, in order to elaborate a multi-professional flowchart for the management of these patients. Methods: Qualitative study, developed by means of Bizagi software version 3.7.0.107, for the purpose to map the flow of activities encompassing the first attendance for people with diabetic foot ulcer, through observational record, elaborating a multi-professional flowchart for improving quality of care. Results: The investigation, mapping and comparison between two flowcharts, current and future directions, highlighted the need to offer multi-professional care for patients, besides of implementing improvements in the quality of care, emphasizing the importance of holistic approach over the  chronic wound carrier, avoiding, consequently, futures complications. Conclusion: Finally, it was elaborated a new map of work process to consolidating the presence of multi-professional team for treatment of people with diabetic foot ulcer

Relações internacionais e meio ambiente

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Mycobacterium abscessus subsp. bolletii keratitis: rare case reported in Brazil

In this report, we described a rare case of Mycobacterium abscessus subsp. bolletii keratitis in a young healthy male, in the absence of risk factors

Standardization of a protocol for shotgun proteomic analysis of saliva

Saliva contains numerous proteins and peptides, each of them carries a number of biological functions that are very important in maintaining the oral cavity health and also yields information about both local and systemic diseases. Currently, proteomic analysis is the basis for large-scale identification of these proteins and discovery of new biomarkers for distinct diseases. Objective: This study compared methodologies to extract salivary proteins for proteomic analysis. Material and MethodsSaliva samples were collected from 10 healthy volunteers. In the first test, the necessity for using an albumin and IgG depletion column was evaluated, employing pooled samples from the 10 volunteers. In the second test, the analysis of the pooled samples was compared with individual analysis of one sample. Salivary proteins were extracted and processed for analysis by LC-ESI-MS/MS. Results: In the first test, we identified only 35 proteins using the albumin and IgG depletion column, while we identified 248 proteins without using the column. In the second test, the pooled sample identified 212 proteins, such as carbonic anhydrase 6, cystatin isoforms, histatins 1 and 3, lysozyme C, mucin 7, protein S100A8 and S100A9, and statherin, while individual analysis identified 239 proteins, among which are carbonic anhydrase 6, cystatin isoforms, histatin 1 and 3, lactotransferrin, lyzozyme C, mucin 7, protein S100A8 and S100A9, serotransferrin, and statherin. Conclusions: The standardization of protocol for salivary proteomic analysis was satisfactory, since the identification detected typical salivary proteins, among others. The results indicate that using the column for depletion of albumin and IgG is not necessary and that performing individual analysis of saliva samples is possible

PERIPHERAL VENOPUNCTION AND ITS MAINTENANCE: SOCIAL REPRESENTATION BY WOMEN IN CESAREAN SECTION

Objective: to identify and analyze the social representations and their dimensions about peripheral venous catheterization and its maintenance for anesthetic-surgical purposes in women undergoing cesarean section.Method: qualitative study of exploratory-descriptive type grounded by the Theory of Social Representations with the participation of 120 women and carried out in a public hospital in the state of Minas Gerais - Brazil, between 2019 and 2020. Evocations collected by interviews with application of the technique of free association of non-hierarchical words with prototypical analysis and by similarity in the EVOC and IRAMUTEQ software.Results: the present social representation addresses feelings in the behavioral dimension of stress, which are related to insecurity and fear of the pain of the needle, the surgical procedure, and the restriction of movements.Conclusion: the research contributes to a reflection on the need to resize nursing care before the difficulties faced by women in the triple experience of stress: cesarean section; venous catheterization; and the difficulty of performing postpartum care

A gestão da pandemia de covid-19 e as suas repercussões para o gestor do SUS

Este artigo discute os desafios enfrentados pelos gestores estaduais do Sistema Único de Saúde (SUS) no contexto da pandemia de covid-19 e as consequências produzidas em suas vidas pessoais. A partir de entrevistas com gestores estaduais, tornou-se evidente que a pandemia demandou o replanejamento das ações e serviços de saúde, a estruturação de novos serviços e leitos hospitalares, o uso de telemedicina e a contratação e capacitação de profissionais. Também emergiu a ausência de políticas integradas e de uma coordenação nacional, que levou à adoção de diferentes estratégias por parte dos estados. Estes fatores, assim como a politização da pandemia, a negação da doença e a tentativa do governo federal de impor tratamentos ineficazes para a covid-19 foram consideradas entre as maiores dificuldades vivenciadas pelos gestores. Fazer a gestão do SUS se tornou um exercício de risco, com repercussões deletérias não apenas para si e para a sua gestão, mas também para suas famílias e amigos. Se, por um lado, o contexto extenuante afetou a saúde física e mental dos gestores, que passaram a lidar com excesso de peso, ansiedade e angústia, de outro, foi fonte de motivação por catalisar solidariedade, empatia e o compartilhamento entre os atores políticos.This article discusses the challenges faced by the state managers of the Brazilian National Health System (SUS) in the context of the COVID-19 pandemic and the consequences produced in their personal life. From interviews with state managers, it became evident that the pandemic implied the re-planning of health actions and services, the structuring of new hospital services and beds, the use of telemedicine and the hiring and training of professionals. It also exposed the lack of integrated policies and national coordination, which led to the adoption of different strategies by the states. These factors, as well as the politicization of the pandemic, the denial of the disease and the attempt of the federal government to impose ineffective treatments for COVID-19 were considered among the greatest difficulties experienced by managers. Managing the SUS has become a risky exercise, with deleterious repercussions not only for themselves and their management, but also for their families and friends. If, on the one hand, the strenuous context affected the managers’ physical and mental health, who began dealing with overweight, anxiety, and anguish, on the other hand, it was a source of motivation for catalyzing solidarity, empathy, and sharing among political actors

The Use of Low Intensity Laser in Wound Healing in Dog

Background: Low-intensity laser is effective in cellular metabolism, analgesia, and tissue repair. The bioelectric, bioenergetic, and biochemical effects of laser therapy stimulate local circulation, collagen formation, and epithelization. The objective of this study was to report the use of gallium-aluminum arsenide (GaAlAs) laser (830 nm) in healing two wounds caused by necrosis in a dog.Case: An 8-year-old bitch, a rescued victim of animal abuse, had tibiotarsal dislocation in the left posterior limb. Orthopedic surgery was performed with the placement of an external fixation device with six pins in the distal third of the left posterior limb. A radiographic examination performed 42 days after the surgery revealed the loss of the tibiotarsal ratio, decreased radiopacity of the carpal bones, edema, inflammation, muscle atrophy, and the rotation of the anatomical axis of the metatarsals and phalanges. It was then decided to perform a second orthopedic surgery, in which a bone graft and arthrodesis with an 8-screw titanium plate were performed. Four of the plate screws were placed proximally to the tibia and four distally to the tarsus in addition to a screw and a pin transfixed through the distal metaphyseal region of the tibia and calcaneus. Traction was felt during suturing in the dermis and epidermis of the limb, suggesting the possibility of dehiscence of the stitches. After 3 h of surgery, the limb was cold and edematous. After 5 days, the tissue of the medial region of the tarsus developed necrosis, exposing a wound 6 cm long, 1.5 cm wide, and 2 mm deep (wound 1). Another necrotic lesion was observed in the dorsal region of the tarsos - 6.5 cm long, 2 cm wide, 3 mm deep, and exposing 5 cm of the titanium plate (wound 2). Therapy with GaAlAs laser was then performed over the entire length of the wounds. In each therapeutic session, the laser was first used in punctual mode at 10 J/cm², 830 nm, 20 s at each point of the length of the lesion and then in scan mode at 10 J/cm², 830 nm, 1000 Hz, and 40 s continuously. Laser therapy sessions were conducted at 2-4 day intervals, with a 12-day interval between the eighth and ninth sessions. During the entire treatment, cleansing and debridement of the wounds were performed every 48 h with saline and chlorhexidine digluconate, using a compression bandage, as described earlier. Wound 1 healed completely after two laser therapy sessions. In wound 2, tissue repair stagnated after the ninth and last laser session, leaving 4 cm of the titanium plate still exposed. The limb could not support the body weight of the patient, and radiographic examination revealed that the anatomical axis of the metatarsals and the phalanges was rotated and bone conformation was poor. Given the anatomical conditions associated with the patient's clinical picture, it was decided to amputate the limb between the femur and tibia.Discussion: Therapeutic lasers act on mitochondrial respiration, increasing respiratory metabolism and stimulating DNA synthesis and tissue proliferation. In the present case, there was a decrease in inflammatory cells, edema, and the size of the wounds. The pathological conditions of the affected site, influence of trauma, and degree of tissue damage affected the results of the laser therapy. Despite the size difference between wounds 1 and 2, the exposed titanium plate was a determining factor for the partial healing of wound 2. Keywords: laser, laser therapy, scar, necrosis, orthopedics, physical therapy, tissue repair. Título: A utilização do laser de baixa intensidade na cicatrização de ferida em cão.Descritores: laser, laserterapia, cicatriz, necrose, ortopedia, fisioterapia, reparo tecidual

Estudo do Concreto Asfáltico Estocável

Misturas asfálticas são os principais tipos de materiais que compõem as camadas de revestimentos asfálticos dos pavimentos brasileiros. Sabendo disso, este estudo teve por objetivo estudar misturas asfálticas, conhecidas como Concreto Asfáltico Estocável (CAE), que tem como diferencial a proposta de poder ser armazenada a granel ou ensacada e aplicada à frio. Foram realizadas as caracterizações físicas, volumétricas e mecânicas de três amostras de CAE de diferentes fabricantes com vistas a compreender sua composição e comportamento mecânico. Além disso, foram realizadas avaliações da granulometria utilizando as metodologias Bailey e Frações de Agregados Dominantes (FAD). Os resultados mostraram que as misturas de CAE não atenderam aos requisitos especificados em normas brasileiras e apresentaram resultados diferentes do esperado para um concreto asfáltico convencional, indicando que o mesmo não deve ser abordado como tal. Além disso, o CAE não atendeu aos parâmetros de trabalhabilidade e volumetria. Os resultados de viscosidade do ligante, do módulo dinâmico e do Flow Number indicaram que uma das amostras apresenta alta rigidez, fato que pode estar relacionado ao envelhecimento do ligante asfáltico e consequente enrijecimento da mistura. Por fim, verificou-se que o CAE apresenta envelhecimento durante a estocagem, o que não é adequado para misturas asfálticas. Logo, conclui-se que o mesmo, sem a adoção de critérios de controle de produção e aplicação, não é adequado para utilização como nova camada de revestimento, tendo seu uso limitado à serviços de manutenção como tapa-buraco.Palavras-chave: Superpave. Deformação permanente. Avaliação mecânica. Método Bailey. FAD.

Healthcare quality and “Choosing Wisely” initiative

From a campaign driven by the American Board of Internal Medicine (ABIM) Foundation, the Choosing Wisely Initiative began in 2011 when several US societies from different medical specialties presented lists of procedures that are used excessively and therefore inappropriate. In this article we sought to highlight the relationship between healthcare quality, unjustified variation in supply of low-value procedures and the initiatives to reduce the overuse of those procedures. In addition to appropriate methodology, one should take account of criteria to evaluate whether or not the use of given procedures is recommended. The most important criteria are: the transparency and participation of a broader group of professionals, including different specialties; selection of procedures whose utility with regard to improving health is scientifically questionable and its costs to health services are excessive relative to benefits; the possibilty to measure and evaluate these procedures; the absence of any conflict of interest or corporatism