The production of meanings drawn by students in tutoring in undergraduate nursing

Objective: Analyze the meanings produced in free drawings and built by students in tutoring scenario while learning in undergraduate and discuss the strengths and weaknesses of tutoring demonstrated in free drawings constructed by the students during the training of nursing students. Method: A qualitative research. The scenario a private college in Rio de Janeiro. The subjects 87 students from 1st to 7th periods in nursing. The ethical and legal procedures were present and the authorization of the Ethics in Research-Protocol n.º 581-11. Results: The analysis of data collected contemplated the thematic analysis. From reading the drawings we obtained an understanding that students value the mentoring, to having to build learning based on responsibility. Conclusion: The study aims to encourage students and teachers in achieving the best quality training

Frequency of functional and muscular changes after head and neck radiation therapy. A cross-sectional study / Frequência de alterações funcionais e musculares após radioterapia de cabeça e pescoço. Um estudo transversal

Head and neck cancer is considered a mutilating disease, the therapeutic modalities for treatment include surgical, radiotherapeutic and chemotherapeutic procedures. The aim was to evaluate functional and muscular alterations in the head, neck, scapular girdle and upper extremities of individuals with head and neck cancer after radiotherapy. Cross-sectional study with retrospective data. Seventy-one medical charts were selected, analyzing in each of them the routine of the physiotherapeutic diagnosis of patients that includes information about the disease, physical examination and diagnosis of pain and limitation of movement. The results showed muscular alterations in all patients, most of the changes occurred in the area close to the irradiated site, such as the trapezius (90.1%) and pectoral (80.3%) muscles. All patients underwent radiotherapy, 29 (40.8%) used conventional cobalt therapy and 42 (59.2%) intensity-modulated radiation therapy (IMRT). The most used dose among the patients was 6,300 cGy. The Bisserial Correlation Test showed a correlation between the dose of radiotherapy and the segments: temporomandibular dysfunction, sternocleidomastoid, trapezius, pectoralis, cervical, shoulder, winged scapula, and sensory alterations. Radiation therapy in head and neck cancer causes functional and muscular changes in the irradiated regions. The present study showed that areas that were not directly irradiated should be better studied

Mapeamento geomorfológico da zona costeira sul de Sergipe

O mapa geomorfológico constitui um inventário dos aspectos dos substratos e dos processos. Os objetivos deste trabalho foram refinar o mapeamento geomorfológico já existente e produzir um novo mapa geomorfológico da zona costeira do sul do Estado de Sergipe utilizando técnicas de sensoriamento remoto. A metodologia incluiu processamento digital de imagens, modelo digital de terreno, trabalho de campo, análise granulométrica e estatística dos sedimentos e, confecção do mapa geomorfológico. A zona costeira do sul de Sergipe apresenta duas unidades geomorfológicas: tabuleiros costeiros e planície costeira, que estão em contato entre si por falésias inativas. A planície costeira foi dividida em sete subunidades: terraços marinhos internos, paleodunas, terras úmidas/lagoas, terraços marinhos externos, planícies de maré/manguezais, dunas atuais/interdunas e praias. As unidades/subunidades apresentaram uma resposta espectral distinta, principalmente em relação à cor e ao relevo (textura), no processamento digital de imagens e no modelo digital de terreno. No processamento digital de imagens foi possível estabelecer as diferenças entre: tipos de vegetação; substrato arenoso exposto devido ao comportamento espectral das areias quartzosas; “água limpa” e “água com sedimento em suspensão” e; alinhamentos e truncamentos dos cordões litorâneos. O modelo digital de terreno destacou as unidades/subunidades com diferenças topográficas, como tabuleiros costeiros, paleodunas e dunas atuais. Este trabalho ressaltou a importância do sensoriamento remoto para o aprimoramento do mapeamento geomorfológico de zonas costeiras

EROSÃO COSTEIRA E FAIXAS DE RECUO EM PRAIAS ARENOSAS DO SUL DE SERGIPE, BRASIL: Coastal erosion and setback lines on southern Sergipe sandy beaches, Brazil

The aims of this paper were to analyze the historical shoreline changes and to verify the efficiency of setback lines on estuarine and oceanic sandy beaches located on south Sergipe, northeastern Brazil. The methodology consisted in determining the rate of change and the behavior of shoreline (1971 to 2017), and in analyzing the efficiency of the use of setback lines for light and heavy buildings if they had been implemented in 1971. The estuarine and ocean beaches presented respectively -5.6 and -1.6 m/year average erosive rates. The shoreline erosive behavior occurred in 82.4 % of the estuarine beach and in 38.6 % of the ocean beaches. The setback lines efficiency analysis for heavy building showed that if they had been implemented in 1971, many of the damage to anthropic structures would have been avoided. However, the methodology adopted is inadequate, as it does not consider the time period (short, medium, or long-term). The use of the erosive rate verified in each location multiplied by the desired time seems to be the most viable alternative in the absence of other data. This study demonstrates that a simple method can be used successfully. Key words: shoreline, historical changes, rate of change, efficiency analysis.O objetivo do trabalho foi analisar as mudanças históricas da linha de costa e, verificar a eficiência de faixas de recuo em praias arenosas, estuarina e oceânicas, localizadas no sul de Sergipe, nordeste do Brasil.  A metodologia consistiu na determinação da taxa de variação e do comportamento da linha de costa (1971 a 2017), e na análise de eficiência do uso de faixas de recuo para construções leve e pesada, caso tivessem sido implementadas em 1971. As praias estuarina e oceânicas em erosão apresentaram taxas médias de -5,6 e -1,6 m/ano, respectivamente. O comportamento erosivo da linha de costa ocorreu em 82,4 % da praia estuarina e em 38,6 % das praias oceânicas. A análise da eficiência das faixas de recuo para construção pesada mostrou que se tivessem sido implementadas em 1971, muitos dos danos às estruturas antrópicas teriam sido evitados. No entanto, a metodologia adotada foi inadequada, por não considerar o tempo de análise (curto, médio ou longo prazo). O uso da taxa erosiva verificada em cada localidade multiplicada pelo tempo desejado parece ser a alternativa mais viável na ausência de outros dados. Este estudo demostra que um método simples pode ser usado com sucesso. Palavras-chave: linha de costa, mudanças históricas, taxa de variação, análise da eficiência

Oral mucositis: recent perspectives on prevention and treatment

Oral mucositis is a result of toxicity and one of the most common side effects of radiotherapy and chemotherapy in cancer treatment and in hematopoietic stem cell transplantation. Clinically these changes are characterized by epithelial atrophy, edema, erythema and the appearance of ulcerations that can affect the entire oral mucosa, causing pain and discomfort, impairing speech, and swallowing food. In addition to the major symptoms, the ulcers increase the risk of local and systemic infection, compromising function and interfering with oral antineoplastic treatment and may lead to it being discontinued. The diagnosis, prevention and therapeutic strategies in providing support in cases of oral mucositis are the dentist’s responsibility. Through critical analysis of literature, the aim of this article is to present oral mucositis, its pathogenesis, clinical features and treatments offered today to address or control the condition, highlighting the importance of dentists’ role in its management