The resignification of medical practices based on contact with the Other - with indigenous and caboclo-riverside residents: An experience report in the Amazon

Introduction:The Amazonas\u27 State University provides Nursing, Medicine, Dentistry, and Pharmacy degrees with the experience of Rural Training in Public Health. Two MD students had high expectations of experiencing health care in the Amazonas interior, as they realized that there was a lapse in their academic training. They questioned the fact that they were about to take the place of "doctors trained by the state of Amazonas" without knowing the population, ethnocultural and geographical variety of the region. This lack encouraged the choice of the location of the internship to be the city of São Gabriel da Cachoeira. Methods:Meetings and lectures were held with health teams that enabled clinical experiences and interactions with indigenous and riverside residents. Finally, seminars/activity reports were produced, which contributed to the awakening of reflections on medical practices. Thus, this experience report is based on the particular apprehension of the reality described, based on daily observation. Results and Discussions: During the internship, the students began to question and deconstruct the doctor-user relationship hierarchy. Conclusions: Thus, they re-signified their practices beyond technical and biological knowledge, in line with the decolonial epistemology

PREVENÇÃO DO SUICÍDIO: O OLHAR DO DOCENTE DA REDE PÚBLICA DE ENSINO EM MANAUS

O suicídio é um fenômeno universal, multicausal e atemporal considerado um problema grave de saúde pública e os dados apontam que este fenômeno é a segunda causa de morte no grupo cuja faixa etária é de 15 a 29 anos em todo mundo, sendo a quarta causa no Brasil entre jovens da mesma faixa etária. Neste estudo, buscou-se compreender o olhar do docente da rede pública acerca da prevenção do suicídio. Para isso, selecionaram-se 15 docentes de escolas da rede pública do ensino fundamental e médio. Utilizou-se a análise do discurso como método de coleta e análise de dados. Os resultados apontaram que o diálogo e a empatia proporcionam acolhimento para que os alunos se sintam aceitos em sua dor e possam falar abertamente sobre o tema. Todavia, docentes mencionam que ainda há despreparo e tabu para se abordar a respeito do suicídio. Identificou-se a necessidade de elaborar projetos que envolvam a prevenção do suicídio a fim de que a gestão, professores, colaboradores em geral se sintam preparados para fazerem a identificação, manejo e encaminhamento de possíveis casos. Palavras-chave: docentes; suicídio; diálogo; empatia; tabu

Qualidade de vida sexual em HSH indetectáveis para HIV / Quality of sexual life in MSM untected for HIV

Este estudo exploratório e prospectivo buscou a familiarização com o fenômeno, a percepção e a descoberta de ideias a respeito do objetivo do presente artigo que se baseou em Mensurar a Qualidade de Vida Sexual de HSH Indetectáveis para HIV, bem como Analisar a percepção desta população avaliada sobre o impacto da indetectabilidade na qualidade de sua vida sexual e propor intervenções que possam ser úteis a profissionais e acadêmicos da saúde para mudar um possível cenário negativo. A amostra foi composta por 152 pessoas, sendo esta, composta por indivíduos maiores de 18 anos, Homens Cis, Declarados HSH (homens que fazem sexo com homens) e Indetectáveis para HIV por mais de seis meses. Na pesquisa de campo foram utilizados como instrumento o Quality of Life Questionnaire-Male (SQoL-M) e um questionário simples com perguntas abertas e fechadas

Avaliação do estigma relacionado ao uso de prep em homens que fazem sexo com homens (HSH) / Evaluation of the stigma related to the use of prep in men who have sex with men (MSM)

Introdução: A profilaxia de pré-exposição (PrEP) é uma estratégia de prevenção biomédica eficaz comprovada com o potencial para alterar o curso da epidemia de HIV. Pesquisas anteriores relatam várias barreiras ao uso da PrEP entre homens que fazem sexo com homens (HSH). Metodologia: Este estudo teve como objetivo analisar a ocorrência de estigma relacionado ao uso de PrEP em homens que fazem sexo com homens. Trata-se de um estudo descritivo, exploratório e transversal de caráter quantitativo, sendo utilizado um questionário sociodemográfico e um específico para coleta de dados com três perguntas relacionadas à temática e indagando os indivíduos usuários sobre os estigmas em relação ao uso. A amostra foi determinada por conveniência. Resultados: A totalidade dos participantes se encontra entre a faixa etária de 20 a 54 anos, com média de 33,17 anos. Quando questionados se já haviam deixado de informar que faziam uso da PrEP por pensar que poderiam ser julgados ou tratados diferentemente, 21.43% (6) dos participantes responderam afirmativamente. Referente à ocorrência de experiencias ruins com amigos, familiares, parceiros sexuais ou médicos ao informar fazer uso da PrEP, 46.43% (13) dos participantes responderam afirmativamente. Conclusão: Desenvolver intervenções que reduzam o estigma em contextos clínicos será fundamental para promover o acesso equitativo

The Body as Object of Historical Research: Bibliographic Review

This study aimed at describing, by means of a literature review, some possible meanings of the body through history. This study was conducted by collected bibliographic data of published books in Portuguese in the last 10 years, from known authors, mentioned in articles of anthropology, sociology and psychology. The articles found were organized as research and review articles and later categorized according to the theme. We discussed the possible understanding the meaning of body according with time, looking for its modification and impact

Psychological Factors Related to Fibromyalgia Syndrome Phenomenon

Fibromyalgia is a chronic rheumatic syndrome characterized mainly by diffuse musculoskeletal pain. Its diagnosis is clinical and the presence of 15 to 18 tender specific painful body sites (tender points), with no specific laboratory alterations. It is often associated with other symptoms such as constant fatigue, swelling, morning stiffness, difficulty in memorizing and concentrating, mood swings, anxiety, and depression, among others. This condition mainly affects women, bringing a considerable negative impact on carriers. Pain perception is the result of multiple factors: biological, social, and psychological. This study sought through qualitative research to recognize the psychosocial factors related to fibromyalgia, as well as identify the possible meanings to suffering, seeking to contribute to elucidate the psychogenic phenomena related to the pain of Fibromyalgia Syndrome. Finally, to analyze if patients who are undergoing psychotherapy follow-up benefit from the symptoms caused by chronic pain of fibromyalgia. The result is divided into three categories: Implications of the diagnosis in social relations, repercussions of the diagnosis on the interviewees\u27 quality of life, and psycho-affective symptoms experienced by the interviewed fibromyalgia patients. According to the research, it was observed physical limitation, adding severe pain, memory impairment, concentration, excessive fatigue, resulting in psychic suffering characterized as guilt, frustration, depression, anxiety, and self-image affected. In this study, ten female patients with a mean age of 40.2 years were interviewed, of which 30% are undergoing psychological follow-up, which resulted in greater acceptance of their comorbidity and coping with it

The Use of Educational Technologies in Health: An Integrating Literature

It is understood as Educational Technology a set of mediators devices of the teaching-learning process that must contain a logical organization, so that they can be systematically planned, observed, understood and transmitted. In this scenario, the objective of this study was to analyze the literature on Educational Technologies applied to Health. As an methodology, an integrative review was carried out, consisting of a broad analysis of theoretical and empirical literature that aims to understand a certain phenomenon from studies above. The search was carried out in the CAPES database, the main Brazilian database, between 2013-2018, in Portuguese, English, French and Spanish through the descriptors "Educational technologies" and "Health", which were duly translated into the other languages correspondents. As a result, 30 articles were analyzed in two moments: individually from a literature review protocol developed and validated by the author of the study and together from the Content Analysis technique. In general, sixteen dependent and four independent technologies were found and it was realized that they were validated mainly by specialists in the field and by the target audience for whom they were intended. The theoretical anchorage found in the literature for the basis of the development of technologies was the Arch of Mangueares and six categories of analysis were found that discuss their use. Thus, it is concluded that technologies help in the process of training health professionals and empowerment for the process of treatment of users of services. Resources such as the applications end up facilitating access to health services, and the insertion of new technologies, especially those mediated by the Internet, has modified the educational paradigms   &nbsp