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Abstract: Introduction: The 2001 National Curriculum Guidelines value the biopsychosocial aspects of the health-disease process and student accountability through training and active performance in health services. This study was carried out at a college in the countryside of the state of São Paulo, which has the concept of health needs as a theoretical guide. To understand the experience of medical and nursing students in relation to the concept and operationalization of the integrated curriculum. Theoretical-practical developing of the relationship between students and other health actors was carried out to identify reasons for the divergence in the understanding of the theoretical framework between them, providing subsidies to identify these inequalities in the context of teaching. Methods: 33 students from the aforementioned courses were interviewed. The study was performed using the methodological framework of Grounded Theory and theoretical context of health needs. The semi-directed interviews were recorded, transcribed in full and coded line by line, according to the microanalysis process. The codes were grouped into elements, subsidies for the creation of categories. Results: There were five emerging categories: (1) “Understanding that there are differences in approach between the groups of the Systematized Educational and Professional Practice Units and between the educational units, with difficulties for effective theoretical-practical articulation”; (2) “Identifying that there is a discrepancy in learning and experiences of the concepts of health needs among students”; (3) “Understanding that the apprehension of health needs is more effective when theory is associated with practice and vice versa”; (4) “Assimilating that the concept of health needs is related to the extension of the integrality of care focus” and (5) “Recognizing the link as essential in the school years and teaching-learning scenarios to identify health needs and practical care success”. These constitute the theoretical model: “According to the student’s perspective, the apprehension and understanding of health needs depend on the theoretical-practical articulation in the different groups of students and teaching-learning scenarios, having as essential elements the link and the integrality of care”. Final considerations: For the effective apprehension of students’ health needs, discontinuity of learning and discrepancies in how it is conducted must be avoided, a process that depends on links and comprehensive care in order to be viable.

Abstract: Introduction: The 2001 National Curriculum Guidelines value the biopsychosocial aspects of the health-disease process and student accountability through training and active performance in health services. This study was carried out at a college in the countryside of the state of São Paulo, which has the concept of health needs as a theoretical guide. To understand the experience of medical and nursing students in relation to the concept and operationalization of the integrated curriculum. Theoretical-practical developing of the relationship between students and other health actors was carried out to identify reasons for the divergence in the understanding of the theoretical framework between them, providing subsidies to identify these inequalities in the context of teaching. Methods: 33 students from the aforementioned courses were interviewed. The study was performed using the methodological framework of Grounded Theory and theoretical context of health needs. The semi-directed interviews were recorded, transcribed in full and coded line by line, according to the microanalysis process. The codes were grouped into elements, subsidies for the creation of categories. Results: There were five emerging categories: (1) “Understanding that there are differences in approach between the groups of the Systematized Educational and Professional Practice Units and between the educational units, with difficulties for effective theoretical-practical articulation”; (2) “Identifying that there is a discrepancy in learning and experiences of the concepts of health needs among students”; (3) “Understanding that the apprehension of health needs is more effective when theory is associated with practice and vice versa”; (4) “Assimilating that the concept of health needs is related to the extension of the integrality of care focus” and (5) “Recognizing the link as essential in the school years and teaching-learning scenarios to identify health needs and practical care success”. These constitute the theoretical model: “According to the student’s perspective, the apprehension and understanding of health needs depend on the theoretical-practical articulation in the different groups of students and teaching-learning scenarios, having as essential elements the link and the integrality of care”. Final considerations: For the effective apprehension of students’ health needs, discontinuity of learning and discrepancies in how it is conducted must be avoided, a process that depends on links and comprehensive care in order to be viable.

The degradation of pastures can be characterized by several factors, mainly due to the management adopted, so in view of the country's territorial extension and the peculiarity of each region and soil type, it is essential to develop research to improve the monitoring of the system. The objective of this study was to evaluate the effect of different sample densities to establish a mesh that gives precision in maps of spatial variability of soil mechanical resistance to root penetration to pasture areas in the coastal tableland region of Northeast Brazil. In a pasture area, three sampling meshes were demarcated for georeferenced evaluation of soil mechanical resistance to root penetration: mesh 1 established in the dimensions of 50 × 50 m, mesh 2 of 100 × 100 m and mesh 3 of 150 × 150 m, totaling an area of 9 ha. The soil resistance to penetration was measured using an automated apparatus, coupled to a tractor. The variation found in the values of penetration resistance in subsurface can be related to the management adopted in the area, as well as the trampling of the animals. Data on soil penetration resistance in pasture showed that the most compacted zone was always below 30 cm depth by using different sample densities. The results allow us to conclude that the higher the density of the sampling mesh, the greater the accuracy of the data and that, independently of the sample mesh, it was possible to identify the layer of higher soil mechanical resistance to root penetration.

Introduction: Clinical Communication is an instrument for interaction between professionals and between them and users, being extremely important to ensure integral care. The complexity of the users’ biopsychosocial demands must be understood and worked through skills developed beyond the technical and biomedical knowledge, including a more extensive training in relation to the human being. In the curriculum of a medical school institution in the interior of São Paulo, Clinical Communication is a skill expected of the student in all undergraduate scenarios. During medical internship, it is important that communication practice be developed in an integrated fashion, considering the biopsychosocial aspects of the subject under care; however, the literature demonstrates that this skill is superficially explored in training, causing difficulty for its effectiveness. Thus, it can be assumed that there are different understandings about the concept of Clinical Communication and its theoretical-practical articulation between teachers and students, being necessary to analyze this educational process during internship. Objective: Thus, the objective was to question how teachers and students from a medical course internship understand the teaching-learning aspects about Clinical Communication in an integrated and competence-based curriculum. Method: This was a qualitative study, which included eleven 5th-year medical students, twelve 6th-year medical students and nine internship teachers. The interviews were semi-directed and carried out based on an interview script, which were later transcribed and submitted to the analysis of content, thematic modality. Results: Three categories emerged from the concepts and characteristics of the topics “Clinical Communication” and “Curriculum”: 1) What involves clinical communication; 2) Development of clinical communication during the undergraduate course and 3) Proposals for the training of internship students and teachers. It was observed that the participants understood the concept of Clinical Communication and its importance for the students’ training, but also that it is difficult to develop this training due to the lack of knowledge about the curriculum, student work overload and teacher devaluation. Conclusion: The study considers the development of Clinical Communication skills of internship students and the possibilities for reflection on gaps mentioned by students and teachers.

Introduction: Medical training focusing on the biopsychosocial characteristics of the individual's health is a recent and not yet heterogeneous achievement. By consideanding the fundamental role of the teacher in the formation of the medical student, we highlight the need for a study that answers: "how is the experience of the professors of the medical course of the institution in relation to the approach of the concept of health needs and what factors positively or negatively influence this process?" Objectives: This research seeks to understand the experience of professors of the MEDICINE course at FAMEMA regarding the approach of the concept of Health Needs in the operationalization of the integrated and competency-oriented curriculum. Methods: The research has a qualitative approach, guided by the methodological framework of Grounded Theory (PDT). Semi-directed entrevistas were conducted remotely, with an interview script. The microanalysis and open coding procedures have already been performed, and the research is in axial coding. Results: 17 interviews were conducted. So far, 7 elements have emerged. These analyses brought the need to evaluate the institutional documents, especially the pedagogical project of the course and the so-called serial notebooks. The problems identified by teachers are listed, data that will serve as a support for the development of permanent education strategies in order to better prepare teachers for this approach. Conclusions: Considering the objective of the work and the research question, the use of TFD made it possible to organize the sampling in order to contemplate the diversity of actors and performances within the medical course, enabling speech space for teachers of all grades, educational units and management and construction groups. In addition, the preliminary analysis demonstrated the need to complement the research with the qualitative analysis of institutional documents about the course, enabling dialogue and parallels between them and the data emerging from the interviews.

ResumoO avanço do conhecimento da variabilidade espacial dos atributos do solo, por meio do uso de ferramentas da agricultura de precisão e geoestatística, tem sido considerado como uma estratégia de manejo que visa maximizar a produtividade agrícola. Objetivo foi avaliar a eficiência de malhas amostrais na caracterização da variabilidade espacial dos atributos físicos do solo na cultura do fumo. O trabalho foi desenvolvido na Fazenda Capivari, no município de Governador Mangabeira, Bahia. Avaliou-se: resistência do solo à penetração de raízes e condutividade hidráulica em duas malhas regulares, de 15x15 e 25x25 m, georreferenciadas. A resistência à penetração foi avaliada mediante o uso de penetrômetro de impacto. A determinação da condutividade hidráulica foi realizada por meio de ensaios em permeâmetro de carga constante. Os valores de resistência à penetração da malha 1 (15x15m) concentraram-se na faixa de pouca limitação a penetração de raízes, enquanto que na malha 2 (25x25m) no perfil abaixo dos 0,40 m valores superiores a 2,6 MPa, o que já implica em algumas limitações à penetração de raízes. Os dados demonstram que a malha amostral de maior dimensão apresenta grande potencial em detectar diferentes escalas de variabilidade espacial dos atributos físicos avaliados em Latossolos sob cultivo de fumo. Palavras-chave: Compactação do solo; condutividade hidráulica; fumo AbstractThe improvement in the knowledge of the spatial variability of soil attributes through the use of precision agriculture and geostatistics tools, have been considered as a management strategy to maximize agricultural productivity. The aim of this study was to evaluate the efficiency of sample meshes in characterizing the spatial variability of soil physical attributes in the tobacco crop. The work was developed at Fazenda Capivari, in the municipality of Governador Mangabeira, Bahia. It was evaluated: soil resistance to root penetration and hydraulic conductivity in two regular meshs, 15x15 and 25x25 m, georeferenced. The penetration resistance was evaluated using an impact penetrometer. The determination of hydraulic conductivity was made by means of constant load permeability tests. The values of resistance to penetration by the mesh 1 (15x15m) were concentrated in the range of little limitation to root penetration, whereas in the mesh 2 (25x25m) in the profile below 0,40 m values greater than 2,6 MPa, the Which already implies in some limitations to the roots penetration. The data demonstrated that the larger sampling mesh shows great potential in detecting different scales of spatial variability of the physical attributes evaluated in Oxisols under tobacco cultivation

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