RESUMOEste artigo propõe uma reflexão sobre a integração ensino e serviço a partir das discussões de um grupo multiprofissional de um curso de especialização para ativação de mudanças na formação superior em saúde. Além das reflexões do grupo, o texto traz interlocuções com referenciais teóricos sobre aspectos que envolvem a integração ensino-serviço. São abordadas as relações da integração ensino-serviço com a formação superior dos profissionais de saúde, com os modelos tecnoassistenciais, com a prática do cuidado em saúde, com o trabalho em equipe e com a educação permanente. ABSTRACTThe aim of this article was to propose a reflection about integration of healthcare services and teaching based on the discussions of a multi-professional group of a specialization course for promoting changes in the undergraduate education of health professionals. Besides the group reflections, this text presents references of theoretical nature about combining healthcare service and teaching. The article approaches the relations between service-learning and undergraduate education of health professionals, healthcare models, healthcare services, teamwork and continuing education.

Major impairments in HRQL were observed among Year 3 students, students with depressive symptoms and women. Medical schools should institute efforts to ensure that students' HRQL and emotional support are maintained, particularly during critical phases of medical training.

Descritores Resumo ObjetivoA real magnitude do problema das mortes maternas em Uberlândia, MG, Brasil, é pouco conhecida, sendo que o objetivo do estudo é conhecer o perfil da mortalidade materna desse município. Método Utilizaram-se, como fonte de dados, as declarações de óbito de mulheres falecidas entre 10 e 49 anos de idade, residentes no município de Uberlândia, MG. Entrevistaram-se as famílias dessas mulheres para identificar o estado gestacional no momento do óbito. As mortes caracterizadas como maternas foram investigadas nos serviços de saúde, em prontuários e em entrevistas médicas. Foram analisados os óbitos maternos ocorridos até um ano após o término da gestação, considerando-se: pré-natal, período gestacional, tipo de parto, complicações em gestações anteriores, causa básica da morte, local de ocorrência e possibilidade de se evitar o óbito. Calcularam-se os coeficientes de mortalidade materna (CMM) por 100.000 nascidos vivos. Resultados Do total de 204 óbitos, analisaram-se 173 de residentes no município. Ocorreram 6 mortes maternas, sendo 4 (66,7%) até 42 dias após o parto e 2 (33,3%) de 43 dias a 1 ano; 5 (83,3%) foram devidas a causas obstétricas diretas (toxemia-60% e hemorragia -40%) e 1 (16,7%), indireta (cardiopatia). O CMM a partir das mortes maternas declaradas foi de 22,2 e o corrigido elevou-se para 66,6. Conclusões O CMM encontrado está acima do aceitável. Faz-se necessária uma análise acurada da qualidade do pré-natal e do parto, bem como do registro das declarações de óbito. Abstract Introduction

Background: Cerebral palsy (CP) patients have motor limitations that can affect functionality and abilities for activities of daily living (ADL). Health related quality of life and health status instruments validated to be applied to these patients do not directly approach the concepts of functionality or ADL. The Child Health Assessment Questionnaire (CHAQ) seems to be a good instrument to approach this dimension, but it was never used for CP patients. The purpose of the study was to verify the psychometric properties of CHAQ applied to children and adolescents with CP.

Procedeu-se ao controle das enteroparasitoses em manipuladores de alimentos de escolas públicas de primeiro grau de Uberlândia, Minas Gerais, a partir de estudo prospectivo baseado em inquérito parasitológico. Foram acompanhados 264 indivíduos de 57 escolas, com três coletas de fezes (C), sendo C1 em setembro de 1989, C2 em abril de 1990 e C3 em setembro de 1990. Entre os participantes 259 eram do sexo feminino e cinco do sexo masculino, com idades entre 20 e 66 anos. As 792 amostras de fezes foram conservadas em formol a 10% e analisadas pelo método de Hoffman, Pons e Janer. A ocorrência de parasitas intestinais foi de 17, 10 e 10% para C1, C2, e C3, respectivamente. Em C1 detectou-se: Giardia lamblia (8%), ancilostomídeos (6%), Ascaris lumbricoides (3%), Entamoeba histolytica, (2%), Strongyloides stercoralis, Hymenolepis nana, Taenia sp. e Trichuris trichiura (menos de 1% cada um deles). Em C2 detectou-se: ancilostomídeos (5%), G. lamblia (2%), A. lumbricoides (1%), S. stercoralis, H. nana, Taenia sp., Enterobius vermicularis (menos de 1% cada um deles). Em C3 observou-se: ancilostomídeos (5%), G. lamblia (3%), A. lumbricoides (2%), S. stercoralis e E. vermicularis (menos de 1% cada um deles). Os indivíduos infectados receberam tratamento específico após o diagnóstico em cada coleta. Recomendamos a implantação de vigilância epidemiológica através do exame parasitológico periódico, tratamento específico e treinamento sobre manejo higiênico de alimentos e higiene pessoal para todos os manipuladores de alimentos.

Background: Nutritional imbalance is a serious problem in developing countries, especially for the older population, which makes simple and rapid instruments for nutritional evaluation very necessary in order to have a detailed picture of the undernutrition epidemiology in those places. Objective: This work aimed to evaluate the nutritional status of elderly institutionalized patients by use of the Mini-Nutritional Assessment (MNA) test and compare the MNA scores with some hematological variables. Methods: We performed a cross-sectional study in elderly institutionalized patients (153) of all nursing homes in the Brazilian city of Uberlândia, using the MNA questionnaire and quantitative analysis of erythrocytes, hematocrit, hemoglobin, serum iron and transferrin. The subjects were classified by gender, nutritional state and age range. The nutritional categories were compared by analysis of variance and the dependence between the considered variables was tested with the Spearman correlation analysis. Results: 60% of the subjects were female. The average age was 74.6 ± 9.5 and 78.5 ± 9.5 years for male and female individuals, respectively. 18.3% of the patients presented undernutrition, 45.7% presented risk of undernutrition, and 36.0% were well nourished. These three nutritional categories showed statistically significant differences among the MNA scores, age and all the hematological parameters, for the sum of both genders, but not for the age, iron and transferrin values of the male individuals and hematocrit and hemoglobin values of the female patients. Significant differences between genders were not observed only for the MNA and transferrin values. MNA values presented positive correlations with erythrocytes, hematocrit, hemoglobin, and serum iron levels, and also a negative correlation with age, which was attributed to a worsening of the nutritional state with age. Conclusion: Based on the MNA, 64% of the elderly institutionalized patients of Uberlândia presented risk of undernutrition and undernutrition, and their nutritional state is aggravating with the age increase, which is consistent with the age-dependent decrease observed in some hematological variables. Since the low MNA scores were not necessarily associated to subnormal mean values of the hematological variables, we can conclude that the low MNA values are predicting situations that still did not manifest pathologically in those variables.

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Translate, culturally adapt, and validate the “Parkinson's Disease Quality of Life” (PDQL) BR, into Brazilian Portuguese. Fifty-two patients answered the PDQL-BR. Twenty-one patients answered the PDQL-BR again 14 days later. The UPDRS and HY scale was applied. Validation was evaluated using psychometric properties, checking the quality of the data, reliability, and validity. Quality of the data was evaluated based on occurrence of ceiling and floor effects. Reliability was evaluated based on: internal consistency of an item, homogeneity, and reproducibility. Validation was checked through the evaluation of convergent and discriminatory validation. There was no ceiling and floor effect. When evaluating reliability, items 20, 30, and 37 showed correlation of 0.34, 0.26, and 0.37, respectively, to your scale; the other items was higher than 0.4. The alpha Cronbach coefficient was higher than 0.7 for most domains. There was good reproducibility. There were no meaningful changes in the PDQL-BR translation and cross-cultural adaptation.