A educação médica passa por modificações na doutrina e na prática da formação profissional, conectada à contemporaneidade do mundo globalizado. No contexto do Sistema Único de Saúde (SUS), aumenta o interesse de diferentes sujeitos em relação ao ensino médico, devido aos aspectos políticos e comunitários e com repercussões nas mudanças nos serviços de saúde. Iniciativas de incentivo às mudanças curriculares em medicina são adotadas para incrementar melhorias na formação médica. Nesse contexto se insere o Projeto de Incentivo a Mudanças Curriculares para os Cursos de Medicina (Promed). Com o objetivo de analisar a percepção de alunos sobre mudanças curriculares na educação médica, pesquisamos seis cursos médicos, em três estados brasileiros, usando questionários e entrevistas. Alguns pressupostos das Diretrizes Curriculares Nacionais não foram incrementados, mas o desdobramento do Promed possibilitou um programa ampliado de incentivos a mudanças curriculares. Mesmo tendo caráter exploratório, este estudo aponta a necessidade de estudos prospectivos para conhecer os impactos dos incentivos às mudanças curriculares do ensino médico, sintonizando-o, assim, com as necessidades de saúde da população.

Tem-se como objetivo refletir sobre o Programa Nacional de Reorientação da Formação Profissional em Saúde - Pró-Saúde e o Programa de Educação pelo Trabalho para a Saúde - PET-Saúde. Trata-se de um estudo descritivo com o uso das ferramentas qualitativas da análise documental. A partir dos documentos e dados apreendidos, foram construídos como eixos analíticos: (1) raízes históricas – explorando origens; (2) Pró-Saúde e PET-Saúde: conhecendo trajetórias; (3) integração ensino-serviço: uma ideia-chave estruturante; (4) do desejo de mudança às práticas de integração e aprendizagem interprofissional: e por falar em potências e limites. Conclui-se que os Programas Pró-Saúde e Pet-Saúde têm potência significativa para atuarem como políticas indutoras da reorientação em saúde que sinalizam avanços no tocante à integração ensino-serviço e à formação interprofissional.

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An outbreak of histoplasmosis was spotted in Pedro Leopoldo, a city in Minas Gerais State, Brazil, in 1997, where four individuals had been in contact with a bat-inhabited cave. Acute pulmonary histoplasmosis diagnosis was made by the use of clinical, serologic, radiographic and epidemiological criteria. An antifungal treatment with ketoconazole (400mg daily for 30 days) was administered resulting in symptons' remission in a few days.

Resumo O estudo teve como objetivo identificar e descrever as ações de promoção à saúde relacionadas à atividade física de idosos nas unidades básicas de saúde, assim como a percepção dos responsáveis sobre essa prática. Tratou-se de uma pesquisa transversal, de abordagem quantitativa, realizada em Diamantina, Minas Gerais, em 2012. Um instrumento com 28 assertivas, organizado na forma de escala Likert, foi utilizado durante as entrevistas com 28 responsáveis por tais ações. Constataram-se 11 ações educativas de promoção da saúde relacionadas à atividade física para idosos, cinco de responsabilidade dos professores e alunos de uma instituição pública de ensino e seis de responsabilidade dos profissionais das equipes de saúde da família. As ações observadas foram 'grupo de caminhada e exercícios (alongamentos)', 'grupo de coluna' e 'Qigong'. Os participantes demonstraram seu entendimento sobre os benefícios das atividades físicas para os idosos, o impacto dessas ações na saúde pública e a necessidade de permanente capacitação. Palavras-chave envelhecimento; educação em saúde; educação continuada; atividade física; saúde da família. AbstractThe study aimed to identify and describe health promotion actions related to physical activity among elderly people at basic health units and the perception of those responsible for this practice. This was a cross-sectional survey using a quantitative approach carried out in Diamantina, Minas Gerais State, Brazil, in 20112. A 28-questions survey, organized in the form of a Likert scale, was used during the interviews carried out among 28 people in charge of such actions. Eleven educational health promotion actions related to physical activity among elderly people were found, five of which under the responsibility of teachers and students of a public school, while six under headed by professionals from the family health teams. The actions observed were 'walk and exercise group (stretching),' 'back group,' and 'Qigong.' Participants demonstrated their understanding of the benefits afforded by phy-sical activity for the elderly, the impact these actions have on public health, and the need for ongoing training.

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A clinical-epidemiologic study of schistosomiasis mansoni was conducted in the population of Ponte do Pasmado, a village in the municipality of Itinga, state of Minas Gerais, Brazil. Faecal parasitology by the Kato-Katz method and clinical examination were performed in 93.8% and 82.8% of the local population, respectively. A socioeconomic survey was also made and the signs and symptoms presented by the patients were recorded, as well as their contacts with natural waters. The rate of Schistosoma mansoni infection was 50.3%; the peak of infection occurred during the second decade of life; there was a predominance of low egg counts in faeces (85.89% of positive patients eliminated less than 500 eggs per gram of faeces); the splenomegaly rate was 1.23%. When the risk factors for S. mansoni infection were studied, significant risks were detected in activities such as fetching water, washing dishes, bathing, and crossing streams.

Background Brazil has more than 33,000 primary health care facilities (PHCF) which could have played an important role in the fight against the COVID. Brazilian primary health care(PHC) should deal with the following axes to reduce the impact of COVID-19 on health needs: COVID-19 treatment; health surveillance; continuity of care; and social support. This article aims to analyze the performance profile of PHC during the pandemic in the five Brazilian macroregions. Methods A cross-sectional study was carried out as a survey format, using probability sampling of PHCF. A Composite Index was created, the Covid PHC Index(CPI). The process of creating the CPI started with the selection of the 59 most relevant questions, which were aggregated into 26 variables distributed in axes. CPI with a value equal to 100 would represent a more complete performance of the PHCF. Factor analysis revealed that the axes that encompass collective actions (Health Surveillance and Social Support) behaved in a similar manner and in contrast to those focused on individual actions (COVID-19 Treatment and Continuity of Care). Differences in the distributions of CPI components between macroregions were verified. Associations between the CPI and socioeconomic, political and health indicators of the PHCF localities were also verified. Results 907 PHCFs participated in the survey. The PCI and its axes didn’t exceed 70, with the highest value being observed in the surveillance axis(70) and the lowest in the social support axis(59). When analyzing the dimension that articulates the practices more focused on individual care (Continuity of Care and COVID-19 Treatment), a greater value is observed in the units of the South region, when compared to those of the Northeast, and the relationship is exactly the opposite in the Collective Dimension. PHCF with the highest CPI belong to municipalities with the lowest MHDI, GDP per capita, population, number of hospitals, and ICU beds. Conclusions The two observed performance profiles, with different emphasis on the individual and collective dimensions, convey not only the clash of political projects that dispute the Brazilian PHC since 2016, but also the structural inequalities that exist between the different regions