Background Child maltreatment is a complex social and public health problem. Aim To evaluate the frequency of the recognition by Brazilian health professionals in primary care of child physical abuse (CPA) and associated factors. Design A representative cross‐sectional study was conducted with dentists, nurses, family physicians, and pediatricians who participated in the network of the Family Health Strategy in the city of Belo Horizonte, Brazil. Data collection involved in the administration of a questionnaire validated for use in Brazil. Data were collected from 181 dentists, 235 nurses, 203 family physicians, and 96 pediatricians. Results Among the 715 health professionals, 499 (69.8%) had some type of postgraduate degree and 414 (57.9%) recognized suspected or proved cases of CPA. The recognition was associated with occupation, as pediatricians recognized 14.11‐fold [OR = 14.11 (95% CI: 3.73 to 53.43)] more cases of CPA compared with dentists. The recognition was also associated with a longer period of time working in the city [OR = 2.79 (95% CI: 1.24 to 6.29)]. Conclusion The recognition of cases was positively associated with the longer working time in the municipal network and with pediatricians. The dentist was the category that was least associated with the recognition of CPA.

Our study sought to evaluate the prevalence of binge drinking in adolescents and its association with density of alcohol outlets around schools. This cross-sectional study was conducted in Belo Horizonte, Minas Gerais State, Brazil, with 436 high-school students aged between 17 and 19 and enrolled in 18 public and private schools. The students completed the Alcohol Use Disorder Identification Test (AUDIT-C), consisting of questions about alcohol consumption by parents and siblings, and socioeconomic status (type of school, mother’s education level). Data from geographic information systems were used to estimate the density of alcohol outlets around schools participating. The association between exploratory variables and binge drinking was investigated using multilevel logistic regression analysis (p < 0.05) with random intercepts and fixed slopes. A three-step sequential modeling strategy was adopted. The prevalence of binge drinking was 39.9%. The alcohol consumption among adolescents was lower for those studying in areas with low density of alcohol outlets around schools (OR = 0.32; 95%CI: 0.14; 0.73) and the consumption of alcohol by mothers was associated with binge drinking among adolescents (OR = 1.94; 95%CI: 1.14; 3.30). Our study concluded that binge drinking among adolescents was associated with density of alcohol outlets around the schools and mother’s alcohol consumption.

Associated with positive impacts on health, religiosity has presented itself as a possible protection factor against alcohol consumption by teenagers. This study evaluated the prevalence of binge drinking and its association with religiosity among 12-year-old students, from Diamantina, State of Minas Gerais. Statistical analyses involved chi-square Pearson (p < 0,05) and Poisson regression with robust variance. The sample included a census of 588 students. Participation in religious activities was associated with no binge drinking (PR = 0,823; 95% CI: 0,717 - 0,945); and consumption of alcoholic beverages by the best friend was associated with binge drinking (PR = 1.554; 95% CI: 1,411-1,711). It was concluded that religiosity was associated with no consumption of alcoholic beverages in binge drinking sessions.

Objective: to present Thomas Kuhn's theory and its applicability for epistemological evaluation of the Nursing Graduate Program. Method: reflective analysis with a guiding question: How can Thomas Kuhn's theory contribute to an epistemological evaluation of the Graduate Nursing Program? Results: the Nursing Science in its historical process of realization has been facing numerous challenges that impose themselves to scientific knowledge: having an accurate and robust philosophical basis that justifies and legitimizes the knowledge of the area to support its assertions; dwell on the object of his science; have clear the field of discipline and its relationship with the related sciences, establishing interdisciplinary dialogue. To base scientific production on objects proper to nursing, to seek appropriate methods to approach them without disregarding the knowledge of nurses' experiences and accomplishments may be the guiding thread that enables Nursing Science to be linked to the pragmatics of the profession and Cheers. This has been the challenge for the nursing scientific community. The elements of Kuhnian theory are presented: pre-science, normal science, crisis and revolution; points out a hypothesis to be tested by the researchers of the program. If the hypothesis is true, Nursing Science approaches the paradigmatic level and will manifest itself in pragmatics through the scientific nursing discipline. If rejected, there will be a new classification for the area. Conclusion: the corpus doutrinae of the profession requires qualitative self-assessment of an epistemological nature. Thomas Kuhn's thinking can support this assessment.

Background/Aim Knowledge about the spatial density of the domiciles of dental trauma victims can assist in the identification of the most vulnerable areas and contribute to the planning of prevention, promotion, control, and treatment actions, focusing on the most affected areas. The aim of this study was to analyze the spatial density of domiciles of 14‐year‐old adolescent victims of dental trauma, in the city of Diamantina, Brazil, after a two‐year follow‐up period. Material and Methods This longitudinal study was carried out with 584 adolescents between 2013 and 2015. Dental trauma, overjet, and lip protection were assessed by two trained and calibrated examiners (K > 0.70). Information about binge drinking was collected among the adolescents through the Alcohol Use Disorders Identification Test and sociodemographic indicators were obtained through a questionnaire answered by the caregivers of the adolescents. Spatial analyses were performed to evaluate the spatial density of adolescents with dental trauma and the independent variables of interest according to the domicile using Ripley's K function and the Kernel Map. Results Ripley's K function revealed spatial aggregation of the domiciles of adolescent victims of dental trauma in relation to males, binge drinking and overjet, with a confidence interval of 95%. The higher density of domiciles with adolescents with two or more traumatized teeth was found in the north‐east region of the city. Boys were the most affected, their homes were located in the north, north‐west, and south‐east regions at baseline and follow‐up. The largest density of domiciles of adolescents with overjet greater than 5 mm and inadequate lip protection was in the north‐east region. Similar spatial distribution was identified for binge drinking for both years. Conclusion The majority of adolescents with dental trauma lived in the north‐east and south‐east regions, characterized by high population density and greater social vulnerability.

RESUMOObjetivo: compreender no discurso do discente os valores que fundam o campo axiológico da profissão, discutindo-os à luz de alguns pressupostos de Max Scheler.  Método: estudo qualitativo, descritivo, exploratório, com enfoque fenomenológico. Amostra por conveniência. Foram entrevistados dez discentes matriculados no 5º ano do curso. Usada a entrevista não estruturada. Os dados obtidos foram organizados e analisados pela técnica da hermenêutica Diltheyniana, desvelando o sentido nas falas. Resultados: identificou-se no discurso o valor social (solidariedade), o valor lógico (conhecimento científico) e o valor útil (arte da Enfermagem). Conclusão: o cuidado é fundado no conhecimento científico, na solidariedade e nas técnicas, aliado à simpatia e ao amor. O enfermeiro-docente deve manter-se em atitude crítico-reflexiva com o intuito de proporcionar ao discente, na prática pedagógico-assistencial, a oportunidade de discutir e hierarquizar o campo axiológico da enfermagem. Não se deve ignorar que a extrema individualização propugnada pela sociedade contemporânea possa comprometer a correta aproximação do discente aos valores da profissão e, desta maneira, afastá-lo do Ser-enfermeiro. Descritores: Enfermagem; Cultura; Valor Social; Filosofia; Educação; Educação em Enfermagem.ABSTRACTObjective: to understand the values that ground the axiological field of the profession in the discourse of the student, discussing them based on some assumptions of Max Scheler. Method: this is a qualitative, descriptive, exploratory study, with a phenomenological approach. The sample was for convenience. Ten students enrolled in the 5th grade of the course were interviewed. The unstructured interview was used. The data obtained were organized and analyzed by the technique of Diltheynian hermeneutics, revealing the meaning in the speeches. Results: social value (solidarity), a logical value (scientific knowledge) and useful value (Nursing art) were identified in the discourse. Conclusion: care is based on scientific knowledge, solidarity, and techniques, coupled with sympathy and love. The nurse-teacher must maintain a critical-reflexive attitude to provide the student the opportunity to discuss and rank the axiological field of nursing in pedagogical-assistance practice. It should not be ignored that the extreme individualization advocated by contemporary society could compromise the student's correct approximation to the values of the profession and, in this way, to remove him from the Being-nurse. Descriptors:  Nursing; Culture; Social values; Philosophy; Education; Education Nursing.RESUMENObjetivo: comprender en el discurso del discente los valores que fundamentan el campo axiológico de la profesión, discutiéndolos basados en algunos presupuestos de Max Scheler. Método: estudio cualitativo, descriptivo, exploratorio, con enfoque fenomenológico. La muestra fue por conveniencia. Fueron entrevistados diez discentes matriculados en el 5º año del curso. La entrevista no estructurada fue usada. Los datos obtenidos fueron organizados y analizados por la técnica de la hermenéutica Diltheyniana, desvelando el sentido en los discursos. Resultados: se identificó en el discurso el valor social (solidaridad), el valor lógico (conocimiento científico) y el valor útil (arte de la Enfermería). Conclusión: el cuidado es fundado en el conocimiento científico, en la solidaridad y en las técnicas, junto a simpatía y al amor. El enfermero-docente debe mantenerse en actitud crítico-reflexiva con el intuito de proporcionar al discente, en la práctica pedagógico-asistencial, la oportunidad de discutir y jerarquizar el campo axiológico de la enfermería. No se debe ignorar que la extrema individualización propugnada por la sociedad contemporánea pueda comprometer la correcta aproximación del discente a los valores de la profesión y, de esta manera, alejarlo del Ser-enfermero. Descriptores: Enfermería; Cultura; Valores Sociales; Filosofía; Educación; Educación en Enfermería.

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Introdução: O álcool misturado com energéticos desempenha um papel importante no binge drinking entre os jovens. Objetivo: O objetivo do estudo foi avaliar a associação entre binge drinking e álcool misturado com energéticos. Percurso Metodológico: Trata-se de um estudo transversal realizado com 965 adolescentes de 10 a 13 anos matriculados em escolas públicas de Belo Horizonte, Brasil. Os adolescentes preencheram o Teste de Identificação de Transtornos por Uso de Álcool e perguntas sobre álcool misturado a energéticos, binge drinking pelos pais e melhor amigo. Resultados: Foi realizada análise descritiva e regressão logística multivariada. No modelo final ajustado, álcool misturado com energético (OR: 8,75; IC 95%: 5,07 -15,10; p <0,001), binge drinking pela mãe (OR: 2,25; IC 95%: 1,38-3,66; p= 0,001) e melhor amigo (OR: 2,99; IC 95%: 1,81-4,95; p<0,001), 12- 13 anos (OR: 1,97; IC 95%: 1,20-3,24; p= 0,007), família não nuclear (OR: 1,71; IC 95%: 1,06-2,76; p= 0,028) e escolaridade da mãe <8 anos (OR: 1,70; IC 95%: 1,07-2,72; p =0,025) foram associados ao binge drinking. Considerações Finais: O álcool misturado com energéticos foi um fator determinante para o binge drinking. Adolescentes com mãe e melhor amigo fazendo binge drinking e provenientes de famílias não nucleares e de baixa renda têm maiores chance de binge drinking.