BackgroundDiseases of the circulatory system are the most common cause of death in Brazil. Because the general population is often the first to identify problems related to the circulatory system, it is important that they are trained. However, training is challenging owing to the number of persons to be trained and the maintenance of training. ObjectivesTo assess the delivery of a medical-student led cardiopulmonary resuscitation (CPR) training program and to assess prior knowledge of CPR as well as immediate and delayed retention of CPR training among middle school students. MethodsTwo public and two private schools were selected. CPR training consisted of a video class followed by practice on manikins that was supervised by medical students. Multiple choice questionnaires were provided before, immediately after, and at 6 months after CPR training. The questions were related to general knowledge, the sequence of procedures, and the method to administer each component (ventilation, chest compression, and automated external defibrillation). The instructors met in a focus group after the sessions to identify the potential problems faced. ResultsIn total, 147 students completed the 6-month follow-up. The public school students had a lower prior knowledge, but this difference disappeared immediately after training. After the 6-month follow-up period, these public school students demonstrated lower retention. The main problem faced was teaching mouth-to-mouth resuscitation. ConclusionsThe method used by medical students to teach middle school students was based on the watch-and-practice technique. This method was effective in achieving both immediate and late retention of acquired knowledge. The greater retention of knowledge among private school students may reflect cultural factors. (Arq Bras Cardiol. 2013;101(4):328-335)

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Resumo:O presente artigo trata do processo de construção de imagens na elaboração da identidade cultural expressa na música erudita brasileira, durante o século XX. Para isso, buscou-se apontar algumas questões conceituais, relacionadas à narrativa, às criações de imagens e à identidade cultural, que são fundamentais para o entendimento da cultura brasileira como um sistema de representações culturais. Nesse sentido, tentamos traçar um quadro referencial (SALLES, 2005;KATER, 2001;CONTIER, 1978) de como se criaram algumas relações significativas entre determinados materiais musicais e elementos da cultura brasileira. Assim, partimos de reflexões em torno das ideias de sujeito, identidade, pertencimento, cultura e identidade nacional (HALL, 2006). Em seguida, procuramos entender o processo de construção das narrativas e imagens em torno de uma identidade cultural nacional, para, só então, compreender a relatividade das autoimagens coletivas (REZENDE, 2009;ORTIZ, 1994) que se fizeram presentes na música erudita brasileira neste período.Palavras-Chave: identidade cultural; cultura brasileira; música contemporânea; música brasileira

Urological neoplasms are becoming increasingly prevalent in recent years, mainly due to decreased mortality from more effective treatments and increased life expectancy. This trend has considerably increased the number of patients with urological cancers being followed up in services around the world, leading to overload and patient dissatisfaction.At the Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, from January 2017 to April 2019, 905 new case consultations were carried out and only 249 patients were discharged from the service. The elaboration of specific protocols for long-term follow-up, to be applied in the primary and secondary health care sectors, where specialists do not work, becomes a necessary tool for tertiary cancer treatment services that may reduce the number of outpatient consultations less complex, in addition to reducing the need for patients to travel with the possibility of exams close to their home.The objective of the study, therefore, was to create follow-up protocols for urological treated neoplasms, with a low risk of recurrence, to be applied at the primary and secondary levels of health care. The recommendations of the main international societies and the risk of tumor recurrence, considering the tumor staging associated with the histological factors of the primary tumor were analyzed. Protocols were developed to monitor prostate, bladder, and kidney tumors, with a low risk of recurrence, to be applied to primary and secondary health care levels. There was a need for arbitrary definition of some criteria due to lack of literature, however it is a pioneering attitude that may result in the rationalization of the resources of the Brazilian Unified Health System (SUS).