Conflito de interesses: NãoContribuição dos autores: MVG coleta, tabulação, delineamento do estudo, discussão dos achados, etapas de execução e elaboração e redação do manuscrito. ISMI coleta e tabulação. RSJ orientação do projeto e delineamento do estudo. VCBG delineamento do estudo. Contato para correspondência: Mariana Vidotti Grandizoli E-mail: mariana.vidotti@hotmail. Descritores: Esperança; Ansiedade; Depressão; Neoplasias. Abstract Introduction:The hope of patients with malignant neoplasm plays a crucial role because it helps to resolve the difficulties which they deal with. These patients experience great changes, once this disease can result in emotional suffering. Objective: The aim of this research was to identify and correlate the indicators of hope, anxiety and depression of patients undergoing on cancer treatment. Patients and Methods: This is a cross-sectional, descriptive research involving individuals undergoing cancer treatment at the Cancer Institute and Hospital de Base in the city of São José do Rio Preto, inland of São Paulo State. Three instruments were answered by the participants: a) a sociodemographic questionnaire; b) The Hospital Anxiety and Depression Scale, and c) Herth's scale of hope. Results: The study sample was composed of 118 patients. Participants' mean age was 55.11 ± 13,34, with female prevalence. Regarding the clinical characteristics, there was a higher percentage of breast cancer (28%) and 54% of the participants presented cases of metastasis. The levels of hope presented an average of 39.6, anxiety 5.36 ± 3,66, and depression 5.82 ± 4,12. In this sample, 27% of the patients presented indicative indexes of depression and 24% anxiety indexes. Of these, 13% of the participants had both anxiety and depression. There was also a significant negative correlation between hope, anxiety (p = 0.0001) and depression (p = 0.0001). Conclusion: The individuals presented high levels of hope, which is revealed as a possible factor to protect anxiety and depression.

The current technological configuration added to the present social demands in health make it necessary to review the teaching-learning methodologies applied during the graduation of the medical professional. Those necessities are addressed by the National Curricular Guidelines, which preconize the adoption of methodologies that stimulate the student's autonomy and put the faculty in compliance with the current situation. To obtain a panorama about the medical students’ perception in a college of a inland city of the São Paulo state in relation to the Active Teaching-LearningMethodologies (ATLM) this cross-sectional, descriptive-exploratory, quantitative analysis was carried out where the participants were students of the Medical School of São José do Rio Preto - FAMERP in 2017. Through a mixed questionnaire, that is, with open and closed questions, data were collected necessary to reach the objective. A total of 364 students participated, of whom 70.9% agreed they would like to use ATLM more often. Regarding the role of the student: 80.7% agreed that ATLM stimulate the study; 73.3% agreed that group activities support learning; 44.2% disagreed that students are not prepared for ATLM due to lack of maturity and 51.1% agreed that they are unprepared to use ATLM for being accustomed to traditional teaching methods. Data show that, even though they do not attend classes with ATLM frequently, the students can be very interested in execute them. Emphasis is given to his intense perception of learning in these moments. The student profile that compares with the ATLM is the one that knows them, that is, those who have had contact with such methodologies want to use them more frequently. In addition, students consider that the teachers’ role should be that of a learning facilitator, who guides the studies so that the academic goals are achieved.

Conflito de interesses: NãoContribuição dos autores: IR concepção e planejamento do projeto de pesquisa, obtenção, análise e interpretação dos dados e redação e revisão crítica. FB concepção e planejamento do projeto de pesquisa, redação e revisão crítica. RSJ concepção e planejamento do projeto de pesquisa. Contato para correspondência:Isabela AbstractIntroduction: When admitted to the hospital the elderlybecomes susceptible to develop mental diseases. Therefore, they need recre-ational activities, which promoteemotional well-being and reduce pain sensation. Ludic activities, especially the clown therapy, are presented as a low-cost alternative to remedy this problem. Objectives: Characterize the hospitalized elderly in a tertiary hospital, evaluate the presence of anxious and depressive symptoms in this sample, and verify if there is an improvement in the emotional state and a decrease in the perception of pain in these patients after the intervention of the clowns-doctors. Patients and Methods:The study included 35 elderly patients admitted to the Hospital de Base of São José do Rio Preto, who answered a questionnaire, which was applied by a previously trained academic. The questionary contained the following: identification, Geriatric Anxiety Inventory, Geriatric Depression Scale, Unidirectional Pain Scale, and self-assessment of emotional state. The questionnaire was applied 1 hour before and 1 hour after the interventions. Data were subsequently compared and evaluated descriptively and quali-quantitatively using the Wilcoxon statistical test. Results: It was observed in the profile of elderly, a prevalence of male subjects (57.5%), a frequent history of previous admissions (85.7%), and the presence of anxiety symptoms (40%). Regarding the changes observed before and after the intervention, there was a significant decrease in pain sensation (P = 0.001) and an improvement in the emotional state of the respondents, decreasing worry autoanalysis, anxiety, and sadness, but increasing the joy and excite-ment. Conclusion: Data suggest that the clown therapy is a method to reduce pain sensation and promote the improvement of the emotional state in hospitalized elderly patients.

The present study aimed to identify and describe the protective factors and coping strategies developed by caregivers of cancer patients. Eighteen participants who were waiting in the waiting room of a general hospital in the interior of São Paulo were interviewed. To characterize the sample, a sociodemographic questionnaire developed by the authors was used. To assess mental health, the Depression Scale "CES-D" and "Caregiver Burden Scale" were used. The analysis of the questionnaire showed that the largest number of caregivers are women (84.2%) between the ages of 50 and 60 years. The scales pointed to an important index of depression indicators (20.2), low overload, except for the isolation and general tension dimensions, with the most present aspect of protection in this sample being religious confrontation. In view of the results, it was possible to observe that the preparation for care influences the reduction of burden and better adaptation of the caregiver to their tasks.