The NixCu(1-x)Fe2O4 (x = 0, 0.2, 0.8, 1) mixed nickel and copper ferrites were synthesized using the EDTA-Citrate complexation method and calcined at 700°C. The structure, properties and characterization of the samples were analyzed by DRX, Rietveld refinement, SEM, and DRE UV-Vis, indicating the phase formation of tetragonal (CuFe2O4 and Ni0.2Cu0.8Fe2O4) and cubic (Ni0.8Cu0.2Fe2O4 and NiFe2O4). The materials exhibited morphologies suitable for photocatalytic applications and a UV-Vis absorption range near 2 eV as expected for spinel ferrites. These materials were evaluated as photocatalysts for the degradation of Rhodamine B dye under heterogeneous photocatalysis conditions, simulating solar light irradiation, air injection, and different pH levels (2, 6, and 10). The results showed that the catalytic efficiency was higher for samples with a higher copper content and in a basic medium. Therefore, NixCu(1-x)Fe2O4 mixed ferrites have promising potential as photocatalysts.

Abstract Faced with diagnosis and treatment of serious illness in children, including oncology, parents, especially mothers, tend to fully assume the demands of care and, consequently, must develop situational coping strategies. In this regard, this descriptive and cross-sectional study sought to identify the use of religious/spiritual coping by informal caregivers of children with acute lymphoid leukemia via the Brief Religious/Spiritual Coping (SRCOPE) scale. A total of 30 informal caregivers participated in the study, presenting high religious/spiritual coping (mean=3.90; SD=0.34) regarding positive methods (mean=3.67; SD=0.48). Finally, results show that mothers use religious/spiritual coping deal with the imposed demands for care, linked to the child’s health condition. This reinforces the possibility of using spirituality and or religiosity as indicators of physical and mental well-being, since the quality of care is closely related to the caregivers’ health.

Resumen Ante el diagnóstico y tratamiento de una enfermedad grave en niños como el cáncer, los padres, sobre todo las madres, tienden a asumir plenamente las demandas de cuidado, por lo que necesitan desarrollar estrategias de afrontamiento de la situación. Este estudio descriptivo y transversal tuvo por objetivo identificar el uso de coping religioso/espiritual en los cuidadores informales de niños con leucemia linfocítica aguda mediante la aplicación de la escala de coping religioso/espiritual breve. Participaron 30 cuidadores informales, quienes presentaron un alto coping religioso/espiritual (media=3,90; DE=0,34) en la modalidad positiva (media=3,67; DE=0,48). Se identificó que las madres utilizan coping religioso/espiritual para hacer frente a la demanda de cuidados que realizan, relacionada al estado de salud del niño. Esto refuerza la posibilidad de utilizar la espiritualidad y/o la religiosidad como indicadores de bienestar físico y mental, ya que la calidad de la asistencia prestada está relacionada directamente con la salud del cuidador.

Resumo Perante diagnóstico e tratamento de doença grave em crianças, incluindo a oncológica, os pais, em especial as mães, tendem a assumir integralmente as demandas de cuidados, necessitando desenvolver estratégias de enfrentamento situacional. Nesse sentido, este estudo descritivo e transversal objetivou identificar o uso do coping religioso/espiritual em cuidadores informais de crianças com leucemia linfoide aguda mediante aplicação da escala de coping religioso/espiritual breve. Participaram 30 cuidadores informais, que apresentaram coping religioso/espiritual alto (média=3,90; Dp=0,34) na modalidade positiva (média=3,67; Dp=0,48). Por fim, identificou-se que as mães utilizam coping religioso/espiritual para lidar com a demanda de cuidados a elas imposta, vinculada à condição de saúde da criança. Com isso, reforça-se a possibilidade de utilizar a espiritualidade e/ou a religiosidade como indicadores de bem-estar físico e mental, visto que a qualidade dos cuidados prestados está intimamente relacionada à saúde de quem cuida.

Resumo Objetivo Produzir um vídeo instrucional para enfermeiros sobre o banho de ofurô em recém-nascidos pré-termo e validar seu conteúdo. Método Estudo metodológico de desenvolvimento tecnológico com ênfase na validação de conteúdo, conduzido em três etapas: revisão exploratória da literatura, produção da tecnologia educacional do tipo vídeo instrucional e validação por especialistas. Os dados foram sistematizados e organizados em planilhas e as análises foram conduzidas no pacote estatístico R. Para validar o conteúdo, aplicaram-se o Índice Kappa, para medir a concordância entre as respostas, e o Índice de Validade de Conteúdo, para estimar a representatividade do item. Resultados As publicações sobre a técnica (n=3) identificadas na revisão de literatura foram utilizadas para a produção do vídeo. O vídeo simula o cuidado em unidade neonatal e tem duração de 13 minutos. No processo de validação, o vídeo foi considerado, no geral, com representatividade de conteúdo adequada e obteve índice de concordância entre as respostas quase perfeito. Dois itens foram avaliados como “adequados com alterações” e modificados. Conclusão e implicações para a prática O material produzido foi considerado adequado para ser utilizado na capacitação de enfermeiros sobre a técnica e compartilhamento de informações, contribuindo para o cuidado de enfermagem humanizado e seguro em unidades neonatais.

Abstract Objective To produce an instructional video for nurses about hot tub bath for preterm newborns and to validate its content. Method Methodological study of technological development with emphasis on content validation, conducted in three stages: exploratory literature review, production of an instructional video educational technology and expert validation. The data were systematized and organized in spreadsheets and the analyses were carried out in the statistical package R. For content validation, the Kappa Index was calculated to measure response agreement and the Content Validity Index was employed to estimate item representativeness. Results Publications about the technique (n=3) identified in the literature review were used for video production. The video simulates care in a neonatal unit and lasts 13 minutes. In the validation process, the video was considered, in general, to have an adequate content representation and had an almost perfect response agreement index. Two items were assessed as “adequate after revision” and modified. Conclusion and implication for the practice The produced material was considered by the experts as suitable for use in training nurses on the technique and sharing information, contributing to a humanized and safe nursing care in neonatal units.

Resumen Objetivo Producir un video instructivo para enfermeros sobre el baño de ofuro en recién nacidos prematuros y validar su contenido. Método Estudio metodológico de desarrollo de tecnología con énfasis en la validación de contenido, realizado en tres etapas: revisión exploratoria de la literatura, producción de tecnología educativa de tipo video instructivo y validación por expertos. Los datos fueron sistematizados y organizados en hojas de cálculo y los análisis se realizaron en el paquete estadístico R. Para validar el contenido se aplicó el Índice Kappa para medir la concordancia entre las respuestas y el Índice de Validez del Contenido para estimar la representatividad del ítem. Resultados Para la producción del video se utilizaron publicaciones sobre la técnica (n = 3) identificadas en la revisión de la literatura. El video simula la atención en una unidad neonatal y tiene una duración de 13 minutos. En el proceso de validación, el video se consideró, en general, con adecuada representación de contenido y con un índice de concordancia casi perfecto entre las respuestas. Dos ítems se evaluaron como “adecuados con cambios” y se modificaron. Conclusión e implicaciones para la práctica El material producido fue considerado por los especialistas como adecuado para uso en la formación de enfermeros sobre la técnica y el intercambio de información, contribuyendo para la atención de enfermería humanizada y segura en las unidades neonatales.

Abstract Nanostructured niobium nitride was synthesized through a solid-gas reaction in an atmosphere of nitrogen and hydrogen using an oxalic niobium precursor. Crystal phases evolution throughout the reactive processes were evaluated using X-Ray Diffraction, reaction parameters modifications were performed in isotherm time, gas flow, and precursors’ mass. It was verified the synthesis of a stable NbN material with a hexagonal structure under the following conditions: 1g of precursor, 300 min of isotherm at 1100 °C and, the gas flow of N2 = 40% (v/v), and H2 = 60% (v/v). The increase in gas phase flow and the decrease of solid load favored the process, and a pure and single-phase powder was obtained. This set indicates the importance of physical resistance in the fluid-particle interaction process. Under these conditions, the solid obtained had a crystallite size of 30 - 50 nm.

RESUMO Fasciite necrosante é uma infecção rara e grave caracterizada por necrose extensa e de rápida progressão do tecido subcutâneo e fáscia muscular associada a altas taxas de mortalidade na região da cabeça e pescoço. Apresentamos um caso de fasciite necrosante fatal devido a uma fratura mandibular não tratada. Oito dias após o trauma, o paciente deu entrada no hospital e faleceu no sexto dia de internação.

ABSTRACT Necrotizing fasciitis is a rare and severe infection characterized by extensive and quickly progressing necrosis of the subcutaneous tissue and muscle fascia associated with high mortality rates in the head and neck region. We present a case of fatal necrotizing fasciitis due to an untreated mandibular fracture. Eight days after the trauma, the patient was admitted to the hospital and died on the sixth day of hospitalization.

Abstract Understanding the behavior of Candida spp. when exposed to denture disinfectants is essential to optimize their effectiveness. Changes in the virulence factors may cause increased resistance of Candida spp. to disinfectant agents. Objective To evaluate the microbial load, cellular metabolism, hydrolytic enzyme production, hyphae formation, live cell and biofilm quantification of Candida albicans, Candida tropicalis and Candida glabrata after exposure to disinfectant solutions. Methodology Simple biofilms were grown on heat-polymerized acrylic resin specimens, and divided into groups according to solutions/strains: distilled water (control); 0.25% sodium hypochlorite (NaOCl 0.25% ); 10% Ricinus communis (RC 10%); and 0.5% Chloramine T (CT 0.5%). The virulence factors were evaluated using the CFU count (microbial load), XTT method (cell metabolism), epifluorescence microscopy (biofilm removal and live or dead cells adhered), protease and phospholipase production and hyphae formation. Data were analyzed (α=0.05) by one-way ANOVA/ Tukey post hoc test, Kruskal-Wallis test and Wilcoxon test. Results NaOCl 0.25% was the most effective solution. CT 0.5% reduced the number of CFUs more than RC 10% and the control. RC 10% was effective only against C. glabrata. RC 10% and CT 0.5% decreased the cellular metabolism of C. albicans and C. glabrata. Enzyme production was not affected. Hyphal growth in the RC 10% and CT 0.5% groups was similar to that of the control. CT 0.5% was better than RC 10% against C. albicans and C. tropicalis when measuring the total amount of biofilm and number of living cells. For C. glabrata, CT 0.5% was equal to RC 10% in the maintenance of living cells; RC 10% was superior for biofilm removal. Conclusions The CT 0.5% achieved better results than those of Ricinus communis at 10%, favoring the creation of specific products for dentures. Adjustments in the formulations of RC 10% are necessary due to efficacy against C. glabrata. The NaOCl 0.25% is the most effective and could be suitable for use as a positive control.

RESUMO Objetivo: realizar a tradução e a adaptação transcultural do Risk assessment and management of exposure of healthcare workers in the context of COVID-19. Método: trata-se de estudo metodológico. Foram seguidas as etapas de tradução, retrotradução, síntese, avaliação por comitê de juízes e pré-teste. Os participantes foram convidados por meio eletrônico e responderam um formulário on-line. Os dados foram coletados entre junho e setembro de 2020. A validação de conteúdo pelo comitê de juízes foi verificada por meio do índice de validade de conteúdo. Os participantes do pré-teste avaliaram a aplicabilidade do instrumento por meio do questionário “Avaliação da Praticabilidade de Instrumentos”. Resultados: participaram do estudo quatro tradutores, oito avaliadores no comitê de juízes e 35 profissionais responderam ao pré-teste. As modificações sugeridas pelo comitê de juízes foram acatadas e o consenso atingido em duas avaliações, obtendo índice de validade de conteúdo superior a 0,80 para todos os itens do instrumento. A versão pré-teste apresentou boa aplicabilidade e confiabilidade satisfatória (0,76). Conclusão: o instrumento foi adaptado para uso no Brasil, o que permitirá a comparação internacional dos resultados e o uso dos dados obtidos para a avaliação e tomada de decisão em relação à saúde do trabalhador. Além disso, seu uso poderá ser ampliado para avaliar outras situações de exposição de profissionais de saúde ao risco de contaminação por agentes infecciosos.

ABSTRACT Objective: to translate and transculturally adapt the Risk assessment and management of exposure of health care workers in the context of COVID-19 questionnaire. Method: this is a methodological study. The translation, back-translation, synthesis, evaluation by experts committee and pre-test stages were followed. The participants were invited by electronic means and answered an online questionnaire. The data were collected between June and September 2020. Content validation by the experts committee was verified using the Content Validity Index. The pre-test participants assessed the instrument's applicability by means of the “Assessment of Instruments' Feasibility” questionnaire. Results: the study participants were four translators, eight evaluators in the experts committee and 35 professionals who answered the pre-test. The changes suggested by the experts committee were accepted and consensus was reached in two evaluation rounds, obtaining a content validity index higher than 0.80 for all items of the instrument. The pre-test version presented good applicability and satisfactory reliability (0.76). Conclusion: the instrument was adapted for use in Brazil, which will allow international comparison of the results and using the data obtained for assessment and decision-making in relation to workers' health. In addition to that, its use may be expanded to assess other situations of health professionals' exposure to the risk of contamination by infectious agents.

RESUMEN Objetivo: realizar la traducción y adaptación transcultural del instrumento Risk assessment and management of exposure of healthcare workers in the context of COVID-19. Método: estudio metodológico en el que se desarrollaron las siguientes etapas: traducción, retrotraducción, síntesis, evaluación a cargo de un comité de expertos y prueba previa (pre-test). Se invitó a los participantes a través de medios electrónicos para que respondieran un formulario en línea. Los datos se recolectaron entre junio y septiembre de 2020. La validación del contenido a cargo del comité de expertos se verificó por medio del Índice de Validez del Contenido. Los participantes de la prueba previa evaluaron la aplicabilidad del instrumento por medio del cuestionario “Evaluación de la Viabilidad de Instrumentos”. Resultados: los participantes del estudio fueron cuatro traductores, ocho evaluadores en el comité de expertos y 35 profesionales que respondieron la prueba previa. Las modificaciones sugeridas por el comité de expertos fueron acatadas y se llegó a un consenso en dos evaluaciones, obteniéndose un Índice de Validez del Contenido superior a 0,80 para todos los ítems del instrumento. La versión de la prueba previa presentó buena aplicabilidad y confiabilidad satisfactoria (0,76). Conclusión: el instrumento fue adaptado para su uso en Brasil, lo que permitirá realizar una comparación internacional de los resultados y emplear los datos obtenidos con fines de evaluación y toma de decisiones en relación con la salud de los trabajadores. Además, se podrá expandir su utilización para evaluar otras situaciones de exposición de profesionales de la salud al riesgo de contaminación a raíz de agentes infecciosos.

Resumo O presente trabalho teve como objetivo conhecer a população da raia manta chilena (Mobula tarapacana) que forma agregações sazonais no Arquipélago de São Pedro e São Paulo (ASPSP). Durante o período de dezembro de 2008 a junho de 2016, foram avistadas 827 raias através de censo visual por mergulho livre. Do total das raias avistadas, foi possível identificar o sexo de 361 espécimes, dos quais 215 eram fêmeas e 146 eram machos. A largura de disco variou de 2,40 m a 3,20 m, com média de 2,60 m, tanto para machos como para fêmeas, evidenciando que a população é composta por adultos e sub-adultos. Com base na foto-identificação do padrão de coloração do contorno localizado na região ventral, foram identificados e comparados entre si, 11 machos e 44 fêmeas, não tendo sido observada, porém, nenhuma reavistagem. Marcas de cópula recente foram observadas tanto em machos (n= 7) como em fêmeas (n= 6). Comportamentos de corte e perseguição também foram observados, indicando que o ASPSP é uma importante área de agregação e acasalamento da espécie no Oceano Atlântico.

Abstract The present work aimed at studying the sicklefin devil ray (Mobula tarapacana) that aggregates seasonally in the Saint Peter and Saint Paul Archipelago (SPSPA). From December 2008 to June 2016, 827 rays were sighted through free diving visual census survey. From the total of the records, it was possible to identify the sex of 361 specimens, in which 215 were females and 146 were males. The disk width ranged from 2.40 m to 3.20 m with mean size of 2.60 m, for both males and females, indicating that the population is composed by sub-adults and adults. Using photo-identification of the pectoral-fins in the ventral side, 11 males and 44 females were identified and compared with each other, but no re-sight was detected. Recent mating scars were observed in males (n= 7) and females (n= 6), as well as courtship and pursuit behaviors, confirming that the SPSPA is an important area of aggregation and mating for M. tarapacana in the Atlantic Ocean.

This cross-sectional study aimed to analyze the relationship between quality of life and levels of fatigue among Brazilian professional dancers. A total of 127 professional classical ballet and contemporary dancers, both male and female, from professional dance companies of the Brazilian South-Southeast region, participated in the study. Data were collected using online self-administered questionnaires, the World Health Organization Quality of Life - Biomedical Research and Education Foundation (WHOQOL - BREF) and the Fatigue Symptom Checklist (FSC), to characterize the participants. Multiple linear regressions were used for data analysis. The results showed that worsened psychological health, social relationships, environment, and total quality of life domains were associated with the drowsiness and dullness scale. Worsened physical health, psychological, and total quality of life domains were also associated with the inability to concentrate scale. However, improvement in social relationships and total quality of life domains were associated with the awareness of physical discomfort scale. These results indicate that fatigue affects the quality of life of professional dancers differently based on the scales used to measure fatigue, which highlights the importance of studies empirically testing specific fatigue-modifying factors in professional dance contexts.

RESUMO CONTEXTO: Além do manejo adequado das eliminações da estomia, a manutenção da nutrição para a pessoa com ileostomia é um grande desafio. OBJETIVO: Este trabalho teve como objetivo avaliar o estado nutricional de pessoas com ileostomia. MÉTODOS: Trata-se de um estudo transversal, realizado numa população de 17 pessoas com ileostomia cadastrados no Serviço de Atenção à Saúde da Pessoa Ostomizada de nível II referência para uma região de saúde em Minas Gerais. Foi realizada a avaliação antropométrica que consistiu na coleta do peso, altura e cálculo do índice de massa corporal. Também foi avaliado um recordatório alimentar de 24 horas e o método de avaliação nutricional Avaliação Subjetiva Global. Os dados foram analisados pelo software Dietbox, onde foi estimado os nutrientes ingeridos, e pelo Statistical Package for the Social Sciences versão 22.0. RESULTADOS: Houve predomínio de uma população composta por pessoas com idade superior a 50 anos, do sexo feminino, de estado civil casado e solteiro, com renda familiar entre dois e três salários mínimos, ensino fundamental incompleto e que não exerciam atividade remunerada. O câncer foi dado como principal diagnóstico que originou a estomia e possuíam um tempo de cirurgia menor que dois anos. Quanto ao estado nutricional, a maior parte dos entrevistados apresentaram índice de massa corporal adequada, porém mais da metade referiu perda de peso importante após a confecção da ileostomia. O diagnóstico nutricional predominante, fornecido pela Avaliação Subjetiva Geral foi de “suspeita de desnutrição/desnutrido moderado”. Já o aporte de energia, carboidratos, lipídeos, sódio, potássio, magnésio e vitamina B12 foi avaliado como insuficiente na quase totalidade dos participantes. CONCLUSÃO: Portanto, sugere-se a avaliação periódica do estado nutricional dessa população. Assim, espera-se que o diagnóstico e planejamento dietético preventivo, terapêutico e de manutenção possam contribuir para a condição nutricional da pessoa com ileostomia.

ABSTRACT BACKGROUND: The maintenance of nutrition for the person with ileostomy is a major challenge despite to the proper management of stoma eliminations. OBJECTIVE: This study aimed to evaluate the nutritional status of people with ileostomy. METHOD: This is a cross-sectional study carried out on a population of 17 people with ileostomy enrolled in the Service of Attention to the Health of the Person with Stoma of level II, referring to a health region in Minas Gerais. The anthropometric evaluation consisted of the collection of weight, height, and calculation of body mass index. A 24-hour food recall and the nutritional assessment method Global Subjective Assessment were also evaluated. The data were analyzed by the Dietbox software, where the ingested nutrients were estimated, and by the Statistical Package for the Social Sciences version 22.0. RESULTS: There was a predominance of a population composed of people over 50 years old, female, married and single, with family income between two and three minimum wages, incomplete elementary school and that did not exercise paid activity. The cancer was given as the main diagnosis that originated the stoma and had a surgery time of less than two years. Regarding nutritional status, most of the interviewees presented adequate body mass index, but more than half reported significant weight loss after the ileostomy. The predominant nutritional diagnosis provided by the General Subjective Assessment was “suspected malnutrition/moderate malnutrition”. On the other hand, the contribution of energy, carbohydrates, lipids, sodium, potassium, magnesium and vitamin B12 was considered insufficient in almost all the participants. CONCLUSION: Therefore, it is suggested the periodic evaluation of the nutritional status of this population. Thus, it is expected that preventive, therapeutic and maintenance dietary diagnosis and planning may contribute to the nutritional status of the person with the ileostomy.

OBJECTIVE: To identify the factors associated with the prescription of vaginal pessaries (VPs) as a conservative treatment for pelvic organ prolapse (POP). METHODS: A cross-sectional study was performed during two annual urogynecology and general obstetrics and gynecology meetings in 2017 (São Paulo, SP, Brazil). A 19-item deidentified questionnaire regarding experiences and practices in prescribing VPs for POP patients was distributed among gynecologists. Our primary outcome was the frequency of prescribing VPs as a conservative treatment for POP. The reasons for prescribing or not prescribing VPs were also investigated. Univariate and multivariate analyses with crude and adjusted odds ratios (ORs) were performed for variables associated with the prescription of pessaries. RESULTS: Three hundred forty completed surveys were analyzed. Half of the respondents (53.53%) were between 30-49 years old; most of them were female (73.53%), were from the Southeast Region (64.12%), were trained in obstetrics and gynecology (80.24%) or urogynecology (61.18%) and worked in private offices (63.42%). More than one-third (36.48%) attended four or more POP cases/week, and 97.65% (n=332) had heard or knew about VPs for POP; however, only 47.06% (n=160) prescribed or offered this treatment to patients. According to the multivariate analysis, physicians aged 18-35 years (OR=1.97[1.00-3.91]; p=0.04), those who participated in a previous urogynecology fellowship (OR=2.34[1.34-4.09]; p<0.01), those with relatively high volumes of POP cases (4 or +) (OR=2.23[1.21-4.47]; p=0.01) and those with PhD degrees (OR=2.75[1.01-7.54]; p=0.05) prescribed more pessaries. CONCLUSIONS: Most gynecologists did not prescribe VPs. Younger physician age, participation in a previous urogynecology fellowship, a PhD degree, and a relatively high volume of POP cases were associated with increased VP prescription rates.

ABSTRACT OBJECTIVE: To analyze the factors associated with the presence of depression symptoms in women after breast cancer. METHODS: Cross-sectional study with 181 women with breast cancer, aged 57.0 years (SD = 9.5), who were undergoing treatment or after treatment in the Oncology Research Center in Florianópolis, state of Santa Catarina, Brazil. The questionnaire comprised items addressing general and health information, economic level, anthropometric measures, depression symptoms (Beck Depression Inventory), self-esteem (Rosenberg Self-Esteem Scale), and body image (Body Image After Breast Cancer Questionnaire). Descriptive and inferential statistical analysis were performed by chi-square and Fisher's exact tests to verify association, Mann-Whitney U test to compare the groups and Poisson regression to identify the prevalence ratio of the factors associated with presence of depression symptoms (p < 0.05). RESULTS: We found an association between the presence of depression symptoms and the group of younger women (aged 40–60 years), those who had another disease besides cancer, those who had mastectomy surgery, those who suffered from lymphedema, and those who presented low–medium self-esteem. Less educated women presented more depressive symptoms, as did women with worse body image on the subscales of limitations, transparency, and arm concerns. CONCLUSIONS: Age, educational attainment, diagnosis of other diseases, type of surgery, lymphedema, self-esteem, and body image were factors associated with the presence of depression symptoms in Brazilian women after breast cancer. Health professionals should be aware of these relationships and try to detect depression symptoms earlier and improve the care they provide to these women.

ABSTRACT OBJECTIVE: To analyze the factors associated with the presence of depression symptoms in women after breast cancer. METHODS: Cross-sectional study with 181 women with breast cancer, aged 57.0 years (SD = 9.5), who were undergoing treatment or after treatment in the Oncology Research Center in Florianópolis, state of Santa Catarina, Brazil. The questionnaire comprised items addressing general and health information, economic level, anthropometric measures, depression symptoms (Beck Depression Inventory), self-esteem (Rosenberg Self-Esteem Scale), and body image (Body Image After Breast Cancer Questionnaire). Descriptive and inferential statistical analysis were performed by chi-square and Fisher's exact tests to verify association, Mann-Whitney U test to compare the groups and Poisson regression to identify the prevalence ratio of the factors associated with presence of depression symptoms (p < 0.05). RESULTS: We found an association between the presence of depression symptoms and the group of younger women (aged 40–60 years), those who had another disease besides cancer, those who had mastectomy surgery, those who suffered from lymphedema, and those who presented low–medium self-esteem. Less educated women presented more depressive symptoms, as did women with worse body image on the subscales of limitations, transparency, and arm concerns. CONCLUSIONS: Age, educational attainment, diagnosis of other diseases, type of surgery, lymphedema, self-esteem, and body image were factors associated with the presence of depression symptoms in Brazilian women after breast cancer. Health professionals should be aware of these relationships and try to detect depression symptoms earlier and improve the care they provide to these women.

RESUMO Este estudo analisou o posicionamento de entidades odontológicas nacionais sobre a Política Nacional de Saúde Bucal (PNSB), entre 2015 e 2017, no Brasil, como espaço de relações de força entre agentes e instituições. Foi realizada análise documental das publicações relacionadas sobre a política nos sites oficiais, em redes sociais e em notícias do Conselho Federal de Odontologia (CFO), da Associação Brasileira de Odontologia (ABO), das Federações de sindicatos e da Associação de Saúde Bucal Coletiva (Abrasbuco). O monitoramento foi semanal, segundo categorias: ações e posicionamento da entidade sobre a política, demandas profissionais e relações com o campo político. Observou-se, nesse período, que CFO e Federação Interestadual dos Odontologistas foram as entidades que mais publicaram sobre a política. As entidades sindicais e os representantes da Abrasbuco se posicionaram mais criticamente sobre as sucessivas mudanças na Coordenação Geral de Saúde Bucal em 2015. O fato que mobilizou todas as entidades, à exceção da ABO, foi a possível extinção da coordenação, em 2016. Destaca-se o posicionamento comum das entidades pela defesa da expansão da política com novos postos de trabalho no SUS e articulação com o poder legislativo na aprovação de projetos de lei, como o da odontologia na Unidade de Tratamento Intensivo (UTI) e da transformação da PNSB em política de Estado.

ABSTRACT This study analyzed the positioning of national dental entities on the National Oral Health Policy (PNSB), between 2015 and 2017, in Brazil, as a space for relations of strength between agents and institutions. A documentary analysis of the related publications about politics was carried out on official websites, social networks and news from the Federal Council of Dentistry (CFO), of the Brazilian Association of Dentistry (ABO), the Federations of unions and the Association of Collective Oral Health (Abrasbuco). The monitoring was weekly, according to categories: actions and positioning of the entity on the politics, professional demands and relations with the political field. It was observed, during this period, that CFO and Interstate Odontologists Federation were the entities that most published about politics. The unions and representatives of Abrasbuco were more critically positioned about the successive changes in the General Coordination of Oral Health in 2015. The fact that mobilized all entities, with the exception of ABO, was the possible extinction of coordination, in 2016. It stands out the common position of entities for the defense of the expansion of the policy with new jobs in the SUS and articulation with the legislative power in the approval of bills, such as dentistry in the Intensive Care Unit (ICU) and the transformation of the PNSB into State politics.