Objective: to compare the number of planned oncotic smear tests and those actually performed in the city of Rio de Janeiro between the years 2013 and 2022 . Methods: using the female population of Rio de Janeiro, an estimate was made of how many tests should be carried out if screening recommended by the Ministry of Health was done in an ideal way and was subsequently compared with the number of tests available in the public database. Results: 1,364,325 were carried out in this period compared to an estimated 7,886,720. After adjustment for the use of supplementary healthcare, the pandemic and exams outside the recommended age, 36% of the ideal was observed. Conclusion: the quantity carried out is far below ideal, even after adjustments, which increases costs for the public health service, making new public policies necessary to improve tracking.

Objetivo: comparar el número de citologías oncóticas planificadas y las realizadas en la ciudad de Río de Janeiro entre los años 2013 y 2022 . Métodos: utilizando la población femenina de Río de Janeiro, se estimó cuántas pruebas se deberían realizar si se recomienda el tamizaje. realizado por el Ministerio de Salud se realizó de manera ideal y luego se comparó con la cantidad de pruebas disponibles en la base de datos pública. Resultados: En este periodo se realizaron 1.364.325 frente a una estimación de 7.886.720. Después del ajuste por el uso de asistencia sanitaria complementaria, la pandemia y los exámenes fuera de la edad recomendada, se observó el 36% del ideal. Conclusión: la cantidad realizada está muy por debajo de lo ideal, incluso después de ajustes, lo que aumenta los costos para el servicio público de salud, haciendo necesarias nuevas políticas públicas para mejorar el seguimiento.

Objetivo: comparar a quantidade de colpocitologias oncóticas ideias e a realmente realizadas no município do Rio de Janeiro entre os anos de 2013 e 2022. Métodos: através da população feminina do Rio de Janeiro, foi feita estimativa de quantos exames deveriam ser realizados caso o rastreio preconizado pelo Ministério da Saúde fosse feito de forma ideal e posteriormente foi comparado com a quantidade de exames disponíveis na base de dados pública. Resultados: foram realizados 1.364.325 nesse período comparado a 7.886.720 estimados. Após ajuste pelo uso de saúde suplementar, pandemia e exames fora da idade recomendada, observou-se 36% do ideal. Conclusão: a quantidade realizada está muito abaixo da ideal, mesmo após os ajustes, o que aumenta custos para o serviço de saúde pública, sendo necessárias novas políticas públicas para melhorar o rastreamento.

Abstract Objective: To describe the changes in alcohol and drug use by Brazilian adolescents during the COVID-19 pandemic (April-August 2021), and to analyze the relationship between alcohol use changes and psychiatric symptomatology. Methods: A secondary analysis with a longitudinal approach was performed with data from a cluster-randomized controlled trial, conductedin73publicmiddleschoolsinthreeBrazilian cities, to evaluate the effectiveness of a drug use prevention program. The sample included 535 students (61% girls; Mage = 15.2 years). Data were collected pre-intervention (February-March 2019), after 9 months (November-December 2019), and after 26 months (April-August 2021), when the students were in their first year of high school. The authors analyzed drug use prevalence (alcohol, binge drinking, tobacco, inhalants, marijuana, cocaine, and crack) in a lifetime, past year, and past month periods, and the association between alcohol use change subsamples with psychiatric symptoms. Logistic regressions were adjusted by sex, age, socioeconomic status, city, and group (control and intervention). Results: The present findings suggest that the COVID-19 pandemic led to a decrease in past-year substance use and in past-month substance use frequency, despite the gradually increased (but decelerating) prevalence of lifetime use. However, some adolescents initiated, maintained, or increased the frequency of their alcohol use. Mainly, they were more likely to present behavioral problems, as well as symptoms of inattentive hyperactivity, and peer and emotional problems. Conclusions: Despite the extensive decline in substance use during the pandemic period, these results suggest an association between previous mental health conditions and behavioral risk factors, leading to increased alcohol consumption and behavioral disorders manifestations. Objective COVID19 COVID 19 COVID-1 AprilAugust April August 2021, 2021 , 2021) symptomatology Methods clusterrandomized cluster randomized trial conductedinpublicmiddleschoolsinthreeBrazilian conductedin publicmiddleschoolsinthreeBrazilian cities program 53 61% 61 (61 girls 152 15 2 15. years. years . years) preintervention pre intervention FebruaryMarch February March 2019, 2019 2019) NovemberDecember November December school alcohol, (alcohol drinking tobacco inhalants marijuana cocaine crack periods sex age status city control intervention. intervention) Results pastyear pastmonth but decelerating However initiated maintained Mainly problems hyperactivity Conclusions period factors manifestations COVID1 1 COVID- 202 5 6 (6 201 20 (

RESUMO A pandemia da Covid-19 colocou importantes desafios sanitários e económicos aos Estados e às suas burocracias. Tanto nos países desenvolvidos como nos países em desenvolvimento, as políticas implementadas reativaram as discussões sobre o papel do Estado e os seus graus de intervenção. Da mesma forma, implicaram mudanças nas condições de trabalho dos servidores públicos em função das medidas de cuidado e isolamento adotadas. Estas mudanças tiveram impacto na dinâmica das disputas trabalhistas no sector? Os conflitos registrados apresentaram novas características? Houve diferenças dependendo do nível de governo? Este artigo analisa os conflitos trabalhistas promovidos pelos trabalhadores das Administrações Públicas municipais, provinciais e nacional durante o período 2020-2022. Para caracterizar as estratégias adotadas nesta situação excepcional, são abordados especificamente os tipos de reclamações e o repertório de ações desenvolvidas foram aquelas com ou sem greve. Os dados são comparados também com os registros pré-pandêmicos. A análise desenvolvida alimenta-se da integração de dados da Base de Conflitos Trabalhistas do Ministério do Trabalho, Emprego e Seguridade Social, regulamentos, documentos oficiais e artigos de jornais. Este trabalho procura fornecer evidências empíricas que sirvam ao debate mais amplo sobre as disputas trabalhistas no setor público.

RESUMEN La pandemia de la Covid-19 concitó importantes desafíos sanitarios y económicos para los Estados y sus burocracias. Tanto en países desarrollados como en vías de desarrollo, las políticas implementadas para mitigar su impacto reactivaron las discusiones respecto del rol del Estado y sus grados de intervención. Asimismo, implicaron cambios en las condiciones de trabajo de los empleados de las Administraciones Públicas pues debieron readaptar el modo de desempeñar sus tareas ante las medidas de cuidado y aislamiento dispuestas. ¿Estos cambios impactaron sobre la dinámica de la conflictividad laboral en el sector? ¿Los conflictos laborales registrados presentaron características novedosas? ¿Existieron diferencias según el nivel de gobierno? En este trabajo se analiza el caso argentino considerando los conflictos laborales impulsados por los trabajadores de las Administraciones Públicas municipales, provinciales y nacional durante el período 2020-2022. A fin de determinar las estrategias desplegadas en ese contexto de excepcionalidad, se abordan específicamente los tipos de reclamos planteados y el repertorio de acciones desarrolladas fueran éstas con o sin paro. Asimismo para ampliar la caracterización, los datos son comparados con lo ocurrido durante 2019, año previo a la declaración de la pandemia. El análisis realizado se nutre de la integración de datos provenientes de la Base de Conflictos Laborales del Ministerio de Trabajo, Empleo y Seguridad Social de la Nación (MTEySS), normativas, documentos oficiales y artículos periodísticos. Mediante este trabajo se procura aportar evidencia empírica que sirva al debate más amplio respecto de la conflictividad laboral en el sector público.

ABSTRACT The COVID-19 pandemic raised important health and economic challenges for the States and their bureaucracies. In both developed and developing countries, the policies implemented restarted the discussions regarding the role of the State and its degrees of intervention. Likewise, they implied changes in public servants’ working conditions in light of care and isolation measures taken. Did these changes have an impact on Public Administration labor conflict dynamic? Did labor conflicts present new characteristics under pandemic context? Were there any differences depending on the level of government? This paper analyzes labor conflicts promoted by Argentine public servants of municipal, provincial and national Public Administrations during the period 2020-2022. In order to characterize their strategies in this exceptional situation, the types of claims and their repertoire of actions (strike and non-strike disputes) are specifically addressed. The data are also compared with pre-pandemic figures. The analysis is based on the data of the Labor Conflict Base of the National Ministry of Labor, Employment and Social Security, regulations, official documents and newspaper articles. This work provides empirical evidence that contributes to the broadest debate about the labor conflicts in the public sector.

ABSTRACT Penaeus vannamei, or white shrimp, is an economically significant species that dominates shrimp production and represents a rapidly growing industry. However, the culture faces challenges due to high mortality rates due to bacterial and viral diseases. Unlike vertebrates, shrimp rely solely on their innate immunity for defense against pathogens. Introducing probiotics into shrimp culture can enhance growth, survival rates, and immune responses against disease outbreaks caused by pathogenic bacteria or viruses. Common diseases affecting shrimp farms include vibriosis, white spot disease, acute hepatopancreatic necrosis and black gill disease. These diseases can cause severe infections, which lead to high mortality rates. The application of probiotics, such as Bacillus cereus, B. licheniformis, B. subtilis, Lactobacillus sp., Paenibacillus, Pseudomonas sp., Pseudoaltermonas, and yeast, either through diet or direct administration, has demonstrated positive impacts on shrimp health, including enhanced growth, increased immunostimulation, improved gut microbiota, and better water quality parameters. In recent decades, aquafeed has explored effective solutions, such as microdiets, co-feeding (combining commercial feed and probiotics), and various microdiets types, to address aquaculture disease problems. Combining microdiets containing essential nutrients with probiotics has proven to be safer than antibiotics, which can adversely affect animals and the environment. However, further studies are needed to optimize the efficiency of feeding techniques by incorporating probiotics and commercial feed for disease resistance in penaeid shrimp culture. This review discusses commercial feeds and microdiets incorporated with probiotics for P. vannamei culture for growth and disease resistance to enhancement.

Abstract: In Chile, with the process of transition to democracy, two important and closely related socio-political phenomena took place. On the one hand, the indigenous movement demanded from the State policies of recognition of difference. On the other hand, part of the State administration (sectors defined as “social”, especially education and health) began a process of installing policies and programs related to indigenous peoples in the institutional work. The purpose of this paper is to critically analyze the policies of the Ministry of Health in the field of health and indigenous peoples, seeking to map and characterize its different moments from the 1990s to the present. Methodologically, the work is nourished by the active professional experience of working as an anthropologist in the state, in the implementation and design of intercultural health policy, as well as from the analysis of official documents produced in this field. Mobilized by the theoretical perspective of the ethnography of the state, three moments in the deployment of the policy are identified, marked by different emphases, which nevertheless respond to the same limited model of interculturality that has failed to permeate the heart of public policy.

Resumen: En Chile, durante el proceso de transición a la democracia se producen dos fenómenos sociopolíticos importantes, estrechamente relacionados. Por un lado, el movimiento indígena demanda al estado políticas de reconocimiento a la diferencia. Por otro lado, una parte de la administración estatal (sectores definidos como “sociales”, en especial educación y salud) inicia un proceso de instalación de políticas y programas vinculadas a los pueblos indígenas en el quehacer institucional. Este trabajo tiene como propósito analizar críticamente la política del Ministerio de Salud en el campo de la salud y los pueblos indígenas con el fin de mapear y caracterizar sus distintos momentos desde la década de 1990 a la actualidad. Metodológicamente, el trabajo se nutre de la experiencia profesional activa de su autora como antropóloga en el estado, en especial en la implementación y el diseño de la política de salud intercultural, así como del análisis de documentos oficiales producidos en este campo. Siguiendo la perspectiva teórica de la etnografía del estado, se identifican tres momentos en el despliegue de la política, marcados por énfasis distintos, que, sin embargo, responden a un mismo modelo acotado de interculturalidad que no ha conseguido permear el corazón de la política pública.

ABSTRACT Mental health in the Unified Health System has experienced a dispute between disease-centered care and socio-environmental determinants. The study of state co-financing of the Psychosocial Care Network in Rio de Janeiro (2019 to 2022) aimed to explain how theoretical-conceptual elements about mental health were relevant in interfederative financing decisions in this period. A review of federal and state regulations of the Intermanagement Committees (Bipartite and Tripartite), technical notes and Fala.BR site was carried out. The documents demonstrated the interfederative rupture in relation to territorial and community-based mental health care. During this period, while the Ministry of Health directed its agenda towards outpatient and specialized care, Rio de Janeiro increased the state’s financial resource for mental health by R$ 175 million to strengthen Psychosocial Care Centers and Therapeutic Residential Services qualified or eligible for qualification. The deinstitutionalization of asylum survivors and the expansion of the care network for crisis situations are results found in Rio de Janeiro. The conclusion of the study suggests the construction of an interfederative monitoring methodology for public mental health financing so that the delivery of care is increasingly closer to the needs of citizens and territorial vulnerabilities.

RESUMO A saúde mental no Sistema Único de Saúde vive uma disputa entre o cuidado centrado na doença e os determinantes socioambientais. O estudo do cofinanciamento estadual da Rede de Atenção Psicossocial no Rio de Janeiro (2019 a 2022) visou observar como elementos teórico-conceituais sobre saúde mental foram relevantes nas decisões de financiamento interfederativo nesse período. Realizou-se revisão de normativas federais e estaduais das Comissões Intergestores (Bipartite e Tripartite), notas técnicas e consultas ao Fala.BR. Os documentos demonstraram a ruptura interfederativa com relação ao cuidado da saúde mental de base territorial e comunitária. Nesse período, enquanto o Ministério da Saúde direcionava sua agenda para o cuidado ambulatorial e especializado, o Rio de Janeiro ampliou o recurso financeiro estadual à saúde mental em R$ 175 milhões para fortalecer Centros de Atenção Psicossocial e Serviços Residenciais Terapêuticos habilitados ou elegíveis para habilitação. A desinstitucionalização de sobreviventes dos manicômios e a expansão da rede de cuidados de atenção às situações de crise são resultados encontrados. A conclusão do estudo sugere a construção de metodologia de monitoramento interfederativo do financiamento da saúde mental pública para que a entrega do cuidado esteja cada vez mais próxima das necessidades dos munícipes e das vulnerabilidades territoriais.

ABSTRACT Mental health in the Unified Health System has experienced a dispute between disease-centered care and socio-environmental determinants. The study of state co-financing of the Psychosocial Care Network in Rio de Janeiro (2019 to 2022) aimed to explain how theoretical-conceptual elements about mental health were relevant in interfederative financing decisions in this period. A review of federal and state regulations of the Intermanagement Committees (Bipartite and Tripartite), technical notes and Fala.BR site was carried out. The documents demonstrated the interfederative rupture in relation to territorial and community-based mental health care. During this period, while the Ministry of Health directed its agenda towards outpatient and specialized care, Rio de Janeiro increased the state’s financial resource for mental health by R$ 175 million to strengthen Psychosocial Care Centers and Therapeutic Residential Services qualified or eligible for qualification. The deinstitutionalization of asylum survivors and the expansion of the care network for crisis situations are results found in Rio de Janeiro. The conclusion of the study suggests the construction of an interfederative monitoring methodology for public mental health financing so that the delivery of care is increasingly closer to the needs of citizens and territorial vulnerabilities. diseasecentered disease centered socioenvironmental socio environmental determinants cofinancing co 2019 (201 2022 theoreticalconceptual theoretical conceptual period Bipartite Tripartite, Tripartite , Tripartite) FalaBR Fala BR out communitybased community based states s R 17 qualification vulnerabilities 201 (20 202 1 20 (2 2 (

RESUMO A saúde mental no Sistema Único de Saúde vive uma disputa entre o cuidado centrado na doença e os determinantes socioambientais. O estudo do cofinanciamento estadual da Rede de Atenção Psicossocial no Rio de Janeiro (2019 a 2022) visou observar como elementos teórico-conceituais sobre saúde mental foram relevantes nas decisões de financiamento interfederativo nesse período. Realizou-se revisão de normativas federais e estaduais das Comissões Intergestores (Bipartite e Tripartite), notas técnicas e consultas ao Fala.BR. Os documentos demonstraram a ruptura interfederativa com relação ao cuidado da saúde mental de base territorial e comunitária. Nesse período, enquanto o Ministério da Saúde direcionava sua agenda para o cuidado ambulatorial e especializado, o Rio de Janeiro ampliou o recurso financeiro estadual à saúde mental em R$ 175 milhões para fortalecer Centros de Atenção Psicossocial e Serviços Residenciais Terapêuticos habilitados ou elegíveis para habilitação. A desinstitucionalização de sobreviventes dos manicômios e a expansão da rede de cuidados de atenção às situações de crise são resultados encontrados. A conclusão do estudo sugere a construção de metodologia de monitoramento interfederativo do financiamento da saúde mental pública para que a entrega do cuidado esteja cada vez mais próxima das necessidades dos munícipes e das vulnerabilidades territoriais. socioambientais 2019 (201 2022 teóricoconceituais teórico conceituais período Realizouse Realizou se Bipartite Tripartite, Tripartite , Tripartite) FalaBR Fala BR Fala.BR comunitária especializado R 17 habilitação encontrados territoriais 201 (20 202 1 20 (2 2 (

The Covid-19 pandemic had a great effect on people's health as well as their economic stability. The virus also led to the death of many people. Numerous restrictions were put into place to limit the spread of the virus. In South Africa, one of the restrictions was a national lockdown, which meant that most people could not go to work. This resulted in many people losing their jobs, including many parents. When parents lose their jobs, it does not only affect them, but it also affects their children. Parents 'job loss can sometimes lead to positive outcomes, but in most cases it will have a negative impact on children. There are many ways in which the job loss of parents can have a negative impact on the lives of their children. It affects aspects such as their health, safety, emotional well-being, school performance, future, and so forth. Because of this, it is important to determine how children can be equipped to make sense of their circumstances and to flourish in spite thereof. Practical theology is a field of study that works with cases such as these. The aim of this article is therefore to show, from a practical-theological perspective, how congregational children's ministry can be used to implement faith resources into children's lives to equip them to flourish by strengthening their relationship with God as well as their relationship with other people. This would include resources such as the Bible, prayer, and a biblical perspective on suffering as well as hope. Other resources include family, the church, friends as well as people who have gone through similar situations and who were able to handle it in a healthy way. All of these faith resources can be made a part of children's lives through congregational children's ministry. This would include things such as faith formation (Sunday school and youth groups), church services, mentorship, and the support of parents. When children are equipped through these ministries, it enables them to make sense of their circumstances and helps them to flourish in spite of such challenges.

Die Covid-19-pandemie het 'n groot effek op mense se gesondheid sowel as hulle ekonomiese stabiliteit gehad. Talle beperkings is ingestel om die verspreiding van die virus te beperk. In Suid-Afrika was een van die beperkings 'n nasionale inperking wat veroorsaak het dat die meeste mense nie werk toe kon gaan nie. Dit het daartoe gelei dat talle mense hul werk verloor het. Baie van die mense was ouers. Ouers se werksverlies affekteer nie net hulself nie, maar ook hul kinders. Daar is verskeie maniere waarop ouers se werksverlies kinders negatief kan beïnvloed. Praktiese teologie is 'n studieveld wat met gevalle soos dié werk. Daarom is die doel van hierdie artikel om, vanuit die perspektief van die praktiese teologiese te wys hoe gemeentelike kinderbediening gebruik kan word om geloofshulpbronne in kinders se lewens in te bou sodat hulle van hul omstandighede (ouers se werksverlies) kan sinmaak en ten spyte van hul omstandighede sal kan floreer.

Abstract This article aims to analyze the clarity and engagement measures of publications on oral cancer in the Instagram profiles of official health agencies in Brazil. An infodemiological study was conducted with 81 profiles. Data collected concerned content classification, account and media, manner of addressing the topic, number of posts, likes, comments, views and hashtags. The clarity of the educational publications was assessed with the Brazilian version of the Clear Communication Index (BR-CDC-CCI). Data analysis involved Spearman’s correlation and the Mann-Whitney test (α = 5%). A total of 775 publications on oral cancer were found. The average BR-CDC-CCI score was 69.8 (SD = 15.5). The clarity of the information was adequate in 9.5% of the educational publications. Positive correlations were found between the number of likes and engagement (comments [r = 0.49], views [r = 0.96]), number of hashtags (r = 0.13) and year of publication (r = 0.21). Publications from the Health Ministry had a significantly higher BR-CDC-CCI score compared to the other profiles. Publications on oral cancer were correlated with engagement, year of publication and number of hashtags. Public agencies increased publications to reach the population, but the clarity of the content was low. Brazil 8 classification media topic posts comments BRCDCCCI. BRCDCCCI BR CDC CCI . (BR-CDC-CCI) Spearmans Spearman s MannWhitney Mann Whitney α 5%. 5 5% 5%) 77 698 69 69. SD 15.5. 155 15.5 15 15.5) 95 9 9.5 r 0.49, 049 0.49 , 0 49 0.49] 0.96, 096 0.96 96 0.96]) 0.13 013 13 0.21. 021 0.21 21 0.21) population low (BR-CDC-CCI 7 6 15. 1 9. 04 0.4 4 09 0.9 0.96] 0.1 01 02 0.2 2 0.

Resumo O objetivo do artigo é analisar a clareza e as medidas de engajamento das publicações sobre câncer bucal nos perfis do Instagram dos órgãos oficiais de saúde no Brasil. Realizou-se um estudo infodemiológico com 81 perfis. Foram coletados dados sobre classificação do conteúdo, conta e mídia, abordagem do tema, número de postagens, curtidas, comentários, visualizações e hashtags. A clareza das publicações educativas foi avaliada pela versão brasileira do Clear Communication Index (BR-CDC-CCI). A análise dos dados envolveu a correlação de Spearman e o teste de Mann-Whitney (α = 5%). Foram encontradas 775 publicações sobre câncer bucal. O escore médio do BR-CDC-CCI foi 69,8 (DP = 15,5). A clareza das informações foi adequada em 9,5% das publicações educativas. Correlações positivas foram encontradas entre o número de curtidas e engajamento (comentários [r = 0,49], visualizações [r = 0,96]), número de hashtags (r = 0,13) e ano de publicação (r = 0,21). Publicações do Ministério da Saúde apresentaram escore do BR-CDC-CCI significativamente maior do que os demais perfis (p = 0,01). As publicações sobre câncer bucal foram correlacionadas com engajamento, ano de publicação e número de hashtags. Os órgãos públicos aumentaram as publicações para atingir a população, mas a clareza do conteúdo foi baixa. Brasil Realizouse Realizou se 8 mídia tema postagens comentários BRCDCCCI. BRCDCCCI BR CDC CCI . (BR-CDC-CCI) MannWhitney Mann Whitney α 5%. 5 5% 5%) 77 698 69 69, DP 15,5. 155 15,5 15 15,5) 95 9 9,5 r 0,49, 049 0,49 , 0 49 0,49] 0,96, 096 0,96 96 0,96]) 0,13 013 13 0,21. 021 0,21 21 0,21) p 0,01. 001 0,01 01 0,01) população baixa (BR-CDC-CCI 7 6 15, 1 9, 04 0,4 4 09 0,9 0,96] 0,1 02 0,2 2 00 0,0 0,

Resumo O objetivo do artigo é analisar a clareza e as medidas de engajamento das publicações sobre câncer bucal nos perfis do Instagram dos órgãos oficiais de saúde no Brasil. Realizou-se um estudo infodemiológico com 81 perfis. Foram coletados dados sobre classificação do conteúdo, conta e mídia, abordagem do tema, número de postagens, curtidas, comentários, visualizações e hashtags. A clareza das publicações educativas foi avaliada pela versão brasileira do Clear Communication Index (BR-CDC-CCI). A análise dos dados envolveu a correlação de Spearman e o teste de Mann-Whitney (α = 5%). Foram encontradas 775 publicações sobre câncer bucal. O escore médio do BR-CDC-CCI foi 69,8 (DP = 15,5). A clareza das informações foi adequada em 9,5% das publicações educativas. Correlações positivas foram encontradas entre o número de curtidas e engajamento (comentários [r = 0,49], visualizações [r = 0,96]), número de hashtags (r = 0,13) e ano de publicação (r = 0,21). Publicações do Ministério da Saúde apresentaram escore do BR-CDC-CCI significativamente maior do que os demais perfis (p = 0,01). As publicações sobre câncer bucal foram correlacionadas com engajamento, ano de publicação e número de hashtags. Os órgãos públicos aumentaram as publicações para atingir a população, mas a clareza do conteúdo foi baixa.

Abstract This article aims to analyze the clarity and engagement measures of publications on oral cancer in the Instagram profiles of official health agencies in Brazil. An infodemiological study was conducted with 81 profiles. Data collected concerned content classification, account and media, manner of addressing the topic, number of posts, likes, comments, views and hashtags. The clarity of the educational publications was assessed with the Brazilian version of the Clear Communication Index (BR-CDC-CCI). Data analysis involved Spearman’s correlation and the Mann-Whitney test (α = 5%). A total of 775 publications on oral cancer were found. The average BR-CDC-CCI score was 69.8 (SD = 15.5). The clarity of the information was adequate in 9.5% of the educational publications. Positive correlations were found between the number of likes and engagement (comments [r = 0.49], views [r = 0.96]), number of hashtags (r = 0.13) and year of publication (r = 0.21). Publications from the Health Ministry had a significantly higher BR-CDC-CCI score compared to the other profiles. Publications on oral cancer were correlated with engagement, year of publication and number of hashtags. Public agencies increased publications to reach the population, but the clarity of the content was low.

ABSTRACT Discursively analyze the educational objectives present in official documents referring to Residency Programs in the Professional Health Area. Analysis of official Brazilian documents that configure teaching for Residency Programs in the Professional Health Area. Search carried out between February and April 2023 in databases available on the websites of the Federal Government of Brazil and the Health Legislation System of the Ministry of Health. Critical Discourse Analysis was carried out, from Fairclough’s perspective. Nine official documents addressed the educational objectives of Residency Programs in the Professional Health Area. The data were systematized into principles, conceptions, values, and educational strategies that guide the residency programs and organization mode, based on teaching activities. The educational objectives of Residency Programs in the Professional Health Area move towards the technical training of residents, while the discourse on the educational model, expressed in teaching activities, moves towards expanding the concept.

RESUMO Analisar discursivamente os objetivos educacionais presentes nos documentos oficiais referentes aos Programas de Residência em Área Profissional da Saúde. Análise de documentos oficiais brasileiros que configuram o ensino para os Programas de Residência em Área Profissional da Saúde. Busca realizada entre fevereiro e abril de 2023 em bancos de dados disponibilizados nos sites do Governo Federal do Brasil e do Sistema de Legislação da Saúde do Ministério da Saúde. Realizou-se Análise de Discurso Crítica, na perspectiva de Fairclough. Nove documentos oficiais abordavam os objetivos educacionais dos Programas de Residência em Área Profissional da Saúde. Os dados foram sistematizados em princípios, concepções, valores e estratégias educacionais que orientam os programas de residência e em modo de organização, a partir das atividades de ensino. Os objetivos educacionais dos Programas de Residência em Área Profissional da Saúde caminham rumo à formação técnica dos residentes, enquanto o discurso sobre o modelo educacional, expresso nas atividades de ensino, avança para a ampliação do conceito.

RESUMO Analisar discursivamente os objetivos educacionais presentes nos documentos oficiais referentes aos Programas de Residência em Área Profissional da Saúde. Análise de documentos oficiais brasileiros que configuram o ensino para os Programas de Residência em Área Profissional da Saúde. Busca realizada entre fevereiro e abril de 2023 em bancos de dados disponibilizados nos sites do Governo Federal do Brasil e do Sistema de Legislação da Saúde do Ministério da Saúde. Realizou-se Análise de Discurso Crítica, na perspectiva de Fairclough. Nove documentos oficiais abordavam os objetivos educacionais dos Programas de Residência em Área Profissional da Saúde. Os dados foram sistematizados em princípios, concepções, valores e estratégias educacionais que orientam os programas de residência e em modo de organização, a partir das atividades de ensino. Os objetivos educacionais dos Programas de Residência em Área Profissional da Saúde caminham rumo à formação técnica dos residentes, enquanto o discurso sobre o modelo educacional, expresso nas atividades de ensino, avança para a ampliação do conceito. 202 Realizouse Realizou se Crítica Fairclough princípios concepções organização residentes educacional conceito 20 2

ABSTRACT Discursively analyze the educational objectives present in official documents referring to Residency Programs in the Professional Health Area. Analysis of official Brazilian documents that configure teaching for Residency Programs in the Professional Health Area. Search carried out between February and April 2023 in databases available on the websites of the Federal Government of Brazil and the Health Legislation System of the Ministry of Health. Critical Discourse Analysis was carried out, from Fairclough’s perspective. Nine official documents addressed the educational objectives of Residency Programs in the Professional Health Area. The data were systematized into principles, conceptions, values, and educational strategies that guide the residency programs and organization mode, based on teaching activities. The educational objectives of Residency Programs in the Professional Health Area move towards the technical training of residents, while the discourse on the educational model, expressed in teaching activities, moves towards expanding the concept. 202 Faircloughs Fairclough s perspective principles conceptions values mode activities residents model concept 20 2

Resumen Introducción: El Servicio de Atención Móvil de Urgencia - SAMU 192 es el componente prehospitalario móvil instituido por el Ministerio de Salud en Brasil. Con la pandemia COVID-19, el servicio comenzó a atender a pacientes afectados por la enfermedad. Este escenario generó una gran tensión en los profesionales, lo que hizo relevante comprender las alteraciones psicológicas experimentadas por el equipo, con el fin de proporcionar una asistencia psicológica adecuada y garantizar su bienestar. Objetivo: Analizar los niveles de depresión, ansiedad y estrés en el equipo del SAMU 192. Metodología: Estudio transversal, exploratorio-descriptivo, con enfoque cuantitativo. Se aplicó la versión reducida de la escala de Depresión, Ansiedad y Estrés (DASS-21) en el equipo del SAMU 192, una escala tipo Likert de cuatro puntos que evalúa los niveles de depresión, ansiedad y estrés. Resultados: Participaron en la investigación 54 profesionales del SAMU 192, que representaron el 78,8% del equipo total. La edad promedio fue de 37,41 años, siendo la mayoría del sexo femenino. La mayoría de los profesionales presentaron niveles normales de depresión, ansiedad y estrés, sin embargo, los casos de alteraciones representaron el 27,77%, 24,08% y 18,51% respectivamente. Hubo un mayor riesgo de estrés entre los profesionales que trabajan en turnos nocturnos, un mayor riesgo de ansiedad en técnicos de enfermería y en profesionales que trabajan en el turno diurno o en días libres, y depresión en técnicos de enfermería. Conclusión: Los niveles de estrés, ansiedad y depresión encontrados en el estudio fueron bajos, lo que difiere de lo esperado y puede estar relacionado con factores protectores como la satisfacción e identificación con el trabajo.

Abstract Introduction: The Mobile Emergency Care Service - SAMU 192 is the pre-hospital mobile component instituted by the Ministry of Health in Brazil. With the COVID-19 pandemic, the service started to assist patients affected by the disease. This scenario brought great tension to the professionals, making it relevant to understand the psychological changes experienced by the team to provide adequate psychological assistance and well-being to them. Objective: To analyze levels of depression, anxiety, and stress in the SAMU 192 team. Methodology: Cross-sectional, exploratory-descriptive study with a quantitative approach. The shortened version of the Depression, Anxiety, and Stress Scale-21 (DASS-21) was applied to the SAMU 192 team, a four-point Likert scale that assesses levels of depression, anxiety, and stress. Results: Fifty-four SAMU 192 professionals participated in the research, accounting for 78.8% of the total team. The average age was 37.41 years, with the majority being female. Most professionals exhibited normal levels of depression, anxiety, and stress, however, cases of alterations represented 27.77%, 24.08%, and 18.51%, respectively. There was a higher risk of stress among professionals working night shifts, a higher risk of anxiety among nursing technicians and professionals working during the day or on rotating shifts, and depression among nursing technicians. Conclusion: The levels of stress, anxiety, and depression found in the study were low, which differs from expectations and may be related to protective factors such as job satisfaction and identification with work.

Resumo Introdução: O Serviço de Atendimento Móvel de Urgência - SAMU 192 é o componente pré-hospitalar móvel instituído pelo Ministério da Saúde no Brasil. Com a pandemia COVID-19, o serviço passou a atender os pacientes acometidos pela doença. Esse cenário trouxe grande tensão para os profissionais, o que tornou relevante compreender as alterações psicológicas vivenciadas pela equipe, a fim de proporcionar uma assistência psicológica adequada e o bem-estar aos mesmos. Objetivo: Analisar os níveis de depressão, ansiedade e estresse na equipe do SAMU 192. Metodologia: Estudo transversal, exploratório-descritivo, com abordagem quantitativa. Aplicou-se a versão reduzida da escala Depression, Anxiety and Stress Scale‐21 (DASS-21) na equipe do SAMU 192, uma escala tipo Likert de quatro pontos que avalia os níveis de depressão, ansiedade e estresse. Resultados: Participaram da pesquisa 54 profissionais do SAMU 192, 78,8% da equipe total. A média de idade foi de 37,41 anos, sendo a maioria do sexo feminino. A maioria dos profissionais apresentaram níveis normais de depressão, ansiedade e estresse, entretanto, os casos de alterações representaram 27,77%, 24,08% e 18,51% respectivamente. Houve maior risco de estresse entre os profissionais que realizam plantão noturno, maior risco de ansiedade em técnicos de enfermagem e em profissionais que trabalham no período diurno ou folguistas e depressão em técnicos de enfermagem. Conclusão: Os níveis de estresse, ansiedade e depressão encontrados no estudo foram baixos, o que difere do esperado e pode estar relacionado a fatores protetores como a satisfação e identificação com o trabalho. Se houver secções dentro do resumo devem estar a negrito e iniciar-se numa nova linha

ABSTRACT The Ministry of Public Health and Social Welfare began the vaccination plan against SARS COV 2, prioritizing in the first stage the most vulnerable groups, which corresponded, among others, to health personnel; In this sense, the Expanded Immunization Program (PAI) has begun the process of selection and training of nursing personnel in the technical and operational guidelines of the vaccination plan, information system and surveillance of events supposedly attributed to vaccination and immunization. Objective: Determine the incidence of adverse reactions to COVID 19 vaccines (CoronaVac®, Astrazeneca® and Covaxin®) in health personnel from the public and private sectors of the XIV Canindeyú Health Region. Methodology: Quantitative, descriptive cross-sectional study. Results: Among the most frequent mild effects were pain at the application site, being 63.6% for the Covaxin® vaccine and 62.8% for the Astrazeneca® vaccine. In relation to the general effects, dyspepsia was the most observed reaction (86.6% for the Covaxin® vaccine and 83.3% for the CoronaVac® vaccine), and lack of energy and motivation (Astrazeneca® vaccine with 34.9%). Discussion: The study clearly shows that there are differences in the observation of mild effects caused by different vaccines. On this occasion, three vaccines have been observed, highlighting that these mild effects are common, frequent and generally temporary in vaccines.

RESUMEN El Ministerio de Salud Pública y Bienestar Social inició con el plan de vacunación contra el SARS COV 2, priorizando en la primera etapa a los grupos de mayor vulnerabilidad, quienes correspondían entre otros al personal de salud; en ese sentido el Programa Ampliado de Inmunizaciones (PAI) ha iniciado con el proceso de selección y capacitación de los personales de enfermería en los lineamientos técnicos y operativos del plan de vacunación, sistema de información y de vigilancia de eventos supuestamente atribuidos a la vacunación e inmunización. Objetivo: Determinar la incidencia de reacciones adversas de las vacunas contra el COVID 19 (CoronaVac®, Astrazeneca® y Covaxin®) en personal de salud de los sectores públicos y privados de la XIV Región Sanitaria Canindeyú. Metodología: Estudio cuantitativo, descriptivo de corte transversal. Resultados: Entre los efectos leves de mayor frecuencia fueron el dolor en el sitio de aplicación, siendo para la vacuna Covaxin® en un 63.6% y para la vacuna Astrazeneca® 62.8%. Con relación a los efectos generales la dispepsia fue la reacción más observada (86.6% para la vacuna Covaxin® y 83.3% para vacuna CoronaVac®), y falta de energía y motivación (vacuna Astrazeneca® con un 34.9%). Discusión: el estudio muestra claramente que existen diferencias en la observación de efectos leves provocados por diferentes vacunas. En esta oportunidad se han observado tres vacunas, resaltando que estos efectos leves son comunes, frecuentes y generalmente temporales en las vacunas.

Abstract the following article describes and analyzes some of the adaptive measures that were implemented by Costa Rican Technical Vocational Education and Training (TVET) institutions to address the problems and challenges that arose during the COVID-19 health crisis. Considering that TVET has a practical orientation and focuses on the development of work skills, we investigated, from a qualitative approach, which adaptation measures were implemented by the National Learning Institute (INA), the Ministry of Public Education (MEP), the University College of Cartago (CUC), the University College of Limón (CUNLIMÓN) and the National Technical University (UTN), and how some of these measures could be relevant in post-pandemic scenarios. Data collection was carried out through semi-structured interviews applied to the authorities of the aforementioned institutions in 2021 and the analysis of the data culminated in 2023. Among the most relevant results, it is highlighted that some of the actions implemented by the educational centers were decisively influenced by the weak conditions of educational investment (present in the system prior to the health crisis) and the availability of resources to reduce the negative effects of the pandemic. Measures to sustain virtual professional practices, as well as the implementation of curricula, became one of the main challenges to be solved. In this context, virtual practices and some curricular adaptations, specifically in evaluation and didactics, were part of the measures implemented during the period of confinement due to the pandemic.

Resumen este artículo describe y analiza algunas de las medidas de adaptación que fueron aplicadas por las instituciones de Educación y Formación Técnica Profesional (EFTP) de Costa Rica para hacer frente a los problemas y retos que surgieron durante la crisis sanitaria por el COVID-19. Al considerar que la EFTP tiene una orientación práctica y se enfoca en el desarrollo de habilidades para el trabajo, se investigó, desde un enfoque cualitativo, cuáles medidas de adaptación implementaron ante la pandemia el Instituto Nacional de Aprendizaje (INA), el Ministerio de Educación Pública (MEP), el Colegio Universitario de Cartago (CUC), el Colegio Universitario de Limón (CUNLIMÓN) y la Universidad Técnica Nacional (UTN), y cómo algunas de estas medidas podrían ser relevantes en escenarios pospandémicos. La recolección de los datos se realizó mediante entrevistas semiestructuradas aplicadas a las autoridades de las instituciones mencionadas en el año 2021 y el análisis de estos culminó en el 2023. Dentro de los resultados más relevantes se destaca que algunas de las acciones ejecutadas por los centros educativos estuvieron influenciadas, decisivamente, por las débiles condiciones de inversión educativa (presentes en el sistema, previo a la crisis sanitaria) y la disponibilidad de recursos para disminuir los efectos negativos de la pandemia. Las medidas para sostener las prácticas profesionales virtuales, así como la implementación de los currículos se convirtieron en unos de los principales retos por solucionar. En este contexto, las prácticas virtuales y algunas adaptaciones curriculares, específicamente, en evaluación y didáctica, fueron parte de las medidas implementadas durante la época de confinamiento por la pandemia.