Abstract Objective To present the different aspects that may be involved in the genesis and maintenance of obesity in children and adolescents. Data source Narrative review of articles published in the PubMed, Scielo, Lilacs, Scopus and Google Scholar databases, using the search terms: overweight, obesity, pre-conception, prenatal, infants, schoolchildren, children, and adolescents. The search was conducted in studies written in Portuguese, English and Spanish, including narrative, integrative or systematic reviews, meta-analyses, cross-sectional, case-control and cohort studies, published between 2003 and 2023. Data synthesis A total of 598 studies were initially screened and 60 of them, which showed the main biopsychosocial aspects related to greater risks of excessive adiposity in the pediatric age, were included in the review. The data were presented taking into account the incidence of risk factors and their consequences in six periods: pre-conception, pre-natal, infant, preschool, school age, and adolescence. Conclusions The causal factors described in the scientific literature that have been shown to be related to obesity in childhood and adolescence are presented. adolescents PubMed Scielo Lilacs databases terms overweight preconception, preconception pre conception, conception pre-conception prenatal infants schoolchildren Portuguese Spanish narrative reviews metaanalyses, metaanalyses meta analyses, analyses meta-analyses crosssectional, crosssectional cross sectional, sectional cross-sectional casecontrol case control 200 2023 59 6 them age periods natal, natal pre-natal infant preschool 20 202 5 2

ABSTRACT Objective: To identify perceptions of primary care health professionals regarding the conceptual aspects of child development and propose strategies to address difficulties. Methods: This descriptive-analytical study was conducted in a small municipality in the countryside of the State of São Paulo, Brazil. The primary health care in this region is comprised of Family Health Units and Basic Health Units. The sample included 52 participants, consisting of doctors and primary care nurses. A questionnaire with open and closed questions was utilized, covering knowledge and practices related to child development. For this study, the first question of the questionnaire, which asked for a descriptive response about participants’ understanding of child development, was employed. The responses were transcribed, and content analysis using the thematic approach was conducted. Results: Among the participants, 54% were nurses, and the average duration of working with the pediatric population was ten years. 80% reported never having undergone training in child development. The analysis of the responses revealed heterogeneity in the professionals’ understanding of the conceptual dimension of child development. Additionally, there was an insufficient grasp of the theoretical and practical aspects and a scarcity of resources to support comprehensive care for children. A predominant biomedical model focusing on disease and biological aspects of child health was evident in defining the understanding of the subject. Conclusions: The findings underscore the necessity of implementing health education initiatives and service projects in primary care settings. It is crucial to strengthen a comprehensive perspective of child health within the biopsychosocial model of the health-disease process. Objective difficulties Methods descriptiveanalytical analytical Paulo Brazil 5 participants nurses utilized employed transcribed Results 54 years 80 Additionally children subject Conclusions settings healthdisease process 8

RESUMO Objetivo: Identificar percepções de profissionais de saúde da atenção primária acerca dos aspectos conceituais do desenvolvimento infantil e propor estratégias de enfrentamento das dificuldades. Métodos: Estudo descritivo-analítico conduzido em um município de pequeno porte no interior do estado de São Paulo, Brasil, cuja atenção primária é composta das Unidades de Saúde da Família e Unidades Básicas de Saúde. A amostra foi constituída por 52 participantes, entre médicos e enfermeiros da atenção primária. Utilizou-se um questionário com perguntas abertas e fechadas, abordando conhecimentos e práticas sobre desenvolvimento infantil. Para este estudo, foi utilizada a primeira pergunta do questionário, de natureza dissertativa, que abordou como os participantes compreendiam o desenvolvimento infantil. As respostas foram transcritas e foi utilizada a técnica de análise de conteúdo na modalidade temática. Resultados: Dos participantes, 54% eram enfermeiros, e a média de tempo de trabalho com a faixa pediátrica foi de dez anos. Referiram nunca ter realizado curso de formação em desenvolvimento infantil 80%. Quanto à análise das respostas, observou-se heterogeneidade no que se refere à dimensão conceitual do tema por parte dos profissionais, além de uma apreensão teórico-prática insuficiente e escassez de recursos que fortaleçam um atendimento integral à criança. Prevalece um modelo biomédico centrado na doença e aspectos biológicos da saúde infantil quando definem a compreensão sobre o tema. Conclusões: Os dados apontam para a necessidade de implementação de projetos de educação em saúde e em serviço na atenção primária. Faz-se premente o fortalecimento de um olhar integral à saúde da criança sob o modelo biopsicossocial do processo saúde-doença. Objetivo dificuldades Métodos descritivoanalítico descritivo analítico Paulo Brasil 5 Utilizouse Utilizou fechadas estudo dissertativa temática Resultados 54 anos 80 80% observouse observou teóricoprática teórico prática Conclusões Fazse Faz saúdedoença. saúdedoença doença. saúde-doença 8

Resumo Introdução: A fisioterapia integra a equipe multidisciplinar de centros especializados em reabilitação e busca ofertar um cuidado integral na perpectiva biopsicosso-cial aos usuários. Objetivo: Conhecer facilitadores e obstáculos relacionados à organização do trabalho do fisioterapeuta em um centro especializado em reabilita-ção, presente em suas práticas de cuidado prestadas e preconizadas à pessoa com deficiência. Métodos: Trata-se de um estudo qualitativo, descritivo, tomando como modelo condutor o estudo de caso, desenvolvido e analisado a partir de recursos metodológicos da etnografia. Utilizaram-se três estratégias de coleta de dados: pesquisa documental, observação direta e entre-vistas com os fisioterapeutas. Os dados foram analisa-dos por meio da reconstrução de cenas, articulando os elementos capturados no processo de produção dos dados. Resultados: Os aspectos de demanda e agenda sobrecarregada dificultam a adoção do acolhimento, contudo percebem-se práticas acolhedoras durante a assistência prestada pelo fisioterapeuta. As avaliações e reavaliações precisam ser reformuladas, tomando como referencial uma base de linguagem comum e, para isso, é preciso uma indução da gestão com impacto sobre a organização do trabalho. O projeto terapêutico singular ainda não é realidade na instituição, visto que a adoção do mesmo também remete a mudanças e ao desmonte da cultura estabelecida de assistência por produtivi-dade pressionada pela demanda. Conclusão: O estudo permitiu identificar a contribuição do conhecimento sobre a organização do trabalho no centro especializado para a efetivação ou não de uma abordagem que se aproxime do que se almeja em termos de cuidado na perspectiva biopsicossocial. Introdução biopsicossocial biopsicosso cial usuários Objetivo reabilitação, reabilita ção, ção reabilita-ção deficiência Métodos Tratase Trata qualitativo descritivo caso etnografia Utilizaramse Utilizaram documental entrevistas entre vistas fisioterapeutas analisados analisa cenas Resultados acolhimento percebemse percebem reformuladas isso instituição produtividade produtivi dade Conclusão

Abstract Introduction: Physiotherapy is part of the multidiscipli-nary team of specialized rehabilitation centers and seeks to offer users comprehensive care from a biopsychoso-cial perspective. Objective: To get to know facilitators and obstacles related to the physiotherapists’ work orga-nization in a specialized rehabilitation center present in their care practices provided and recommended for persons with disabilities. Methods: We conducted a qualitative, descriptive study, taking the case study as a guiding model, developed and analyzed from methodological resources of ethnography. Three data collection strategies were used: documentary research, direct observation and interviews with physiotherapists. Data were analyzed through the reconstruction of scenes, articulating the elements captured in the data production process. Results: The findings regarding the reception and welcoming pointed out how the aspects of demand and overloaded agenda make it difficult to adopt the embracement, however, welcoming practices are perceived during the assistance provided by the physiotherapist. Assessments and reassessments need to be reformulated, taking a common language base as a reference and for that it is necessary to induce manage-ment with an impact on the organization of work. The singular therapeutic project is not yet a reality in the institution, as its adoption also leads to changes and the dismantling of the established culture of assistance through productivity pressured by demand. Conclusion: Our study made it possible to identify the contribution of knowledge about the organization of work in the specialized center for the implementation or not of an approach that is closer to what is desired in terms of care in the biopsychosocial perspective. Introduction multidisciplinary multidiscipli nary biopsychoso cial perspective Objective physiotherapists orga nization disabilities Methods qualitative model ethnography used research scenes process Results embracement however physiotherapist reformulated management manage ment institution Conclusion

Abstract Introduction: The medicine degree is a demanding journey of professional training, intensified in the final two years during the internship period. Students are exposed to numerous stressful factors, the most impactful of which is contact with death. Dying involves biological, social, cultural, legal, religious, and historical aspects, but when it comes to medicine, it is considered negligence, a failure caused by the lack of training. Objective: To analyze the factors associated with the frame of mind of medical interns towards death. Methods: This is an analytical cross-sectional study with a quantitative approach. The research was conducted through questionnaires applied digitally to medicine interns from all over Brazil. The instruments used were a sociodemographic questionnaire and aspects related to living with death and, the other, the Profile Assessment Scale of Attitudes About Death (EAPAM). Results: The study sample consisted of 171 medical interns, of which 74.9% were female, 45% were Catholic, and had an average age of 24 years old. In the “fear of death” domain, there was a higher score among Catholic students (p=0.0395), who also did not consider themselves well-prepared to deal with death. For “death avoidance”, there was a higher score among married students (p=0.0147), also those who did not consider themselves prepared to deal with death (p=0.0020). For “escape acceptance”, there was a higher score among Protestant students (p=0.0270), those who reported having attended a patient who died (p=0.0030), and those who stated that they did not consider themselves empathetic (p=0.0261). For “neutral acceptance”, there was a higher score among students adhering to other religions (p=0.0296) and those who claimed to have a homosexual orientation (p=0.0398). For “approach acceptance”, there was a higher score among female students (p=0.0490), married students (p=0.0006), protestant students (p<0.0001), those with strong religious involvement (p<0.0001), and those who treated a patient that died (p = 0.0150). Conclusion: Thus, it is concluded that the biopsychosocial approach to death in the academic environment is fundamental, given the evidence found concerning the unpreparedness of medical students during internship in the face of this phenomenon. Introduction training period biological social cultural legal negligence Objective Methods crosssectional cross sectional Brazil EAPAM. EAPAM . (EAPAM) Results 17 749 74 9 74.9 45 2 old fear domain p=0.0395, p00395 p p=0.0395 , 0 0395 (p=0.0395) wellprepared well avoidance, avoidance avoidance” p=0.0147, p00147 p=0.0147 0147 (p=0.0147) p=0.0020. p00020 p=0.0020 0020 (p=0.0020) escape acceptance, acceptance acceptance” p=0.0270, p00270 p=0.0270 0270 (p=0.0270) p=0.0030, p00030 p=0.0030 0030 (p=0.0030) p=0.0261. p00261 p=0.0261 0261 (p=0.0261) neutral p=0.0296 p00296 0296 (p=0.0296 p=0.0398. p00398 p=0.0398 0398 (p=0.0398) p=0.0490, p00490 p=0.0490 0490 (p=0.0490) p=0.0006, p00006 p=0.0006 0006 (p=0.0006) p<0.0001, p00001 p<0.0001 0001 (p<0.0001) 0.0150. 00150 0.0150 0150 0.0150) Conclusion Thus fundamental phenomenon (EAPAM 1 7 74. 4 p0039 p=0.039 039 (p=0.0395 p0014 p=0.014 014 (p=0.0147 p0002 p=0.002 002 (p=0.0020 p0027 p=0.027 027 (p=0.0270 p0003 p=0.003 003 (p=0.0030 p0026 p=0.026 026 (p=0.0261 p=0.029 p0029 029 (p=0.029 (p=0.0398 p0049 p=0.049 049 (p=0.0490 p0000 p=0.000 000 (p=0.0006 p<0.000 (p<0.0001 0015 0.015 015 p003 p=0.03 03 (p=0.039 p001 p=0.01 01 (p=0.014 p000 p=0.00 00 (p=0.002 p002 p=0.02 02 (p=0.027 (p=0.003 (p=0.026 (p=0.02 p004 p=0.04 04 (p=0.049 (p=0.000 p<0.00 (p<0.000 001 0.01 p00 p=0.0 (p=0.03 (p=0.01 (p=0.00 (p=0.0 (p=0.04 p<0.0 (p<0.00 0.0 p0 p=0. (p=0. p<0. (p<0.0 0. p=0 (p=0 p<0 (p<0. p= (p= p< (p<0 (p<

Resumo Introdução: O curso de Medicina constitui uma jornada de formação profissional exigente, acentuando-se nos dois últimos anos, no período do internato. Ocorre a exposição a inúmeros fatores estressantes, como o contato com a morte. O morrer envolve aspectos biológicos, sociais, culturais, legais, religiosos e históricos, mas, na medicina, é visto como ato de falha médica por causa da ausência de treinamento para manejá-lo. Objetivo: Este estudo teve como objetivo analisar os fatores associados às atitudes perante a morte em estudantes internos de Medicina. Método: Trata-se de estudo transversal analítico com abordagem quantitativa. A pesquisa foi realizada por meio de questionários aplicados de modo digital a estudantes internos de Medicina de todo país. Utilizaram-se os seguintes instrumentos: um questionário sociodemográfico e de aspectos relacionados à vivência com a morte e a Escala de Avaliação do Perfil de Atitudes acerca da Morte (EAPAM). Resultado: A amostra investigada foi de 171 internos de Medicina, sendo 74,9% do sexo feminino, 45% da religião católica e idade média de 24 anos. No fator medo da morte, houve maior escore nos estudantes de religião católica (p = 0,0395) e nos que não se consideraram preparados para lidar com a morte (p = 0,0010). No fator evitar a morte, maior escore no estado civil casado (p = 0,0147) e nos estudantes que não se consideraram preparados para lidar com a morte (p = 0,0020). Na aceitação por escape, maior escore nos estudantes de religião protestante (p = 0,0270), nos que referiram ter atendido paciente que faleceu (p = 0,0030) e nos que afirmaram que não se consideram empáticos (p = 0,0261). Na aceitação neutra, maior escore nos estudantes adeptos de outras religiões (p = 0,0296) e nos que afirmaram ter orientação sexual homoafetiva (p = 0,0398). Na aceitação religiosa, maior escore nos estudantes do sexo feminino (p = 0,0490), de estado civil casado (p = 0,0006), de religião protestante (p < 0,0001), com forte envolvimento religioso (p < 0,0001) e que atenderam paciente que veio a falecer (p = 0,0150). Conclusão: Assim, conclui-se que a abordagem biopsicossocial da morte no ambiente acadêmico é fundamental, haja vista a evidência encontrada em relação ao despreparo dos estudantes de Medicina do internato em relação a esse fenômeno. Introdução exigente acentuandose acentuando anos estressantes biológicos sociais culturais legais históricos mas medicina manejálo. manejálo manejá lo. lo manejá-lo Objetivo Método Tratase Trata quantitativa país Utilizaramse Utilizaram instrumentos EAPAM. EAPAM . (EAPAM) Resultado 17 749 74 9 74,9 45 2 p 0,0395 00395 0 0395 0,0010. 00010 0,0010 0010 0,0010) 0,0147 00147 0147 0,0020. 00020 0,0020 0020 0,0020) escape 0,0270, 00270 0,0270 , 0270 0,0270) 0,0030 00030 0030 0,0261. 00261 0,0261 0261 0,0261) neutra 0,0296 00296 0296 0,0398. 00398 0,0398 0398 0,0398) religiosa 0,0490, 00490 0,0490 0490 0,0490) 0,0006, 00006 0,0006 0006 0,0006) 0,0001, 00001 0,0001 0001 0,0150. 00150 0,0150 0150 0,0150) Conclusão Assim concluise conclui fundamental fenômeno (EAPAM 1 7 74, 4 0,039 0039 039 0,001 001 0,014 0014 014 0002 0,002 002 0027 0,027 027 0,003 0003 003 0026 0,026 026 0,029 0029 029 0049 0,049 049 0000 0,000 000 0015 0,015 015 0,03 03 0,00 00 0,01 01 0,02 02 004 0,04 04 0,0 0,

Abstract Introduction Multiprofessional residency in health (MHS) is a professional training program focussed on Brazil’s Unified Health System that aims to reorient techno-assistance logics and significantly contributes to the insertion and consolidation of physical therapy into primary health care (PHC). Objective To understand the perceptions of health professionals and managers about the contributions of the MRH to the insertion of physical therapy into PHC. Methods This qualitative study was based on hermeneutics and was conducted in the municipality of Aracati, Ceará, Brazil, with 15 professionals making up a convenience sample. Eligible were PHC professionals with higher education working in urban areas. The data were collected from March to June 2023 through semistructured interviews with the researchers. The data analysis was based on reading the material, organizing it into themes, and interpreting these in depth. Results The first contact with physical therapy occurs in scenarios that range from individual and shared consultations to health programs at school, whose actions are optimized by PHC from the MHS. There are numerous physical therapy care strategies, especially actions focussed on biopsychosocial aspects. The involvement of physical therapists in health promotion is revealed by the inclusion of professionals in health promotion groups. Health education from a multiprofessional perspective enhances care through promotion and prevention. Conclusion The MHS strengthens the need for physical therapy in PHC and enhances primary care. (MHS Brazils Brazil s technoassistance techno assistance . (PHC) Aracati Ceará 1 sample areas 202 researchers material themes depth school strategies aspects groups prevention (PHC 20 2

Resumo Introdução A partir da Residência Multiprofissional em Saúde (RMS) ocorre uma capacitação profissional mais direcionada para o Sistema Único de Saúde, visando a reorientação das lógicas tecnoassistenciais e contribuindo de forma significativa para a inserção e consolidação da fisioterapia na Atenção Primária à Saúde (APS). Objetivo Compreender a percepção dos profissionais e gestores de saúde sobre as contribuições da RMS para a inserção da fisioterapia na APS. Métodos Trata-se de um estudo qualitativo fundamentado na hermenêutica, desenvolvido no município de Aracati, Ceará, Brasil, com 15 profissionais por conveniência. A elegibilidade dos participantes centrou-se em profissionais de nível superior da APS em área urbana. A coleta de dados aconteceu de março a junho de 2023, através de uma entrevista semiestruturada elaborada pelos pesquisadores. A análise de dados ocorreu com base na leitura do material, organização em temáticas e interpretação por profundidade. Resultados O primeiro contato com a fisioterapia acontece em cenários que envolvem desde a consulta individual e compartilhada a programas de saúde na escola, cujas ações são otimizadas pela APS a partir da residência. As estratégias de cuidado da fisioterapia são inúmeras, principalmente ações centradas nos aspectos biopsicossociais. A inserção da fisioterapia na promoção da saúde é revelada pela inclusão do profissional em grupos de promoção da saúde. A educação em saúde na perspectiva multiprofissional é potencializadora do cuidado pelas ações de promoção e prevenção. Conclusão A residência multiprofissional fortalece a inserção da fisioterapia na APS e potencializa os cuidados primários. (RMS . (APS) Tratase Trata se hermenêutica Aracati Ceará Brasil 1 conveniência centrouse centrou urbana 2023 pesquisadores material profundidade escola inúmeras biopsicossociais prevenção primários (APS 202 20 2

Resumo Objetivo Adolescência é uma fase importante no desenvolvimento humano nos aspectos biológico, psicológico e social, um período de mudanças e preparação da vida adulta. O objetivo deste estudo foi desenvolver e validar um instrumento para avaliar o estilo de vida de adolescentes, baseado em indicadores biopsicossociais. Método Após levantamento teórico, o instrumento foi aplicado em 1.289 adolescentes de 12 a 17 anos incompletos. Para análises de confiabilidade e validade, utilizou-se o Coeficiente Alfa de Cronbach e Análise Fatorial. Resultados Instrumento composto por 51 itens nas dimensões: Hábitos Alimentares; Atividade Física; Sono e Repouso; Bem-estar Pessoal; Lazer e Diversão; Controle do Stress; Comportamento Preventivo; Relacionamento Social. Análise Fatorial, utilizando cargas acima de 0.50, sugeriu a exclusão de 18 itens e o valor do Alfa de Cronbach foi de 0.802, demonstrando boa consistência interna. Conclusão Conclui-se o instrumento com oito domínios e 33 itens, propriedades psicométricas adequadas de confiabilidade e validade, sendo importante instrumento de investigação. biológico social adulta biopsicossociais teórico 1289 1 289 1.28 incompletos validade utilizouse utilizou se Fatorial 5 dimensões Alimentares Física Repouso Bemestar Bem estar Pessoal Diversão Stress Preventivo Social 050 0 50 0.50 0802 802 0.802 interna Concluise Conclui 3 investigação 128 28 1.2 05 0.5 080 80 0.80 2 1. 0. 08 8 0.8

Abstract Objective Adolescence is a crucial phase in human development, encompassing biological, psychological, and social aspects, representing a period of change and preparation for adulthood. The objective of this study was to develop and validate an instrument to assess the lifestyle of adolescents, based on biopsychosocial indicators. Method After theoretical development, the instrument was administered to 1,289 adolescents aged 12 to 17. Reliability and validity analyses were conducted using Cronbach’s alpha coefficient and factor analysis. Results The instrument consisted of 51 items across the following dimensions: Eating Habits, Physical Activity, Sleep and Rest, Personal Well-being, Leisure and Entertainment, Stress Management, Preventive Behavior, and Social Relationships. The factor analysis, using loadings above 0.50, suggested the exclusion of 18 items, and the Cronbach’s alpha value was 0.802, indicating good internal consistency. Conclusion The final instrument comprised eight domains and 33 items, demonstrating satisfactory psychometric properties of reliability and validity, thus serving as an important research tool. development biological psychological aspects adulthood indicators 1289 1 289 1,28 17 Cronbachs Cronbach s analysis 5 dimensions Habits Activity Rest Wellbeing, Wellbeing Well being, being Well-being Entertainment Management Behavior Relationships 050 0 50 0.50 0802 802 0.802 consistency 3 tool 128 28 1,2 05 0.5 080 80 0.80 2 1, 0. 08 8 0.8

Resumo O envelhecimento e os transtornos depressivos são fenômenos extremamente complexos, dinâmicos, heterogêneos e fortemente influenciados pelos aspectos biopsicossociais, sendo primordial uma abordagem mais integrada entre as diversas áreas. Este estudo tem como objetivo esboçar um panorama da produção científica sobre os sintomas dos transtornos depressivos em idosos. A coleta de dados foi realizada pela SCOPUS, o software Rayyan retirou as duplicidades e o VOSviewer efetuou as análises bibliométricas. Foram gerados dois bancos para explorar e aprofundar os dados referentes aos sintomas dos transtornos depressivos em idosos e sua dinâmica durante a pandemia da COVID 19, que trouxe modificações diretas e bruscas no comportamento social e psíquico. Os resultados encontrados corroboram com a literatura e teorias referentes ao envelhecimento e saúde mental, reportando sintomas clássicos, associação com as comorbidades e a predominância de pesquisas desenvolvidas pela medicina e suas vertentes. No entanto, também emergiram os termos como “esclerose múltipla”, “diabetes’, “dieta”, “psiquiatria geriátrica” e “sintomas neuropsiquiátricos” sinalizando que existem associações que ainda são pouco exploradas pelos estudos. Os dados bibliométricos indicam que os fenômenos ainda são pesquisados de maneira fragmentada, resultando em uma fraca interconexão entre os termos principais do estudo e os que emergiram na pesquisa. Parece-nos um grande desafio compreender como a teia de sintomas se relacionam e detectar como outras variáveis interferem nos transtornos depressivos em idosos.

Abstract Aging and depressive disorders are extremely complex, dynamic, heterogeneous phenomena that are strongly influenced by biopsychosocial aspects, and a more integrated approach between different areas is essential. This study aims to outline an overview of the scientific production on the symptoms of depressive disorders in the elderly. Data collection was carried out by SCOPUS, the Rayyan software removed duplicates and VOSviewer carried out the bibliometric analyses. Two databases were generated to explore and deepen the data regarding the symptoms of depressive disorders in the elderly and their dynamics during the COVID 19 pandemic, which brought direct and sudden changes in social and psychic behavior. The results found corroborate the literature and theories related to aging and mental health, reporting classic symptoms, association with comorbidities and the predominance of evolutionary trends in medicine and its aspects. However, terms such as “multiple sclerosis”, “diabetes”, “diet”, “geriatric psychiatry” and “neuropsychiatric symptoms” also emerged, signaling that there are associations that are still little explored by studies. Bibliometric data indicate that the phenomena are still researched in a fragmented way, caused by a weak interconnection between the main terms of the study and those that emerged in the research. It seems to us a great challenge to understand how the web of symptoms are related and to detect how other variables interfere with depressive disorders in the elderly.

Resumo Introdução: A Secretaria de Estado da Saúde de Goiás (SES-GO), Brasil, elaborou um programa de reabilitação voltado para a Atenção Primária e tem por finalidade a recuperação dos usuários que apresentam consequências funcionais após a COVID-19. Por conseguinte, as avaliações dos protocolos propostos são importantes para subsidiar ações e políticas públicas de saúde para a oferta dos serviços de reabilitação à população. Objetivo: Compreender as percepções dos usuários do programa de reabilitação da Secretaria de Estado da Saúde de Goiás quanto aos serviços de acompanhamento oferecidos para sua recuperação pós-COVID-19 na Atenção Primária à Saúde. Métodos: Trata-se de um estudo descritivo, exploratório, com abordagem qualitativa. Realizou-se a aplicação de uma pergunta norteadora a 18 usuários, de duas cidades da Região Metropolitana de Goiânia. As respostas foram redigidas pela pesquisadora e tratadas com a análise de conteúdo temática. Resultados: Da análise, surgiram duas categorias temáticas, quais sejam: percepções dos efeitos na funcionalidade e; percepções dos efeitos terapêuticos atribuídas pelos usuários após o programa de reabilitação idealizado pela Secretaria de Saúde do Estado de Goiás. A melhora física potencializa a sua participação no convívio social, o que proporciona benefícios nos seus aspectos emocionais. As diferenças foram perceptíveis pelos usuários em comparação com os momentos em que não tinham realizado nenhum procedimento terapêutico antes da proposta idealizada pela SES-GO. A autoeficácia foi outro elemento latente nas respostas dos usuários referente à implementação do programa. A satisfação dos usuários com a proposta é externada pelos usuários, sendo um fator essencial para evidenciar a sua qualidade. Considerações finais: O programa de reabilitação pode ser um aliado imprescindível ao levar em consideração os aspectos do modelo biopsicossocial na recuperação dos usuários. Esses resultados podem implicar na ampliação do programa de reabilitação proposto pela SES-GO junto às Secretarias Municipais de Saúde.

Abstract Introduction: The State Department of Health of Goiás (SES-GO), Brazil, developed a rehabilitation program aimed at Primary Care and aims at the recovery of users who have functional consequences after COVID-19. Therefore, the evaluation of the proposed protocols is important to support public health actions and policies for the provision of rehabilitation services to the population. Methods: This is a descriptive, exploratory study with a qualitative approach. A guiding question was applied to 18 users, from two cities in the Metropolitan Region of Goiânia. The answers were written by the researcher and treated with thematic content analysis. Results: From the analysis, two thematic categories emerged, namely: perceptions of the effects on functionality and; perceptions of therapeutic effects attributed by users after the rehabilitation program designed by the Health Department of the State of Goiás. Physical improvement enhances their participation in social life, which provides benefits in their emotional aspects. The differences were noticeable by the users in comparison with the moments when they had not performed any therapeutic procedure before the proposal idealized by SES-GO. Self-efficacy was another latent element in users' responses regarding program implementation. The users' satisfaction with the proposal is expressed by the interviewees, being an essential factor to demonstrate its quality. Final Consideration: The rehabilitation program can be an essential ally when considering aspects of the biopsychosocial model in the recovery of users who have had the consequences of COVID-19. These results may imply the expansion of the rehabilitation program proposed by the Health Department of Goiás to other local and regional Health Departments.

Resumen La resiliencia es una característica individual que posibilita el reajuste biopsicosocial y espiritual que ayuda al bienestar psicológico y al desenvolvimiento académico de los estudiantes universitarios. El objetivo de esta investigación fue analizar la invarianza de medición según el sexo, de dos versiones breves de la Escala de Resiliencia de Connor-Davidson (CD-RISC) y determinar si existen diferencias entre hombres y mujeres. Se evaluó con la CD-RISC-10, que incluye la CD-RISC-7, a una muestra de 491 universitarios arequipeños (312 mujeres; 179 hombres) con edad promedio de 20.56 años (DE = 3.18), de una institución privada. Inicialmente se realizó un análisis factorial multigrupo con cada versión para valorar el grado de invarianza de medición alcanzado, y luego de ello se compararon las medias latentes de resiliencia entre hombres y mujeres. En cuanto a los resultados, la CD-RISC-7 presentó indicadores estructurales más favorables (e.g., λ > .50; en mujeres: CFI = .981, RMSEA = .087, WRMR = 0.683; en hombres: CFI = .966, RMSEA = .124, WRMR = 0.783), que la CD-RISC-10 (e.g., λ < .50, índices de ajuste en mujeres: CFI = .974, RMSEA = .073, WRMR = 0.774; en hombres: CFI = .960, RMSEA = .095, WRMR = 0.803) incluyendo la invarianza de medición (invarianza estricta: ΔCFI = .003; ARMSEA = .001), y al comparar las medias latentes fueron halladas diferencias significativas a favor de los hombres (d = .471). Finalmente, se discuten las implicancias teóricas y metodológicas de los hallazgos, así como la necesidad de ampliar los estudios considerando otros aspectos relevantes para una mejor comprensión del constructo resiliencia.

Abstract Resilience is an individual trait that enables biopsychosocial and spiritual readjustment, helping the psychological well-being and academic performance of university students. The objective of this research was to analyze the measurement invariance by sex of two short versions of the Connor - Davidson Resilience Scale (CD-RISC), and to determine if there are differences between men and women. A sample of 491 Arequipa university students (63.5% women), with an average age of 20.56 years-old (SD = 3.18), from a private institution in Arequipa-Peru was evaluated with the CD-RISC-10, which includes the CD-RISC-7. First, a multi-group factor analysis was carried out with each version to assess the degree of measurement invariance achieved, and then the latent means of resilience between men and women were compared. Regarding the results, the cD-Risc-7 presented more favorable structural indicators (e.g., λ > .50; in women: CFI= .981, RMSEA= .087, WRMR = 0.683; in men: CFI= .966, RMSEA= .124, WRMR= 0.783), than THE CD-RISC-10 (e.g., λ < .50, fit indices in women: CFI = .974, RMSEA = .073, WRMR = 0.774; in men: CFI = .960, RMSEA = .095, WRMR = 0.803), including measurement invariance (strict invariance: ΔCFI= .003; ARMSEA = .001), and when comparing latent means, significant differences in favor of men were found (d = .471). Finally, the theoretical and methodological implications of the findings are discussed, as well as the need to extend the studies considering other relevant aspects for a better understanding of the resilience construct.

Resumen El presente trabajo es una revisión sistemática documental para el desarrollo de un marco de referencia sobre los factores psicológicos de estudiantes universitarios en relación con la calidad de vida prepandemia. Se utilizó un método cualitativo descriptivo a través de una revisión sistemática documental a partir de la metodología PRISMA (Khan et al., 2003; Moher et al., 2009). Como fuente de información, se utilizaron trabajos publicados en las bases de datos RedALyC, Scopus, Elsevier, EBSCO, Springer Link, Medline y Psychology and Behavioral Sciences Collection durante el período 2015 al 2020. Para el análisis descriptivo, se seleccionaron 29 documentos que cumplían con los criterios de selección en el marco del proceso de búsqueda, identificación, selección, elección e interpretación. Los resultados muestran la prevalencia de estudios de tipo cuantitativo, así como el interés vigente por el momento del ciclo vital adolescencia-juventud en uno de sus contextos de desarrollo: la universidad, y los factores psicológicos sumados a los aspectos contextuales emergentes como la ansiedad, la ideación suicida y la depresión. Asimismo, se evidencia el efecto de estos aspectos en la percepción de la calidad de vida y del bienestar psicológico y emerge el concepto de estilos de vida como variable que actúa como producto y condición en el desarrollo de los estudiantes en esta etapa del ciclo vital. Finalmente, se evidencian categorías como la inteligencia emocional, la resiliencia y el afrontamiento, que se constituyen en insumos para formular propuestas que permitan favorecer el desarrollo de adolescentes-jóvenes en el contexto universitario.

Abstract This work presents a systematic documentary review for the development of a frame of reference on the psychological factors of university students in relation to the pre-pandemic quality of life. Psychological factors are understood as psychological well-being and present the development of individual capabilities and human growth from self-acceptance, autonomy, positive relationships, life purpose and personal growth, which reflect attitudes and values of people, which are directly related to their quality of life. Likewise, it is evident in the literature that the stage of university life is framed by biopsychosocial changes that establish it as a period of attention for mature development and is considered as a transition for the later stages of the human life cycle. In this sense, from an ecological theory perspective, the environment in which people relate has a direct influence on their formative development (Bronfenbrenner, 1987), since the levels of environment in which they are immersed determine positive or negative behavior, affecting their social and cultural conditions (Shelton, 2019). Therefore, changes in behavior are associated with some risk factors that can affect the health and quality of life of university students. The methodological approach used is focused on a descriptive qualitative study, through a systematic documentary review by the PRISMA methodology (Khan et al., 2003 y Moher et al., 2009) with the main characteristics, trends and particularities existing in the literature on psychological factors in young university students. For the systematic review of this work, we chose to use the five stages called: Search, Identification, Screening, Eligibility, and Interpretation. The Search procedure was initiated from the categories of psychological factors related to the quality of life in university students and from the search equations. As a source of information, papers published in the databases of RedALyC, Scopus, Elsevier, EBSCO, Springer Link, Medline and Psychology and Behavioral Sciences Collection during the period between January 2015 and first half of the year 2020 were used. For the Identification stage, inclusion and exclusion criteria were elaborated considering articles published in scientific journals of psychology and health in the period covered. In the Screening stage, they found a total of 41 950 papers in 82 journals registered in the databases. The following were eliminated: 28 125 papers outside the selection period, 1 457 duplicate studies, and 11 733 articles from other disciplines. Therefore, in the Eligibility stage, 635 papers were selected for the reading of the title and summary; of these, 263 documents were chosen for the reading of the complete texts and, a total of 29 papers were left in the last stage of Interpretation for the study and analysis of the results. The results show the prevalence of quantitative studies, as well as the current interest for the moment of the life cycle of adolescence-youth in one of its developmental contexts: the university; and the psychological factors added to the contextual aspects involved in the emergence and approach of problems such as anxiety, suicidal ideation and depression. Likewise, the effect of these aspects on the perception of quality of life and psychological well-being is evident. Similarly, the concept of lifestyles emerges as a variable that acts as a product and condition in the development of students at this stage of the life cycle. Finally, categories such as emotional intelligence, resilience, and coping are shown to be inputs to formulate proposals that can favor the development of adolescents and young people. In conclusion, it is necessary to carry out more studies on psychological factors and the problems associated with them, as a reflection of the quality of life from the perspective of promoting the health of university students.

Abstract Introduction Knee osteoarthritis (KOA) is a prevalent pathology in older adults, with physical, social and psychological impacts that reduce their quality of life. Objective Analyze the correlation between KOA in older individuals and biopsychosocial aspects such as pain, functional limitation, dependence, anxiety and depression. Methods A systematic review of English and Portuguese articles published on the Cochrane Library, PUBMED/MEDLINE, SciELO and Web of Science databases between 2016 and 2021, selected according to inclusion and exclusion criteria. Results After cross-checking specific to each database, studies were selected by reading the title (2,304), abstract (136) and full article (72), with 30 ultimately included based on the eligibility criteria. Conclusion Knee osteoarthritis has a significant negative impact on patients’ lives and is correlated with pain, functional limitation, dependence, anxiety and depression, compromising interpersonal relationships, physical and mental status and causing disability due to chronic pain, making osteoarthritis (OA) a public health issue with a high financial, physical and emotional cost for patients. (KOA adults life pain limitation dependence depression Library PUBMEDMEDLINE PUBMED MEDLINE PUBMED/MEDLINE 201 2021 criteria crosschecking cross checking database 2,304, 2304 2,304 , 2 304 (2,304) 136 (136 72, 72 (72) 3 patients relationships OA (OA financial 20 202 230 2,30 (2,304 13 (13 7 (72 23 2,3 (2,30 1 (1 (7 2, (2,3 ( (2, (2

Resumo Introdução A osteoartrite de joelho é uma patologia prevalente em idosos, impactando suas vidas em um contexto físico, social e psicológico, o que ocasiona redução na qualidade de vida desses indivíduos. Objetivo Analisar a correlação entre a osteoartrite de joelho em idosos e aspectos biopsicossociais como dor, limitação funcional, dependência, ansiedade e depressão. Métodos Revisão sistemática de artigos publicados nas bases de dados Cochrane Library, PUBMED/MEDLINE, SciELO e Web of Science, entre 2016 e 2021, em português e inglês. Após isso, realizou-se a seleção dos artigos de acordo com os critérios de inclusão e exclusão. Resultados Após cruzamentos específicos em cada base, selecionaram-se os artigos por meio da leitura do título (2.304), do resumo (136) e do artigo na íntegra (72). Assim, 30 artigos foram selecionados de acordo com os critérios de elegibilidade. Conclusão Confirmou-se que a osteoartrite de joelho impacta negativamente a vida dos pacientes e está correlacionada com dor, limitação funcional, dependência, ansiedade e depressão, prejudicando as relações interpessoais, afetando condições físicas e mentais e gerando incapacidade devido à dor crônica, tornando a osteoartrite uma questão de saúde pública de alto custo financeiro, físico e emocional aos pacientes. psicológico indivíduos funcional dependência depressão Library PUBMEDMEDLINE PUBMED MEDLINE PUBMED/MEDLINE Science 201 2021 inglês isso realizouse realizou se exclusão base selecionaramse selecionaram 2.304, 2304 2.304 , 2 304 (2.304) 136 (136 72. 72 . (72) Assim 3 elegibilidade Confirmouse Confirmou interpessoais crônica financeiro 20 202 230 2.30 (2.304 13 (13 7 (72 23 2.3 (2.30 1 (1 (7 2. (2.3 ( (2. (2

ABSTRACT Purpose To characterize changes in the functioning aspects, in the perception of children and adolescents with speech and language disorders under speech-language follow-up, using the ICF. Methods Descriptive, analytical and longitudinal research, with a qualitative and quantitative approach, whose sample consisted of 60 children and adolescents: 30 with speech and language disorders and 30 with typical speech and language development. Data collection was carried out in two moments: beginning of the research and six months later. A semi-structured questionnaire was administered to the participants, and a medical records analysis was performed. From these data, functioning was classified using he ICF categories. The Wilcoxon test and thematic content analysis were used to compare the interviews. Results The use of ICF allowed characterizing changes resulting from speech-language follow-up. Participants with speech and language disorders presented a decrease in the magnitude of the qualifiers in the categories: articulation and fluency, social relationships, daily activities, engagement in play, people's attitude barriers, and how to handle stress. Conclusion The findings show changes in components of Body Functions, Activities and Participation, and the influence of Environmental Factors after speech-language follow-up, in the perception of the studied group, which brings relevant subsidies for a greater understanding of functioning and therapeutic intervention. The use of the ICF enabled the longitudinal analysis in a biopsychosocial approach, contemplating, in addition to biological aspects, the social impact of speech and language disorders in the lives of these children and adolescents. aspects speechlanguage followup, followup follow up, up follow-up Descriptive approach 6 3 development moments later semistructured semi structured participants performed data categories interviews followup. up. fluency relationships activities play peoples people s barriers stress Functions Participation group intervention contemplating

RESUMO Objetivo Caracterizar mudanças nos aspectos de funcionalidade, segundo a percepção de crianças e adolescentes com alterações de fala e linguagem em acompanhamento fonoaudiológico, utilizando a Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF). Método Pesquisa de delineamento descritivo-analítico, longitudinal e de abordagem qualitativa-quantitativa, cuja amostra se constituiu de 60 crianças e adolescentes: 30 com alteração de fala e linguagem e 30 com desenvolvimento típico de fala. Coleta foi realizada em dois momentos: início da pesquisa e seis meses depois. Foi realizada entrevista com questionário semiestruturado com os participantes, e análise de prontuário. A partir desses dados, a funcionalidade foi caracterizada com as categorias da CIF. Para comparação entre as entrevistas utilizou-se o Teste Wilcoxon e análise de conteúdo temática. Resultados O uso da CIF possibilitou caracterizar mudanças ocorridas com o acompanhamento fonoaudiológico. Os participantes com alterações de fala e linguagem apresentaram diminuição na magnitude dos qualificadores nas categorias de funções de articulação e fluência, relacionamentos sociais, atividades do cotidiano, envolvimento no brincar, atitudes barreiras das pessoas, modo de lidar com o estresse. Conclusão Os achados mostram mudanças nos componentes de Funções do Corpo, Atividades e Participação e a influência dos Fatores Ambientais após o acompanhamento fonoaudiológico na percepção do grupo estudado, o que traz subsídios relevantes quanto à funcionalidade para maior compreensão e intervenção terapêutica. A utilização da CIF possibilitou estudo e análise longitudinal em uma abordagem biopsicossocial, contemplando além dos aspectos biológicos, o impacto social das alterações de fala e linguagem na vida dessas crianças e adolescentes. Funcionalidade . (CIF) descritivoanalítico, descritivoanalítico descritivo analítico, analítico descritivo-analítico qualitativaquantitativa, qualitativaquantitativa qualitativa quantitativa, quantitativa qualitativa-quantitativa 6 3 momentos depois prontuário dados utilizouse utilizou temática fluência sociais cotidiano brincar pessoas estresse Corpo estudado terapêutica biopsicossocial biológicos (CIF

Abstract This study aimed to evaluate the association of pain-related disability with biopsychosocial factors in temporomandibular disorders (TMD) patients. The study was carried out at the Orofacial Pain Outpatient Clinic of the State University of Feira de Santana, Bahia, from September 2018 to March 2020. The sociodemographic aspects, TMD subtypes, presence of pain-induced disability, pressure pain threshold, perceived stress, anxiety, depression, and catastrophizing were evaluated in 61 patients. The studied variables were compared between patients with and without pain-induced disability. Crude and adjusted logistic regression were performed to obtain estimates of odds ratios (OR) and 95% confidence intervals. With the exception of catastrophizing, there was no association between the biopsychosocial factors and pain-induced disability. The presence of catastrophizing increased the chance of having chronic pain-induced disability by 4.02 times. The results of this study indicate a strong association between pain catastrophizing and disability in individuals with chronic painful TMD. painrelated related (TMD Santana Bahia 201 2020 aspects subtypes paininduced induced threshold stress anxiety depression 6 OR (OR 95 intervals 402 4 02 4.0 times 20 202 9 40 0 4. 2

Abstract The aim of this study was to explore associated variables with sense of coherence (SOC), and dental environment stress (DES) in a sample of dental students. All undergraduate (n = 474) and graduate (n = 105) dental students enrolled in the first semester of 2020 at a public university in southern Brazil were invited to participate. Data collection was performed by an online questionnaire, which included information related to sociodemographic and educational characteristics, biopsychosocial factors, aspects related to feelings experienced in the COVID-19 pandemic, and the SOC scale. The study outcome (DES) was measured by a validated tool. Linear regression analyses were performed to identify the associations between the outcome and all independent variables. A total of 408 students were included (response rate: 70.5%). The overall mean score of the DES scale was 73.95 (SD: 24.13). Students with higher SOC scores were observed to have significantly lower DES scores (βGRADUATE: -0.376; 95%: -0.482 to -0.271; βUNDERGRADUATE: -0.478; 95%:-0.658 to -0.297). Female undergraduate students (β: 11.788; 95%CI: 7.161–16.415) had higher DES scores compared with undergraduate male students. In addition, the presence of anxiety symptoms when providing dental care to patients with symptoms or suspected COVID-19 infection was associated with higher DES scores (β: 10.460; 95%CI: 5.644–15.277) among undergraduate dental students. The level of stress was higher in non-white undergraduate students than white (β: 8.912; 95%CI: 3.581–14.244). Among both undergraduate and graduate dental students, higher SOC scores were associated with lower DES. SOC, , (SOC) (DES n 474 105 202 participate questionnaire characteristics factors COVID19 COVID 19 COVID-1 pandemic tool 40 response rate 70.5%. 705 70.5% . 70 5 70.5%) 7395 73 95 73.9 SD (SD 24.13. 2413 24.13 24 13 24.13) βGRADUATE (βGRADUATE 0.376 0376 0 376 -0.376 95% 0.482 0482 482 -0.48 0.271 0271 271 -0.271 βUNDERGRADUATE 0.478 0478 478 -0.478 95%0.658 950658 0.658 658 95%:-0.65 0.297. 0297 0.297 297 -0.297) β (β 11.788 11788 11 788 95%CI 95CI CI 7.161–16.415 716116415 7 161 16 415 addition 10.460 10460 10 460 5.644–15.277 564415277 644 15 277 nonwhite non 8.912 8912 8 912 3.581–14.244. 358114244 3.581–14.244 3 581 14 244 3.581–14.244) (SOC 47 20 COVID1 1 COVID- 4 70.5 739 9 73. 241 24.1 2 0.37 037 37 -0.37 0.48 048 48 -0.4 0.27 027 27 -0.27 0.47 047 -0.47 95%0.65 95065 0658 0.65 65 95%:-0.6 029 0.29 29 -0.297 11.78 1178 78 7.161–16.41 71611641 41 10.46 1046 46 5.644–15.27 56441527 64 8.91 891 91 35811424 3.581–14.24 58 70. 24. 0.3 03 -0.3 0.4 04 -0. 0.2 02 -0.2 95%0.6 9506 065 0.6 6 95%:-0. -0.29 11.7 117 7.161–16.4 7161164 10.4 104 5.644–15.2 5644152 8.9 89 3581142 3.581–14.2 0. -0 95%0. 950 06 95%:-0 11. 7.161–16. 716116 10. 5.644–15. 564415 8. 358114 3.581–14. - 95%0 95%:- 7.161–16 71611 5.644–15 56441 35811 3.581–14 7.161–1 7161 5.644–1 5644 3581 3.581–1 7.161– 716 5.644– 564 358 3.581– 7.161 71 5.644 56 35 3.581 7.16 5.64 3.58 7.1 5.6 3.5 7. 5. 3.

ABSTRACT Introduction : Progress towards the tuberculosis elimination in Cuba depends on social justice for the people affected and their families, neighborhood by neighborhood, health area by health area and municipality by municipality. To enhance the dimensions of its social determination, a local elimination model based on its general approach will be necessary. Objective: To describe a general model with a systemic approach to Social determination in health, applied to tuberculosis. Methods : A qualitative study based on a documentary review of articles on social determination was carried out, with the design of an explanatory model, simple for its understanding, with structural, intermediate and individual components to be adapted to the topic of tuberculosis. Results : The proposed model has as input the political will, dependent on the established power that determines public policies, interacting with the intermediate dimensions as central aspects and with the individual dimensions of a sociodemographic, sociocultural and socioeconomic nature. These, in turn, feedback and once again influence the political will and Public policies, closing the systemic cycle. In addition, interactive control of the system is included. Conclusions : In addition to the models proposed in the national literature reviewed, abounding in its systemic approach contributes to facilitate the understanding of the monitoring of the Social determination in health in tuberculosis by the personnel in charge of providing sustainability of control towards elimination.

RESUMEN Introducción : El avance hacia la eliminación de la tuberculosis en Cuba, depende de la justicia social para las personas afectadas y sus familiares, barrio por barrio, área de salud por área de salud y municipio por municipio. Para potenciar las dimensiones de su determinación social será necesario un modelo de eliminación local asentado en su enfoque general. Objetivo : Describir un modelo general con enfoque sistémico de la determinación social en salud, aplicado a la tuberculosis. Métodos : Se realizó un estudio cualitativo basado en una revisión documental de artículos sobre la determinación social, con diseño de un modelo explicativo, simple para su comprensión, con componentes estructurales, intermedios e individuales para ser adaptado en el tema de la tuberculosis. Resultados : El modelo planteado tiene como entrada la voluntad política, dependiente del poder establecido que determina las políticas públicas, interactuando con las dimensiones intermedias como aspectos centrales y con las dimensiones individuales de carácter sociodemográficas, socioculturales y socioeconómicas. Estas a su vez retroalimentan e influyen nuevamente en la Voluntad política y las Políticas públicas, cerrando el ciclo sistémico. Además, se incluye el control interactivo del sistema. Conclusiones : Además de los modelos planteados en la literatura nacional revisada, abundar en su enfoque sistémico contribuye a facilitar la comprensión del monitoreo de la Determinación social de la tuberculosis por parte del personal encargado de dar sostenibilidad del control hacia la eliminación.