RESUMO Objetivo: Reconhecer e abordar a síndrome de Patau, apesar de sua raridade e da baixa expectativa de vida associada, por meio da apresentação de um estudo de caso de uma paciente de dois anos que recebe cuidados em casa por intermédio de serviços de home care. Descrição do caso: Apresentamos uma paciente do sexo feminino que desafiou as probabilidades, com sobrevivência prolongada devida, possivelmente, ao home care. Ela nasceu por cesariana, com 31 semanas + 4 dias, em razão da restrição do crescimento uterino. A mãe, de 36 anos, recebeu cuidados pré-natais adequados e gozava de boa saúde. O diagnóstico da síndrome de Patau foi confirmado por meio de cariótipo após o nascimento. Apesar da gravidade clínica do caso, a paciente, hoje com dois anos, recebe atendimento domiciliar especializado, apoiado por traqueostomia e gastrostomia. Um técnico de enfermagem dedicado 24 horas garante acompanhamento contínuo, e a paciente beneficia-se de check-ups médicos regulares, fisioterapia cinco vezes por semana, sessões semanais de fonoaudiologia, consultas mensais com nutricionista e apoio psicológico contínuo aos familiares. Comentários: Esta abordagem multidisciplinar resultou em melhora motora discreta, destacando o impacto positivo do cuidado integral no seu bem-estar geral. A existência de uma rede robusta de apoio às famílias que enfrentam desafios semelhantes é crucial, e um cuidado multidisciplinar pode prevenir eficazmente as complicações associadas a esta impactante síndrome. Objetivo associada care probabilidades devida possivelmente cesariana 3 dias uterino mãe prénatais pré natais saúde nascimento especializado gastrostomia 2 beneficiase beneficia se checkups check ups regulares semana fonoaudiologia familiares Comentários discreta bemestar bem estar geral crucial

ABSTRACT Objective: To recognize and address Patau’s syndrome, despite its rarity and associated low life expectancy, through the presentation of a case study of a 2-year-old patient receiving Home Care services. Case description: We present a female patient who defied the odds with a prolonged survival, possible due to Home Care. She was delivered via cesarean section at 31 weeks + 4 days due to restricted uterine growth. The mother, aged 36, had received proper prenatal care and was in good health. The diagnosis of Patau’s syndrome was confirmed through karyotyping after birth. Despite the severe clinical nature of the case, the patient, now with two years old, receives specialized home-based care, supported by a tracheostomy and gastrostomy. A dedicated 24-hour nursing technician ensures continuous monitoring, and the patient benefits from regular medical check-ups, physiotherapy five times a week, weekly speech therapy sessions, monthly consultations with a nutritionist, and ongoing psychological support for her family members. Comments: This multidisciplinary approach has resulted in a slight motor response, highlighting the positive impact of comprehensive care on her overall well-being. The existence of a robust support network for families facing similar challenges is crucial, and a multidisciplinary care can effectively prevent complications associated with this impactful syndrome. Objective Pataus Patau s expectancy 2yearold yearold 2 year old services description survival 3 growth mother 36 health birth homebased home based gastrostomy 24hour hour 24 monitoring checkups, checkups check ups, ups check-ups week sessions nutritionist members Comments response wellbeing. wellbeing well being. being well-being crucial

RESUMEN El artículo aborda una problemática relacionada con la formación del Técnico Medio en los Institutos Politécnicos Agropecuarios en la especialidad Agronomía de Montaña, las actividades manuales agropecuarias. Su objetivo, ofrecer algunas consideraciones sobre la realización de estas actividades en este contexto, ello contribuirá a elevar la calidad del proceso de enseñanza aprendizaje, a tenor con el Tercer Perfeccionamiento Educacional. De ahí la necesidad de su integración con las asignaturas de formación profesional básica específica. Entre los métodos aplicados: análisis-síntesis, inducción-deducción, observación, análisis del producto de la actividad y entrevista. La propuesta mejora la labor de orientación a los profesores.

ABSTRACT The article approaches a related problem with the formation of the half technician in the polytechnic agricultural institutes in the agronomy speciality of mountain, the manual agricultural activities. Your objective, offer some considerations on the realization of these activities in this context, it will contribute to raise the quality of the process of apprenticeship teaching, on the base of the exigencies of the third educational perfecting. In this way the need of your integration with the basic specific courses. Between the applied methods were: analysis, synthesis, induction, deduction, observation, analysis of the product of the activity and interviews. The better proposal the labor of orientation to the teachers.

RESUMEN Para contribuir a solventar las insuficiencias en el tratamiento a las relaciones entre los contenidos químicos y los profesionales, en la formación del Técnico Medio en Agronomía, se elabora el presente artículo. El empleo de métodos del nivel teórico como: analítico-sintético; inductivo-deductivo; hermético-dialéctico e inducción-deducción, permite que se presente como principal resultado, los referentes teóricos, que, a juicio de los autores, fundamentan el proceso de enseñanza-aprendizaje de la Química y la profesionalización de sus contenidos. Desde las posiciones críticas que se asumen, se comprenden los procesos referidos y se conforma el marco teórico y contextual de la investigación en curso.

ABSTRACT In order to contribute to solve the insufficiencies in the treatment of the relations between the chemical contents and the professional ones, in the formation of the Middle Technician in Agronomy, the present article is elaborated. The use of theoretical level methods such as: analytical-synthetic; inductive-deductive; hermetic-dialectic and induction-deduction, allows presenting as main result, the theoretical referents, which, in the authors' opinion, support the teaching-learning process of Chemistry and the professionalization of its contents. From the critical positions assumed, the referred processes are understood and the theoretical and contextual framework of the current research is formed.

Abstract Dentures are used to restore missing teeth and are traditionally fabricated using the lostwax technique. The flasking process is arduous, time-consuming, error-prone, and requires a skilled technician. The development of 3D printing technology has made rapid prototyping of dentures more feasible. This case report describes the functional rehabilitation of a completely edentulous patient with complete dentures by a manufacturer-independent workflow with conventional clinical steps combined with computer-aided design, computer-aided manufacturing (CAD/CAM), and 3D printing technology. The result was 3D-printed complete dentures that were fully adapted, economical, and well-accepted by the patient.

Resumo As próteses são usadas para restaurar dentes perdidos e são tradicionalmente fabricadas usando a técnica de cera perdida através da muflagem. O processo de muflagem é trabalhoso, demorado, sujeito a erros e requer um técnico experiente. O desenvolvimento da tecnologia de impressão 3D tornou a prototipagem rápida de próteses uma alternativa viável. Este caso relata a reabilitação funcional de um paciente completamente edêntulo com próteses totais. É descrito o fluxo de trabalho na realização de próteses totais impressas com desenho e execução assistida por computador (CAD-CAM) e um fluxo de trabalho independente do fabricante com etapas clínicas convencionais combinadas com a tecnologia de impressão 3D. O resultado foi uma prótese total 3D totalmente adaptada, económica e bem aceite pelo paciente.

Abstract: Vision problems are common in patients with diabetes mellitus (DM) because they may suffer from diabetic retinopathy (DR). Because the symptoms of this condition are not easy to detect without the intervention of an expert technician, the use of convolutional neural networks (CNN) has been implemented to speed up the process of analyzing retina images. Due to the good results of this technology, efforts have been made to combine it with other technologies. In this paper, we present the use of an intelligent hybrid system that uses CNNs and Fuzzy Logic with the aim of improving the accuracy obtained. The implementation of fuzzy logic to adjust the hyperparameters of the network allowed us to obtain a mean of 0.9526 with a standard deviation of 0.008521158 in the binary case study, while in the multiclass case study we obtained a mean of 0.7299 and a standard deviation of 0.015614013, offering better results when fuzzy logic is combined compared to when not.

RESUMEN Introducción: en Paraguay en 1996 se crea la Escuela de Instrumentación y Área Quirúrgica, vinculada a una universidad pública, a partir del 2008 se crean otras ofertas en el sector privado. El instrumentador quirúrgico puede desempeñarse como instrumentador, circulante, coordinador general de quirófanos y coordinador de la central de esterilización. Objetivo: conocer la situación del ejercicio profesional del licenciado instrumentador quirúrgico en Paraguay. Metodología: estudio descriptivo, cuantitativo y trasversal. La muestra es de 167 licenciados, egresados de instituciones pública y privadas. Muestreo no probabilístico por conveniencia, el instrumento de recolección de datos es un cuestionario electrónico. Resultados: el 74 % son mujeres, el 50 % presenta un rango de edad de 21 a 30 años, 79,6 % egresados de una institución pública, 40 % dice tener dificultad moderada para el primer empleo. El acceso al empleo, 71 % fue por contactos personales, el 72 % se dedica a instrumentar, el 60 % tiene una antigüedad laboral de 1 a 5 años. Entre los posgrados, el 30 % posee didáctica universitaria. Discusión: instrumentador quirúrgico, reúne las exigencias para ocupar otras funciones además de instrumentar y circular en el quirófano. Igualmente, en otros estudios se evidencia menor participación en el área administrativa, docencia, mercadeo y ventas. Han trascurrido 20 años del egreso de las primeras promociones, siendo una profesión novel, poco visualizado. Es de subrayar que el estado puede ahorrar recursos económicos al contratar a instrumentadores, puesto que son expertos en los cuidados asépticos y competentes en optimizar los tiempos quirúrgicos al que se expone el paciente.

ABSTRACT Introduction: In Paraguay the school of Instrumentation and Surgical Area was created in 1996 linked to the National University, and in 2008 onwards other offers were created in the private sector. The Surgical Instrument Technician can work as instrumentalist, circulating nurse, general coordinator of operating rooms, and coordinator of the central sterilization unit. Objective: to know the work environment of the professional and licensed Surgical Instrument Technician in Paraguay. Methodology: descriptive, quantitative and cross-sectional study. The sample is 167 graduates, graduates of public and private institutions. Non-probability sampling for convenience, the data collection instrument is an electronic questionnaire. Results: 74% are women, 50% have an age range between 21 and 30 years old, 79.6% graduated from a public institution, 40% say they have moderate difficulty finding their first job in the field. Access to employment, 71% was through personal contacts, 72% is dedicated to work as Instrument Technicians, 60% have a job seniority of 1 to 5 years. Among the postgraduates, 30% are university didactics certified. Discussion: Surgical Instrument Technicians meet the requirements to perform other functions in addition to instrumentation and circulating nurses in the operating room. Similarly, other studies show less participation in the administrative area, teaching, marketing and sales. 20 years have elapsed since the first Technicians graduated, being a new profession, not given the importance it deserves. It is noteworthy that the state can save economic resources by hiring Surgical Instrument Technicians, since they are experts in aseptic care and competent in minimizing the amount of time the patient spends in surgery.

ABSTRACT An investigation related to the technological innovation was carried out in the Health Nursing-Technology Faculty from Santiago de Cuba, during the school course 2019-2020, aimed at designing an educational software for the subject Stratification of Environmental Risks, directed to medium technician students in Surveillance and Vector Control. The theoretical methods used were: analysis-synthesis, historical-logical, modelation, systemic-structural and inductive-deductive; and the empiric methods were: observation and documental analysis. The sample had 44 students and 6 professors chosen at random. It was concluded that the proposed software is feasible, pertinent and necessary as teaching aid; provides up-to-date information, it is easy and interesting to surf internet, and allows the self-appraisal of students in the interaction with themselves, what contributes to improve the independent work.

RESUMEN Se realizó una investigación relacionada con la innovación tecnológica, en la Facultad de Enfermería-Tecnología de la Salud de Santiago de Cuba, durante el curso escolar 2019-2020, con el objetivo de diseñar un software educativo para la asignatura Estratificación de Riesgos Medioambientales, dirigido a los estudiantes de técnico medio en Vigilancia y Lucha Antivectorial. Se utilizaron los métodos teóricos: análisis-síntesis, histórico-lógico, modelación, sistémico-estructural e inductivo-deductivo; y empíricos: observación y análisis documental. La muestra fue de 44 estudiantes y 6 profesores escogidos al azar. Se concluye que el software propuesto es factible, pertinente y necesario como medio de enseñanza; proporciona información actualizada, su navegación es fácil y amena, y permite la autoevaluación de los estudiantes al interactuar con él mismo, lo que contribuye a mejorar el trabajo independiente.

RESUMEN Fundamento: existen carencias con respecto al manejo adecuado de los medios digitales por parte de los estudiantes de ciencias médicas; así como una necesidad de las instituciones correspondientes de reconocer la importancia de la educación mediática en la formación curricular de estos. Objetivo: caracterizar el uso de las tecnologías de la información y las comunicaciones por estudiantes de las ciencias médicas. Métodos: se realizó un estudio descriptivo, de corte transversal. Del universo de 73 estudiantes de los Técnicos de Ciclo Corto, se seleccionó una muestra de 30 estudiantes del primer año Técnico Superior de Ciclo Corto de Análisis Clínico y Medicina Transfusional, pertenecientes a la Facultad Victoria de Girón, durante el curso 2022-2023. Se obtuvo la información mediante un cuestionario aplicado a los participantes. Resultados: el 100 % de los alumnos refirió que accedía a internet; la mayoría de ellos (86,6 %) con teléfono celular. El 56,6 % expresó que se conectan más de 8 horas diarias. El 26,7 % lo empleó en tareas académicas. El 93,3 % utilizó redes sociales: Facebook el 100 % de ellos; 93,3 % WhatsApp. El contenido más usado resultó la música (100 %). Conclusiones: el tiempo prolongado de conexión a internet por parte de los estudiantes, y el uso de redes sociales en consumo y producción de contenidos ajenos a la actividad académica y en ocasiones inadecuados, indican la importancia de la educación mediática para una formación adecuada en la utilización de las nuevas tecnologías.

ABSTRACT Foundation: there are deficiencies regarding the proper management of digital media by medical science students; as well as a need for the corresponding institutions to recognize the importance of media education in their curricular training. Objective: characterize the information and communications technologies use by medical sciences students. Methods: a descriptive, cross-sectional study was carried out. From the universe of 73 students of the Short Cycle Technicians, a sample of 30 students from the first year of the Short Cycle Higher Technician in Clinical Analysis and Transfusion Medicine, belonging to the Victoria de Girón Faculty, were selected from 2022 to 2023 academic year. The information was obtained through a questionnaire applied to the participants. Results: 100% of the students reported that they accessed the internet; most of them (86.6%) by a cell phone. 56.6% expressed that they connect more than 8 hours a day. 26.7% used it in academic tasks. 93.3% used social networks: Facebook for 100% of them; 93.3% WhatsApp. The most used content was music (100%). Conclusions: the Internet connection prolonged time by students, and the use of social networks in consumption and production of content unrelated to academic activity and sometimes inappropriate, indicate the importance of media education for adequate training in the new technologies use.

Resumo A formação de técnicos de nível médio com uma sólida preparação profissional é baseado na prática de trabalho na educação técnica e profissional, especificamente na rotação pelos postos de trabalho. Estudos prévios sobre este processo identificaram muitas deficiências cuja solução consiste em modelar a rotação por postos de tabalho. Entre os métodos utilizados estão a sistematização teórica, modelagem, entrevistas, entre outros, que contribuem para a contextualização da rotação ao objeto de trabalho da empresa e ao objeto da profissão; elimina-se a dispersão teórica da rotação ao ser conceitualizada como forma de organizar o processo ensino-aprendizagem; se reconhecem as características dos estudantes nos centros de produção didática e a classificação da rotação é estabelecida como uma forma que responde às características dos postos de trabalho.

Resumen La formación de técnicos medios con una sólida preparación profesional, tiene como modalidad en la Educación Técnica y Profesional la práctica laboral, en específico la rotación por puesto de trabajo. En estudios precedentes sobre este proceso se identifican múltiples insuficiencias. Cuya solución está en modelar la rotación por puesto de trabajo como una forma de organización de la práctica laboral de este profesional, entre los métodos utilizados están la sistematización teórica, la modelación, entrevista, entre otros; que aporta la contextualización de la rotación al objeto de trabajo de la empresa y del objeto de la profesión; se elimina la dispersión teórica de la rotación al ser conceptualizada como forma de organización del proceso de enseñanza-aprendizaje; se reconocen las características del estudiantes en los centro de producción docente y se establece clasificación de la rotación como forma que responde a las características de los puestos de trabajo.

Abstract The formation of mid-level technicians with a solid professional training includes as a modality in the Technical and Vocational Education the "trainee period", which consists of job rotation. Previous studies on this process have shown multiple insufficiencies, and its solution lies in using job rotation as a form of organization during the trainee period of this professional. Among the methods used are theoretical systematization, modeling, interview, among others; which contribute to the contextualization of the rotation to the work object of the business and the object of the profession; the theoretical dispersion of the rotation is eliminated by being conceptualized as a form of organization of the teaching-learning process; the characteristics of the students in the teaching production centers are recognized and the classification of the rotation is established as a form that responds to the characteristics of the work places.

For many decades the literature has regularly reported that there is a discrepancy between what is taught in dental school and what is practised, especially in the field of removable partial dentures. Not only that, but for more than 60 years reports from around the world have shown that, usually, the majority of clinicians abdicate their responsibility to design a removable partial denture (RPD) and instead leave this to the dental technician, who has no knowledge of the clinical condition of the patient and works only from a cast. Most patients around the world who require RPDs to improve aesthetics and chewing can only afford a removable prosthesis simply because the majority are poor. But RPDs can improve these aspects and contribute to an improved quality of life.

Abstract Developing decision support systems to help farmers and technicians achieve greater efficiency in weed management is one of the pillars of integrated weed management programs. Greater efficiency is achieved by applying a control measure when most seedlings have already emerged. Having a tool that indicates when this moment is would be of great help to the technician or farmer. In this paper we present an application for mobile and desktop that predicts the field emergence of various winter and summer species based on daily precipitation and temperature data collected from weather stations. Based on these data the program calculates for the selected species the onset of emergencies and elaborates the curve of emergencies, indicating the percentage of seedlings with respect to the expected total for the year. When 90% or a given value set by the user is reached, the system generates a warning for quick action. For the calculations, a hydrothermal model that considers air temperature and water content of the soil is applied. Soil moisture is estimated daily from a water balance based on precipitation, evapotranspiration and water storage capacity of the soil according to its texture. The emergence pattern is fitted with a Gompertz model.

Resumen Desarrollar sistemas de soporte a la decisión que sirvan de ayuda a los agricultores y técnicos para conseguir una mayor eficacia en la gestión de la flora arvense es uno de los pilares de los programas de gestión integrada de malas hierbas. Una mayor eficacia se consigue aplicando una medida de control cuando la mayoría de plantas ya hayan emergido. Tener una herramienta que advierta de cuál es este momento sería de gran ayuda para el técnico o agricultor. En esta comunicación presentamos una aplicación para móvil y escritorio que predice la emergencia en campo de diversas especies de invierno y verano a partir de datos de precipitación y temperatura diarios recogidos de estaciones meteorológicas o introducidos por el propio usuario. En función de estos datos y para la especie seleccionada, el programa calcula el inicio de las emergencias y elabora la curva de emergencias, indicando el porcentaje existente en el campo respecto al total esperable para el año. Cuando se alcanza el 90% o un valor fijado por el usuario el sistema genera un aviso que permite una rápida actuación. Para los cálculos se aplica un modelo hidrotermal que tiene en cuenta la temperatura del aire y el contenido de agua del suelo, el cual se estima diariamente a partir de un balance hídrico en función de la precipitación, evapotranspiración y capacidad de almacenamiento de agua del suelo de acuerdo con su textura. El patrón de emergencia se ajusta a un modelo de Gompertz.

For many decades the literature has regularly reported that there is a discrepancy between what is taught in dental school and what is practised, especially in the field of removable partial dentures. Not only that, but for more than 60 years reports from around the world have shown that, usually, the majority of clinicians abdicate their responsibility to design a removable partial denture (RPD) and instead leave this to the dental technician, who has no knowledge of the clinical condition of the patient and works only from a cast. Most patients around the world who require RPDs to improve aesthetics and chewing can only afford a removable prosthesis simply because the majority are poor. But RPDs can improve these aspects and contribute to an improved quality of life. The purpose of this series of articles is to derive the basic, evidence-informed principles of partial denture design and to suggest a simplified explanation and application of those principles in the hope that clinicians will increasingly take responsibility for the design of partial dentures. Part 1 summarised studies revealing what can only be described as the malpractice of abdication of responsibility for design by clinicians, and then explained the evidence-informed basic principles of design; Part 2 looked at the biomechanical basis of those principles in terms of support; Part 3 did the same for the biomechanical basis of retention; this part will provide a simple seven-step approach to design, applied to an example of an acrylic resin-based and a metal framework-based denture for the same partially edentulous arch; and Part 5 will provide examples of designs for RPDs that have been successfully worn by patients, for each of the Kennedy Classifications of partially dentate arches. Much of this is referenced from an electronic book on the Fundamental of removable partial dentures.¹

ABSTRACT Purpose: Timely screening and treatment are essential for preventing diabetic retinopathy blindness. Improving screening workflows can reduce waiting times for specialist evaluation and thus enhance patient outcomes. This study assessed different screening approaches in a Brazilian public healthcare setting. Methods: This retrospective study evaluated a telemedicine-based diabetic retinopathy screening implemented during the COVID-19 pandemic and compared it with in-person strategies. The evaluation was conducted from the perspective of a specialized referral center in an urban area of Central-West Brazil. In the telemedicine approach, a trained technician would capture retinal images by using a handheld camera. These images were sent to specialists for remote evaluation. Patient variables, including age, gender, duration of diabetes diagnosis, diabetes treatment, comorbidities, and waiting time, were analyzed and compared. Results: In total, 437 patients with diabetes mellitus were included in the study (mean age: 62.5 ± 11.0 years, female: 61.7%, mean diabetes duration: 15.3 ± 9.7 years, insulin users: 67.8%). In the in-person assessment group, the average waiting time between primary care referral and specialist evaluation was 292.3 ± 213.9 days, and the referral rate was 73.29%. In the telemedicine group, the average waiting time was 158.8 ± 192.4 days, and the referral rate was 29.38%. The telemedicine approach significantly reduced the waiting time (p<0.001) and significantly lowered the referral rate (p<0.001). Conclusion: The telemedicine approach significantly reduced the waiting time for specialist evaluation in a real-world setting. Employing portable retinal cameras may address the burden of diabetic retinopathy, especially in resource-limited settings. Purpose blindness outcomes setting Methods telemedicinebased based COVID19 COVID 19 COVID-1 inperson person strategies CentralWest Central West Brazil camera variables age gender diagnosis comorbidities Results total 43 625 62 5 62. 110 11 0 11. years female 617 61 7 61.7% 153 15 3 15. 97 9 9. users 67.8%. 678 67.8% . 67 8 67.8%) group 2923 292 292. 2139 213 213. days 7329 73 29 73.29% 1588 158 158. 1924 192 4 192. 2938 38 29.38% p<0.001 p0001 p 001 (p<0.001 p<0.001. Conclusion realworld real world resourcelimited resource limited settings COVID1 1 COVID- 6 61.7 67.8 21 732 2 73.29 293 29.38 p<0.00 p000 00 (p<0.00 61. 67. 73.2 29.3 p<0.0 p00 (p<0.0 73. 29. p<0. p0 (p<0. p<0 (p<0 p< (p< (p

Abstract Federal higher education institutions in Brazil have particularities in terms of construction, geographical location, use of buildings, organizational structures and allocation of budgetary resources. These characteristics make managing the Fire Protection System a significant challenge, requiring an even higher level of attention and commitment. This article aims to present data describing the current context of Fire Protection and Fire Fighting System management at Federal higher education institutions in Brazil (Federal universities and institutes). The data collection was a survey, in which 87 employees, representing 69 institutions, occupying the positions of Occupational Safety Engineer or Technician took part. Among the results, the following stand out: 51% of the institutions do not have a Fire Protection System Management Plan and 32% are in the process of creating one. All institutions inspect and maintain fire extinguishers; only a minority monitor other equipment. Operational routines are weakened by a lack of management (35%), financial resources (31%) and technical staff to carry out the service (24%). Only 9% of the institutions have a Fire Department Inspection Certificate for all their buildings and 5% have an active fire department in all their buildings. Only 9% of institutions have a Fire Department Inspection Certificate for all buildings and 5% have an active fire department in all buildings. The management of the Fire Protection System in Federal higher education institutions in Brazil faces significant challenges, including a lack of management plans, insufficient control of devices and limited resources, resulting in low compliance with fire safety regulations. construction location challenge commitment institutes. institutes . institutes) survey 8 employees 6 part results 51 32 one extinguishers equipment 35%, 35 35% , (35%) 31% 31 (31% 24%. 24 24% (24%) 9 5 challenges plans regulations 3 (35% (31 2 (24% (35 (3 (24 ( (2

Resumen El objetivo del estudio presentado fue evaluar la percepción de la calidad del proceso de aprendizaje en el entorno virtual de los alumnos del Programa Salud con Agentes. Se trató de un estudio transversal realizado en 2022 con 9.145 alumnos de los cursos de Técnico en Agente Comunitario de Salud y Técnico en Vigilancia Sanitaria con énfasis en la lucha contra las enfermedades endémicas. La información sobre la calidad del proceso de aprendizaje se obtuvo a través de la Encuesta Constructivist On-Line Learning Environment Survey, que consta de 24 preguntas agrupadas en seis dimensiones: relevancia, reflexión crítica, interacción, apoyo de los tutores, apoyo de los alumnos y comprensión. Se evaluó el perfil sociodemográfico de los participantes y las principales vías de acceso al curso y seguimiento. Se realizó un análisis descriptivo y se utilizó la prueba de chi-cuadrado o la prueba exacta de Fisher para analizar las asociaciones. Los participantes eran en su mayoría mujeres, en la franja de edad 40 a 49 años, de la región Nordeste; realizaban las actividades en casa y utilizaban teléfonos móviles/smartphones. Al considerar las seis dimensiones evaluadas, la relevancia, la interacción y el apoyo de los compañeros mostraron diferencias estadísticamente significativas entre los alumnos de los cursos de Técnico en Agente Comunitario de Salud y Técnico en Vigilancia Sanitaria con Énfasis en la Lucha contra las Enfermedades Endémicas. Agentes 202 9145 9 145 9.14 endémicas OnLine On Line Survey 2 relevancia crítica tutores comprensión seguimiento chicuadrado chi cuadrado asociaciones mujeres 4 años Nordeste móvilessmartphones móviles smartphones móviles/smartphones evaluadas Endémicas 20 914 14 9.1 91 1 9.

Abstract The study presented here aimed to evaluate the perception of the quality of the learning process in the virtual environment of the students of the Health Program with Agent. It was a cross-sectional study conducted in 2022 with 9,145 students from the Community Health Agent Technician and Health Surveillance Technician courses with an Emphasis on Combating Endemic Diseases. Information on the quality of the learning process was obtained through the Constructivist On-Line Learning Environment Survey, which consists of 24 questions grouped into six dimensions: relevance, critical reflection, interaction, tutor support, peer support, and understanding. The sociodemographic profile of the participants and the primary forms of access to the course and monitoring were evaluated. Descriptive analysis was performed; for association analysis, the chi-square or Fisher’s exact test was used. Most participants are females aged 40 to 49 from the Northeast region; they perform activities at home and use their cell phones/smartphones. When considering the six dimensions evaluated, relevance, interaction, and support of colleagues obtained statistically significant differences between the students of the courses of Community Health Agent Technician and Health Surveillance Technician with Emphasis on Combating Endemic Diseases. crosssectional cross sectional 202 9145 9 145 9,14 Diseases OnLine On Line Survey 2 relevance reflection interaction understanding evaluated performed chisquare chi square Fishers Fisher s used 4 region phonessmartphones phones smartphones phones/smartphones 20 914 14 9,1 91 1 9,

Resumo O estudo aqui apresentado teve por objetivo avaliar a percepção da qualidade do processo de aprendizagem no ambiente virtual dos estudantes do Programa Saúde com Agente. Tratou-se de um estudo transversal, realizado em 2022, com 9.145 estudantes dos cursos de Técnico em Agente Comunitário de Saúde e Técnico em Vigilância em Saúde com Ênfase no Combate às Endemias. Informações sobre a qualidade do processo de aprendizagem foram obtidas por meio do questionário Constructivist On-Line Learning Environment Survey, que consiste em 24 questões agrupadas em seis dimensões: relevância, reflexão crítica, interação, apoio dos tutores, apoio dos colegas e compreensão. Avaliaram-se o perfil sociodemográfico dos participantes e as principais formas de acesso ao curso e acompanhamento. Realizou-se análise descritiva; para análise de associação, utilizou-se o teste qui-quadrado ou exato de Fisher. A maioria dos participantes é do sexo feminino, faixa etária de 40 a 49 anos, da região Nordeste; realiza as atividades em casa e usa o celular/smartphone. Ao se considerarem as seis dimensões avaliadas, relevância, interação e apoio dos colegas obtiveram diferenças estatisticamente significativas entre os estudantes dos cursos de Técnico em Agente Comunitário de Saúde e Técnico em Vigilância em Saúde com Ênfase no Combate às Endemias. Tratouse Tratou transversal 2022 9145 9 145 9.14 Endemias OnLine On Line Survey 2 relevância crítica tutores compreensão Avaliaramse Avaliaram acompanhamento Realizouse Realizou descritiva associação utilizouse utilizou quiquadrado qui quadrado Fisher feminino 4 anos Nordeste celularsmartphone celular smartphone celular/smartphone avaliadas 202 914 14 9.1 20 91 1 9.