Resumen Desde una revisión bibliográfica integradora, se pretende identificar las formas de vulnerabilidad que la comunidad de lesbianas, gais, bisexuales, transgénero y más vive en Brasil. Del análisis de cinco artículos seleccionados y clasificados, se enumeraron formas de vulnerabilidad mental y física en los contextos de violencia, ambientes formativos, COVID-19, existencia y privación de libertad. Las vulnerabilidades presentadas están históricamente asociadas a esta comunidad y se acentúan aún más a lo largo de los años. Es necesario organizar movimientos centrados en la causa y fomentar producciones científicas sobre el tema, en busca de una mayor visibilidad para reducir las injusticias y generar cambios en el escenario actual. integradora lesbianas gais bisexuales Brasil clasificados violencia formativos COVID19, COVID19 COVID 19, 19 COVID-19 libertad años tema actual COVID1 1 COVID-1 COVID-

Abstract This integrative literature review identifies the forms of vulnerabilities experienced by lesbian, gay, bisexual, transgender individuals and as well as those of other identities in Brazil. The analysis of the five selected and classified articles revealed mental and physical vulnerabilities in contexts of violence, training environments, COVID-19, existence and deprivation of liberty. These vulnerabilities are historically associated with this community and have been accentuated over the years. Organization of social movements for this population and scientific production incentives are needed to afford greater visibility, reduce injustices and promote changes to the current scenario. lesbian gay bisexual Brazil violence environments COVID19, COVID19 COVID 19, 19 COVID-19 liberty years visibility scenario COVID1 1 COVID-1 COVID-

Resumo Por meio de revisão integrativa da literatura, busca-se identificar formas de vulnerabilidade evidenciadas na vida de pessoas lésbicas, gays, bissexuais, transgênero e mais no território brasileiro. A partir da análise de cinco artigos selecionados e classificados, foram elencadas formas de vulnerabilidade mental e física nos contextos de violência, ambientes formadores, covid-19, existir e privação de liberdade. As vulnerabilidades apresentadas são historicamente associadas a esta comunidade e acentuadas ao longo dos anos. Observa-se a necessidade de organização de movimentos voltados à causa e incentivo a produções científicas sobre o tema, na busca de maior visibilidade para reduzir injustiças e provocar mudanças no cenário atual. literatura buscase se lésbicas gays bissexuais brasileiro classificados violência formadores covid19, covid19 covid 19, 19 covid-19 liberdade anos Observase Observa tema atual covid1 1 covid-1 covid-

Resumo Por meio de revisão integrativa da literatura, este artigo teve o objetivo de identificar vulnerabilidades da população brasileira evidenciadas durante a pandemia da covid-19. Realizou-se busca nas bases de dados SciELO, LILACS e PubMed no período de fevereiro a março de 2021, sendo selecionados sete artigos, que foram organizados conforme as informações a seguir: título, autor, abordagem dos estudos, objetivos e principais resultados. Foram encontradas as seguintes vulnerabilidades: negação de direitos, falta de poder socioeconômico e violência contra crianças e idosos. Estas foram sistematizadas nas categorias “vulnerabilidade por falta de poder” e “vulnerabilidade por momentos do desenvolvimento humano”. Constatou-se que essas fragilidades são historicamente marcadas na população brasileira e têm sido acentuadas neste período de pandemia, o que ressalta a necessidade de intervenção ativa na perspectiva da bioética. literatura covid19. covid19 covid 19. 19 covid-19 Realizouse Realizou se SciELO 2021 artigos seguir título autor estudos resultados direitos idosos vulnerabilidade humano. humano . humano” Constatouse Constatou bioética covid1 1 covid-1 202 covid- 20 2

Abstract This integrative literature review sought to identify the vulnerabilities faced by the Brazil population and which were highlighted during the COVID-19 pandemic. Bibliographic search conducted on the SciELO, LILACS and PubMed databases from February to March 2021 identified seven articles, which were organized by title, author(s), methodology, objectives, and main findings. The analysis found the following vulnerabilities: denial of rights, lack of socioeconomic power, and violence against children and the aged. These were systemized into the categories “vulnerability by lack of power” and “vulnerability by human development cycle.” Such vulnerabilities are historically marked in Brazil and have increased during the pandemic, thus highlighting the need for a bioethics-based active intervention. COVID19 COVID 19 COVID-1 pandemic SciELO 202 articles title authors, authors author s , author(s) methodology objectives findings rights power aged vulnerability cycle. cycle bioethicsbased bioethics based intervention COVID1 1 COVID- 20 author(s 2

Resumen Desde una revisión integradora de la literatura, este artículo tuvo como objetivo identificar el aumento de las vulnerabilidades de la población brasileña durante la pandemia del covid-19. Se realizó una búsqueda en las bases de datos SciELO, LILACS y PubMed, entre febrero y marzo de 2021, que dio como resultado siete artículos, que fueron organizados por: título, autor, enfoque del estudio, objetivos y principales resultados. Se encontraron las siguientes vulnerabilidades: Negación de derechos, falta de poder socioeconómico y violencia contra niños y adultos mayores. Estos datos se sistematizaron en las categorías de “vulnerabilidad por falta de poder” y “vulnerabilidad por momentos del desarrollo humano”. Se constató que estas debilidades ya estaban históricamente marcadas en la población brasileña y se acentuaron aún más en este período de la pandemia, lo que muestra la necesidad de una intervención activa desde la perspectiva de la bioética. literatura covid19. covid19 covid 19. 19 covid-19 SciELO PubMed 2021 artículos título autor estudio resultados derechos mayores vulnerabilidad humano. humano . humano” bioética covid1 1 covid-1 202 covid- 20 2

Resumo A saúde na escola é tema de discussões relevantes no tocante à promoção da saúde. Este estudo objetiva compreender o alcance das ações resultantes do Programa Saúde na Escola em escolas públicas municipais de Belém-PA, na perspectiva dos professores. Trata-se de estudo descritivo-observacional, com análise de entrevistas com 22 professores da educação básica pública municipal. A pesquisa de campo ocorreu no período de abril a junho de 2018. Foi realizada análise de conteúdo, proposta por Bardin, gerando quatro unidades temáticas. Dos entrevistados, 50% desconheciam o referido programa ou seu funcionamento. Foi possível perceber diferentes modos de interação entre os realizadores das ações do programa, desde os mais pontuais e ineficientes aos mais contextualizados e integrativos. O estudo dos determinantes sociais de saúde se faz necessário para compreender melhor os processos e necessidades dessas ações no âmbito escolar municipal, com destaque para questões de saneamento básico, insegurança alimentar, violência e drogas. Há necessidade de autorreconhecimento do professor enquanto educador em saúde, a fim de torná-los intrínsecos promotores de saúde em suas práticas pedagógicas. A articulação da escola com a comunidade escolar pode servir de insumo para maior integração e estimulação das práticas de controle social.

Abstract Health at school is the subject of relevant discussions on health promotion. This study aims to understand the reach of the actions resulting from the School Health Program in municipal public schools in Belem-PA, from the perspective of teachers. It is a descriptive-observational study, with analysis of interviews with 22 teachers of municipal public basic education. Field research took place from April to June 2018. A content analysis was carried out, proposed by Bardin, generating four thematic units. Of those interviewed, 50% were unaware of the referred program or the operation of it. It was possible to perceive different modes of interaction between the program's actuators, from the most punctual and inefficient to the most contextualized and integrative. The study of social health determinants is necessary to better understand the processes and needs of these actions in the municipal school environment, with emphasis on issues of basic sanitation, food insecurity, violence and drugs. There is a need for self-recognition of the teacher as a health educator, in order to make them intrinsic health promoters in their pedagogical practices. The school's articulation with the school community can serve as an input for greater integration and stimulation of social control practices.

Resumo A saúde na escola é tema de discussões relevantes no tocante à promoção da saúde. Este estudo objetiva compreender o alcance das ações resultantes do Programa Saúde na Escola em escolas públicas municipais de Belém-PA, na perspectiva dos professores. Trata-se de estudo descritivo-observacional, com análise de entrevistas com 22 professores da educação básica pública municipal. A pesquisa de campo ocorreu no período de abril a junho de 2018. Foi realizada análise de conteúdo, proposta por Bardin, gerando quatro unidades temáticas. Dos entrevistados, 50% desconheciam o referido programa ou seu funcionamento. Foi possível perceber diferentes modos de interação entre os realizadores das ações do programa, desde os mais pontuais e ineficientes aos mais contextualizados e integrativos. O estudo dos determinantes sociais de saúde se faz necessário para compreender melhor os processos e necessidades dessas ações no âmbito escolar municipal, com destaque para questões de saneamento básico, insegurança alimentar, violência e drogas. Há necessidade de autorreconhecimento do professor enquanto educador em saúde, a fim de torná-los intrínsecos promotores de saúde em suas práticas pedagógicas. A articulação da escola com a comunidade escolar pode servir de insumo para maior integração e estimulação das práticas de controle social.

Abstract Health at school is the subject of relevant discussions on health promotion. This study aims to understand the reach of the actions resulting from the School Health Program in municipal public schools in Belem-PA, from the perspective of teachers. It is a descriptive-observational study, with analysis of interviews with 22 teachers of municipal public basic education. Field research took place from April to June 2018. A content analysis was carried out, proposed by Bardin, generating four thematic units. Of those interviewed, 50% were unaware of the referred program or the operation of it. It was possible to perceive different modes of interaction between the program's actuators, from the most punctual and inefficient to the most contextualized and integrative. The study of social health determinants is necessary to better understand the processes and needs of these actions in the municipal school environment, with emphasis on issues of basic sanitation, food insecurity, violence and drugs. There is a need for self-recognition of the teacher as a health educator, in order to make them intrinsic health promoters in their pedagogical practices. The school's articulation with the school community can serve as an input for greater integration and stimulation of social control practices.

RESUMO A saúde bucal apresenta-se como um direito constitucional, sendo condição relevante à integralidade de saúde. Este artigo objetivou compreender como a avaliação e ações de saúde bucal são contempladas no âmbito do Programa Saúde na Escola, através de pesquisa com abordagem qualitativa no município de Belém, Pará, utilizando roteiro semiestruturado com amostra de três categorias do Programa Saúde na Escola, selecionadas por conveniência e com base no critério de saturação: enfermeiros, professores e pais. A análise resultou três categorias distintas e inter-relacionadas que ressaltam a discussão acerca da necessidade de empoderamento para compreensão dos significados da saúde bucal dentro do PSE e ampliação de sua especificidade no cenário de trabalho transdisciplinar. Para o efetivo funcionamento da articulação escola/saúde, faz-se necessário reconhecer a aplicabilidade da política do Programa Saúde na Escola, buscando cada vez mais implementá-la nas escolas de modo a otimizar a interligação entre os envolvidos. Verificou-se a constante necessidade acerca do aperfeiçoamento de habilidades dos atores deste cenário de modo a atuar munidos de atitudes/comportamentos adequados para a melhoria da qualidade de vida do escolar.

ABSTRACT Oral health is a constitutional right, with its own national policy which guides the relevance of its interrelation to general health within the integrality principles. This manuscript aims at understanding how oral health assessment and actions are observed within the School Program Health, through a qualitative study performed in the city of Belém, State of Pará, Brazil. The sample criterion consisted of 5 nurses, 5 teachers and 5 parents. A semi-structured script was used, written and transcribed with subsequent thematic analysis. The analysis revealed three thematic categories emphasizing the need for policy empowerment and practice in order to understand the meanings of oral health within the SHP as well as to enlarge its specificity in the interdisciplinary work scenario. Thus, it is clear that for the effective functioning of the school / health relationship, it is of utmost importance that SHP policy is applied and recognized while continuously seeking to strengthen the principle of integrality and extended clinic. The study also highlights permanent education and constant need for the participants’ skill improvement so that both students’ health care and life quality can be fully promoted.

Abstract The aim of this study was to identify the immunoexpression of methallothionein in oral squamous cell carcinoma as well as to address the correlation with clinical features, histological grade and patient survival. Samples were collected from 93 patients with tongue squamous cell carcinoma who presented for follow-up. Immunohistochemical expression of methallothionein in all groups was performed. The scoring system has previously been published by Tsurutani in 2005, which is based on intensity and distribution of staining. We used Kappa index to evaluate the degree of observers’ agreement under metallothionein immunostaining and histological grade. Associations between methallothionein expression and clinical parameters (age, gender, smoking, tumor size, lymph node metastasis and disease stage) were examined for statistical significance using the chi-squared test. The overall survival rates were estimated by the Kaplan-Meier method and the relationship between protein expression and survival was compared using the log-rank test (p < 0.05). Our results showed no statistically significant association between methallothionein immunostaining and the selected clinicopathological variables. Immunohistochemistry results showed positive nuclear immunostaining for metallothionein in 62,37% (58/93) and negative for metallothionein 37,63% (35/93). The degree of examiners agreement by Kappa varied from substantial to perfect and both metallothionein immunostaining and histological grade were explored. The present study suggests that positive methallothionein expression found in tongue squamous cell carcinoma may not help to predict survival in the analyzed samples, as well as no relation between the protein and histological grade and clinical features was observed. In conclusion, the present study suggests that metallothionein is not associated with tongue squamous cell carcinoma clinicopathological characteristics and aggressiveness.

The purpose of this study was to analyze luxation injuries in children between the ages of 0 and 5 years treated at an emergency service department. A total of 1,703 records, corresponding to a period of 10 years at the Emergency Center of the Baby Clinic at Londrina State University, Brazil, were analyzed. The age, gender, etiologic factors, type of injury, injured teeth, treatment and time interval between injury and treatment were determined for each patient. Of the examined records, 409 patients met the study criteria and included a total of 679 injured teeth. Statistical analyses were carried out using the chi-square test with the level of significance set at 5%. Trauma incidence was higher in boys (57.0%) and in children less than two years of age (40.3%). Falling while walking or running was the most predominant etiologic factor (37.7%), and the most prevalent type of injury was subluxation (32.6%). Luxation injuries decreased with increasing age (p = 0.045). Treatment usually occurred within the first 1-15 days and was significantly associated with the type of trauma (p = 0.041). "Monitor only" was the treatment most frequently observed (74.0%). In conclusion, more luxation injuries were found in younger children, predominantly in boys. Falls resulting from walking or running were the etiologic factor most observed, with subluxation as the most common type of trauma. Treatment usually occurred within the first 15 days after the injury. Despite the severity of these injuries, "monitor only" was the eligible treatment.