Abstract Objective To present the update of the recommendations of the Brazilian College of Radiology and Diagnostic Imaging, the Brazilian Society of Mastology and the Brazilian Federation of Associations of Gynecology and Obstetrics for breast cancer screening in Brazil. Methods Scientific evidence published in Medline, EMBASE, Cochrane Library, EBSCO, CINAHL and Lilacs databases between January 2012 and July 2022 was searched. Recommendations were based on this evidence by consensus of the expert committee of the three entities. Recommendations Annual mammography screening is recommended for women at usual risk aged 40–74 years. Above 75 years, it should be reserved for those with a life expectancy greater than seven years. Women at higher than usual risk, including those with dense breasts, with a personal history of atypical lobular hyperplasia, classic lobular carcinoma in situ, atypical ductal hyperplasia, treatment for breast cancer or chest irradiation before age 30, or even, carriers of a genetic mutation or with a strong family history, benefit from complementary screening, and should be considered individually. Tomosynthesis is a form of mammography and should be considered in screening whenever accessible and available.

Resumo Objetivo Apresentar a atualização das recomendações do Colégio Brasileiro de Radiologia e Diagnóstico por Imagem da Sociedade Brasileira de Mastologia e da Federação Brasileira das Associações de Ginecologia e Obstetrícia para o rastreamento do câncer de mama no Brasil. Métodos Foram pesquisadas evidências científicas publicadas nas bases de dados Medline EMBASE Biblioteca Cochrane EBSCO CINAHL e Lilacs entre janeiro de 2012 e julho de 2022. As recomendações foram baseadas nessas evidências por consenso do comitê de especialistas das três entidades. Recomendações A mamografia anual é recomendada para mulheres com risco habitual entre 40 e 74 anos. Acima de 75 anos deve ser reservado para aqueles com expectativa de vida superior a sete anos. Mulheres com risco maior do que o normal incluindo aquelas com mamas densas com história pessoal de hiperplasia lobular atípica carcinoma lobular in situ clássico hiperplasia ductal atípica tratamento para câncer de mama ou irradiação de tórax antes dos 30 anos ou ainda portadoras de doença genética mutação ou com forte histórico familiar beneficiam-se de triagem complementar e devem ser considerados individualmente. A tomossíntese é uma forma de mamografia e deve ser considerada na triagem sempre que acessível e disponível.

Abstract Objective: To present an update of the recommendations of the Brazilian College of Radiology and Diagnostic Imaging, the Brazilian Society of Mastology, and the Brazilian Federation of Gynecology and Obstetrics Associations for breast cancer screening in Brazil. Materials and Methods: Scientific evidence published between January 2012 and July 2022 was gathered from the following databases: Medline (PubMed); Excerpta Medica (Embase); Cochrane Library; Ebsco; Cumulative Index to Nursing and Allied Health Literature (Cinahl); and Latin-American and Caribbean Health Sciences Literature (Lilacs). Recommendations were based on that evidence and were arrived at by consensus of a joint committee of experts from the three entities. Recommendations: Annual mammographic screening is recommended for women between 40 and 74 years of age. For women at or above the age of 75, screening should be reserved for those with a life expectancy greater than seven years. Women at higher than average risk are considered by category: those with dense breasts; those with a personal history of atypical lobular hyperplasia, classical lobular carcinoma in situ, or atypical ductal hyperplasia; those previously treated for breast cancer; those having undergone thoracic radiotherapy before age 30; and those with a relevant genetic mutation or a strong family history. The benefits of complementary screening are also addressed according to the subcategories above. The use of tomosynthesis, which is an evolved form of mammography, should be considered in screening, whenever accessible and available.

Resumo Objetivo: Apresentar a atualização das recomendações do Colégio Brasileiro de Radiologia e Diagnóstico por Imagem, da Sociedade Brasileira de Mastologia e da Federação Brasileira das Associações de Ginecologia e Obstetrícia para o rastreamento do câncer de mama no Brasil. Materiais e Métodos: Foram feitas buscas das evidências científicas publicadas nas bases Medline (PubMed), Excerpta Medica (Embase), Cochrane Library, Ebsco, Cinahl e Lilacs, entre janeiro de 2012 e julho de 2022. As recomendações foram baseadas nessas evidências, mediante consenso da comissão de especialistas das três entidades. Recomendações: O rastreamento mamográfico anual é recomendado para as mulheres de risco habitual entre 40 e 74 anos. Acima de 75 anos deve ser reservado para as que tenham expectativa de vida maior que sete anos. Mulheres com risco maior que o habitual, entre elas as com mamas densas, com história pessoal de hiperplasia lobular atípica, carcinoma lobular in situ clássico, hiperplasia ductal atípica, tratamento de câncer de mama ou de irradiação no tórax antes dos 30 anos, ou ainda portadoras de mutação genética ou com forte história familiar, se beneficiam do rastreamento complementar, sendo consideradas de forma individualizada. A tomossíntese é uma evolução da mamografia e deve ser considerada no rastreamento, sempre que acessível e disponível.

Abstract Jabuticaba skin flour (JSF), rich in antioxidants and fibre, was used in order to develop four restructured hams in different combinations with meat: 0% control – without the addition of JSF, with the addition of 0.5% JSF, 1.0% JSF and 1.5% JSF, meeting, therefore, the growing demand for meat products with functional appeal. Physicochemical characterizations and sensory analysis were performed, evaluating the impact of information on possible health benefits and the effect on storage. Restructured hams with JSF had higher contents of phenolic compounds; greater weight loss; a darker shade; texture profile with smaller parameters of stiffness, cohesiveness, adhesiveness, flexibility and chewiness (except the restructured ham with 0.5% JSF). Phenolic compounds, pH values, colour and TBARs did not differ with storage time, but were statistically different among JSF concentrations. Panellists preferred the restructured ham without JSF, however, the analysis of variance for overall aspect did not show a significant difference between the restructured ham “control” and those added with 0.5% and 1.0% JSF, after informing the panellists that they would possibly bring health benefits. It is concluded that it is possible to prepare and store restructured hams with JSF, at concentrations of 0.5% and 1.0% with good acceptance.

O presente artigo tem como objetivo analisar os conceitos-chave relativos à Educação em Saúde e Educação na Saúde e suas interfaces no campo da Saúde Coletiva. Embora apresentem diferenças, é frequente na prática dos serviços, a utilização das diversas variantes a elas relacionadas de forma indistinta. Dessa forma busca-se, também, distinguir dentro desses conceitos-chave as variantes da primeira, tais como, educação sanitária, educação e saúde, educação para a saúde e educação popular em saúde que significa um conjunto de práticas de educação para indivíduos e comunidade a fim de aumentar a autonomia das pessoas e da comunidade para que possam fazer escolhas e adotar hábitos saudáveis de vida e as variantes da segunda, tais como educação permanente em saúde e educação continuada ministrada para profissionais de saúde a fim de aprimorar o conhecimento destes e a atenção dispensada à população.

The scope of this paper is to analyze the key concepts and expressions related to health education and education in the health system and their interfaces in the field of Public Health. Since there are various interpretations among health professionals regarding such terminologies and their variants in daily practice, it is necessary to establish the difference between them. Consequently, an attempt is also made to establish the difference between the variants of the first, such as sanitary education, education for health and popular health education, which represent a series of practices that involve social participation to increase the autonomy of individuals and the community in order to make choices and to pursue a healthy lifestyle. The variants of the second include ongoing education and in-service education, namely the education provided to health professionals to improve their knowledge in the field of health, in order to improve the health care afforded to the population.

O presente artigo tem como objetivo analisar os conceitos-chave relativos à Educação em Saúde e Educação na Saúde e suas interfaces no campo da Saúde Coletiva. Embora apresentem diferenças, é frequente na prática dos serviços, a utilização das diversas variantes a elas relacionadas de forma indistinta. Dessa forma busca-se, também, distinguir dentro desses conceitos-chave as variantes da primeira, tais como, educação sanitária, educação e saúde, educação para a saúde e educação popular em saúde que significa um conjunto de práticas de educação para indivíduos e comunidade a fim de aumentar a autonomia das pessoas e da comunidade para que possam fazer escolhas e adotar hábitos saudáveis de vida e as variantes da segunda, tais como educação permanente em saúde e educação continuada ministrada para profissionais de saúde a fim de aprimorar o conhecimento destes e a atenção dispensada à população.

The scope of this paper is to analyze the key concepts and expressions related to health education and education in the health system and their interfaces in the field of Public Health. Since there are various interpretations among health professionals regarding such terminologies and their variants in daily practice, it is necessary to establish the difference between them. Consequently, an attempt is also made to establish the difference between the variants of the first, such as sanitary education, education for health and popular health education, which represent a series of practices that involve social participation to increase the autonomy of individuals and the community in order to make choices and to pursue a healthy lifestyle. The variants of the second include ongoing education and in-service education, namely the education provided to health professionals to improve their knowledge in the field of health, in order to improve the health care afforded to the population.