The intersection between art and education permeates cultural policy in Brazil, so that educational actions are configured as a current phenomenon in cultural institutions. In this work, we aim to reflect on the interrelationships between fruition and pedagogical action in cultural policy through a bibliographic research that mobilizes both authors in the field of cultural policies (CANCLINI, 2019; URFALINO, 2015; RUBIM, 2011 and DURAND, 2013) as well as those who reflect on the overlaps between art and education (HERKENHOFF, 2008b; ZANINI, 2013b, 2013c; LARROSA, 2015; BISHOP, 2012 and HOFF, 2019). To this end, we approach the notion of cultural policy to highlight the links between educational actions and artistic events. Through examples of exhibitions and educational actions, such as the Bienal de São Paulo, the Bienal do Mercosul and initiatives such as the lecture-performance by Grada Kilomba, we discuss the sensitive evocation of certain educational actions, as well as the pedagogical concern of certain exhibitions. We realize, in our conclusions, that cultural policy in Brazil has a strong pedagogical character in its action and that it is not restricted to public service actions, but imbricated in artistic projects. The examples discussed also allowed us to show that the educational processes acted as part of the public's aesthetic experience.

La intersección entre arte y educación permea la política cultural en Brasil, de modo que las acciones de formación se configuran como un fenómeno actual en las instituciones culturales. En este trabajo, pretendemos reflexionar sobre las interrelaciones entre fruición y acción pedagógica en política cultural a través de una investigación bibliográfica que moviliza a ambos autores en el campo de las políticas culturales (CANCLINI, 2019; URFALINO, 2015; RUBIM, 2011 y DURAND, 2013) así como aquellos que reflexionan sobre las imbricaciones entre arte y educación (HERKENHOFF, 2008b; ZANINI, 2013b, 2013c; LARROSA, 2015; BISHOP, 2012 y HOFF, 2019). Para ello, nos acercamos a la noción de política cultural para resaltar los vínculos entre las acciones educativas y los eventos artísticos. A través de ejemplos de exposiciones y acciones educativas, como la Bienal de São Paulo, la Bienal do Mercosul e iniciativas como la conferencia-performance de Grada Kilomba, discutimos la convocatoria sensible de ciertas acciones educativas, así como la preocupación pedagógica de ciertas exposiciones. . Nos damos cuenta, en nuestras conclusiones, que la política cultural en Brasil tiene un fuerte carácter pedagógico en su acción y que no está restringida a acciones de servicio público, sino imbricada en proyectos artísticos. Los ejemplos discutidos también permitieron mostrar que los procesos de formación actuaron como parte de la experiencia estética del público.

O entrecruzamento entre arte e educação perpassa a política cultural no Brasil, de modo que ações formativas configuram-se como um fenômeno corrente em instituições culturais. Neste trabalho, objetivamos refletir sobre as inter-relações entre fruição e ação pedagógica na política cultural por meio de uma pesquisa bibliográfica que mobiliza tanto autores do campo das políticas culturais (CANCLINI, 2019; URFALINO, 2015; RUBIM, 2011 e DURAND, 2013) quanto aqueles que refletem sobre as imbricações entre arte e educação (HERKENHOFF, 2008b; ZANINI, 2013b, 2013c; LARROSA, 2015; BISHOP, 2012 e HOFF, 2019). Para tanto, abordamos a noção de política cultural para evidenciar os laços entre ações educativas e acontecimentos artísticos. Por meio de exemplos de mostras e ações educativas, tais como a Bienal de São Paulo, a Bienal do Mercosul e iniciativas como a palestra-performance de Grada Kilomba, discutimos a convocação sensível de certas ações educativas, assim como a preocupação pedagógica de determinadas exposições. Percebemos, em nossas conclusões, que a política cultural no Brasil tem um forte caráter pedagógico em sua ação e que não está restrita às atuações do serviço público, mas imbricadas em projetos artísticos. Os exemplos abordados permitiram mostrar, ainda, que os processos formativos atuaram como parte da experiência estética do público.

Abstract Uterine septum is the most common uterine anomaly and is more prevalent in women with infertility and a history of recurrent miscarriage. There is no consensus on what the indications for treatment are, nor the specific surgical approach to be used. It is reasonable to consider incision of the septum in a patient with infertility, history of spontaneous abortion or adverse obstetric outcomes, but no solid published evidence supports surgical treatment in asymptomatic women. The decision on therapy must be shared with the patient, explaining the potential risks and benefits. The surgical technique must be chosen regarding the surgeon’s experience.

Laparoscopic and vaginal routes are the preferable routes to consider when planning a hysterectomy. Laparoscopy brings advantages to vaginal route when there are concomitant adnexal masses, endometriosis, pelvic inflammatory disease or previous abdominal surgeries. However, the learning curve in laparoscopy is slower and the surgery itself is, consequently, very dependent on the surgeon's experience. In this article, the authors review the first 300 total laparoscopic hysterectomy (TLH) surgeries in a new Obstetric/Gynecology Department. A retrospective analysis to clinical files of patients submitted to TLH between January 2013 and February 2016. Data was divided in 2 groups: group A, corresponding to the first 150 HTL and group B, with the 150 subsequent HTL. The results showed 2 similar groups, with median ages of 51 years old, with 27 median corporeal mass index, with 41% of the patients having previous abdominal surgeries. The main surgical indication was anomalous uterine bleeding secondary to mioma/adenomyosis (53%), and 309 concomitant surgeries were performed during surgical time (the majority in the adnexal area, 84%). Globally the intra-operatory and post-operatory complications rate was 1% and 2.3%, respectively, and most occurred in group A. The conversion rate to laparotomy or vaginal assisted laparoscopic hysterectomy was low (2.3%), and was only verified in group A, with statistic significance (p-value - 0.024). The blood loss volume was also statiscally different between the 2 groups (p-value < 0.001), with less volume blood loss in group B. The average uterine weight was similar in the 2 groups, with 187 and 168 grams, and the average surgical time was 155 and 148 minutes, which included the concomitant surgeries. In conclusions, despite the small number of cases, our study seems to show a tendency towards decrease in complications rate, conversion rate and blood loss, probably due to increased experience of the surgeons

Overview and aims: Deep endometriosis is defined as the presence of infiltrating lesions more than 5mm deep to the peritoneum and it corresponds to 5-10% of all endometriotic lesions. Laparoscopy is considered the gold standard for the diagnosis and treatment of endometriosis and it is successful in controlling pain, decreasing recurrence rates and improving fertility. This study aims to evaluate the work of a Laparoscopic unit specialized in the treatment of endometriosis. Study design, Population and Methods: Retrospective study of all laparoscopies performed for deep endometriosis between January 2013 and December 2014. Clinical presentation, pre-operatory exams, intra and post-operatory surgical data and follow-up were accessed. Results: Sixteen surgeries were done (15 patients). The patient's mean age was 35 years (28- 43); ten women were nulliparous of which nine were infertile. Dysmenorrhea was the most frequent symptom (n=12), followed by dyspareunia (n=8). In six women a node in the rectovaginal septum was present in the physical exam. In six cases a colpectomy was done in order to accomplish total excision of the rectovaginal node. One discoid excision of the rectum was done. No conversions to laparotomy were needed. The mean operative time was 142±55min, with estimated blood loss < 250ml in 15 surgeries. There was a case of an intra-abdominal abscess. Mean follow-up duration was eight months, with 81% of the patients referring clinical improvement. Conclusions: Laparoscopic surgery in the treatment of deep endometriosis requires a high degree of surgical expertise and the approach by a multidisciplinary team. Only then, a low rate of complications, symptoms regression and a potential fertility improvement can be achieved.

Abstract Background Cultural issues are important for diagnostic validity between different countries; little has been addressed from Latin America and Caribbean countries (LAC). Objective To identify LAC studies on culture-bound syndromes (CBS) and extract potential empirical evidence about Susto,Nervios and Ataques de Nervios. Methods Search strategies were carried out in Medline, Embase, Lilacs, ISI and PsycINFO, covering 1992 to 2015. Inclusion criteria studies on CBS conducted on populations residing in LAC, LAC articles on diagnostic classification and culture, where LAC has been included. Exclusion criteria studies on Latin American migrants outside LAC. Content analysis used the system proposed by Guarnaccia and Rogler (1999): epidemiological, ethnographic and socio-demographic data and identification of comorbidities with other psychiatric disorders. Results Thirty one articles were selected out of 1.090. These CBS were selected out of 1aphic data and identification of comorbidities with other ps proposed by Guarnaccia diagnostic classification and cun panic disorders and post-traumatic stress disorder and presented more psychosocial vulnerability. Discussion Analysis showed that Nervios, Susto andAtaques de Nervios are important idioms of distress, associated with socio-economically vulnerable populations and comorbidities with other psychiatric conditions, particularly post-traumatic stress disorder. More studies are needed on their relation with stress and in more LAC countries.

OBJETIVO: Esta revisão visa identificar as evidências dos estudos de países da América Latina e do Caribe para a inclusão das síndromes transculturais na versão da Classificação Internacional de Doenças para sua 11ª Edição. MÉTODO: Os estudos foram identificados nas bases do Medline, LILACS e EMBASE, no período de 1992 a 2008, e classificados segundo o tipo de estudo, tipo de transtorno, país e número de publicações por ano. RESULTADOS: Foram selecionadas e classificadas 163 publicações: 33 no Medline, 90 no EMBASE e 40 no LILACS. A percentagem das síndromes transculturais ("culture bound-syndrome") correspondeu a 9% no Medline, 12% no EMBASE e 2,5% no LILACS. Dos 15 estudos sobre síndromes transculturais, dois eram sobre "nervios e ataque de nervios", dois sobre "susto", quatro sobre a relação entre crenças religiosas, "feitiçaria", transe e apresentação dos transtornos mentais, um sobre proposta de uma nova categoria diagnóstica, três artigos teóricos e três sobre psicopatoplastia dos transtornos mentais. CONCLUSÃO: A escassez de estudos sobre síndromes transculturais pode ter ocorrido pela dificuldade em rastrear os estudos por problema de indexação das publicações, falta de interesse em publicar tais estudos em periódicos indexados e a dificuldade de acesso às publicações. Dentre os estudos identificados, não há uma evidência clara que aponte quais modificações são necessárias nas classificações diagnósticas atuais.

OBJECTIVE: This review aims to verify the scientific evidences for the inclusion of culture bound syndromes in the International Classification of Diseases towards its 11th edition based on studies from Latin American and Caribbean countries. METHOD: Studies were identified in Medline, LILACS and EMBASE databases for the period between 1992 and 2008, and then classified according to the type of study, to the mental disorder, country and number of publications per year. RESULTS: 163 studies were selected and classified: 33 in MedlLne, 90 in EMBASE e 40 in LILACS. The percentage of culture bound-syndrome corresponded to 9% in Medline, 12% in EMBASE e 2.5% in LILACS. Among fifteen studies on cultural bound syndromes, two were about "nervios and ataque de nervios", two about "susto", four about the relationship between religion beliefs, witchery, trance and mental disorders, one with a proposal for new diagnostic category, three about theoretic issues and three about the pathoplasty of mental disorders. CONCLUSION: The scarcity of studies on culture bound syndromes might be due to the indexation problems hindering the screening of studies; lack of interest on publishing such studies in indexed journals (publication bias) and due to difficulty to access them. There is no robust evidence identified among cross-cultural studies to recommend changes for International Classification of Diseases-11th edition.

INTRODUÇÃO: O EEG tem sido usado, desde sua descoberta, como um importante método diagnóstico auxiliar, especialmente para a epilepsia. OBJETIVO: Avaliar o papel do EEG no diagnóstico de epilepsia, em uma clínica na cidade de Campina Grande (PB). MÉTODO: Foram analisados 1015 formulários de admissão préexame, selecionando-se aqueles cujos motivos de solicitação referiam-se a pacientes portadores ou com suspeita de epilepsia. RESULTADOS: Foram analisados 259 laudos que se enquadravam na metodologia. Destes, 113 (43,6%) foram anormais, com a ocorrência de descargas em 78 (30,1%), sendo generalizadas em 30 (11,6%), focais em 44 (17%) e multifocais em 4 (1,5%). Alentecimentos anormais ocorreram em 19 (7,3%), sendo focais em 11 (4,2%) e generalizados em 8 (3,1%). Assimetria dos ritmos de base ocorreu em 16 (6,2%). CONCLUSÃO: O papel do EEG para o diagnóstico da epilepsia é importante na população estudada, sendo o seu índice de positividade semelhante a outros observados na literatura.

INTRODUCTION: Since it was discovered, EEG has been used as an important auxiliary diagnostic method in neurology, especially in epilepsy. OBJECTIVE: To verify the value of EEG for supporting the diagnosis of epilepsy. METHOD: We retrospectively analyzed 1015 pre-admission reports from an outpatient clinic of Campina Grande (PB) selecting the ones with suspected or confirmed epilepsy diagnosis. RESULTS: Analyzing 259 EEG reports, which were in accordance with the methodology, we found abnormalities in 113 (43.6%). Generalized discharges occurred in 30 (11.6%), focal discharges in 44 (17%) and multifocal discharges in 4 (1.5%). Abnormal slow waves occurred in 19 (7.3%), being focal in 11 (4.2%) and diffuse in 8 (3.1%). Background asymmetry occurred in 16 (6.2%). CONCLUSION: EEG is important for supporting the diagnosis of epilepsy and our results were similar to other reports in the literature.