SUMMARY OBJECTIVE: Increasing evidence suggests that exercise programs are of great value in the rehabilitation and survivorship of patients with cancer. However, challenges remain regarding maintaining patients more physically active. This study aimed to evaluate the impact of a supervised exercise program on quality of life, fatigue, physical performance, and levels of physical activity of patients with cancer. METHODS: An observational longitudinal study, with a 1-year prospective follow-up, was developed. SETTING: This is a university-based outpatient rehabilitation program in a high-complexity cancer care center in Sao Paulo. RESULTS: After the program, patients showed a significant gain in quality of life (p<0.0001), physical performance (p<0.0001), and improvement in fatigue (p<0.0001). After 12 months, 81.1% of the patients remained active, and only 4.5% declared themselves to be sedentary. CONCLUSION: The results of this study confirm that exercise programs are an important tool in the rehabilitation of patients with cancer and that an initial supervised exercise program, in combination with follow-ups, can help increase the levels of physical activity of this population. CLINICAL REHABILITATION IMPACT: This study provides additional information on the outcomes that are expected with the provision of a supervised physical exercise program in the rehabilitation care of patients with cancer and that additional follow-ups could further benefit this population. OBJECTIVE However active METHODS 1year year 1 followup, followup follow up, up follow-up developed SETTING universitybased university based highcomplexity high complexity Paulo RESULTS p<0.0001, p00001 p p<0.0001 , 0 0001 (p<0.0001) p<0.0001. . months 811 81 81.1 45 4 5 4.5 sedentary CONCLUSION followups, followups ups, ups population IMPACT p0000 p<0.000 000 (p<0.0001 8 81. 4. p000 p<0.00 00 (p<0.000 p00 p<0.0 (p<0.00 p0 p<0. (p<0.0 p<0 (p<0. p< (p<0 (p< (p

SUMMARY OBJECTIVE: The aim of this study was to evaluate the effects of obstetric simulation training on undergraduate medical students to improve their self-confidence. METHODS: Fifth-year undergraduate medical students were invited to a 2-week course of simulation in obstetrics during their clerkship. The sessions included were as follows: (1) care for the second and third periods of childbirth, (2) partograph analysis and pelvimetry, (3) premature rupture of membranes at term, and (4) diagnosis and management of third-trimester bleeding. Before the first session and at the end of the training period, a questionnaire about self-confidence in obstetric procedures and skills was applied. RESULTS: A total of 115 medical students were included, of whom 60 (52.2%) were male and 55 (47.8%) were female. Comparing initial and final scores, the median results of the subscales “comprehension and preparation” (18 vs. 22, p<0.001), “knowledge of procedures” (14 vs. 20, p<0.001), and “expectation” (22 vs. 23, p<0.01) were significantly higher at the end of the training period in all items of the questionnaire than in the beginning. Differences were found based on the students’ gender, i.e., female students had a significantly higher sum of scores than the male students in the initial subscale for “expectation” (median, 24 vs. 22, p<0.001) and “interest” (median, 23 vs. 21, p=0.032), and a higher sum of scores in the subscale for “expectation” (median, 23 vs. 21, p=0.010) in the final questionnaire. CONCLUSION: Obstetric simulation enhances the improvement of students’ self-confidence in understanding both the physiology of childbirth and the obstetric care procedures. Further studies are needed to understand the influence of gender on obstetric care. OBJECTIVE selfconfidence. selfconfidence self confidence. confidence METHODS Fifthyear Fifth year 2week week 2 clerkship follows 1 (1 (2 pelvimetry 3 (3 term 4 (4 thirdtrimester trimester bleeding applied RESULTS 11 6 52.2% 522 52 (52.2% 5 47.8% 478 47 8 (47.8% comprehension preparation 18 vs 22 p<0.001, p0001 p p<0.001 , 0 001 knowledge 14 20 expectation “expectation p<0.01 p001 01 beginning ie i e i.e. median, (median interest “interest 21 p=0.032, p0032 p=0.032 032 p=0.032) p=0.010 p0010 010 CONCLUSION ( 52.2 (52.2 47.8 (47.8 p000 p<0.00 00 p<0.0 p00 i.e p003 p=0.03 03 p=0.01 52. (52. 47. (47. p<0. p0 p=0.0 (52 (47 p<0 p=0. (5 p< p=0 p=

Resumo O judô é um esporte em destaque no Brasil. Um dos motivos para isso é o suporte financeiro que o país oferta. Por conta disso, este trabalho objetivou descrever e analisar as formas de captação de recursos financeiros dos atletas de ponta do judô e detalhar a utilização do Programa Bolsa Atleta em suas carreiras. Foram entrevistados 17 atletas da seleção brasileira de judô. Geralmente, os atletas se beneficiam de quatro fontes de recursos financeiros - clube, patrocínios individuais, Programa de Atletas do Alto Rendimento (PAAR) e Programa Bolsa Atleta. Além disso, a Confederação Brasileira de Judô (CBJ) auxilia com outros recursos. Concluiu-se, então, que as principais fontes de financiamento dos atletas vêm do governo federal. É possível se manter financeiramente como atleta de alto rendimento, contudo, há um déficit no financiamento de judocas de base, falta de suporte para recuperação de lesões e para o pós-carreira do atleta.

Abstract Judo is a prominent sport in Brazil, partly as a result of government-provided financial support. This work describes and analyzes top judo athletes’ fundraising strategies and the uses they make of the Athlete Scholarship Program in their careers. Seventeen athletes from Brazil’s national judo team were interviewed. Athletes usually benefit from four funding sources - clubs, individual sponsors, the High-Performance Athletes Program (PAAR), and the Athlete Scholarship Program. In addition, the Brazilian Judo Confederation (CBJ) assists with other resources. The study concludes that the main funding sources for athletes are provided by the federal government. High performance athletes are able support themselves, but lower-level athletes are underfunded and lack support to recover from injuries and for their post-career times.

Resumen El judo es un deporte destacado en Brasil, y una de las razones de esto es el apoyo financiero que ofrece el país. Por eso, este trabajo tuvo como objetivo describir y analizar las formas de captación de recursos económicos de los deportistas de élite del judo, y detalla la utilización del Programa Bolsa Atleta (Beca Atleta) en sus carreras. Fueron entrevistados 17 deportistas de la selección brasileña de judo. Generalmente, los deportistas se benefician de cuatro fuentes de recursos financieros: club, patrocinios individuales, Programa de Atletas de Alto Rendimiento (PAAR) y Programa Bolsa-Atleta. Además, la Confederación Brasileña de Judo (CBJ) colabora con otros recursos. Se concluyó que las principales fuentes de financiación de los deportistas provienen del gobierno federal. Es posible mantenerse económicamente como deportista de alto rendimiento, sin embargo, existe un déficit en la financiación de los judokas de base, falta de apoyo para la recuperación de lesiones y para la poscarrera del deportista.

RESUMO Introdução A Aprendizagem Baseada em Problemas (ABP) tem se destacado na educação médica por ser uma proposta fundamentada no construtivismo, com a finalidade de desenvolver a autonomia e o raciocínio crítico do estudante para tomada de decisões. Objetivo Por conta das dificuldades encontradas pelos graduandos e das escassas informações relativas à contribuição da ABP para a prática clínica de médicos pediatras, objetivou-se avaliar a contribuição da ABP para a formação dos médicos pediatras. Metodologia Trata-se de uma série de casos de abordagem descritiva, desenvolvida com médicos pediatras egressos de duas instituições públicas de ensino. A definição da amostra ocorreu de forma intencional, amostragem não probabilística, em que os atributos dos participantes são definidos conforme o objeto de estudo, a fim de selecionar quais os indivíduos são mais adequados para serem incluídos na amostra, a qual é composta por dez médicos pediatras, sendo cinco egressos de cada instituição. Para responderem ao questionário, selecionaram-se médicos especialistas em pediatria. A coleta de dados foi realizada pela pesquisadora principal, por meio de três questões semiestruturadas respondidas via e-mail. As respostas dos entrevistados às questões abertas foram analisadas pelo método de análise reflexão-síntese, que pressupõe a análise e síntese de conteúdo mediadas pela sensibilidade e pela razão. Resultados Os resultados obtidos entre 2003 e 2012 indicaram que 28% dos médicos pediatras apresentavam título de especialista e 72% não o tinham esse título. Os discursos apresentados pelos participantes permitiram identificar que a ABP contribuiu para a formação e atuação dos médicos pediatras em diferentes aspectos, proporcionando a busca de conhecimento, a habilidade para trabalhar em equipe e a facilidade para realizar o manejo clínico de forma interdisciplinar e holística. Porém, os discursos também demonstraram que esse método pode não favorecer o aprofundamento das matérias básicas. Conclusão A ABP contribuiu para a formação e atuação do médico pediatra, porém pode não ter favorecido o aprofundamento das matérias básicas.

ABSTRACT Introduction Problem-Based Learning (PBL) has been highlighted in medical education because it is a proposal based on constructivism, with the purpose of developing students’ autonomy and critical thinking for decision-making. Objective In view of the difficulties experienced by undergraduate students and the scarce information regarding the contribution of PBL to the clinical practice of pediatric physicians, we aimed to evaluate the contribution of PBL to the training of pediatricians. Methods This is a series of descriptive cases, developed with pediatricians from two public educational institutions. This study used an intentional, non-probabilistic sampling technique, in which the attributes of the participants are defined according to the object of study, aiming to select which individuals are more suitable to be included in the sample, consisting of ten pediatricians, with five graduated from each institution. Pediatricians were selected to answer the questionnaire. Data collection was performed by the main researcher, through three semi-structured questions answered via e-mail. The interviewees’ answers to the open questions were analyzed using the method of reflection-synthesis analysis, which presupposes content analysis and synthesis mediated by sensitivity and reason. Results The results indicated that 28% of the pediatricians had a Board Certification degree, and 72% did not, between the years 2003 and 2012. The participants’ discourses allowed us to identify that the PBL contributed to the training and performance of pediatricians in different aspects, providing the search for knowledge; ability to work as a team; and capacity to conduct clinical management in an interdisciplinary and holistic way. However, the discourses also demonstrated that this method might not favor the developing of the basic subjects. Conclusion The PBL contributed to the training and performance of the pediatrician, but it might not have favored the developing of the basic subjects.

Algumas características de farinha de mandioca dependem da variedade da raiz utilizada para o processamento. Objetivou-se avaliar as características físico-químicas da farinha de mandioca oriundas de variedades utilizadas no estado do Acre. Os tratamentos foram compostos pelas variedades: T1= Paxiubão, T2= Im221, T3 = Caboquinha, T4 = Araçá, T5 = Colonial, T6 = Branquinha, T7 = Panati e T8 = Mansa e Brava. Foram coletadas amostras das oito variedades de mandioca em casas-de-farinha no município de Cruzeiro do Sul, Acre. As raízes foram transportadas via aérea para o Laboratório de Tecnologia de Alimentos da Embrapa-AC, na cidade de Rio Branco, Acre. Foram avaliados: teor de umidade, cinzas, lipídios, proteína, fibra bruta, carboidratos, acidez, pH e atividade de água. Todas as amostras se apresentaram de acordo com os padrões estabelecidos pela Legislação Brasileira para farinha de mandioca quanto ao teor de umidade, cinzas e carboidratos. As farinhas analisadas apresentam teores baixos de fibras e baixa acidez. A atividade de água das farinhas analisadas esteve abaixo do limite mínimo capaz de permitir o desenvolvimento de microrganismos. As variedades Araçá, Colonial e Branquinha se mostraram adequadas para a fabricação de farinha de mandioca devido, principalmente, ao elevado teor de proteína e carboidratos presente nas farinhas produzidas.

Some characteristics of the cassava depend on the variety used for the processing. The objectified of this study was to evaluate physicochemical characteristics of the cassava flour from varieties used in Acre. The treatments were composed by the varieties: T1 = Paxiubão, T2 = Im221, T3 = Caboquinha, T4 = Araçá, T5 = Colonial, T6 = Branquinha, T7 = Panati and T8 = Mansa e Brava. Samples of flour of eight cassava varieties were collect in cassava mils in Cruzeiro do Sul. The samples were sent by airmail to Rio Branco, Acre, to be analyzed in the Food and Technology Laboratory at Embrapa-AC. The evaluated parameters were: water percentage, ashes, lipids, protein, fiber, carbohydrates, acidity, pH and water activity. All samples were taken according to the established patterns of the Brazilian Legislation for cassava flour, considering water percentage, ashes and carbohydrates. The analyzed flours presented low fibers levels and low acidity. The water activity of the analyzed flours was below the minimum limit necessary to allow microorganisms development. The varieties Araçá, Colonial and Branquinha were adequate to cassava flour manufacturing, mainly because of the high protein and carbohydrates levels present in the produced flour.

Este trabalho teve como objetivo avaliar a variabilidade físico-química da farinha de mandioca comercializada no município de Cruzeiro do Sul - AC por meio da análise multivariada. Foram analisadas 18 amostras de diferentes farinhas de mandioca, quanto às variáveis: umidade, cinzas, lipídios, proteína bruta, fibra bruta, carboidratos totais, acidez e pH. A aplicação da análise multivariada de agrupamento segundo o método de Tocher permitiu o estabelecimento de cinco grupos de farinhas. Os grupos IV e V foram considerados de alta qualidade, o primeiro por apresentar o menor teor de cinzas e o maior de proteína bruta, e o segundo por apresentar o menor teor de umidade e o maior teor de carboidratos dentre os grupos. As técnicas de análise multivariada foram coerentes para identificar as farinhas mais heterogêneas. A identificação de grupos distintos indica a existência de variabilidade nas farinhas de mandioca comercializadas na região de Cruzeiro do Sul - AC, podendo esta variabilidade estar relacionada, especialmente com o processo de produção.

The goal of this work was to evaluate the physicochemical variability of the cassava flour, sold in the city of Cruzeiro do Sul - in the state of AC (Brazil), by multivaried analysis. The following contents of eighteen different cassava flours were analyzed: moisture, ashes, lipids, protein, fiber, carbohydrates, acidity, and pH. Grouping multivaried analysis according to the Tocher method allowed the establishment of five groups of flours. The groups IV and V were considered high quality groups. The first one due to the lower ashes and higher protein contents; and the second due to the lower moisture and higher carbohydrates contents. The multivaried analysis techniques presented good responses to identify most heterogeneous flours. The physicochemical variability seen in the five different groups probably indicates different production processes.