ABSTRACT. This study aimed to assess the impact of microalgal concentrations in diets on the settlement and metamorphosis stages of pediveliger larvae and spat of Crassostrea gigas oysters. Diets containing microalgal concentrations of 8, 12, and 16×104 cells mL-1 were administered for seven days during the larval settlement phase of pediveliger larvae. In the metamorphosis and postlarval cultivation phases, diets with microalgal concentrations of 8, 16, 24, and 32×104 cells mL-1 and a control group without food were tested for 14 and 21 days, respectively. Growth, yield, and survival were assessed every seven days. The diet comprised 30% Isochrysis galbana and 70% Chaetoceros muelleri microalgae. In the metamorphosis phase, the results revealed no significant differences in larval metamorphosis rate and survival across the tested diets. The concentrations exhibited similar survival in the spat with an initial average shell height of 0.657 ± 0.05 mm, with a significant difference only in growth. In the spat with an initial average shell height of 0.830 ± 0.12 mm, no differences in survival were observed among the tested concentrations. We concluded that diets of 12 and 16×104 cells mL-1 provide high rates of larval metamorphosis and spat yield during the larval settlement and metamorphosis phases. During the spat cultivation phases, diets of 32 and 24×104 cells mL-1 could optimize the cultivation time and yield of C. gigas spat in the laboratory. However, when considering survival alone, no advantage was found in providing a diet with a microalgal concentration above 8×104 cells mL-1 across all C. gigas oyster cultivation phases.

Abstract The Chilean Society of Cardiology and Cardiovascular Surgery (SOCHICAR) is a scientific society whose mission is to improve the nation’s cardiovascular health. Its primary goals include discussing issues affecting the specialty and engaging in various activities that support its advancement. To achieve these goals, numerous educational initiatives are undertaken for health professionals, including physicians in cardiology training programs. Training specialists in Chile is the responsibility of the universities, which design the curriculum and plan the program according to the graduate profile. SOCHICAR seeks to integrate these new generations of cardiologists, setting up tasks that contribute to their training. It seemed relevant to us to state our position as a Scientific Society in importants aspects related to this process: the graduate profile of the clinical cardiologist, the necessary competencies for their performance nationally, the identification of deficient areas in their training period, and the Society’s contributions to this university-dependent process. A total of 15 cardiologists from SOCHICAR, at different stages of professional development, various geographic areas, and areas of performance and functions, were invited to participate in three working groups. This SOCHICAR position statement may be useful and an important source of information to be considered by authorities, accrediting entities, training centers, and the Chilean Society of Cardiology.

Resumen La Sociedad Chilena de Cardiología y Cirugía Cardiovascular (SOCHICAR) es una entidad científica cuya misión es mejorar la salud cardiovascular del país y entre sus objetivos principales está el debatir los problemas de la especialidad y realizar diferentes actividades que tiendan a fomentar su progreso. Para cumplir con ellos se realizan diferentes actividades de educación dirigidas a profesionales de la salud, entre los cuales se encuentran los médicos en programas de formación de cardiología. La formación de especialistas en Chile es responsabilidad de las Universidades, quienes diseñan la malla curricular y planifican las diferentes actividades del programa de acuerdo con el perfil de egreso. La SOCHICAR busca integrar a estas nuevas generaciones de cardiólogos, implementando una serie de actividades dirigidas a ellos que contribuyan en su período de formación. Nos pareció relevante entregar nuestra posición como Sociedad Científica en importantes aspectos relacionados con este proceso: el perfil de egreso del cardiólogo clínico, las competencias necesarias para su desempeño en el país, la identificación de áreas deficitarias en su etapa formativa y las contribuciones desde la Sociedad a este proceso dependiente de las Universidades. Se convocó a cardiólogos de SOCHICAR, en distintas etapas de desarrollo profesional, diferentes áreas geográficas y ámbitos de desempeño y funciones, en total, 15 cardiólogos (as), distribuidos en tres grupos de trabajo. Esta declaración de posición de la SOCHICAR puede ser de utilidad y una fuente de información importante a considerar por autoridades, entidades acreditadoras, centros formadores y la Sociedad Chilena de Cardiología.

La Sociedad Chilena de Cardiología y Cirugía Cardiovascular (SOCHICAR) es una entidad científica cuya misión es mejorar la salud cardiovascular del país y entre sus objetivos principales está el debatir los problemas de la especialidad y realizar diferentes actividades que tiendan a fomentar su progreso. Para cumplir con ellos se realizan diversas actividades de educación dirigidas a profesionales de la salud, entre los cuales se encuentran los médicos en programas de formación de cardiología. La formación de especialistas en Chile es responsabilidad de las Universidades, quienes diseñan la malla curricular y planifican las distintas actividades del programa de acuerdo con el perfil de egreso. La SOCHICAR busca integrar a estas nuevas generaciones de cardiólogos, implementando una serie de actividades dirigidas a ellos que contribuyan en su período de formación. Nos pareció relevante entregar nuestra posición como Sociedad Científica en importantes aspectos relacionados con este proceso: el perfil de egreso del cardiólogo clínico, las competencias necesarias para su desempeño en el país, la identificación de áreas deficitarias en su etapa formativa y las contribuciones desde la Sociedad a este proceso dependiente de las universidades. Se convocó a cardiólogos de SOCHICAR, en distintas etapas de desarrollo profesional, diferentes áreas geográficas y ámbitos de desempeño y funciones, en total, 15 cardiólogos (as), distribuidos en tres grupos de trabajo. Esta declaración de posición de la SOCHICAR puede ser de utilidad y una fuente de información importante a considerar por autoridades, entidades acreditadoras, centros formadores y la Sociedad Chilena de Cardiología.

The Chilean Society of Cardiology and Cardiovascular Surgery (SOCHICAR) is a scientific society whose mission is to improve the nation's cardiovascular health. Its primary goals include discussing issues affecting the specialty and engaging in various activities that support its advancement. To achieve these goals, numerous educational initiatives are undertaken for health professionals, including physicians in cardiology training programs. Training specialists in Chile is the responsibility of the universities, which design the curriculum and plan the program according to the graduate profile. SOCHICAR seeks to integrate these new generations of cardiologists, setting up tasks that contribute to their training. It seemed relevant to us to state our position as a Scientific Society in importants aspects related to this process: the graduate profile of the clinical cardiologist, the necessary competencies for their performance nationally, the identification of deficient areas in their training period, and the Society's contributions to this university-dependent process. A total of 15 cardiologists from SOCHICAR, at different stages of professional development, various geographic areas, and areas of performance and functions, were invited to participate in three working groups. This SOCHICAR position statement may be useful and an important source of information to be considered by authorities, accrediting entities, training centers, and the Chilean Society of Cardiology.

Constipation is a disorder of the gastrointestinal (GI) and some of the main etiological mechanisms are directly related to changes in GI physiology. The capacity to carry out paired assessments and measure GI parameters under the influence of constipation is a relevant point in selecting a suitable methodology. We aimed to perform a non-invasive investigation of gastrointestinal motility in constipated rats using the alternating current biosusceptometry system (ACB). The animals were split into two groups: the pre-induction stage (CONTROL) and post-induction loperamide stage (LOP). We assessed GI motility parameters using the ACB system. Colon morphometric and immunohistochemical analyses were performed for biomarkers (C-kit) for interstitial cells of Cajal (ICC). Our results showed a significant increase in gastrointestinal transit in the LOP group in addition to a reduction in the dominant frequency of gastric contraction and an arrhythmic profile. A change in colonic contractility profiles was observed, indicating colonic dysmotility in the LOP group. We found a reduction in the number of biomarkers for intestinal cells of Cajal (ICC) in the LOP group. The ACB system can evaluate transit irregularities and their degrees of severity, while also supporting research into novel, safer, and more efficient treatments for constipation.

RESUMO: A microbiota intestinal desempenha um papel importante na saúde dos animais. Portanto, os prebióticos têm despertado interesse na comunidade científica pelo seu papel na manipulação das populações de microrganismos intestinais. Entre os prebióticos, encontra-se a raiz de Smallanthus sonchifolius Poepp. Endl (yacon), que pode ser ingerida in natura ou em diferentes formas, como farinhas e extratos. Esse prebiótico tem sido associado aos efeitos benéficos em diferentes doenças, incluindo distúrbios metabólicos (como diabetes tipo 2) e distúrbios imunológicos. Assim, modelos de camundongos de doenças humanas causadas por fatores imunológicos têm sido usados para melhor entender os efeitos prebióticos do yacon. Uma vez que os prebióticos interferem na microbiota animal, é importante levar em consideração o nível de qualidade das instalações dos camundongos. Dessa forma, os efeitos benéficos da polpa de raiz de yacon foram testados em um modelo de camundongo de asma alérgica e, considerando como as condições da instalação dos animais poderiam afetar esses resultados, realizamos experimentos tanto em instalações convencionais quanto em instalações livres de patógenos específicos (LPE). Nossos resultados mostraram que melhores efeitos prebióticos foram observados em uma instalação LPE do que em uma convencional e, em alguns casos, evidências dos efeitos benéficos do yacon foram observadas exclusivamente em uma instalação LPE. Por exemplo, houve reduções de 63,6% e 58,0% nos níveis de IgE e eosinófilos, respectivamente, em animais imunizados/tratados com yacon em comparação com camundongos imunizados apenas. Em resumo, nossos resultados não apenas mostraram os efeitos benéficos da polpa de raiz de yacon em um modelo de asma, mas também demonstraram a relevância de realizar experimentos com prebióticos em instalações LPE.

ABSTRACT: The intestinal microbiota has an important role in animal health. Therefore, prebiotics have gained interest in the scientific community for their role in manipulating populations of intestinal microorganisms. Among prebiotics, there is Smallanthus sonchifolius Poepp. Endl (yacon) root, which can be ingested in natura or in different forms, such as flours and extracts. This prebiotic has been associated with beneficial effects in different diseases, including metabolic (like type 2 diabetes) and immunological disorders. Thus, mouse models of human diseases caused by immunological factors have been used to better understand the prebiotic effects of yacon. Since prebiotics interfere with animal microbiota, it is important to take into consideration the quality level of mouse facilities. In this way, the beneficial effects of a yacon root pulp were tested in a mouse model of allergic asthma and, considering how animal facility conditions could affect those results, we performed experiments both in conventional facilities and specific pathogen-free (SPF) ones. Our results showed that better prebiotic effects were observed in a SPF facility than in a conventional one and, in some cases, evidence of yacon beneficial effects was observed exclusively in a SPF facility. For example, there were reductions of 63.6% and 58.0% in IgE and eosinophils, respectively, in immunized/yacon-treated animals compared to immunized mice only. Taken together, our results not only showed the beneficial effects of yacon root pulp in an asthma model but also demonstrated the relevance of performing experiments with prebiotics in SPF facilities.

RESUMO: Este estudo se dedica à investigação dos fundamentos sobre os quais estão assentados os pressupostos de elaboração normativo-institucional do Estado contemporâneo, no cerne das teorias hegemônicas da economia do setor público (a Public Choice Theory e a New Institutional Economics ), e problematiza criticamente o fato de tais pressupostos se encontrarem adstritos ao individualismo metodológico. A pesquisa constata que a discussão metodológica é, na realidade, uma questão de natureza ontológica, caminhando por reflexões que sugerem a noção de “totalidade concreta” como postulado de investigação. Essa percepção compreende o real como um complexo de múltiplas relações e determinações diversas, investigando a composição das estruturas públicas a partir das seletividades estratégicas inscritas na própria materialidade institucional do Estado. Com base nesse debate, a abordagem tanto do papel do Estado contemporâneo quanto da sua arquitetura institucional considera a constituição do ente público em regime de condicionamento recíproco com um modo de produção e reprodução social específicos. O estudo conclui, portanto, que a racionalidade estratégica de elaboração normativo-institucional — concebida pelo mainstream como originária apenas do interesse individual — compõe-se também de interdependência constitutiva com o chamado “interesse econômico geral”, estruturalmente inserido nos formatos organizativos dos arranjos proeminentes.

ABSTRACT: This study aims to investigate the foundations on which are based the assumptions of normative and institutional development of the contemporary state at the heart of the hegemonic theories of the public sector economics (the Public Choice Theory and New Institutional Economics). This investigation critically problematizes that such assumptions are assigned to methodological individualism. This research finds that the methodological discussion is, in fact, a matter of ontological nature, crossing reflections that suggest the notion of “concrete totality” as a research postulate. This perception understands the real as a complex of multiple relations and diverse determinations, investigating the composition of public structures from strategic selectivities inscribed in the own institutional materiality of the state. Based on this debate, both the approach of the role of the contemporary state and of its institutional architecture consider the constitution of the public entity in a reciprocal conditioning regimen with a specific mode of social production and reproduction. Therefore, this study concludes that the strategic rationality of normative and institutional development — conceived by the mainstream as originating only from individual interest — also consists in a constitutive interdependence with the so-called “general economic interest,” which is structurally inserted in the organizational formats of the prominent arrangements.

Resumo O artigo apresenta parte dos resultados da pesquisa que analisou as produções teóricas do Serviço Social brasileiro sobre família, publicadas nos principais periódicos da profissão, a fim de identificar os fundamentos teórico-metodológicos. Trata-se de pesquisa bibliográfica, com ênfase qualitativa, ancorada no materialismo histórico-dialético, a partir da leitura e análise de artigos publicados nas revistas A e B (Qualis Capes 2013–2016). Os resultados da pesquisa confirmaram a existência de várias perspectivas conflitantes na profissão expressando fundamentos que coadunam com projeto ético-político, como também tendências que vão na contramão de um trabalho profissional crítico com famílias.

ABSTRACT Business management systems have undergone a remarkable transformation in recent years. The demands of customers/users set the pace and direction of sports governance organizations, more demanding, specialized demand and increasingly stringent regulations in the international market are among the factors that condition this transformation within the sports sector. The objective of the research is to analyze the main trends in integrated management. Theoretical methods were used: historical-logical, analysis-synthesis and inductive-deductive and empirical methods: bibliographic review and stratification supported by computer tools such as UCINET software. It is obtained that integrated management is characterized by improving the integration of the organizational system to achieve the objectives with efficiency, effectiveness and flexibility, and the application of computer tools, in the stages of planning, operation, evaluation and improvement. The approach based on process integration allows the incorporation into the system of the applicable unified requirements demanded by all stakeholders, the determination of process interactions and the management of black holes. This approach makes it easier for stakeholders to design and implement standardized integrated systems and provides top management with systems thinking for analysis and decision making.

RESUMEN Los sistemas de gestión empresarial experimentan una notable transformación en los últimos años. Las exigencias de clientes/usuarios marcan el ritmo y la dirección de las organizaciones de gobierno deportivo, demanda más exigente, especializada y normativas cada vez más estrictas en el mercado internacional son de los factores que condicionan esta transformación dentro del sector deportivo. El objetivo de la investigación es analizar las principales tendencias de la gestión integrada. Se utilizaron métodos teóricos: histórico-lógico, análisis-síntesis e inductivo-deductivo y métodos empíricos: revisión bibliográfica y estratificación apoyados en herramientas informáticas como el software UCINET. Se obtiene que la gestión integrada se caracteriza por mejorar la integración del sistema organizacional para alcanzar los objetivos con eficiencia, eficacia y flexibilidad, y la aplicación de herramientas informáticas, en las etapas de planificación, operación, evaluación y mejora. El enfoque basado en la integración de procesos permite incorporar al sistema los requisitos unificados aplicables demandados por todas las partes interesadas, la determinación de las interacciones del proceso y la gestión de los agujeros negros. Este enfoque facilita a los actores involucrados el diseño e implementación de sistemas integrados normalizados y proporciona a la alta dirección un pensamiento sistémico para el análisis y la toma de decisiones.

Resumen Presentamos el caso de un niño de 10 meses con fractura-subluxación inveterada de la columna toracolumbar, sin daño neurológico, a causa de un trauma no accidental por mecanismo desconocido. Para evaluar la estabilidad espinal se utilizó el sistema de clasificación de la gravedad de las lesiones toracolumbares de Vaccaro. Se realizó una osteosíntesis pedicular segmentaria. Se analizó y comparó el caso presentado con otros publicados. Se actualizaron los datos registrados por Unicef sobre violencia infantil en la República Argentina, no sin antes definir claramente el tema, el marco legal y realizar una sucinta reseña histórica.

Abstract We present the case of a 10-month-old boy with a chronic thoracolumbar spine fracture-subluxation without neurological damage caused by an unknown mechanism of non-accidental trauma. To assess stability, we used the scoring system for thoracolumbar injuries according to Vaccaro et al. We performed a segmental pedicle osteosynthesis. We analyzed and compared our case with others in the available literature. We updated UNICEF data on child violence in Argentina, but not before clearly defining the subject, and the legal framework, and providing a brief historical review.

RESUMO O combate à má alimentação em todas as suas formas, que também se expressa na epidemia da obesidade, é uma das prioridades da Agenda 2030 e dos Objetivos de Desenvolvimento Sustentável. Este artigo traz elementos sobre insegurança alimentar no Brasil, a partir de temas relativos ao crescimento populacional, mudanças climáticas, biodiversidade e sistemas alimentares tradicionais e regenerativos; trata também do papel dos movimentos sociais para a garantia do Direito Humano à Alimentação Adequada. O Grupo de Pesquisa em Nutrição e Pobreza, o Saúde Planetária Brasil, e o Centro de Inteligência Artificial (C4AI) - Eixo AgriBio, entendem que a retomada organizada e sistêmica das frentes apontadas neste artigo de posicionamento, pode constituir um caminho para a articulação entre pesquisa, serviço e políticas públicas na direção do combate à fome e às demais manifestações da má alimentação, enquanto problema complexo prioritário para a garantia do bem-estar social. formas obesidade 203 Sustentável Brasil populacional climáticas regenerativos Adequada Pobreza C4AI CAI C AI (C4AI AgriBio posicionamento pesquisa bemestar bem estar social 20 2

ABSTRACT Overcoming malnutrition in all its forms, which is also manifested in the obesity epidemic, is one of the priorities of the 2030 Agenda and the Sustainable Development Goals. This article presents reflections on food insecurity in Brazil, based on topics such as population growth, climate change, biodiversity and traditional and regenerative food systems; it also addresses the role of social initiatives to guarantee the Human Right to Adequate Food. The Nutrition and Poverty Research Group, Planetary Health - Brazil Group, and the Center for Artificial Intelligence (C4AI) - AgriBio Axis, assume that the organized and systemic resumption of the initiatives mentioned out in this position paper can contribute to the articulation between research, public policies and services, to combat all forms of malnutrition, as a complex and priority problem to ensure social welfare. epidemic 203 Goals growth change systems Food Group C4AI CAI C AI (C4AI Axis research services welfare 20 2

Abstract Legal research paper is a genre widely used by experts in the legal community. However, empiric rhetoric-discursive descriptions of the features in legal writing for the Spanish speaking community and, especially, the Chilean community are scarce, despite its relevance. Therefore, the objective is to describe the rhetoric-discursive organization of this genre inserted in the academic discourse in the legal science field to expand the knowledge of the written production at a rhetoric level. A Swalesian Genre Analysis was carried out to fulfill the objective, and a microcorpus of 25 texts was collected from a larger ecological corpus that gathered academic productions of domestic teaching related to the principle of equality. The analysis identified macromoves, moves and rhetorical steps, communicative functions, and text features. The resulting rhetorical model was formed by 3 macromoves, 8 moves and 15 steps. The argumentation core is that macromove is crucial to understand how dogmatic people build their discourse about the principle of equality, mainly using authority, concept, and pragmatic arguments based on knowledge and logos. Some rhetoric patterns are described as preferred by the discursive community. Finally, the results provide useful information for genre theory, description of the Spanish language in specialized fields, and discourse studies of the legal community.

Resumen El artículo de investigación en derecho es un género ampliamente utilizado por los expertos de la comunidad jurídica. Sin embargo, pese a su relevancia, en la lengua española aún son escasas las descripciones retórico-discursivas empíricas que dan cuenta de los rasgos de la escritura jurídica en el ámbito hispánico en general y en la comunidad chilena en particular. Así, para avanzar en el conocimiento de la producción escrita a nivel retórico, el objetivo de este trabajo es describir la organización retórica discursiva de este género propio del discurso académico en el ámbito de las ciencias jurídicas. Para abordar este objetivo se utilizó el ‘análisis del género’ de corte Swalesiano y se configuró un microcorpus de 25 textos que derivan de una recolección ecológica mayor, la que aglutina producciones académicas de la doctrina nacional en torno al principio de igualdad. El análisis efectuado permitió determinar las macromovidas, movidas y pasos retóricos, sus funciones comunicativas y rasgos textuales. El modelo retórico resultante quedó configurado por 3 macromovidas, 8 movidas y 15 pasos. La macromovida nuclear de argumentación resulta crucial para entender la forma en que los dogmáticos construyen su discurso sobre el principio de igualdad, utilizando fundamentalmente argumentos de autoridad, conceptuales y pragmáticos basados en el conocimiento y en el logos. De allí se relevan algunos patrones retóricos preferidos por la comunidad discursiva. Finalmente, de los resultados emergen implicancias para la teoría del género, la descripción de la lengua española en ámbitos especializados y los estudios del discurso de la comunidad jurídica.

Abstract The term stigma comes from Greek, being related to the identification of people through a physical mark, which can generate marginalization. The literature points out four types of stigmas: public, institutional, self-esteem, and courtesy. People with Autistic Spectrum Disorders are stigmatized in various cultures and societies. This study describes the view on stigma regarding Autistic Spectrum Disorder among undergraduate medical and nursing students. This is a cross-sectional study of a qualitative approach, whose data were collected through two focus groups, one with medical and another with nursing students, from a public university in Alagoas, Brazil. A script with eight questions for discussion in the focus groups was used. The speeches were recorded, transcribed, and analyzed with the IRAMUTEQ software, based on content analysis. The Descending Hierarchical Classification showed five categories related to the disorder, which were: 1 - Approach to the person with the disorder; 2 - Experience of Stigma; 3 - Segregation of People with Disorders; 4 - Care of the Person with the Disorder and Class; 5 - Challenges faced by the people affected.

Resumo O termo estigma é oriundo do grego, relacionado a identificação de pessoas através de marcação física. A literatura aponta quatro tipos de estigmas: púbico, institucional, autoestima e de cortesia. Pessoas com Transtornos do Espectro Autista são estigmatizadas em diversas culturas e sociedades. Este estudo descreve a visão sobre estigma em relação ao Transtorno do Espectro Autista entre estudantes dos cursos medicina e enfermagem. Estudo transversal, qualitativo, dados coletados por meio de dois grupos focais, um com estudantes de medicina, outro com enfermagem, de uma universidade pública, em Alagoas. Foi utilizado um roteiro com oito perguntas para discussão nos grupos focais. As falas foram gravadas, transcritas e analisadas no software IRAMUTEQ, embasada na análise de conteúdo. A Classificação Hierárquica Descendente apresentou cinco categorias relacionadas ao Transtorno, que foram: 1 - Abordagem da pessoa com o Transtorno; 2 - Vivência de Estigma; 3 - Segregação de Pessoas com Transtorno; 4 - Cuidado com a Pessoa com o Transtorno; e a Classe 5 - Desafios enfrentados pelas pessoas acometidas

Resumo O termo estigma é oriundo do grego, relacionado a identificação de pessoas através de marcação física. A literatura aponta quatro tipos de estigmas: púbico, institucional, autoestima e de cortesia. Pessoas com Transtornos do Espectro Autista são estigmatizadas em diversas culturas e sociedades. Este estudo descreve a visão sobre estigma em relação ao Transtorno do Espectro Autista entre estudantes dos cursos medicina e enfermagem. Estudo transversal, qualitativo, dados coletados por meio de dois grupos focais, um com estudantes de medicina, outro com enfermagem, de uma universidade pública, em Alagoas. Foi utilizado um roteiro com oito perguntas para discussão nos grupos focais. As falas foram gravadas, transcritas e analisadas no software IRAMUTEQ, embasada na análise de conteúdo. A Classificação Hierárquica Descendente apresentou cinco categorias relacionadas ao Transtorno, que foram: 1 - Abordagem da pessoa com o Transtorno; 2 - Vivência de Estigma; 3 - Segregação de Pessoas com Transtorno; 4 - Cuidado com a Pessoa com o Transtorno; e a Classe 5 - Desafios enfrentados pelas pessoas acometidas grego física estigmas púbico institucional cortesia sociedades enfermagem transversal qualitativo focais pública Alagoas gravadas IRAMUTEQ conteúdo Estigma

Abstract The term stigma comes from Greek, being related to the identification of people through a physical mark, which can generate marginalization. The literature points out four types of stigmas: public, institutional, self-esteem, and courtesy. People with Autistic Spectrum Disorders are stigmatized in various cultures and societies. This study describes the view on stigma regarding Autistic Spectrum Disorder among undergraduate medical and nursing students. This is a cross-sectional study of a qualitative approach, whose data were collected through two focus groups, one with medical and another with nursing students, from a public university in Alagoas, Brazil. A script with eight questions for discussion in the focus groups was used. The speeches were recorded, transcribed, and analyzed with the IRAMUTEQ software, based on content analysis. The Descending Hierarchical Classification showed five categories related to the disorder, which were: 1 - Approach to the person with the disorder; 2 - Experience of Stigma; 3 - Segregation of People with Disorders; 4 - Care of the Person with the Disorder and Class; 5 - Challenges faced by the people affected. Greek mark marginalization stigmas institutional selfesteem, selfesteem self esteem, esteem self-esteem courtesy societies students crosssectional cross sectional approach Alagoas Brazil used recorded transcribed software analysis disorder Stigma Class affected