Programa de Pós-Graduação em Saúde Coletiva - FACISA
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Master Thesis Linhas de cuidado do sobrepeso e obesidade no SUS: sistematização de conhecimentos e desenvolvimento de ferramenta de apoio à organização do cuidado(Universidade Federal do Rio Grande do Norte, 2025-11-24) Queiroga Júnior, Ubiratan Matias de; Medeiros, Anna Cecilia Queiroz de; Garcia, Ligia Rejane Siqueira; https://orcid.org/0000-0002-6039-481X; http://lattes.cnpq.br/9480599528581047; https://orcid.org/0000-0002-7664-4959; http://lattes.cnpq.br/6897910777769874; https://orcid.org/0000-0002-8629-1931; http://lattes.cnpq.br/8135738467721121; Rolim, Ana Carine Arruda; https://orcid.org/0000-0002-0447-9683; http://lattes.cnpq.br/9471678445935347; Reis, Erika Cardoso dos; https://orcid.org/0000-0003-4459-9345; http://lattes.cnpq.br/8593119206782533INTRODUCTION: Excess weight is a chronic condition that represents one of the main challenges for Brazil’s Unified Health System (SUS). As a strategy to organize care for individuals with overweight and obesity, the Ministry of Health established the Care Lines for Overweight and Obesity (LCSO). However, more than a decade after the publication of the first regulations on the topic, not all Brazilian states have formalized LCSO, suggesting weaknesses in the implementation of this strategy. OBJECTIVE: To analyze the scientific literature on LCSO within the SUS and to develop a checklist to support the evaluation and development of state and regional LCSO. METHODS: The study was conducted in two stages. The first stage consisted of an exploratory rapid scoping review, following methodologies from the Joanna Briggs Institute and PRISMA-ScR, with evidence analysis guided by the SWOT framework. The second stage involved developing a checklist for evaluating and improving LCSO, based on a documentary review, followed by assessment of the instrument by an Expert Committee using the Content Validity Index (CVI). RESULTS: The literature search identified 1,136 records, of which 26 documents were selected for analysis. The SWOT analysis revealed the following strengths of the LCSO: multiprofessional action, user protagonism, and continuing education practices; as opportunities, national policies and programs, intersectoral initiatives, and the use of information technology; as weaknesses, management challenges, insufficient infrastructure, and gaps in professional training and practice; and as threats, limited funding, obesity being treated as an "invisible" health condition, and stigma and fatphobia within health services. Based on the documentary review, the instrument “Quality Verification and Support Checklist for Qualification and Support for the Development of State and Regional Care Lines for People with Overweight and Obesity” was developed. In the expert committee evaluation, all proposed items were deemed valid, and the checklist achieved an overall CVI > 0.80. The final version contains 47 items distributed across eight domains (Population identification; Responsibilities and mapping of available structures; Care provided across points of care, regulation, and care pathways; Clinical Protocols and Therapeutic Guidelines; Monitoring and evaluation; Continuing Education; Funding; and Critical points and improvement needs). CONCLUSION: The literature review provided an overview of the strengths and weaknesses of the LCSO, highlighting the need to integrate this topic into planning and management tools, as well as to expand the research agenda on LCSO to support improvement and evaluation processes. In this context, the validated checklist represents a potentially useful tool to support the enhancement and assessment of LCSO and to improve care for people with obesity.Master Thesis Saúde e sentido profissional dos sepultadores da região do Trairi Potiguar(Universidade Federal do Rio Grande do Norte, 2025-08-28) Silva, Josefa Eucliza Casado Freires da; Guedes, Dimitri Taurino; Agra, Glenda; http://lattes.cnpq.br/4881187066358568; https://orcid.org/0000-0002-1818-7665; http://lattes.cnpq.br/7575524707167845; https://orcid.org/0000-0003-1066-0574; http://lattes.cnpq.br/4515080147724811; Lucena, Eleazar Marinho de Freitas; http://lattes.cnpq.br/6188571106198506; Neves, Robson da Fonseca; https://orcid.org/0000-0002-3889-560X; http://lattes.cnpq.br/1106268293952370Introduction: Gravediggers play a fundamental role in cemetery activities, as assistants to the funeral service. These professionals are responsible for building, cleaning, opening, and closing graves, as well as performing burials, exhumations, and cremations of corpses. Although this work has deep roots in human history, the field of undertakers remains in need of significant improvements to ensure their rights, social appreciation, and recognition of the complexities involved in their work. Objective: To analyze the work experiences of undertakers in the Trairi Potiguar region and their repercussions on health. Method: This is a qualitative study with an exploratory approach, conducted in cemeteries in the Trairi Potiguar region, in the state of Rio Grande do Norte. Eight gravediggers aged 18 years or older were included. The data collection instrument was a semi-structured script with questions regarding the working conditions, health, and professional experience of gravediggers. The interviews were conducted between November 14, 2024, and January 16, 2025, with each interview lasting approximately 30 minutes. For data analysis, Content Analysis was used with the aid of IRaMuTEQ® software, which enables the analysis of the textual corpus with a simple and understandable interface. Results and discussion: The resulting textual corpus consisted of 8 texts divided into 408 textual segments, of which 310 were processed by the software, with a utilization rate of 75.98%. The study resulted in a sample of gravediggers, with active employment, between temporary contracts and civil service exams, working in municipal cemeteries in the Trairi Potiguar region. The analysis allowed for the construction of thematic categories according to the Descending Hierarchical Classification (DHC), which express dimensions of the gravediggers' experience, namely: Class 1- The dead body as an object of work and the symbolic emptying of mourning (24.8%); Class 2- Invisible routine and excessive working hours (25.8%); Class 3- Technical execution and little social recognition (23.2%); and Class 4- Precarious employment relationship (26.1%). The Similarity Tree revealed four major clusters: Cluster 1 - “grave”; Cluster 2 - “cemetery”; Cluster 3 - “gravedigger”; 4 - “family.” The triangulation of the CHD and the Similarity Tree demonstrates consistency between the highlighted clusters and the thematic categories. Final considerations: The association between the study evidence and the thematic categories reveals that gravediggers face a cycle of invisibility and precariousness at work, suffering in silence and without institutional recognition.Master Thesis Perfil de uso de antimicrobianos em Unidades de Terapia Intensiva Neonatal: uma revisão de escopo(Universidade Federal do Rio Grande do Norte, 2024-07-16) Lopes, Francisco Clébison Chaves; Sousa, Klayton Galante; Fonseca Filho, Gentil Gomes da; http://lattes.cnpq.br/7093066731971896; https://orcid.org/0000-0002-7710-7522; http://lattes.cnpq.br/3976136492048222; http://lattes.cnpq.br/0070280320213451; Medeiros, Anna Cecilia Queiroz de; Bezerra, Hellyda de Souza; Machado, Lucas AmaralNewborns are particularly susceptible to infections due to their immature immune systems, exacerbated by factors such as invasive procedures, length of hospital stay, and low birth weight. Consequently, studies investigating medication usage patterns in Neonatal Intensive Care Units suggest that systemic anti-infective agents constitute the most commonly used class of medications. The objective of this study is to describe the profile of antimicrobial use in Neonatal Intensive Care Units. This is a scoping review conducted according to the methodology proposed by the Joanna Briggs Institute (JBI). The protocol is registered on the Open Science Framework (OSF) platform (DOI 10.17605/OSF.IO/YB4AG). The following databases were included: LILACS; EMBASE; MEDLINE/PubMed; SciELO; Web of Science; and Scopus. To identify grey literature, digital repositories were consulted. Database searches were conducted in January 2024. The identified studies were uploaded to the Rayyan app, and duplicates were removed. The inclusion criteria were: availability in full text; containing data on consumption rates, most prescribed antimicrobials, most common indications, or off-label use of antimicrobials; being conducted in NICUs; and including only antimicrobial medications, except for studies addressing off-label use. The exclusion criteria were: being a study on the use of antimicrobials for specific indications and being a duplicate or overlapping study. Study selection and data extraction were conducted by two independent reviewers. The extracted data were presented in tabular form accompanied by a narrative description. A total of 4,029 articles were identified, of which 39 were included in the final review. Most of the studies were cohort or cross-sectional. No significant variation in gestational ages was observed. Regarding birth weight, values over 2,000 grams were more common in high-income countries. Neonatal sepsis was the main reason for prescribing antimicrobials. The most common method for measuring antimicrobial consumption was Days of Therapy (DOT). Among antimicrobials, antibacterials were the most studied. The classes of penicillins, cephalosporins, and glycopeptides were mentioned in all studies. Antimicrobials were used offlabel concerning dose, administration interval, indication, and age.