The journal Cadernos ESP was created in 2005 by the Ceará School of Public Health Paulo Marcelo Martins Rodrigues (ESP/CE), with open and free access for the submission and publication of articles, with a consolidated reference in the field of Public/Collective Health with an interface between Education, Technologies and Innovation. It aims to make public the results of research and experiences arising from the management, teaching and services of health. It publishes original articles, integrative reviews, systematic reviews, meta-analyses, brief communications, experience reports, among other sections.
Ceará's Public Health School Paulo Marcelo Martins Rodrigues
Objective: To present the process of developing a psychological intervention proposal, with a focus on psychoeducation, through discussion groups and the use of artistic resources, designed for patients and their caregivers in an oncology ward at a referral general hospital. Method: The intervention guide was developed by psychology students, based on hospital psychology practice, and structured according to the Maguerez Arc. Observation of the reality revealed a scarcity of spaces for emotional expression and the strengthening of bonds in the context of oncology hospitalization, guiding the development of the material. Results: The activity promotes symbolic expression, the exchange of experiences, and a broader perception of the support network, contributing to the strengthening of bonds and the reduction of feelings of isolation. Final considerations: The proposal constitutes a powerful strategy for the humanization of care and can be applied by healthcare professionals in the hospital setting.
Experience Report, Update And/Or Technological Innovation
Luiz Henrique Coelho de Siqueira Teixeira
Copyright (c) 2026 Cadernos ESP https://creativecommons.org/licenses/by/4.0
Copyright (c) 2026 Cadernos ESP https://creativecommons.org/licenses/by/4.0/
Objective: This study analyzed the experience of the School of Public Health of Bahia (ESPBA) in implementing innovative professional training strategies, including the regionalization of hybrid specialization courses, the implementation of the Mandatory Internship Management System (SGEO), the recognition of instructors and preceptors, and the incorporation of distance education. Methods: This is a descriptive-analytical institutional experience report, based on testimonials from ESPBA managers, faculty, and technical staff, as well as the analysis of institutional documents. Results: The results show an expansion of training opportunities in decentralized regions, improved transparency and efficiency in internship regulation, and strengthened integration between education and service. Conclusions: It is concluded that the innovations adopted by ESPBA contributed to enhancing continuing health education in Bahia, meeting the regional training needs of Unified Health System (SUS).
Sessão temática: O legado das Escolas Estaduais de Saúde Pública no Brasil: histórias e conquistas
KNOWLEDGE ABOUT FIRST AID IN DIFFERENT POPULATION GROUPS IN BOA VISTA, RORAIMA
Introduction: Medical emergency situations require early recognition and appropriate initial interventions, making first aid knowledge essential for reducing complications and mortality. Despite its relevance to public health, studies indicate that a large portion of the lay population has lacks adequate preparedness to respond to common emergencies. Objective: To evaluate the level of knowledge regarding first aid among different population groups in Boa Vista, Roraima, Brazil. Methods: This cross-sectional, quantitative, and descriptive study was conducted with 316 participants distributed among users of a Primary Health Care Unit, high school students, nursing students, computer science students, and adults approached in the city center. A questionnaire consisting of 14 questions related to first aid was administered, and performance was classified as excellent, sufficient, or inadequate. Results: A statistically significant difference was observed among the evaluated groups (p<0.05). Nursing students achieved the highest scores, whereas high school students presented the lowest performance. Overall, the remaining groups demonstrated predominantly inadequate performance on the questionnaire. Conclusions: The findings reveal important gaps in first aid knowledge among different population segments, reinforcing the need for health education strategies in school, community, and primary health care settings.
ESTABLISHING A SCHOOL OF PUBLIC HEALTH IN WESTERN AMAZON
Established in August 2024, the Rondônia State Institute of Public Health Education marked an important advance for Brazil’s Unified Health System in the Western Amazon. Based on qualitative, descriptive, and exploratory research, this experience report analyzes the challenges and management strategies associated with the transition from a SUS technical school to a School of Public Health. Documentary analysis and a literature review were used to identify map implementation stages and emphasizes logistical constraints, intersectoral coordination, and regional specificities. As a strategic space for the Brazil’s National Policy of Permanent Health Education, the School of Public Health supports ongoing and integrated training for health professionals and it is expected to improve health outcomes, reduce regional inequities, and strengthen state institutional capacity. The initiative embodies SUS’ principles, contributing to improved care and policies tailored to local needs. It also offers relevant insights for similar initiatives.
EPIDEMIOLOGICAL ANALYSIS OF CONGENITAL SYPHILIS IN CEARÁ, BRAZIL, FROM 2015 TO 2024
Syphilis, vertically transmissible, leads to severe maternal-fetal consequences. This study aimed to analyze the epidemiology of congenital syphilis in Ceará from 2015 to 2024. This is a cross-sectional, descriptive, and retrospective study conducted in January 2025 using data from the Information System for Notifiable Diseases (SINAN). Sociodemographic, clinical, and therapeutic variables were analyzed through descriptive statistics. Data were stored in Excel spreadsheets, using absolute and relative frequencies and incidence calculations to construct graphs and tables. Results evidenced a predominance of mixed-race (Pardo) individuals (10,470; 85.88%), mothers aged 20–25 (4,129; 33.7%), incomplete primary education (3,865; 31.70%), and non-treatment of the partner (7,656; 62.80%). Although most attended prenatal care (10,399; 85.3%), the data suggest inadequacy in follow-up and partner management. It is concluded that qualifying control and assistance strategies is imperative to mitigate this public health concern.
Institutional Consolidation of ESPSC in the SUS of Santa Catarina
Objective: This study analyzes the institutional trajectory, political-pedagogical performance and contributions of the Santa Catarina School of Public Health (ESPSC) in strengthening the Unified Health System in the state. Methods: A qualitative documentary approach was adopted, based on analysis of decrees, institutional reports, administrative databases and pedagogical documents produced between 2019 and 2025. Results: The findings indicate the consolidation of ESPSC as a School of Government in Health, integrating training, research, innovation, and teaching–service–community collaboration. The results show a notable expansion of residency programs, strengthening of Permanent Education in Health initiatives, institutionalization of applied research processes, as well as increased availability of face-to-face, hybrid and digital training. The analysis demonstrates that the school plays a structuring role in coordinating educational policies and developing the workforce in the Santa Catarina Unified Health System (SUS-SC). Conclusions: The study concludes that ESPSC contributes significantly to improving management, professional qualification and care practices within the state health system.
INTERSECTIONALITY IN MENTAL HEALTH DIAGNOSIS
Introduction: Mental disorder diagnosis is influenced by social determinants that permeate health systems and impact care access and quality. Structural inequalities related to race, gender, social class, and sexuality can interfere with psychological distress identification and diagnosis definition, producing inequities in mental health care. In this context, the intersectional approach contributes to understand how multiple social markers interact in the production of these inequalities. Objective: To analyze, through systematic literature review, how intersectionality influences the diagnosis of mental disorders and to discuss implications for care equity and health services. Methods: A systematic review was conducted according to the PRISMA 2020 guidelines, using the PEO strategy. The PubMed, SciELO, and VHL databases were consulted for studies published from 2000 to 2024. The selection was carried out in three stages: duplicate removal, screening by title and abstract, and then full-text reading. Methodological quality was assessed by two independent reviewers using instruments from the Joanna Briggs Institute. Results: It was evident that implicit biases, stigmas, and culturally limited diagnostic models influence accuracy, especially among negro women, transgender people, and individuals in situations of socioeconomic vulnerability. Conclusions: Incorporating an intersectional perspective can contribute to more sensitive diagnosis to social inequalities, strengthening equity in mental health care and improving professional practices, health training, and public policies.
EVALUATION OF THE DENGUE SURVEILLANCE INFORMATION SYSTEMAS A STRATEGIC TOOL FOR EPIDEMIOLOGICAL CONTROL
Dengue is an acute, systemic, and dynamic febrile disease, typically with benign clinical progression but potentially evolving into severe forms, including fatalities. This study evaluated the Dengue Surveillance System in Ceará from 2019 to 2023, using the Centers for Disease Control and Prevention (CDC) methodology to assess data quality, consistency, and representativity. The completeness of mandatory variables was excellent, with over 90% filled in. However, essential variables such as education level, hospitalization, and likely infection site scored below expectations. Data consistency was high, with less than 5% errors in critical variables. Comparing hospital data between Sinan and SIH systems revealed a strong positive correlation, highlighting the system’s representativity. The study concludes that the surveillance system is of excellent quality and is representative enough to describe dengue in the state.
WORK MANAGEMENT STRATEGY FOR FORMATION AND PRODUCTION OF RESEARCH
Introduction: Health research and the knowledge that emerges from it are essential for improving the quality of healthcare, especially within the Brazilian Unified Health System (SUS). Law 8080/90 defines public services as fields for practice, teaching, and research. Since 2014, the Pernambuco School of Government in Public Health has offered postgraduate programs that stand out for their theoretical-pedagogical approach, decentralized development, and improvement of healthcare services. Objective: To report on the experience of implementing and developing postgraduate programs from 2014 to 2025. Methods: This is a descriptive and exploratory study, of the experience report type. Results: After a decade, a large volume of research conducted by health professionals and health residents is observed. Conclusions: The strategic role of the institution in consolidating the policy of continuing education in health in Pernambuco is evident, as it articulates teaching, service, and management, guided by the daily routine of the services.
MISSED NUTRITIONAL APPOINTMENTS IN PRIMARY HEALTH CARE
Absenteeism in nutritional consultations within Primary Health Care affects continuity of care and service efficiency. This study aimed to analyze rates of missed nutritional appointments at a Basic Health Unit in a municipality in Paraná, Brazil, from February to June 2025. This quantitative, descriptive study used secondary data on scheduled and completed consultations. Of 176 appointments, 63.6% were attended and 36.4% were missed, mostly follow-up visits. The findings highlight the need for strategies to reduce missed appointments, such as teleconsultations, automated reminders, and advanced-access scheduling. These measures can optimize resources, strengthen patient engagement, and improve health outcomes. Further multicenter and qualitative studies are recommended to explore factors associated with absenteeism and evaluate the effectiveness of proposed interventions.
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SANITARY INSPECTIONS IN ENDOSCOPY CLINICS IN THE STATE OF CEARÁ
Introduction: Reusable endoscopes pose significant risks of microbial contamination, despite being widely used as diagnostic tools in medical practice. Objective: To describe the main nonconformities identified during sanitary inspections conducted in private endoscopy services. Methods: This is an experience report carried out in a municipality in the interior of the state of Ceará, Brazil, from 2023 to 2025. Results: The inspections revealed advances in structural and care-related aspects; however, they also identified relevant shortcomings related to endoscope reprocessing, the absence of formal records of cleaning and disinfection, deficiencies in staff training, and inadequacies in physical infrastructure. Biosafety conditions and waste management practices were also found to be inconsistent, requiring continuous improvement. Conclusion: It is concluded that inspection and technical monitoring are essential tools for ensuring the quality and safety of endoscopy services, contributing to the promotion of safer environments for both professionals and patients.
MULTIPROFESSIONAL WORK IN A PSYCHOSOCIAL CARE CENTER
Objective: To report and reflect on the strengths and weaknesses of multiprofessional practice in a Psychosocial Care Center (CAPS), from the perspective of a nurse resident in Collective Mental Health. Methods: This is an experience report with a qualitative approach and a narrative-reflective perspective, describing the observation and experience of multiprofessional work during theoretical-practical activities at a CAPS III in Iguatu, Ceará, Brazil, from April to November 2023. Results: Mental health service users presented demands that extended beyond mental illness, requiring comprehensive multiprofessional interventions. However, multiprofessional work was fragmented due to workload overload and service overcrowding, negatively affecting comprehensive care. Despite the daily challenges, recognizing limitations is essential for improving the quality of work processes. Final Considerations: Therefore, the experience highlights the importance of fostering environments of listening, dialogue, and support for healthcare workers, recognizing that strengthened teams are fundamental to providing truly humanized mental health care. Limitations include the restricted time frame and the perspective of a single professional.
KNOWLEDGE OF THE POPULATION ABOUT SEXUALLY TRANSMITTED INFECTIONS IN THE DISTRICT OF PECÉM-CE, 2024
Objective: To assess the knowledge, attitudes, and practices of the adult population regarding sexually transmitted infections (STIs). Methods: Descriptive, cross-sectional study using a household survey. Results: The sample was characterized, mostly, by female individuals (77.1%), aged between 20 and 69 years (86.6%), married (37.8%), with elementary school education (44.1%), heterosexual (95.5%), who earned between 0.5 and 1 minimum wage (37.8%). Regarding knowledge and attitudes, 92.9% reported having heard about STIs and 87.3% knew where to seek diagnosis and treatment. Meanwhile 89.9% were familiar with prevention methods. Regarding sexual behavior and health, 97.0% had already become sexually active and 71.6% had a steady partner, but only 30.3% used condoms. Conclusion: knowledge about STIs transmission and prevention was considered sufficient. However, the results do not guarantee safe sexual practices, as a considerable number of respondents did not use condoms during sexual intercourse.
RESISTANCE, ANCESTRY, AND COLLECTIVITY IN INDIGENOUS EDUCATION
This article aims to report the experience of Psychology students in conducting a focus group with teachers and staff from an Indigenous school located in the municipality of Pacatuba, Ceará, seeking to understand the teaching profession and educational practices in this context. This is a qualitative study, structured as an experience report, carried out within an internship course, using participant observation, semi-structured interviews, and a focus group as research techniques. The results showed that the Indigenous school functions as a space of cultural resistance, in which education is intrinsically connected to ancestry, spirituality, and collectivity. The observed pedagogical practices go beyond the hegemonic school model, valuing intergenerational knowledge transmission and collective work. It is concluded that the experience contributed to the appreciation of Indigenous knowledge and to strengthening the students’ academic training, reaffirming the importance of research practices committed to the decolonization of knowledge.
Objective: To report and analyze the experience of a teaching, research, and outreach project aimed at training Terena Indigenous Health Agents (Agentes Indígenas de Saúde – AIS) in Miranda, Mato Grosso do Sul, Brazil, highlighting the role of the School of Public Health “Dr. Jorge David Nasser” (ESP/MS) and the SUS Technical School “Profa. Ena de Araújo Galvão” (ETSUS/MS). Methods: A report structured in five stages: dissemination, online course, qualitative research, workshops, and a final event. The analysis employed the SWOT matrix. Results: Thirty-two AIS participated. Strengths included team qualification, funding, and institutional articulation. Weaknesses comprised partial adherence and bureaucratic constraints. Opportunities included public calls for proposals and local partnerships, while threats involved sustainability and stigma against Indigenous peoples. Final considerations: The experience highlighted the relevance of Health Schools in in-service training, integrating academic and traditional knowledge, strengthening Indigenous Primary Health Care (APS), and underscoring the need for continuity policies.
HEALTH PROMOTION AND IMMUNIZATION IN PRIMARY HEALTH CARE
Objective: To describe and analyze the experience of the project “Viva Melhor: Immunizing Is Caring”. Methods: It is a descriptive study in the form of an experience report, referring to activities carried out by third-semester medical students. The educational interventions addressed vaccination against respiratory tract infections, infections and cancers related to the Human Papillomavirus, and human rabies. Results: It was observed that vaccination goes beyond the mere provision of immunobiologicals, requiring integrated strategies of education, dialogue, and the strengthening of bonds. Final Considerations: The project showed that these interventions increase vaccination uptake and strengthen more participatory, community-integrated care, being essential to address vaccine hesitancy, clarify myths, and consolidate collective co-responsibility for immunizations.
Objective: To develop a flowchart for early mobilization of stroke patients in a referral hospital. Method: A methodological study based on health literacy, using action research principles for prototype development and evaluation through the Think Aloud method with five physiotherapists. It was improved in terms of usability and accessibility, incorporating the Intensive Care Unit Mobility Score (IMS) for standardization. The interviews were analyzed, and the prototype adjusted according to suggestions. The study was conducted in the Stroke Unit (SU) of the Hospital Regional do Sertão Central (HRSC), with Ethics Committee approval. Results: The final flowchart included criteria for ischemic and hemorrhagic stroke, considering hemodynamic, respiratory, and neurological parameters. The IMS was used to classify mobility, facilitating communication among professionals. Safety criteria, risk stratification, and layout improvements were incorporated. Final considerations: The flowchart standardizes early mobilization and strengthens patient safety, based on the team’s experience and the best available evidence.
This study aimed to evaluate the implementation of the Antimicrobial Management Program in hospital units of Ceará State, classifying its implementation level and identifying strengths and weaknesses to guide improvement actions. It is a descriptive, cross-sectional, and quantitative study that included all state hospitals that responded to the National Assessment conducted by ANVISA. Data analysis was performed using electronic spreadsheets (Microsoft Excel®), classifying services according to compliance with essential components. Among the 11 hospitals evaluated, nine reported having the program implemented; 44.4% (n=4) were classified as advanced, 44.4% (n=4) as intermediate, and 11.1% (n=1) as basic, with no records of inadequate levels. Despite the progress observed, relevant challenges persist for program consolidation, requiring differentiated technical, educational, and governmental support strategies, as well as complementary studies to assess the program in the hospital context of Ceará.
EPIDEMIOLOGICAL ANALYSIS OF LEPROSY IN IGUATU, CEARÁ (2014-2024)
Objective: To analyze the epidemiological profile of leprosy in patients from the municipality of Iguatu, located in the Centro-Sul region of the state of Ceará, from 2014 to 2024. Methods: It is na ecological, descriptive study using data from the Nation Notifiable Diseases Information System (SINAN). Results: During the analyzed period, 347 cases were reported, with a predominance of males, mixed-race individuals, urban residentes, ages between 50 and 59 years, and individuals with incomplete elementar education. Additionally, there was a predominance of multibacillary form, dimorphic clinical presentation, zero degraee of physical disability, new cases as the mode of entry, and cure as the mode of exit. Conclusions: The profile highlights the influence of social determinants and suggests late diagnosis, epidemiological surveillance, and Primary Health Care.
Tai Chi Chuan and Qigong in Primary Health Care
Objective: describe the educational initiative “Body Practices in Health Academy Centers of Minas Gerais State (Brazil): qualifying Tai Chi Chuan and Qigong trainers.” Methods: this is an experience report of 12 cohorts between 2023 and 2025 through a partnership among the Minas Gerais State School of Public Health, the Federal Institute of Minas Gerais – Sabará Campus, and the Minas Gerais State Department of Health. Results: a total of 316 professionals from 173 municipalities enrolled. Most participants were women aged 30-44 years, with undergraduate degrees in Physical Education. Challenges regarding municipal management support for professional participation and for increase body practices at the participating municipalities were observed. Conclusions: the Continuing Health Education paradigm supported context-based learning and facilitated the incorporation of body practices into participating municipalities.
AUTOETHNOGRAPHY ESSAY BY A SOCIAL WORKER IN PRIMARY HEALTH CARE
Objective: To analyze the performance of a social worker in Primary Health Care (PHC) based on narratives produced within the context of a multiprofessional residency program in Public Health. Methods: The methodological approach is grounded in the reflective and critical exercise of autoethnography, allowing for the articulation between personal experience and theoretical-practical analysis. Results: The results highlight the insertion of Social Work in PHC, marked by structural tensions such as professional devaluation and precarious work, while revealing its centrality in guaranteeing rights, promoting comprehensive care, and mediating social demands. The main contributions are the strengthening of professional identity in health, the relevance of territorial, intersectoral, and multiprofessional action, and the need for an ethical-political stance coupled with addressing challenges. Final Considerations: It is concluded that autoethnography enhances the critical understanding of health practices by enabling the re-signification of experiences and the production of situated and reflective knowledge.
Nutritional profile in breast cancer survivors
Objective: To analyze the nutritional profile of female breast cancer survivors by evaluating anthropometric indicators and body composition parameters. Methods: This is a cross-sectional study that aimed to characterize the nutritional profile of 30 female survivors followed at an oncology institution in Northeast Brazil. Sociodemographic and clinical data were collected, and body mass index and body composition were assessed by bioelectrical impedance, with calculation of the Fat-Free Mass Index and the Fat Mass Index. Results: The participants were mostly between 50 and 59 years old, with a high prevalence of overweight and obesity. A high percentage of body fat and muscle mass deficit were observed in all participants, and excess adiposity in most. Conclusions: It is concluded that there is a predominance of adiposity associated with muscle reduction, reinforcing the importance of continuous nutritional monitoring.
Breast cancer; cancer survivors; nutritional status; body composition; bioelectrical impedance.
Objective: This experience report aims to present the mental health educational actions carried out at ESP-MG over the past 15 years, seeking to identify the learning outcomes derived from them for continuing education in health. Methods: To address this objective, we analyzed an already completed systematization of ESP-MG’s production of mental health educational actions from 2010 to 2025. Results: The continuous and diverse offering of mental health educational initiatives made it possible to understand the importance of having workers with a background and engagement in the SUS and the Psychiatric Reform, of maintaining openness to the socio-sanitary context and emerging health issues, and of engaging in dialogue and learning with social movements and SUS workers. Conclusions: We conclude that these factors are relevant for continuing health education that is attentive to the population’s health needs and to the challenges faced by workers and by policies in implementation.
EPIDEMIOLOGICAL PROFILE OF CANINE VISCERAL LEISHMANIASIS CASES IN A MUNICIPALITY IN THE NORTHERN MACROREGION OF THE STATE OF CEARÁ
Visceral leishmaniasis is a notifiable disease caused by protozoa of the genus Leishmania. The uncontrolled growth of urban areas contributes to the proliferation of the vector. This study aimed to analyze the epidemiological profile of canine visceral leishmaniasis cases in the municipality of Ipueiras-CE from January 2023 to December 2025. Data from monitoring tests by the municipality's endemic diseases sector were used for statistical analysis. The results indicated that the number of tests performed in the municipality is insufficient (362 tests/year) to have an idea of the real epidemiological situation of the disease and that most cases occurred in the months of February to June in two neighborhoods (37.8%) in the city center. It is concluded that there is a need for investment in hiring Community Endemic Disease Agents to carry out the tests, as well as for health education actions with other health professionals and the population.
EPIDEMIOLOGICAL PROFILE OF HIV POST-EXPOSURE PROPHYLAXIS CONSULTATIONS (2017–2023)
Objective: To assess the epidemiological profile of HIV PEP consultations at Hospital São José de Doenças Infecciosas from 2017 to 2023. Method: Retrospective study with medical record review and descriptive analysis of epidemiological variables: sex, age, and type of exposure. Results: Of the 29,868 HIV PEP consultations, 66.7% resulted from sexual exposures. Of these, 3.7% involved sexual violence, mostly among females < 18 years old. Consensual sexual exposure (CSE) was the main reason for HIV PEP (64.3%), being more common among men aged 25–29. A steady increase in consultations was observed over the years, both for occupational accidents and for CSE. Final considerations: Demand for HIV PEP has been increasing. The main form of risk exposure is CSE among young men, followed by occupational accidents. These results highlight the importance of expanding access to PEP services, conducting campaigns addressing correct condom use and information about PEP, and providing ongoing training on the prevention of occupational accidents.
AFFECTIVE MEDICAL RECORD AS A CARE DEVICE IN AN ICU IN CEARÁ
This study aims to report the experience of implementing an affective medical record as a humanization and ambience care device in an adult Intensive Care Unit (ICU) of a regional hospital in the interior of Ceará, Brazil. This is a descriptive study, presented as an experience report, developed through the creation and use of a record containing patients’ subjective information, collected from conscious patients or their family members. The experience occurred during an elective multiprofessional residency internship carried out by a psychologist, with presentation and agreement established with the ICU team. The results indicated greater closeness between professionals, patients, and families, enhanced communication, appreciation of subjectivity, and positive changes in the ICU ambience, such as the use of music during care activities. It is concluded that the affective medical record represents a powerful soft technology that strengthens bonds and contributes to the humanization of care in highly complex environments.
THE LEGACY OF INNOVATION AT THE CEARÁ SCHOOL OF PUBLIC HEALTH
Introduction: As a Scientific, Technological and Innovation Institution (ICT), the Ceará School of Public Health (ESP/CE) has consolidated health innovation initiatives aimed at strengthening the Unified Health System (SUS). Objective: To analyze initiatives developed by ESP/CE between June 2021 and March 2026, within the context of consolidating its Innovation Policy. Methods: This is a descriptive study, based on bibliographic review and documentary analysis of institutional records and reports from the Form on the Intellectual Property and Innovation Policy of ICTs (FORMICT). Results: The results show advances in the institutionalization of innovation, with strengthened governance, implementation of the Innovation Policy, formalization of the Technological Innovation Center (NIT), and asset protection. Final Considerations: Innovation is observed as a structuring axis at ESP/CE, with prospects for progress in international cooperation and technological prospecting, expanding its capacity to respond to SUS demands.
Management of science, technology and innovation in health
Indicators of science, technology and innovation
DISSEMINATION OF KNOWLEDGE IN STATE SCHOOLS OF PUBLIC HEALTH
Objective: To analyze the dissemination of technical-scientific knowledge by the 21 Brazilian State Schools of Public Health. Methods: Descriptive-exploratory research with a quantitative approach, based on documentary analysis of institutional websites to identify formal strategies for knowledge dissemination. Results: Heterogeneity was observed among the Schools regarding the existence, regularity, and visibility of editorial instruments. Eleven Schools maintain active electronic scientific journals, and three publish technical-scientific bulletins. In seven states, no technical-scientific publications were found on institutional portals, revealing asymmetries in institutional communication processes. All Schools actively use social media and hold annual technical-scientific events, regardless of the existence of journals or bulletins. Conclusion: Knowledge dissemination by the Schools aligns with territorial needs and with teaching–service–community integration practices, yet it still faces challenges related to standardization, continuity, and the strengthening of information management policies.
Microbial resistance associated with IPCSL in an adult ICU in Ceará
Objective: To describe the microbial resistance (MR) profile associated with laboratory-confirmed primary bloodstream infections (LCPBIs) reported in adult intensive care units (ICUs) in Ceará, from 2021 to 2023. Methods: A cross-sectional, descriptive, retrospective study with secondary data aggregated from the Brazilian Health Regulatory Agency (ANVISA), derived from notifications of healthcare-associated infections (HAIs) and MR; records with identified microorganisms and sensitivity testing were included. Results: The incidence density (ID) ranged from 3.45 to 10.51 per 1,000 patient-days. In Gram-negative bacteria, high resistance to cephalosporins (CEF) and carbapenems (CARB) was observed in Klebsiella pneumoniae, Acinetobacter spp., and Enterobacter spp., in addition to significant resistance to ceftazidime/avibactam (CAZ-AVI) in 2023. Among Gram-positive bacteria, resistance to vancomycin (VANCO) in enterococci and to oxacillin (OXA) in staphylococci stood out. Conclusions: The findings reinforce the surveillance of HAIs and the qualification of actions for prevention, control, and rational use of antimicrobials.
SPECIALIZATION COURSES AND PUBLIC HEALTH
The provision of intersectoral health education actions encompasses the dimension of comprehensiveness within the Unified Health System, which also includes integral care through interdisciplinarity. The objective of this experience report is to characterize the educational offerings of the School of Public Health of the State of Minas Gerais regarding Specialization Courses in Health Law and Public Health-Health in the Prison System. Methods: Sources included institutional documents and technical-scientific Productions. Analysis was conducted through thematic units such as the history of demand for educational action, forms of institutionalizing partnerships, challenges, and strategies. Results highlight demands originating from health advocacy movements and the implementation of public policies; strategies for formalizing partnerships and interdisciplinary construction driven by the diversity of those involved (life stories and professional backgrounds) via dialogical approaches and interactions. It was concluded that the provision of these courses is built upon the commitment of all parties involved.