The practice of physical education for elderly anchored in freire's pedagogy: reflections on a problem-dialogic experience

Paulo Freire's pedagogic thinking (Freirian) has largely favored the improvement of both formal and informal educational practice. It has also contributed to spread critical worldview readings in which analytical categories educators have searched relief for their concerns. Hence, this paper starts from Paulo Freire's legacy in order to build a critical reflection about his categories of dialog and autonomy, as well as to start a conversation about senior physical education practice anchored in the Paulo Freire's pedagogy theory. It is based on a dialogical-problematizing experience.17428129

Formação médica na estratégia de saúde da família: percepções discentes

Diante das atuais demandas sociais, tornou-se imprescindível para a educação médica a transição do modelo tradicional de formação reducionista e hospitalocêntrica para uma vertente de educação mais ampla e integralizada. A construção de novas práticas de formação em saúde - com a utilização de cenários externos -, em coparticipação com o SUS, tem assumido um papel fundamental na formação médica. Em 2005, o Centro Universitário Serra dos Órgãos (Unifeso) incorporou em seu currículo a Aprendizagem Baseada em Problemas e a inserção dos graduandos de Medicina em Unidades Básicas de Saúde da Família. Este artigo apresenta a percepção dos discentes de Medicina neste cenário. Para isto, realizou-se uma pesquisa qualitativa, utilizando-se entrevistas e análise temática das respostas, com a criação de categorias. Os resultados demonstram a combinação de impressões positivas - integração entre teoria e prática - e negativas - problemas na organização das atividades e necessidade de identificação de um preceptor local. Propõe-se um planejamento orientado pelas novas diretrizes para o ensino na Atenção Primária à Saúde, contextualizada à condição da integralidade

Long-term outcomes of the global tuberculosis and COVID-19 co-infection cohort.

Longitudinal cohort data of patients with tuberculosis (TB) and coronavirus disease 2019 (COVID-19) are lacking. In our global study, we describe long-term outcomes of patients affected by TB and COVID-19. We collected data from 174 centres in 31 countries on all patients affected by COVID-19 and TB between 1 March 2020 and 30 September 2022. Patients were followed-up until cure, death or end of cohort time. All patients had TB and COVID-19; for analysis purposes, deaths were attributed to TB, COVID-19 or both. Survival analysis was performed using Cox proportional risk-regression models, and the log-rank test was used to compare survival and mortality attributed to TB, COVID-19 or both. Overall, 788 patients with COVID-19 and TB (active or sequelae) were recruited from 31 countries, and 10.8% (n=85) died during the observation period. Survival was significantly lower among patients whose death was attributed to TB and COVID-19 versus those dying because of either TB or COVID-19 alone (p<0.001). Significant adjusted risk factors for TB mortality were higher age (hazard ratio (HR) 1.05, 95% CI 1.03-1.07), HIV infection (HR 2.29, 95% CI 1.02-5.16) and invasive ventilation (HR 4.28, 95% CI 2.34-7.83). For COVID-19 mortality, the adjusted risks were higher age (HR 1.03, 95% CI 1.02-1.04), male sex (HR 2.21, 95% CI 1.24-3.91), oxygen requirement (HR 7.93, 95% CI 3.44-18.26) and invasive ventilation (HR 2.19, 95% CI 1.36-3.53). In our global cohort, death was the outcome in >10% of patients with TB and COVID-19. A range of demographic and clinical predictors are associated with adverse outcomes