The aim of this investigation was to identify factors that influenced or motivated women (N = 737) to donate human milk to human milk banks in Alagoas, Brazil. The most common characteristics of a regular donor were having 4 to 7 pregnancies (relative risk [RR] = 1.9285; 95% confidence interval [CI] = 1.0388-3.5800) and having obtained a higher education level (RR = 2,0625; 95% CI = 1.0097-4.2130). The most commonly reported reasons for donating were "encouragement of a health professional" (61.3%), followed by "the needs of the babies the banks serve" (25.3%). Most of the donors (49.9%) were introduced during their stay in the hospital to the human milk bank to which they donated, and 25.8% chose the bank recommended by a health professional. Health professionals play an indispensable role in motivating mothers to become human milk donors.

SummaryObjective: To analyze the importance of symptoms as a reason for referral to pediatric cardiologists in the diagnosis of congenital heart diseases (CHD) in the newborn (NB).Methods: Prospective study on live NB referred for cardiac evaluation, with performance of electrocardiogram, chest radiography and echocardiography. Cardiology consultation was requested by means of a multiple-choice form including signs and symptoms suggestive of CHD. Patent ductus arteriosus (PDA) without clinical and/or hemodynamic consequences was not considered a heart disease.Results: From 1999 to 2002, 358 out of 3716 NB were studied, and 49 cases of CHD and 128 of PDA were found. The prevalence of CHD was 13.2:1000 NB. The main reason for referral to the cardiologist was heart murmur in 256 (72%) NB, of which 39 (15%) had CHD, and in 91% of the 128 cases of PDA. In 14 (4%) NB, the reason for referral was cyanosis, and eight of these patients (57%) had a CHD. Heart failure was the reason for referral in 37 (10%) NB, of whom 17 (46%) had CHD. Arrhythmia, associated congenital malformations, or chromosome disorders were the reasons for referral in 14% of the cases. Conclusion:The main reason for referral was detection of a heart murmur on cardiac auscultation. Although cyanosis and heart failure were uncommon reasons for referral, their presence indicated a high probability of the diagnosis of heart disease. Pediatric screening plays a key role in this diagnosis. (Arq Bras Cardiol 2007; 89(1) : 6-10)

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Sabe-se que a mãe assume um importante papel no desenvolvimento afetivo do bebê e conseqüentemente nas suas relações futuras. O trabalho objetivou analisar as primeiras relações afetivas entre mães de recém-nascidos a termo e pré-termo na Maternidade do Hospital Universitário/UFAL, verificar as diferenças na relação afetiva entre esses dois grupos de mães e a importância do contato físico para a formação dessa primeira relação. Os instrumentos de pesquisa foram: entrevista e observação, tendo contado com a participação de 28 puérperas e seus recém-nascidos. O material obtido foi submetido à análise de conteúdo, tendo como referencial teórico a psicanálise. Os resultados mostraram que todas as mães estabeleceram ligações afetivas com seus bebês, mesmo nas situações em que o recém-nascido não foi planejado; a relação das mães pré-termo mostrou-se mais difícil, evidenciando que o contato físico é importante para a formação do vínculo afetivo mãe-bebê.

O trabalho teve por objetivo caracterizar o currículo paralelo dos alunos da terceira série do curso médico da Universidade Federal de Alagoas, por meio de um questionário auto-aplicado a uma amostra de 63 alunos. Com base na análise dos dados, constatou-se que a maioria dos alunos (98,41%) buscou algum tipo de atividade extracurricular, sendo que 45,59% delas foram realizadas no período de seis meses, consumindo mais de seis horas semanais. As principais motivações citadas foram a "busca da prática" na atividade médica (36,27%) e a "aquisição de novos conhecimentos" (30,39%). Nota-se que 98,39% dos alunos optaram principalmente por estágios, sendo as principais formas de ingresso os concursos (52%) e a seleção (36%). Concluise que, durante a terceira série do curso médico, os alunos ainda não estão capacitados para atuar nos diversos serviços e, por vezes, prejudicam suas atividades acadêmicas para realizar os estágios. Cabe à Universidade orientar seus alunos quanto ao momento mais adequado para o início dessas atividades, além de oferecer suporte quando da realização das mesmas. A B S T R A C TThe aim of this investigation was to characterize the parallel curriculum of third-year medical students of the Federal Universit y of Alagoas by using a self-applied questionnaire, which was answered by 63 students. The data obtained showed that the greater part of students (98.41%) had developed some kind of extra-curricular activity. 45.59% of these activities had been carried out during a six month's period and occupied more than six hours a week. The reasons that most frequently motivated these activities were getting practice at medical activities (36.27%) and acquiring new knowledge (30,39%). 98.39% of the students had opted for training periods to which they were admitted by public competition (52%) or admission tests (36%). It is concluded that in the third year of the Medical course students are still not qualified for the different services and the extra-curricular training periods many times hamper their academic performance. It is thus responsibility of the Universit y to guide the students, show them the right moment to start such activities and to offer support to these initiatives