Estudo descritivo, de natureza qualitativa, na modalidade de relato de experiência. Trabalho desenvolvido em serviço de saúde especializado no atendimento a pacientes indígenas a partir de atividades de extensão universitária em acolhimento, promoção e educação em saúde. O Ambulatório do Índio e Hospital São Paulo da UNIFESP são referên-cias no atendimento de média e alta complexidade aos povos indígenas de diversas regiões do Brasil. Os projetos de extensão tiveram por finalidade criar espaços de conversa, identificar percepções sobre processo saúde-doença e estabelecer projeto de cuidado a partir da identificação das necessidades do paciente indígena. Desafiou a equipe de saúde a proposta de formar vínculo com pacientes indígenas que ultrapasse o objetivo de resolução de um problema de saúde, mas adentre nas interfaces entre saúde, cultura e modo de vida. Conclui-se que o Ambulatório do Índio é um espaço permanente de reflexão para o atendimento diferenciado ao paciente indígena nos campos da assistência, ensino, pesquisa e extensão. Palavras-chave: Saúde de Populações Indígenas; Serviços de Saúde do Indígena; Promoção da Saúde; Educação em Saúde; Acolhimento. Érica Ribeiro Pereira

BACKGROUND AND OBJECTIVES: Ankylosing spondylitis (AS) is a chronic inflammatory disease affecting sacroiliac joints, the spine in different degrees and in lesser extension peripheral joints. Among non-pharmacological treatments, educational groups have been recommended as major coadjuvants to treat this disease. This study aimed at reviewing the literature on scientific evidences of educational groups for AS patients. METHOD: The following databases were reviewed: LILACS, Medline, Web of Science and PEDro. Words for systematic search were extracted from Health Sciences Keywords (HSC). RESULTS: Nine scientific articles were found between 1990 and 2012. Inclusion and exclusion criteria were used to select and analyze studies, including scientific articles especially addressing educational groups as treatment approaches for AS patients. CONCLUSION: Literature on educational groups as coadjuvant to treat such patients is scarce. Further studies are needed to show group formats, number and content of classes, in addition to evaluating their effectiveness.

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TEACHING IN THE XXI CENTURY New information and communication technologies have stimulated the access to knowledge production and its dissemination. They had an important impact on all

The effect of Lepidium meyenii polysaccharide on fatigue: a systematic review Introduction: Fatigue can be defined as the inability to maintain a power activity or performance decrease and is associated to several factors, such as: change in the electrical action potential of the muscle fiber, muscle glycogen depletion and metabolite accumulation, in addition to increased free radical production and reactive oxygen species. Lepidium meyenii, a plant originally from the Peruvian Andes and used by local people for thousands of years, has been studied for its benefits, including its anti-fatigue effect. Objective: To determine, from the analysis of biochemical parameters, the antifatigue effect of the maca substrates. Materials and methods: Systematic review of experimental studies published between January 2009 and January 2019, searched in the main medical literature databases. Results: In all studies analyzed, the forced swimming time was longer in the groups of mice supplemented with maca substrates compared to the control groups. Regarding the biochemical parameters evaluated (BLA, BUN, LDH and LG), supplementation was beneficial, with anti-fatigue response in at least one sample of each work analyzed. Other parameters cited in the studies such as MG, BSR, MDA, CK and GSU-PX were positive, however, they were evaluated in only one study and could not be compared. Conclusion: There is a need for further experiments in the area, in order to establish the best form of purification and the identification of the substrate with higher anti-fatigue activity.