The living will is a relevant theme to be discussed from the sanitary and legal points of view and is also an important instrument to drive the assistance to terminally ill patients according to their final wills. We performed this exploratory and qualitative research to study the opinion of 36 resident doctors in Brazil public hospitals, regarding to the inclusion of the living will in medical practice. Data were collected in August, 2013. Our results stressed the relevance of living will for the autonomy of the terminally ill patient, providing the humanization of his treatment. This article shows the need of a law to rule the formal use of this directory in Brazil. It is also important to point out the necessity to broaden the discussions about the theme in Brazilian reality, in order to promote a larger comprehension of those physicians' point of view when dealing with the last moments of their patients' lives. Keywords: Medical care. Living wills. Right to die. ResumoTestamento vital na prática médica: compreensão dos profissionais O testamento vital é tema discutido no âmbito da saúde e do direito, e importante instrumento para direcionar a assistência prestada ao paciente terminal de acordo com suas aspirações. Esta pesquisa exploratória com abordagem qualitativa estuda a opinião de 36 médicos, residentes em hospital público, acerca da inserção das diretivas antecipadas da vontade do paciente ou testamento vital na prática médica. A coleta de dados ocorreu em agosto de 2013. Evidenciou-se a relevância do testamento vital no respeito à autonomia do paciente terminal, propiciando humanização do seu atendimento. Este artigo demonstra igualmente a necessidade de criação de dispositivo legal que regulamente sua utilização formal no Brasil, além de ampliar discussões acerca da temática, com ênfase na realidade brasileira, a fim de promover maior compreensão sobre o posicionamento de médicos quanto aos últimos momentos da vida dos pacientes. Palavras-chave: Cuidados médicos. Testamento vital. Direito a morrer. ResumenTestamento vital en la práctica médica: la comprensión de los profesionales El testamento vital es un tema debatido en el contexto de la salud y del derecho y es, también, un instrumento importante para guiar la asistencia prestada al paciente terminal de acuerdo con sus aspiraciones. Esta investigación exploratoria, con enfoque cualitativo, estudia la opinión de 36 médicos residentes en hospitales públicos sobre la inserción de las instrucciones anticipadas de la voluntad del paciente o testamento vital en la práctica médica. La recolección de los datos fue en agosto de 2013. Se puso en evidencia la importancia del testamento vital respecto a la autonomía del paciente terminal, favoreciendo la humanización de su atención. Este artículo también demuestra la necesidad de crear un dispositivo legal que regularice su uso formal en Brasil, además de ampliar el debate sobre el tema, con énfasis en la realidad brasileña, a fin de promover una mayor comprensión sobre la posición de los médicos ante...

Winemaking by-products account for more than 30% of the grape production, but this inexpensive feedstock has not yet been fully exploited. Accordingly, we evaluated the potential biological activity of winemaking by-products produced with Syrah grapes in comparison with those of the wine produced using the same grape cultivar. Winemaking by-products showed higher contents of total anthocyanins, flavonols, stilbenes, and flavanols than red wine as evaluated by HPLC-DAD-FD (on a dry weight basis). In contrast, red wine was a better source of phenolic acids. However, the contribution of phenolic acids was minor for both samples. Furthermore, equivalent concentration of winemaking by-products (100 mg/kg/d) showed greater biological activity by than that of red wine by decreasing the levels of VLDL-cholesterol and triacylglycerols in Wistar rats. Therefore, this study supports the use of winemaking by-products as an economical source of bioactive phenolics with potential use in the food and nutraceutical industries.

This study aims to report an experience of an extension course in Hematology applied in the Medicine course at UFSC-Araranguá. It is an experience report, descriptive and exploratory, with a qualitative approach. The course was held in four meetings, with the participation of 27 medical students, employing innovative teaching-learning strategies such as brainstorming, use of medical simulators, inverted classroom and discussion of clinical cases. The extension course aimed to deepen the students knowledge about contents applied to Hematology, complementing the curricular content. The following subjects were addressed: blood collection and distension for examination; coloring; blood cell morphology; erythrocyte and leukocyte count in Neubauer chamber; hematimetric indices; erythrocyte disorders; leukocyte disorders and blood count clinical approach. The strategies were well accepted by students who felt motivated to learn this area of knowledge. The extension course achieved its objective of complementing the curricular contents of the medical course, as well as expanding knowledge in the area of  Hematology.

The present study aims to analyze some perceptions and suggestions of the academics regarding the application of these methodologies in a Physiotherapy course. The first two levels of the Kirkpatrick model were used, applying devices such as self-assessment questionnaires. The sample consisted of 83 college students. It was concluded that the application of active teaching-learning methodologies facilitates group work and attends to students' expectations of learning about the subject, however, it is necessary to adapt some steps, especially the strategy so that there is no doubt for students in the end of the process.

The aim of this study is to understand the role of nurses in the early diagnosis of breast cancer, to describe the actions and strategies used for this purpose and to know their perceptions about their role in this situation in a Basic Health Unit in the Municipality of Juazeiro-BA. This is a qualitative research of descriptive characteristics, with all nurses in zone IV of the city of Juazeiro-BA. After data collection, the data were grouped and analyzed using the Bardin method. The results showed that the professionals present knowledge about breast cancer and its screening, however, still deficient and confusing. There is a need for public policies that prioritize the training of professionals so that it can reflect on the improvement of health indicators.