University Of Campinas Research Articles

PRODUÇÃO DE CONHECIMENTO SOBRE ATIVIDADE FÍSICA ADAPTADA, QUALIDADE DE VIDA E SAÚDE PARA PESSOAS COM DEFICIÊNCIA

Bibliographical study of a qualitative and quantitative nature that aims to map the scientific production of Physical Education on adapted physical activity, quality of life and health for people with disabilities, from 2011 to 2022. It analyzes the profile of publications in relation to the year publication, geographic region, institution, authors, target audience, theme and methodological approach. The survey was carried out in the Catalog of Theses and Dissertations of the Coordination for the Improvement of Higher Education Personnel. The results indicate: 1) The predominance of publications between the years 2011 to 2016; 2) The Southeast as the only region to produce studies on the subject; 3) The State University of Campinas as the institution with the highest number of publications; 4) The quality of life and the insertion of people with disabilities in society as the central focus of studies; 5) The predominance of qualitative studies. It is suggested to expand experimental research in different Brazilian states and regions, focusing on interpreting the benefits of adapted physical activity to promote the independence and autonomy of people with disabilities, as a way of coping with the adversities encountered in everyday life, produced by an exclusionary society. Received: 2024/09/11 Reformulated: 2024/11/01 Accepted: 2024/11/01

The Proposal of Integrated Actions in Transport as Part of a Climate Action Plan for UNICAMP

Since 2019, the State University of Campinas (UNICAMP) has been collecting data, preparing, and annually monitoring sustainability indicators submitted to the UI GreenMetric ranking, which guide improvement projects at the university in alignment with the Sustainable Development Goals (SDGs). This article aims to propose sustainable practices for managing urban mobility on its campuses, drawing inspiration from the experiences of national and international universities that ranked highest in the 2023 edition of the aforementioned ranking. The study employed both qualitative and quantitative research methods, using a descriptive approach combined with Deductive Content Analysis (DCA). This analysis was further validated by the Multi-Criteria Decision-Making (MCDM) method known as Fuzzy SWARA. Through this process, the study identified the most commonly adopted actions by universities: promoting the use of electric and/or conventional bicycles on campus (11.8%); projects in partnership with government, state, or municipal entities to develop express cycle paths and encourage bicycle use both on campus and in the city (9.2%); conventional bicycle rental on campus (9.2%); and electric car sharing on campus (9.2%). The proposals suggested for UNICAMP include encouraging carpooling, implementing a public transportation exemption or half-fare program for employees, promoting the use of bicycles while ensuring increased campus security, among other initiatives. This research is part of a proposal for a Climate Action Plan for the university, which aims to effectively integrate sustainability into the university's agenda and support the fight against the climate emergency through necessary adaptations.

Impactos da pandemia de covid-19: compreendendo as percepções dos estudantes de graduação da Unicamp

This article investigates the perceptions of undergraduate students at the University of Campinas (Unicamp) regarding the period of emergency remote teaching during the years of 2020 and 2021. The research was developed through the analysis of discursive topics (Jubran, 2006; Rezende, 2006; Pinheiro, 2006) present in the responses to the survey ‘Understanding the performances, contexts, and perspectives of Unicamp students during the years 2020 and 2021 of the covid-19 pandemic’ (2022). The aim of this article is to present partial results of this research, focusing on the analysis of the responses from the 554 students who participated in the survey about their physical and mental health conditions, and the impact of these conditions on their academic activities. The methodology employed involves the analysis of referential processes in the students' answers to two survey questions that address individual and family health conditions during the pandemic. The main conclusion is that there were significant and profound impacts on Unicamp’s undergraduate student population, considering the socio-cognitive implications brought by covid-19 and its impacts on academic practices.

Alysson Muotri: Modeling the human brain with stem cells and organoids, from disease paradigms to neanderthoids, space brains, and beyond

Dr. Alysson Muotri is a Professor at the University of California, San Diego (UCSD), holding appointments in both the Department of Pediatrics and the Department of Cellular & Molecular Medicine. His leadership extends across several cutting-edge research initiatives at UCSD, where he serves as Director of the Sanford Stem Cell Education program, the Integrated Space Stem Cell Orbital Research (ISSCOR) center, the Archealization Center (ArchC), and the Gene Therapy Initiative, as well as Associate Director of the Center for Academic Research & Training in Anthropogeny (CARTA). Dr. Muotri's academic journey began in Brazil, where he earned a BSc in Biological Sciences from the State University of Campinas (Unicamp) in 1995 and a Ph.D. in Genetics from the University of São Paulo in 2001. He then moved to the Salk Institute in 2002 as a Pew Latin America Fellow for postdoctoral training in neuroscience and stem cell biology. At the forefront of neuroscience research, Dr. Muotri's work focuses on brain evolution and the modeling of neurological diseases, employing cutting-edge techniques such as human-induced pluripotent stem cells and brain organoids. We are honored to feature Dr. Muotri in the Genomic Press Interview series, offering our readers a unique opportunity to gain insights into both his personal journey and professional achievements. His contributions to the field of neuroscience and stem cell research continue to shape our understanding of brain development and disease, making his perspectives invaluable to the scientific community and beyond.

Improvement of laboratory markers of anaemia in the treatment of heavy menstrual bleeding with a 19.5-mg intrauterine device: a pilot study

Objectives To evaluate improvements in laboratory markers of anaemia (haemoglobin, haematocrit, serum iron, and ferritin) in women with subjective heavy menstrual bleeding (HMB) treated with the levonorgestrel 19.5-mg intrauterine device. Materials and methods We conducted a pilot study at the Department of Obstetrics and Gynaecology, University of Campinas, Faculty of Medical Sciences, Campinas, SP, Brazil. We compared anaemia markers in 73 women aged 18–48 years suffering from HMB, one year after placement of the IUD. Results The mean age of participants was 30.0 years (range 24–38); more than half were white, and the mean body mass index (kg/m2) was 27.0. Twenty (27.4%) participants exited the study due to loss to follow-up (n = 12; 16.4%), expulsion (n = 7; 9.6%) and uterine perforation (n = 1; 1.4%). One-year post-IUD placement, amenorrhoea was reported by 10 (13.7%) women. According to intention-to-treat and per protocol analyses, the proportion of women with normal haemoglobin levels significantly improved (p = 0.014 in both analyses), as did haematocrit (p < 0.001 in both analyses) and serum iron (p = 0.003 in both analyses) compared to baseline evaluations. The proportion of women with normal ferritin levels also improved (p < 0.001) in both analyses using a cut-off of 15 ng/ml, though no significant difference was observed using a 30 ng/ml cut-off (p = 0.083 in both analyses). Conclusion The levonorgestrel 19.5-mg IUD effectively improved laboratory markers of anaemia one year after placement in women with HMB.

Head and neck sarcomas: Thirty years of experience in a tertiary referral center in Brazil.

This study analyzed the demographics, clinicopathological, treatment, and survival characteristics of head and neck sarcomas (HNS) diagnosed in a tertiary reference center in Brazil. HNS cases were retrospectively retrieved from the Department of Pathological Anatomy of the School of Medical Sciences of the State University of Campinas. The medical records were examined to extract demographic, clinicopathological, and follow-up information. The Pearson chi-square test, Kaplan-Meier curve, and Cox proportional hazards regression model were employed to identify survival and potential prognostic factors. A total of 47 patients were included in the study. The majority were men (61.7%) with a mean age of 38.9 years. The nasal cavity (34.0%) was the most common anatomical site. The lesions are usually presented as volume increases (78.7%). The most common histological subtypes were chondrosarcoma, osteosarcoma, and alveolar rhabdomyosarcoma. Surgical excision alone was the most common treatment modality. Local recurrence was observed in 10 cases, and metastases in 3 cases. During a mean follow-up period of 71.9 months, from diagnosis to the last follow-up, 31 patients (65.9%) were alive without the disease. A total of 10 patients (21.3%) died of the HNS for a mean follow-up period of 14.3 months. The time to presentation of more than 6 months (p = 0.0309) and the presence of metastases (p = 0.0315) were identified as prognostic factors for survival, while male sex was found to be an independent prognostic factor for recurrence. In conclusion, the results of this study indicate that the occurrence of a shorter lesion time to presentation and the presence of metastases were associated with a reduction in survival rates in patients with HNS.

Risk-reducing surgeries for breast cancer in Brazilian patients undergoing multigene germline panel: impact of results on decision making.

To assess the behavior change of high-risk breast cancer patients regarding the intention to undergo risk-reducing mastectomies (RRM) before and after genetic testing results and to identify the main influencing factors in decision-making. Prospective cohort study conducted between November 2021 and October 2022 with women under follow-up at the high-risk outpatient clinic of the State University of Campinas (UNICAMP). Patients were referred for genetic testing, followed by counseling according to the test result. A total of 373 women were included. In the pre-genetic testing analysis, 54.1% of patients intended to undergo RRMs. After testing, 42.2% opted for the procedure. Behavior change occurred in 26.2%, mainly from "yes" to "no/don't know" (72,6%) (p < 0.001). The genetic test result was positive (LPV or PV) in 29.7% of patients. Among the 90 patients with positive results, 62 (68.9%) agreed to RRM, while 22 (24.4%) remained unwilling to accept RRM, regardless of the positive test. Significant influencing factors for behavior change pre- and post-genetic testing (in favor of surgery) in multivariate analysis were: positive genetic test result (OR 2.94, p < 0.001), personal cancer history (OR 2.7, p = 0.008), and ages between 40 and 49years (OR 2.07, p = 0.008) and ≥ 50years (OR 3.47, p < 0.001). In a Brazilian population at high-risk for breast cancer and users of the public health system, it was observed that most desired RRM, however, when genetic testing and counseling were performed, behavior change was observed, especially when the result was positive.

Geotechnical characterization of tropical soil via laboratory testing

This manuscript presents the evaluation of relevant geotechnical properties of the soil profile in the northern region of Campinas, which are important for geotechnical engineering practice and development in São Paulo State. Disturbed and undisturbed samples from the subsoil were collected through the excavation of inspection shafts at the experimental site for Soil Mechanics and Foundations research at the State University of Campinas, located at the Faculty of Civil Engineering, Architecture and Urbanism (FEC). Laboratory tests were conducted, including soil characterization, soil shear strength, soil compressibility, soil permeability, and soil suction tests. The characterization tests indicated that the upper soil layer is subject to surface effects and more direct weathering action, with noticeable variations in the liquid and plasticity limit values. The permeability test results showed no significant variation between the values obtained in the vertical and horizontal directions. The soil-water characteristic curves for the studied profile were bimodal, typical of tropical soils with macro and microaggregated structures.

Dynamic security constrained AC optimal power flow for microgrids

To ensure the continuous operation of a microgrid, proactive planning is essential, especially when contemplating possible dynamic events that alter the scheduled scenarios for the islanded operation or during its transition from connected to islanded mode. This paper introduces an innovative mathematical programming model for the AC optimal power flow (AC-OPF) with dynamic security constraints (DSCs), considering two scenarios: the islanded operation and the transition. This model uses positive-sequence equations to represent the inverter-based resources (IBRs) for grid-forming and grid-following roles, along with a fourth-order synchronous generator model equipped with excitation and frequency control systems. They assess the dynamic response to specific events such as short-circuits, decreases in PV generation, increases in load demand during the islanded operation, and the transition itself. The DSCs are applied to dispatchable distributed energy resources (DERs), which react to variations in the microgrid, considering generation and opportunity costs to minimize the discrepancy between planned and secure operating points. The mathematical programming model is implemented using AMPL, and solutions are obtained through the nonlinear optimization solver IPOPT. The tests are conducted in an adapted version of the microgrid being developed at the University of Campinas that includes a synchronous generator, photovoltaic (PV) generation, and a battery energy storage system (BESS). Results demonstrate the model’s effectiveness in adjusting generation dispatch to withstand defined events and optimizing generation resources, even when limits are not reached.

Profile of female survivors of sexual violence in the first 6 months of the COVID-19 quarantine in the city of Campinas, Brazil: A cross-sectional retrospective study.

Describe the characteristics and changes in the profile of women who sought care after experiencing sexual violence (SV) during the first six months of the COVID-19 pandemic in a Brazilian city. This is a cross-sectional retrospective study. Data from emergency care and legal abortion requests of women assisted at the Women's Health Care Center Hospital (School of Medical Sciences, University of Campinas, Brazil) due to SV experienced between March 23 and August 23, 2020 (Quarantine Group, QG), were collected and compared with data from the same period of the previous biennium (Comparison Group, CG). χ2 and Fisher's exact tests were used to compare groups; the significance level was 5%. Data for 236 women were analyzed; 70 women were included in the QG and 166 in the CG. In the QG, there was a restriction in the area of origin of women, with a higher proportion of women who lived in Campinas (P = 0.0007) and a higher frequency of chronic SV (P = 0,035). There were no rapes associated with the use of social media or apps in the QG, but 9.8% of women in the CG experienced rape associated with the use of social media or apps. There were higher rates of domestic violence (P = 0.022) and intimidation through physical force (P = 0.011) in the first two months. The COVID-19 quarantine affected the profile of women who sought care after experiencing SV. The quarantine resulted in changes in the area of origin of patients, hindering access to health services and leading to higher rates of chronic and domestic SV, particularly in the first 2 months of the pandemic.

Bibliometric analysis of the top 100 most-cited articles concerning the use of propolis in dentistry

Aim: The objective of this bibliometric analysis was to identify and analyze the key characteristics of the 100 most-cited articles related to the use of propolis in dentistry. Methods: The search was conducted in the Web of Science Core Collection, and two independent reviewers selected the articles, excluding meeting articles. The number of citations for each article was compared across the Scopus and Google Scholar databases. The extracted data included the number and density of citations, year of publication, journal and impact factor, study design and theme, country and continent, institution, keywords, and authors. VOSviewer software was employed to generate collaborative network maps. Spearman correlation and Poisson regression analyses were performed on the data. Results: The number of citations ranged from 26 to 247, with a citation density varying between 1.08 and 20.00. Articles were published between 1991 and 2021, with laboratory studies (70%) and antimicrobial activity (39%) being the most prevalent study design and theme, respectively. The most discussed dental specialty was microbiology (49%). Rosalen PL (27%) emerged as the author with the highest number of articles, and the University of Campinas (Brazil) was the most prolific institution. Poisson regression indicated a declining trend in citations over the years, though literature reviews exhibited higher citation performance. Brazil contributed the highest percentage of articles (41%). Conclusion: In conclusion, the 100 most-cited articles predominantly comprised laboratory studies investigating the antimicrobial activity of propolis, primarily originating from Brazil, with notable emphasis on the University of Campinas.

A particular epidemiological profile: disparities in access to contraceptive methods in Brazil during the SARS-CoV-2 (COVID-19) pandemic

Our objective was to study disparities in access to contraception during the COVID-19 pandemic. We performed a cross-sectional study at the University of Campinas, Brazil using a Google questionnaire applied from December 2021 until February 2022, disseminated via snowball technique. The survey asked about sociodemographic characteristics and contraceptive use, as well as the demand for new methods and difficulties in continuing to use contraceptives during the COVID-19 pandemic. We analyzed 1018 completed questionnaires; in total, 742 (72.9%) were women aged between 20 and 39 years, 746 (73.3%) were White and 602 (59.2%) used contraceptives. During the COVID-19 pandemic, about 23% of respondents changed their method and approximately 20% of respondents looked for new methods. Among the latter, 31.3% reported some difficulty with obtaining guidance on new methods while only 5.3% of the respondents reported some difficulty with continuing their contraceptive. The main difficulty in both cases was the difficulty with getting a healthcare provider appointment. Our results point to a particular epidemiological population, of younger black and biracial women, with lower education and lower income, which suffered health disparities during the COVID-19 pandemic and found difficulties with using contraceptives and accessing family planning services.

Perfil dos acidentes com exposição a material biológicoentre residentes e estudantes de medicina

Introduction: Resident physicians and medical students who suffered occupational accidents involving biological risks can present serious health problems. Objective: To describe occupational accidents involving exposure to biological material among medical undergraduates and residents at the State University of Campinas from 2011 to 2020. Method: This was a retrospective case series study conducted from the records of work accidents involving exposure to biological material that occurred among medical undergraduates and residents. Data were analyzed using the Statistical Analysis System (SAS) software, version 9.4. To check the association between the use of personal protective equipment and exposure route, the method Generalized Estimating Equations was used. Results: A total of 1,121 notifications were analyzed, of which 78.5% involved medical residents and 21.5% involved medical undergraduates. Most exposures were due to percutaneous injury (80.1%), the needle with lumen was the main causative agent (37.6%), and 49.0% accidents occurred during surgical procedures or sutures. The operating room and emergency unit had the highest number of accidents. It was evidenced association between accidents that occurred with exposure to the mucous membranes of eyes and non-adherence to eye protection (p&lt;0, 0001). Residents suffered more accidents in the first two years of residency (66.3%), whereas in medical undergraduate students, the prevalence was between the fifth and sixth year of the program (81.9%). Conclusions: Awareness and early education regarding the issue of safety in the work environment should be a priority in medical education, because they provide students with the necessary knowledge to protect themselves from occupational biological hazards.

Uma experiência precursora do SUS com a participação de Paulo Freire

Abstract The text is based on a round table held at the Faculty of Education (FE) of the State University of Campinas (Unicamp) as one of the activities to commemorate Paulo Freire’s Centenary (2021). It aims to record part of his time at the university, from 1980 to 1991, based on the work conducted with FE and the Faculty of Medical Sciences (FCM) through training and extension activities at the Paulínia-SP School Health Center. It also describes and analyses the agendas of the country’s re-democratization process, the clashes over public policies in the National Constituent Assembly, and the process of setting up an integrated and universal system of education and collective public health from a participatory perspective.

A precursor experience of the SUS with the participation of Paulo Freire.

The text is based on a round table held at the Faculty of Education (FE) of the State University of Campinas (Unicamp) as one of the activities to commemorate Paulo Freire's Centenary (2021). It aims to record part of his time at the university, from 1980 to 1991, based on the work conducted with FE and the Faculty of Medical Sciences (FCM) through training and extension activities at the Paulínia-SP School Health Center. It also describes and analyses the agendas of the country's re-democratization process, the clashes over public policies in the National Constituent Assembly, and the process of setting up an integrated and universal system of education and collective public health from a participatory perspective.

Bent ab interno needle goniotomy versus gonioscopy-assisted transluminal trabeculotomy in primary open-angle glaucoma: study protocol of a randomized clinical trial

BackgroundMinimally invasive glaucoma surgery (MIGS) is a new class of surgeries, which combines moderate to high success rates and a high safety profile. Bent Ab interno Needle Goniotomy (BANG) and Gonioscopy-Assisted Transluminal Trabeculotomy (GATT) are two low-cost MIGS procedures that communicate the anterior chamber to Schlemm’s canal. Most of the available publications on MIGS are either case series or retrospective studies, with different study protocols. The aim of this manuscript is to describe a randomized clinical trial (RCT) protocol to compare the long-term intraocular pressure (IOP) control and the safety of both procedures in eyes with primary open-angle glaucoma.MethodsThis is a parallel, double-arm, single-masked RCT that includes pseudophakic primary open-angle glaucoma (POAG) eyes. After inclusion criteria, medications will be washed out to verify baseline IOP before surgery. Patients will be randomized to BANG or GATT using a sealed envelope. Follow-up visits will be 1, 7, 15, 30, 60, 90, 180, 330 and 360 days after surgery. On PO330, a new medication washout will be done. The main outcome is the IOP reduction following the procedures. Complimentary evaluation of functional and structural parameters, safety, and quality of life will be done after 30, 90, 180, and 360 days.DiscussionOur study was designed to compare the long-term efficacy and safety of two low-cost MIGS. Most of the published studies on this subject are case series or retrospective cohorts, with different study protocols, which included different types and severities of glaucomas, combined with cataract extraction. Our study only included mild to moderate POAG eyes, with previous successful cataract extraction. Moreover, it provides a standardized protocol that could be replicated in future studies investigating various types of MIGS. This would allow comparison between different techniques in terms of efficacy, safety, and patients’ quality of life.Trial registrationRetrospectively registered at the Registro Brasileiro de Ensaios Clínicos (ReBEC) platform RBR-268ms5y. Registered on July 29, 2023.The study was approved by the Ethics Committee of the University of Campinas, Brazil.

Technology-Mediated Learning in Higher Education Physiology Classes: The Use of MeGli App to Teach Glycemic Control

Glycemic control is a fundamental physiological concept in diabetes and obesity. Proper training of healthcare professionals in this content is essential for disease prevention and management. Active learning methods, including technology-mediated learning (TML), are important for effective education and student engagement. Given the complexity of physiology, educational technology can facilitate the visualization of its dynamic processes. Thus, we've developed the MeGli smartphone application as an educational tool to teach glycemic control and related conditions, aimed at undergraduate students in health and biological courses. Our hypothesis is that the use of MeGli in Physiology classes promotes student learning and satisfaction. MeGli ( https://t.ly/crEwT ) is a didactic simulator for glycemic metabolism, allowing users to observe postprandial and fasting events, interact with objects, and explore cellular processes. The aim of this study was to conduct and evaluate a TML class using the app and its impact on students' outcomes in Biological Sciences Physiology classes at University of Campinas (n = 23). We analyzed pretest-posttest knowledge questionnaires using the Wilcoxon matched-pairs signed rank test (p ≤ 0.05) due to non-normal data (Shapiro-Wilk normality test). Additionally, we applied a Likert scale opinion survey. Prior to the intervention, students provided informed consent, ensuring anonymous participation. The use of MeGli in a non-expository class, where students consulted the app in an active-learning process for answering and discussing questions, led to a significant improvement in their performance on the topic of glucose metabolism and diabetes (pretest mean 5,739± 0,3784 versus 8,652± 0,2142 on posttest; p &lt; 0.0001). In terms of student feedback, opinion questionnaire results were overwhelmingly positive. All students agreed that the app was useful for learning and helped in their understanding of diabetes mechanisms. 87% understood the importance of healthy eating and physical exercise through the app. 91.3% reported a higher acquisition of knowledge due to the app's use and found the app-integrated class more stimulating and engaging. These findings strongly support the effectiveness of the MeGli application in facilitating physiology education, leading to a more motivating educational experience. Consequently, this study is significant in introducing an innovative tool that mediates active learning with technology, enhancing physiology teaching strategies and improving the education of future healthcare professionals. CNPq (441028/2020-9), FAPESP (2018/26080-4), CEPID (2013/07607-8). This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.

Professor Carla Bottoli, an enthusiastic scientific researcher, kindly spoke to BrJAC

Carla Beatriz Grespan Bottoli holds a degree in Industrial Chemistry from the Federal University of Santa Maria (1996), as well as a Ph.D. in Chemistry (2002), and a postdoctoral degree in Chemistry (2002-2004), both from the State University of Campinas (Unicamp). In 2005, she undertook an internship at the Institute of Nuclear Sciences of the National Autonomous University of Mexico (UNAM) to study radiolysis in vitamins using gamma radiation from a source of Cobalt 60. In 2017, she presented her habilitation thesis (associate professor's thesis) at Unicamp. Currently, she is Associate Professor and Postgraduate Advisor at the Institute of Chemistry at Unicamp (IQ-Unicamp), where she works in the area of analytical chemistry, with emphasis on separation methods, mainly liquid chromatography. Prof. Bottoli coordinates the NovaCrom – Liquid Chromatography Laboratory (https://novacromlab.wixsite.com/novacrom), which is a research group that has been working on the development of new monolithic stationary phases for capillary liquid chromatography. Research is also focused on the development of analytical methods that employ liquid chromatography coupled with mass spectrometry to study the translocation of pesticides in plants such as coconut, palm, and soybean. Between 2019 and 2021, Prof. Bottoli was an associate coordinator of the Research Commission of the IQ-Unicamp and is currently a member of the Research Integrity Commission at Unicamp. She is a member of the Brazilian Chemical Society and a researcher at the National Institute of Science and Technology in Bioanalytics (INCTBio). Carla Bottoli is the mother of Murilo, 13 and Mateus, 10.

(PM-07) EVALUATION OF SEXUAL HEALTH EDUCATION IN THE FACULTY OF MEDICAL SCIENCES OF THE UNIVERSITY OF CAMPINAS: SEXUAL COMMUNICATION IN PATIENT-DOCTOR RELATIONSHIP APPROACH

Abstract Introduction/objectives Sexual dysfunction, present in 43% of women and 31% of men, is the result of several pathological conditions and must be properly investigated and treated. About 50 to 72% of physicians experience difficulty and do not regularly investigate their patients' sexual health. The study investigates the teaching and approach to sexual health in the medical graduation at the Faculty of Medical Sciences of the State University of Campinas, in order to detect gaps that justify the difficulty in discussing this aspect. Materials and Methods Descriptive and transversal study is in progress, including medical students that are above 18 years old and are in the fifth or sixth year of their graduation. Anonymously and after reading the Informed Consent Form, the online questionnaire, composed of questions related to the theoretical and practical approaches in sexuality and the knowledge that they have been receiving in medical school, can be answered. Results The online questionnaire was answered by 64 students in the fifth and sixth year of graduation (1.6% and 98.4%, respectively). 43.5% denied being effectively prepared and confident, 35.5% are uncertain and only 21% feel prepared to discuss the subject with their patients. The main theme approached involves mostly the female sexuality, being the reproductive focus (85.2%), abortion (85.2%) and sexual violence (83.6%) the most discussed subjects. Only 4 students indicate that they understand male dysfunctions. A minority of participants (21.9%) felt safe to address sexual issues with their patients. Conclusions Most of the students do not feel comfortable or confident and lack specific knowledge and skills to deal with questions related to sexuality. More time should be dedicated to education, theoretical and practical classes, concerning human sexuality and its cultural, societal, and health aspects in the graduation during medical school. Financing No conflict.

MAPEANDO PESQUISAS NACIONAIS SOBRE DESENGAJAMENTO MORAL NA PERSPECTIVA DA TEORIA SOCIAL COGNITIVA

Moral Disengagement consists in the detachment of moral standards and self-sanctions for committing antisocial and harmful actions to others, without self-condemnation or changes in self-esteem. Based on this concept, it was aimed to obtain a mapping of what was produced on the topic in the Graduate Programs of Brazilian universities over the last ten years (2013-2023). A systematic review was carried out, with a quantitative survey of the studies and their qualitative analysis. The descriptor “moral disengagement” was used to search for theses and dissertations in the CAPES Catalog of Theses and Dissertations, between December 2022 and April 2023. The works were selected, followed by their quantitative and qualitative analysis. Five Doctoral dissertations and 12 Master’s theses were analyzed, defended in ten universities (nine public and one private), mainly from the Southeast and Northeast regions, with emphasis on the State University of Campinas and the Federal University of Maranhão. Studies in the areas of Psychology, Education, Teaching, Administration, Public Security and Scientific and Technological Policy stand out. Data shows more qualitative, exploratory, descriptive and correlational publications. The main topics found were: education, violence, aggression, work, technology. The most cited Moral Disengagement mechanisms were Moral Justification and Victim Blaming. The contributions in the area of Education were related to social aggression, bullying, behavior of helping victims, violence in the school context, racial prejudice in football, helping students and teachers in initial and continuing training to identify, understand, reflect and promote changes in the cognitive mechanisms used in Moral Disengagement.