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We report the synthesis, characterization and anticancer activity of a new Schiff base (H2L) derived from the condensation of pyridoxamine with pyridoxal and its novel copper(II) and oxidovanadium(IV) complexes: [Cu(HL)Cl] (1), [Cu(LH2)(phen)]Cl2 (2), [Cu(LH2)(amphen)]Cl2 (3), [VIVO(HL)Cl] (4), and [VIVO(LH2)(phen)]Cl2 (5), where phen is 1,10-phenanthroline and amphen is its 5-amino derivative. All compounds were characterized by analytical and spectroscopic techniques, namely FTIR, UV-vis and EPR spectroscopy. Their stability in aqueous media was evaluated, revealing that the presence of the phen co-ligand significantly increases the stability. The ternary Cu(II) complexes (2 and 3) impaired cell viability of osteosarcoma cells (MG-63) (IC50 values of 3.6 ± 0.6 and 7 ± 1.9 µM for 2 and 3), while 1 and the VIVO complexes did not show relevant anticancer activity. Complexes 2 and 3 are also more active than cisplatin (CDDP). Synergistic studies between 2 and sorafenib showed significant synergism on MG-63 cells for the following combinations: 2 (2.0 µM) + sorafenib (10.0 µM) and 2 (2.5 µM) + sorafenib (12.5 µM), whilst the combination of 2 and CDDP did not show synergy. Complex 2 interacts with DNA, inducing significant genotoxic effects on MG-63 cells from 1.0 to 2.5 µM and it increases the ROS levels 880% over basal. Moreover, 2 induces apoptosis at 1.0 and 2.0 µM, while its combination with sorafenib induces apoptosis and necrosis. Finally, compound 2 reduces the cell viability of MG-63 spheroids showing an IC50 value 7-fold lower than that of CDDP (8.5 ± 0.4 µM vs. 65 ± 6 µM). The combination of 2 and sorafenib also showed synergism on spheroids, suggesting that the combination of these drugs improves the anticancer effect against bone cancer cells.

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Este ensaio almejou refletir sobre a relação entre medicina narrativa, redes sociais e humanização a partir da utilização, por um dos autores, das redes sociais para compartilhamentos de histórias vivenciadas no contexto da Atenção Primária à Saúde. Questões acerca dos modelos de atenção em saúde vigentes, da escuta e da narrativa como dispositivos de humanização do cuidado e da emergência das redes sociais como potencializadoras da prática de saúde humanizada surgiram como importantes pontos a serem analisados à luz da literatura vigente. Ao fim, foram compartilhados apontamentos para utilização da medicina narrativa como ferramenta para uma prática humanizadora.(AU)

Abstract This essay reflects on the relationship between narrative medicine, social media, and humanization based on the use of social media by one of the authors to share experiences in the context of primary health care. Questions about prevailing health care models, listening, and narrative as dispositives of the humanization of care and the emergence of social media as drivers of humanized health practices arose as important points that need to be analyzed in the light of current literature. In the conclusion we present some considerations relating to the use of narrative medicine as a tool for promoting humanizing practices.(AU)

Resumen El objetivo de este ensayo fue reflexionar sobre la relación entre la medicina narrativa, las redes sociales y la humanización, a partir de la utilización, por parte de uno de los autores, de las redes sociales para compartición de historias vividas en el contexto de la Atención Primaria de la Salud. Surgieron preguntas sobre los modelos de atención de salud vigentes, de la escucha y de la narrativa como dispositivos de humanización del cuidado y de la emergencia de las redes sociales como potenciadoras de la práctica de salud humanizada como puntos importantes a analizar a la luz de la literatura vigente. Al final, se compartieron observaciones para la utilización de la medicina narrativa como herramienta para una práctica humanizadora.(AU)

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Due to the growing prevalence of cancer diseases, new therapeutic options are urgently needed, and drugs based on metal ions other than platinum are alternatives with exciting possibilities. We report the synthesis, characterization and biological effect of mixed-ligand Fe(III)-aminophenolate complexes derived from salicylaldehyde and L-tryptophan with quinoline derivatives as co-ligands, namely 8-hydroxyquinoline (8HQ), [Fe(L)(8HQ)(H2O)] (1) and its 5-cloro derivative (Cl8HQ), [Fe(L)(Cl8HQ)(H2O)] (2). The complex bearing the aminophenolate and lacking the quinoline co-ligand, [Fe(L)(Cl)(H2O)2] (3), was prepared for comparison. The analytical and spectroscopic characterization revealed that 1 and 2 are octahedral Fe(III) complexes with the aminophenolate acting as a dianionic tridentate ligand and 8HQ co-ligands as bidentate chelates. Spectroscopic techniques and molecular docking studies were used to evaluate the ability of these complexes to bind bovine serum albumin (BSA) and calf thymus DNA. Complex 2 [Fe(L)(Cl8HQ)(H2O)] was the one showing higher affinity for both biomolecules. Cell viability was assessed in breast, colorectal and bone human cancer cell lines. 1 and 2 were found to be more active than cisplatin in all cell lines tested. A non-tumoral fibroblast line (L929, mouse non-tumoral fibroblasts) was used to evaluate selectivity. The results evidence that 2 shows much higher selectivity than 1 in all cell lines tested, but particularly in bone cancer cells in which selectivity index (SI) values are 8.0 and 18.8 for 1 and 2, respectively.

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Resumo Considerando que, a partir do referencial dos direitos humanos do paciente, aspectos bioéticos da autonomia relacional são importantes na construção da autonomia como projeto de vida, analisou-se a percepção do processo de autonomia em adolescentes com lesão medular participantes de um programa de reabilitação. Trata-se de estudo transversal quali-quantitativo que utilizou entrevista para coletar dados e o software Iramuteq para analisá-los. Participaram 14 adolescentes, 50% do sexo masculino, 29% moradores do Distrito Federal, 71% com paraplegia. Na análise dos dados qualitativos, identificaram-se cinco classes: programa de reabilitação (20,9%); autonomia (21,8%); relações familiares (16,7%); sentimentos e vivências (23,9%); e rotina (16,7%). A mãe foi apontada como principal cuidadora (64%) e a autonomia muitas vezes foi relacionada ao conceito de independência. Outras formas de relacionamentos corroboraram o modelo da autonomia relacional, sendo identificados desafios intrínsecos e extrínsecos à condição dos participantes analisadas na perspectiva dos direitos humanos do paciente.

Abstract Starting from the referential of patient's human rights and considering that bioethical aspects of relational autonomy are important in the construction of autonomy as a life project, this study analyzed the perception of the autonomy process in adolescents with spinal cord injury participating in a rehabilitation program. This is a cross-sectional quali-quantitative study that used interviews to collect data and the Iramuteq software to analyze them. Fourteen adolescents participated, 50% male, 29% living in the Federal District, 71% with paraplegia. The qualitative data analysis identified five classes: rehabilitation program (20.9%); autonomy (21.8%); family relations (16.7%); feelings and experiences (23.9%); and routine (16.7%). The mother was indicated as the main caregiver (64%) and autonomy was often related to the concept of independence. Other forms of relationships corroborated the model of relational autonomy, and intrinsic and extrinsic challenges to the condition of the participants analyzed from the perspective of patient's human rights were also identified.

Resumen Considerando que, desde los derechos humanos del paciente, los aspectos bioéticos de autonomía relacional son importantes para constituir la autonomía como proyecto de vida, se analizó la percepción del proceso de autonomía en adolescentes con lesión medular de un programa de rehabilitación. Es un estudio transversal cualicuantitativo, que utilizó entrevistas para recopilar datos y el software Iramuteq para analizarlos. Participaron 14 adolescentes, 50% del sexo masculino, 29% residentes en el Distrito Federal, 71% con paraplejía. Del análisis de datos cualitativos emergieron cinco clases: programa de rehabilitación (20,9%); autonomía (21,8%); relaciones familiares (16,7%); sentimientos y experiencias (23,9%); y rutina (16,7%). La madre fue la principal cuidadora (64%), y la autonomía estuvo relacionada frecuentemente con el concepto de independencia. Otras formas de relación respaldan el modelo de autonomía relacional, con la identificación de desafíos intrínsecos y extrínsecos a la condición de estos participantes desde la perspectiva de los derechos humanos del paciente.

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OBJECTIVE: To describe the sociodemographic profile and analyze the migratory characteristics of the members of the Residency Programs in Family Medicine in 2020 in Brazil. METHODS: The study follows a cross-sectional observational design of a quantitative nature from the perspective of the members of the Residency Programs in Family Medicine. Questionnaires adapted for each participating group were developed, applied through an online platform. RESULTS: Most participants are female and white. Most supervisors and preceptors were residents of Residency Programs in Family Medicine, however, there are some who are not specialists in the field. Most participants are based in capitals or metropolitan regions. In relation to retention, 41.1% of supervisors and 73.1% of preceptors are affiliated to a program in the same municipality where they lived. For most resident physicians, the place of residence coincides with the place of birth and/or graduation (57.4%), and 48.5% are in the same place of graduation. CONCLUSIONS: The research reinforces the need for policies to promote the migration of residents to Residency Programs in Family Medicine outside capital cities and metropolitan regions, as well as encouraging the retention of graduates trained outside large urban centers so that they can contribute to distribution and provision of doctors where they are still needed.

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This article aims to examine the role of Belief in a Just World (BJW) in the legitimation of economic inequality. Using data from 27 European countries (N=47,086), we conducted multilevel analyses and found that BJW positively predicted the legitimation of economic inequality, measured by three indicators: the perceived fairness of the overall wealth inequality, and the fairness of the earnings made by the Top 10% and the Bottom 10% of society. These results persisted after controlling for individual- and country-level variables. Moreover, the BJW effect was stronger on the legitimation of the Bottom 10% incomes, compared to the legitimation of the Top 10%. We also found that economic inequality at the country-level reduced the BJW effect on legitimation of inequality. Finally, BJW displayed a negative indirect effect on support for redistribution, via the legitimation of economic inequalities.

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ABSTRACT OBJECTIVE To describe the sociodemographic profile and analyze the migratory characteristics of the members of the Residency Programs in Family Medicine in 2020 in Brazil. METHODS The study follows a cross-sectional observational design of a quantitative nature from the perspective of the members of the Residency Programs in Family Medicine. Questionnaires adapted for each participating group were developed, applied through an online platform. RESULTS Most participants are female and white. Most supervisors and preceptors were residents of Residency Programs in Family Medicine, however, there are some who are not specialists in the field. Most participants are based in capitals or metropolitan regions. In relation to retention, 41.1% of supervisors and 73.1% of preceptors are affiliated to a program in the same municipality where they lived. For most resident physicians, the place of residence coincides with the place of birth and/or graduation (57.4%), and 48.5% are in the same place of graduation. CONCLUSIONS The research reinforces the need for policies to promote the migration of residents to Residency Programs in Family Medicine outside capital cities and metropolitan regions, as well as encouraging the retention of graduates trained outside large urban centers so that they can contribute to distribution and provision of doctors where they are still needed.

RESUMO OBJETIVO Caracterizar o perfil sociodemográfico e analisar as características migratórias dos integrantes dos Programas de Residência em Medicina de Família e Comunidade em 2020 no Brasil. MÉTODOS O estudo segue um delineamento observacional transversal de natureza quantitativa a partir da perspectiva dos integrantes dos Programas de Residência em Medicina de Família e Comunidade. Foram desenvolvidos questionários adaptados para cada grupo participante, aplicados por meio de plataforma on-line. RESULTADOS A maioria dos participantes é do sexo feminino e de cor branca. A maioria dos supervisores e preceptores foi residente de Programas de Residência em Medicina de Família e Comunidade, contudo, há alguns que não são especialistas na área. A maior parte dos participantes está vinculada às capitais ou regiões metropolitanas. Em relação à fixação, 41,1% dos supervisores e 73,1% dos preceptores estão vinculados a um programa no mesmo município onde foram residentes. Para a maioria dos médicos residentes, o local da residência coincide com o local de nascimento e/ou graduação (57,4%), sendo que 48,5% estão no mesmo local de graduação. CONCLUSÕES A pesquisa reforça a necessidade de políticas de promoção da migração de residentes para Programas de Residência em Medicina de Família e Comunidade fora das capitais e regiões metropolitanas, bem como estimula a fixação dos egressos formados fora dos grandes centros urbanos para que eles possam contribuir com a distribuição e com o provimento de médicos onde ainda é necessário.

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The training, recruitment and retention of primary care professionals is a constant challenge in Brazil. The recent expansion of family and community medicine residency programs in the country coexists with gaps in the literature on the effects of this process. This article explores municipal health managers' understanding of these programs and the role they play in professional training and improving the quality of health care. We conducted a quantitative and qualitative analysis of the responses to questionnaires answered by 48 health managers working in municipal health services affiliated to residency programs. A descriptive statistical analysis of the quantitative data was performed and the qualitative data were analyzed using thematic analysis. The findings show that efforts were made to incorporate family and community doctors into the health care network and that managers recognized the potential residency program have to improve the quality of care and enhance professional training. Weaknesses were found in actions to improve infrastructure and facilities and the organization of the services affiliated to the programs. This study highlights the potential of residency programs for addressing longstanding problems in primary health care in Brazil when combined with actions to strengthen services, human resources and the programs.

Treinamento especializado, provimento e fixação de profissionais na Atenção Primária à Saúde são desafios prementes no Brasil. A recente expansão dos Programas de Residência em Medicina de Família e Comunidade coexiste com lacunas na literatura sobre o efeito deste processo. O objetivo do trabalho é explorar a perspectiva do gestor municipal de saúde acerca das estratégias para o fortalecimento das residências e do papel destas na formação profissional e na qualificação da atenção. Trata-se de um estudo de análise quantitativa e qualitativa, com aplicação de questionário a gestores de municípios cenários destes programas. As respostas de 48 sujeitos foram submetidas a estatística descritiva e análise de conteúdo. Os resultados revelam um esforço em incorporar o Médico de Família e Comunidade na rede de atenção à saúde, uma percepção do potencial das residências no incremento da qualidade da atenção e da formação profissional e fragilidades nas ações para melhoria da estrutura e organização dos serviços com residentes. Vislumbra-se assim o potencial das residências para a superação de problemas históricos da Atenção Primária à Saúde brasileira, se atrelada a ações de fortalecimento do serviço, dos recursos humanos e do próprio programa.

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Resumo Treinamento especializado, provimento e fixação de profissionais na Atenção Primária à Saúde são desafios prementes no Brasil. A recente expansão dos Programas de Residência em Medicina de Família e Comunidade coexiste com lacunas na literatura sobre o efeito deste processo. O objetivo do trabalho é explorar a perspectiva do gestor municipal de saúde acerca das estratégias para o fortalecimento das residências e do papel destas na formação profissional e na qualificação da atenção. Trata-se de um estudo de análise quantitativa e qualitativa, com aplicação de questionário a gestores de municípios cenários destes programas. As respostas de 48 sujeitos foram submetidas a estatística descritiva e análise de conteúdo. Os resultados revelam um esforço em incorporar o Médico de Família e Comunidade na rede de atenção à saúde, uma percepção do potencial das residências no incremento da qualidade da atenção e da formação profissional e fragilidades nas ações para melhoria da estrutura e organização dos serviços com residentes. Vislumbra-se assim o potencial das residências para a superação de problemas históricos da Atenção Primária à Saúde brasileira, se atrelada a ações de fortalecimento do serviço, dos recursos humanos e do próprio programa.

Abstract The training, recruitment and retention of primary care professionals is a constant challenge in Brazil. The recent expansion of family and community medicine residency programs in the country coexists with gaps in the literature on the effects of this process. This article explores municipal health managers' understanding of these programs and the role they play in professional training and improving the quality of health care. We conducted a quantitative and qualitative analysis of the responses to questionnaires answered by 48 health managers working in municipal health services affiliated to residency programs. A descriptive statistical analysis of the quantitative data was performed and the qualitative data were analyzed using thematic analysis. The findings show that efforts were made to incorporate family and community doctors into the health care network and that managers recognized the potential residency program have to improve the quality of care and enhance professional training. Weaknesses were found in actions to improve infrastructure and facilities and the organization of the services affiliated to the programs. This study highlights the potential of residency programs for addressing longstanding problems in primary health care in Brazil when combined with actions to strengthen services, human resources and the programs.

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RESUMO: A avaliação da língua gestual Portuguesa (LGP) exige maior atenção à consciência querológica, dada a sua relevância na aprendizagem da língua. No âmbito nacional, constata-se a inexistência de instrumentos avaliativos da consciência querológica, pelo que o objetivo deste artigo é apresentar o Instrumento de Avaliação da Consciência Querológica (IACQ-LGP) e a análise das suas propriedades métricas. O instrumento (constituído por 5 subtestes) foi aplicado a 23 participantes entre os 5 e 12 anos (9.09±1.92), 17 do género masculino (73,9%) e 6 do género feminino (26,1%). Os índices da validade de conteúdo (IVC>.71), acordo universal (>.94) e média (>.94) apontaram a relevância dos itens. A proporção de acordo (.82 e 1) indiciou o forte consenso entre peritos, bem como os valores de Kappa de Cohen (k>.84). A fiabilidade foi confirmada pela consistência interna (.78<α<.82) e correlações moderadas a fortes ao nível da estabilidade temporal, pela técnica teste-reteste (.37<r<.73), exceção ao que avalia a discriminação de pares mínimos. A validade de constructo, analisada pelas intercorrelações entre domínios apontou correlações fracas a moderadas (.12≥r.≤84), e a análise fatorial exploratória a multidimensionalidade do constructo. O IACQ-LGP parece ser um instrumento fiável e válido para avaliar a consciência querológica. Conclusões e recomendações serão apresentadas.

ABSTRACT: The assessment of Portuguese Sign Language (PSL) demands an increase interest to cherological awareness, due to its relevance for PSL learning. At the national level, there is a lack of instruments for evaluating kerological awareness, so the purpose of this article is to present the Kerological Awareness Assessment Instrument (Instrumento de Avaliação da Consciência Querológica - IACQ-LGP) and the analysis of its metric properties. The instrument (consisting of 5 subtests) was applied to 23 participants between 5 and 12 years old (9.09 ± 1.92), 17 males (73.9%) and 6 females (26.1%). The content validity indexes (IVC> .71), universal agreement (> .94) and average (> .94) indicated the relevance of the items. The proportion of agreement (.82 and 1) indicated the strong consensus among experts, as well as Cohen's Kappa values (k> .84). The reliability was confirmed by the internal consistency (.78> α <.82) and moderate to strong correlations in terms of temporal stability, by the test-retest technique (.37< r <.73), except for the one that evaluates the discrimination of pairs minimums. Construct validity, analyzed by intercorrelations between domains, showed weak to moderate correlations (.12≥r.≤84), and exploratory factor analysis showed the multidimensionality of the construct. The IACQ-LGP appears to be a reliable and valid instrument for assessing kerological awareness. Conclusions and recommendations will be presented.