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    Eficácia e segurança das intervenções terapêuticas para síndrome dolorosa miofascial em adultos: revisão de revisões sistemáticas
    (Universidade Federal de São Carlos, 2026-10-29)
    Barros, Ian Carlos de
    ;
    Santos, Valter Fausto dos
    ;
    http://lattes.cnpq.br/9536458664875589
    ;
    http://lattes.cnpq.br/6350739393719759
    ;
    https://orcid.org/0000-0002-0978-381X
    Variation in diagnostic criteria and treatments for myofascial pain syndrome complicates the comparison of evidence and its application to clinical practice. Objective: To synthesize the efficacy and safety of therapeutic interventions for adults with myofascial pain syndrome or symptomatic active trigger points. Methods: An overview of systematic reviews was conducted, with searches in PubMed/MEDLINE, Embase, the Cochrane Database of Systematic Reviews, and Epistemonikos in September 2026. Methodological quality was assessed using AMSTAR 2. The descriptive synthesis considered population, intervention, comparator, outcome, and follow-up, accounting for overlap among primary studies. Selection, data extraction, and appraisal were assisted by generative models, with author review and approval within a “human-in-the-loop” framework. Published certainty ratings were used; no new GRADE assessment or meta-analysis was performed. Results: A total of 231 reviews were included: 150 contributed 317 clinical findings, 61 provided contextual information, and no usable findings were located in the extracted data for 20. Methodological confidence was critically low in 221 and indeterminate in 10. For neck pain, lidocaine provided greater pain relief than dry needling across pooled assessments at two to four weeks (mean difference −2.13 points on a scale from 0 to 10; 95% CI −3.22 to −1.03), with low-certainty evidence and no clear advantage for disability or other outcomes. One trial of low-level laser therapy showed a benefit for pain at treatment completion, without demonstrated persistence at six months. For temporomandibular myofascial pain, one trial favored dry needling over botulinum toxin for pain during chewing at six weeks, without a clear benefit for pain at rest or mouth opening. Adverse events were incompletely reported. Conclusion: The findings suggest pain relief in specific comparisons but do not establish an overall treatment ranking. Methodological limitations, imprecision, and study overlap restrict confidence in the conclusions. Clinical application requires consideration of diagnosis, comparator, functional goals, and duration of benefit, alongside uncertainty about safety.
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    O Senai e as suas concepções: do artífice aprendiz à indústria 4.0
    (Universidade Federal de São Carlos, 2026-08-14)
    Campanharo, Anderson Aparecido
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    Donadone, Julio Cesar
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    http://lattes.cnpq.br/7643906508178259
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    https://orcid.org/0000-0002-2129-0129
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    http://lattes.cnpq.br/1905554809254407
    This study examines the trajectory of the National Service for Industrial Training in São Paulo (SENAI-SP) in articulation with the transformations of the São Paulo industrial sector, from early industrialization to the context of Industry 4.0. It is grounded in a historical-analytical review of vocational education in Brazil and related legislation, through which the creation, expansion, and institutional specialization of SENAI-SP are situated within broader strategies of economic development and labor organization . In this sense, the study analyzes the role of FIESP and the curricular adjustments associated with different productive paradigms, including Fordism/Taylorism, the quality era, and digitalization. At the empirical level, the analysis focuses on the profile of industrial apprenticeship students, based on institutional data sources. The findings indicate a predominance of students from working-class backgrounds, whose trajectories are marked by early entry into the labor market, with vocational education functioning as a pathway for educational continuity. Employability rates among graduates are significant, particularly in consolidated industrial sectors, while a gradual expansion in educational mobility is also observed. From a territorial perspective, the study identifies broad institutional capillarity, although unevenly distributed, since more industrialized regions concentrate both training opportunities and better labor market outcomes. In curricular terms, there is a progressive incorporation of digital-technical and socioemotional competencies aligned with contemporary industrial demands. However, tensions persist between short-term business demands and broader educational objectives. Consequently, the funding model presents structural limitations, despite ensuring institutional stability. Within this framework, SENAI-SP performs a strategic role in industrial competitiveness, productive inclusion, and technological transition.
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    Análise crítico-reflexiva de seis anos em um curso de graduação único, desafiador e compensador
    (Universidade Federal de São Carlos, 2026-10-29)
    Benedini, Victor Daciole
    ;
    Santos, Valter Fausto dos
    ;
    http://lattes.cnpq.br/9536458664875589
    ;
    https://lattes.cnpq.br/8739110544559917
    This study presents a critical-reflective narrative of the medical training journey of a student from the sixteenth cohort of the Medicine program at the Federal University of São Carlos (UFSCar), spanning the period prior to university admission through the final year of undergraduate education. The narrative is organized chronologically according to the years of the medical program, highlighting the main challenges experienced during this period, particularly anxiety and structural limitations of the curriculum, including the lack of adequate practice settings in certain learning environments. It also explores the strengths of the program, notably the quality of its teaching staff and the diverse learning opportunities offered in each stage of training, especially during the final three years. The reflection suggests that the strengths of the program substantially outweigh its limitations and emphasizes the importance of a strong support network during medical education.
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    A construção do olhar
    (Universidade Federal de São Carlos, 2026-10-29)
    Frare, Vitoria Makiyama
    ;
    Santos, Valter Fausto dos
    ;
    http://lattes.cnpq.br/9536458664875589
    ;
    http://lattes.cnpq.br/6969612555832249
    This work presents a critical-reflective narrative of my undergraduate medical education at the Federal University of São Carlos. By revisiting personal, academic, and professional experiences throughout six years of training, I reflect on changes in my understanding of medicine, care, and my own professional identity. The narrative follows different stages of this journey, from choosing medicine and entering university during the pandemic to experiences in patient care, research, and extracurricular activities. The main experiences revisited include personal growth in the face of family circumstances, recognition of the influence of socioeconomic conditions on the health-disease process, the development of bonds with patients, encounters with death and the limits of medical practice, and experiences of leadership and personal development through participation in the student athletic association. These experiences helped me understand that medical education extends beyond the acquisition of technical knowledge and also involves communication, relationships, responsibility, teamwork, recognition of my own vulnerability, and an understanding of patients within their social and family contexts. At the end of undergraduate training, I remain aware that medical knowledge is always unfinished and that becoming a physician is an ongoing process. Rather than achieving an ideal professional image, this journey points to a desire to practice person-centered medicine committed to dignified care, the production of knowledge, and the preservation of the human essence of the profession.
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    Caminhos de luz: um breve ensaio sobre a transmissão de conhecimentos entre povos Pano e Aruak e a ocidentalização das dietas xamânicas tradicionais
    (Universidade Federal de São Carlos, 2018-07-04)
    Simões, Luiz Henrique
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    Lolli, Pedro Augusto
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    http://lattes.cnpq.br/6114043331557199
    There are many practices performed by the Amerindian peoples to transmit shamanic knowledge. This monograph aims to briefly describe a variety of processes of shamanic initiation present in some Pano and Arawak peoples with respect to diets and other processes engaged during the initiation period, for the transmission of knowledge to take place. The description of shamanic practices also aims to verify that different diets produce different specialists to present such shamanic specialties and their fields of action. In addition, the similarities found between the practices of Pano and Arawak shamanism allow the analysis of these processes under the same light, raising interesting questions for discussion, such as the female shamanic formation, presented through some examples of women experts and how they acquire knowledge as well as their perceptions of what it is to be a shaman. In contrast to traditional dietary practices, a growing Western interest in ayahuasca and its native uses has been shown in the Peruvian jungles and, more recently, in Brazil, under the name of new age, neo-shamanism, vegetalismo, among others, bringing about changes in traditional practices in order to meet the individual needs and interests of each person or group, such as the prohibition of tobacco smoke, which disfigures the traditional uses of shamanic diets in their native context. On the other hand, Western curiosity about ayahuasca and traditional practices related to it, such as diets, has had repercussions on the greater interest of indigenous youths in rescuing their medicines and dietary practices, whose interest, after massive contact with the non-indigenous world, had declined. Thus, this monograph seeks to describe the traditional context of shamanic diets and the Western reinvention of the use of ayahuasca through the practices associated with it.