[Multiprofessional demand and clientele: influences and challenges for a Master's degree course in educational technology in the health sciences]. / Demanda e clientela multiprofissional: influências e desafios para um Mestrado em Tecnologia Educacional nas Ciências da Saúde.

This article aims to identify the key characteristics of individuals pursuing a Master's degree in Health Education, discussing relevant issues concerning the objectives and content of their training. The analysis is based on data for Master's applicants selected during the four years since the program on Educational Technology in Health Sciences was created by the Unit of Educational Technology in Health, under the Health Sciences Center at the Federal University of Rio de Janeiro. The study showed that the applicants came from various professions and belonged to both teaching faculty and health care teams. The profile identified by the study has provided the material for discussing key aspects related to the Master's course characteristics and the challenges involved in achieving its social role and meeting the clientele's needs.

[Mitral valve prolapse as a probable cause of cerebral ischemia. A case report]. / Prolapso da valva mitral como provável etiologia de isquemia cerebral. Relato de caso.

A 32 year old female patient, documented clinically and echocardiographically to have a competent prolapse of the mitral valve (MVP), developed a sudden ischemic cerebrovascular accident (CVA), suggestive of embolism. There were no predisposing factors to cerebrovascular disease, except for past use of contraceptive pills. Tomographic study disclosed an ischemic right-parietal "wedge-shaped" defect. The patients's recovery, with physiotherapy and AAS, was satisfactory. The authors discuss the association of MVP and CVA, considering physiopathogenic, prophylactic and therapeutic aspects, emphasizing the need to consider MVP as a cause of CVA in young adults.

Complicacoes toracicas na cirurgia cardiaca. / Thoracic complications in cardiac surgery

Os autores analisam as complicacoes toracicas ocorridas em 610 cirurgias cardiacas consecutivas nos ultimos tres anos. Houve 11% de complicacoes toracicas, sendo 50% dessas complicacoes de infeccao respiratoria.Resultaram em obito 7,3% das complicacoes, a maioria por pulmao umido. Chamam a atencao para as vantagens da integracao de um servico de cirurgia cardiaca toracica e de pneumologia. Analisam a importancia da hemodiluicao, do filtro, do went, do PPE, do controle da volemia e fisioterapia, entre outras medidas, na prevencao das mais graves complicacoes pos-operatorias.Embora as infeccoes respiratorias fossem muito frequentes, todas foram curadas pelo tratamento clinico. Finalmente apontam os piores casos para a cirurgia: os portadores de hipertensao pulmonar cronica